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Updated: Jan 10, 2026

Preparation and Pathogen Inactivation of Double Dose Buffy Coat Platelet Products using the INTERCEPT Blood System
Published on: December 7, 2012
Compound adsorption device in pathogen reduction technology removes multiple drugs from plasma components
Briana Greenwall1, Kathryn Reeder1, Waseem Qais Anani1,2
1ARUP Laboratories, Salt Lake City, Utah, USA.
Insights
The INTERCEPT Blood System’s compound adsorption device effectively removed testosterone and common medications from plasma. This suggests a potential to reduce drug contamination and reconsider donor deferral policies.
Area of Science:
- Transfusion Medicine
- Pharmacology
- Biotechnology
Background:
- Blood donor eligibility criteria may exclude individuals based on medication use, potentially limiting the donor pool.
- Current donor health questionnaires may not fully capture all prescribed medications, leading to potential risks in blood products.
Purpose of the Study:
- To evaluate the efficacy of the compound adsorption device (CAD) in the INTERCEPT Blood System Pathogen Reduction Technology (PRT) for plasma.
- To assess the removal of exogenous testosterone and specific FDA-listed drugs from plasma using CAD.
Main Methods:
- Plasma from donors on testosterone replacement therapy or supplemented with apixaban and emtricitabine/tenofovir was treated with INTERCEPT PRT (amotosalen and CAD steps).
- Quantitative assays measured drug concentrations before and after CAD treatment.
- Statistical analysis included Wilcoxon signed-rank test and one-way ANOVA.
Main Results:
- CAD reduced free and total testosterone by 75% and 74%, respectively.
- Apixaban was removed below the limit of detection.
- Emtricitabine and tenofovir concentrations decreased by 100% and 98%, respectively.
Conclusions:
- The INTERCEPT PRT CAD effectively removes various drug classes from plasma.
- This technology shows potential for mitigating drug contamination in transfusable plasma.
- Findings may support revising medication-based donor deferrals to balance donor safety and product efficacy.
Background:
Blood donor eligibility policies may exclude individuals based on medication use, but the donor health questionnaire may not reliably capture all prescriptions. This study evaluates the capacity of the compound adsorption device (CAD) within the INTERCEPT Blood System Pathogen Reduction Technology (PRT) for plasma to remove exogenous testosterone and high doses of two drugs on the FDA donor deferral list.
Study Design And Methods:
Plasma was manufactured from male whole blood donors undergoing testosterone replacement therapy (TRT) or whole blood donors with no medication history to be supplemented with supratherapeutic concentrations of apixaban, a common anticoagulant, and escalating doses of emtricitabine and tenofovir (FTC&TFV) to note any saturating effects of removal. Plasma units were treated with INTERCEPT PRT only using the amotosalen and CAD steps without photochemical activation. Quantitative assays analyzed pre- and post-CAD samples. Statistical analysis was performed using a Wilcoxon signed-rank test and one-way ANOVA.
Results:
The CAD reduced the mean free and total testosterone by 75% (pre-CAD 107.4, post-CAD 26.8 pg/mL) and 74% (pre-CAD 352.2, post-CAD 85.7 ng/mL), respectively. Apixaban was removed below the limit of detection (pre-CAD mean 420, post-CAD mean <23 ng/mL). Regardless of the initial dose, FTC&TFV concentrations decreased by 100% and 98%, respectively.
Conclusion:
The INTERCEPT PRT plasma kit CAD effectively removed multiple drug classes, suggesting a potential role in mitigating drug contamination in transfusable plasma products. These findings may support the reconsideration of some medication-based donor deferrals where the risk-benefit of donor safety and product efficacy favors collection.
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