Multi-center calibration of the third BCR reference material for thromboplastin, rabbit, plain, coded CRM 149S.

A M van den Besselaar1

  • 1Department of Haematology, Leiden University Hospital, The Netherlands.

Insights

A new reference material for rabbit thromboplastin (CRM 149S) was calibrated against the WHO standard, showing an International Sensitivity Index (ISI) of 1.257. Long-term stability assessments confirmed consistent ISI values for this and other reference materials.

Area of Science:

  • Biochemistry
  • Clinical Chemistry
  • Reference Materials

Background:

  • Accurate thromboplastin calibration is crucial for reliable coagulation testing.
  • The European Community Bureau of Reference (BCR) develops and validates reference materials for inter-laboratory consistency.
  • Previous reference materials (CRM 149R, OBT/79) required long-term stability assessment.

Purpose of the Study:

  • To calibrate a new rabbit plain thromboplastin reference material (CRM 149S) against the international standard (RBT/90).
  • To assess the long-term stability of International Sensitivity Index (ISI) values for CRM 149S, CRM 149R, and OBT/79.
  • To ensure the continued reliability and comparability of thromboplastin reference materials.

Main Methods:

  • Collaborative study involving eleven laboratories.
  • Calibration of CRM 149S against the World Health Organization (WHO) international reference preparation RBT/90.
  • Inclusion of previous BCR reference materials (CRM 149R, OBT/79) for stability assessment.

Main Results:

  • The new reference material CRM 149S achieved a mean International Sensitivity Index (ISI) of 1.257 (SE = 0.013).
  • ISI values determined in this study showed near-identical relationships to historical values for all tested reference materials.
  • The long-term stability of ISI values for rabbit and bovine thromboplastin reference materials was confirmed.

Conclusions:

  • CRM 149S is a reliable reference material for rabbit thromboplastin, calibrated against the international standard.
  • The established BCR reference materials demonstrate excellent long-term stability of their ISI values.
  • These findings support the continued use and comparability of these essential diagnostic tools.

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