Multi-center calibration of the third BCR reference material for thromboplastin, rabbit, plain, coded CRM 149S.
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.
Abstract:
In a collaborative study by eleven laboratories performed within the framework of the European Community Bureau of Reference (BCR), a third reference material for thromboplastin, rabbit, plain, has been calibrated against RBT/90, the current WHO international reference preparation for thromboplastin, rabbit, plain. This third reference material (coded CRM 149S) has a mean International Sensitivity Index (ISI) of 1.257 with a standard error of the mean of 0.013. The previous BCR reference material for thromboplastin, rabbit, plain (coded CRM 149R) and the reference material for thromboplastin, bovine, combined (coded OBT/79) were also included in the trial for assessment of the long-term stability of the ISI values. The relationship between ISI values determined in the present study was nearly identical to that of the historical values. These results offer reassurance with regard to the long-term stability of these reference materials.
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