Bioanalytical Community

 View Only
Expand all | Collapse all

Blood processing for PK analysis

  • 1.  Blood processing for PK analysis

    This message was posted by a user wishing to remain anonymous
    Posted 12-02-2022 12:01
    This message was posted by a user wishing to remain anonymous

    Hi Friends

    I have question about the impacted of delayed processing in assessing PK for proteins.

    We have a biologic (protein) that has collection timepoints at 16 and 20 hrs. on D7 for terminal half-life determination.  We will be able to draw the whole blood however there would be no staff to process this immediately into serum at the time of collection. The blood is collected in SST tubes and allow to clot for 30 minutes, centrifuged and aliquots are made before freezing.  However, at these timepoints the SST tube will be draw but not processed immediately.  Any prior experience with other large molecule studies on what to do at these later timepoints when blood cannot be processed immediately? How is the blood handled?

    Thank you!



  • 2.  RE: Blood processing for PK analysis

    Posted 12-05-2022 08:38

    Judging by the collection times, your protein is not an antibody. Therefore, it's really rather hard to tell how it's going to respond to the duration of processing. We once spiked an antibody into whole blood and let it sit in an SST tube overnight at room temperature before converting to serum. There was no haemolysis and the antibody recovered nicely after such abusive treatment. But antibodies are very sturdy in serum and the blood came from a healthy volunteer. Without knowing what your protein is/does and where the blood came from (animals, healthy or diseased human subjects?) there is no way of telling how it's going to behave sitting on the clot in an SST tube.



    ------------------------------
    Robert Kubiak PhD
    Associate Director, Clinical Pharmacology and Safety Sciences
    AstraZeneca PLC
    Gaithersburg MD
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 3.  RE: Blood processing for PK analysis

    Posted 12-06-2022 11:21

    HI,

     

    My advice would be if you included the overnight in your whole blood stability investigation to demonstrate that this does not affect the quantitation.  Sample collection and processing needs to be covered in your validation and as long as you demonstrate this then I would personally think you are good to utilise the approach.

     

    Regards

    Tim

     

     

     

    Timothy Sangster,

    Executive Director, Bioanalytical Sciences

    Mobile (UK) +44 7702243156

    Mobile (US) +1 (531) 510 6871

    Direct Line +1 (402) 437 6258

    [email protected]

    www.celerion.com

    image007.png@01D1D859.487D3870  image008.png@01D1D859.487D3870  image003.jpg@01D1D856.E9FDB380          

     






  • 4.  RE: Blood processing for PK analysis

    Posted 12-06-2022 11:55
    Thank you, Timothy this is very helpful.






  • 5.  RE: Blood processing for PK analysis

    Posted 12-06-2022 13:09
    your most welcome.  Please reach out if I can be or more assistance always happy to help.

    Tim


    ------------------------------
    Timothy Sangster
    Executive Director
    Celerion
    Lincoln NE
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 6.  RE: Blood processing for PK analysis

    Posted 12-05-2022 09:55
    Here is my thought: A good way to find out is to use a set of blood samples and split each sample into multiple aliquots. Process the samples at different time points, then run your PK analysis with samples from the same donor/blood draw on the same plate, calculate recovery/ %RE with the samples that are processed immediately as the reference.

    ------------------------------
    [Rachel] [Wang] [Ph.D.]
    [Bioanalytical Assay Development Lead]
    [Spark Therapeutics]
    [Philadelphia] [PA]


    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 7.  RE: Blood processing for PK analysis

    Posted 12-06-2022 08:00
    Agree with everything Robert said. This reference might be helpful.

    https://pubmed.ncbi.nlm.nih.gov/26110705/

    ------------------------------
    Michael Partridge
    Director
    Regeneron Pharmaceuticals
    Tarrytown NY
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 8.  RE: Blood processing for PK analysis

    Posted 12-06-2022 11:00
    Thank you everyone.  This is very helpful. Yes, the protein is not an antibody.  The whole blood will be coming from AML patients dose with this protein.  Will run stability studies to test.  

    Best!





  • 9.  RE: Blood processing for PK analysis

    Community Leadership
    Posted 12-07-2022 09:46
    I agree with Robert and Tim that you will need to include this in your vaildation (can be an addendum). As Robert mentioned, you design an experiment where you are comparing prompt processing versus conditions that mimic the sample handling conditions. One caveat is that since you are spiking quickly in whole blood without the precision of volumetric pipetting, you are getting relative recovery rather than absolute recovery. Another is that when you are spiking samples into whole blood, if your molecule does partition into the cellular fraction, you will look like you are losing material when it is really equilibration (incurred samples would have already completed distribution in vivo). In this case, you may want to do some development experiments in plasma first since it can be processed immediately after collection as a baseline to evaluate distribution kinetics over a time course.

    I am aware of an example where whole blood was transported by courier to a processing lab and stability was established to hold the whole blood for over 24 hours before processing the serum.

    ------------------------------
    Joleen White Ph.D.
    AAPS 2022 Global Health Community Chair
    AAPS 2022 Bioanalytical Community Past Chair
    Head of Bioassay Development and Operations
    Gates Medical Research Institute
    Cambridge MA
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 10.  RE: Blood processing for PK analysis

    This message was posted by a user wishing to remain anonymous
    Posted 12-07-2022 09:54
    This message was posted by a user wishing to remain anonymous

    Thanks Joleen!

    Do you remember for the study you are aware of at what temperature the samples were held at before processing?

    Thanks
    Faith


  • 11.  RE: Blood processing for PK analysis

    Community Leadership
    Posted 12-07-2022 11:23
    If I recall correctly, the transit was done at refrigerated temperature and brought back to RT for clot formation. They were transported on the back of a bike, so we even put the samples on a rotator in the cold room to simulate jostling.

    ------------------------------
    Joleen White Ph.D.
    AAPS 2022 Global Health Community Chair
    AAPS 2022 Bioanalytical Community Past Chair
    Head of Bioassay Development and Operations
    Gates Medical Research Institute
    Cambridge MA
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 12.  RE: Blood processing for PK analysis

    Posted 12-07-2022 11:30

    Hi Everybody,

                   Joleen makes a very good point – it's hard to accurately spike analyte into whole blood in SST. We are fortunate enough to have blood collection on site, and we had access to freshly collected (still warm!) blood in SST. The SST tubes were still under vacuum so spiking was done with a syringe; you puncture the septum and the vacuum in the tube "sucks in" the contents of the syringe. Our experiments were of "look/see" nature and much more work would be required to bring them up to validation standards. Our protein was a monoclonal antibody, so we didn't have to worry about binding to plasma proteins or penetrating cells. For proteins that do, designing a good experiment would take more thought. Good luck!



    ------------------------------
    Robert Kubiak PhD
    Senior Manager, R&D
    AstraZeneca PLC
    Gaithersburg MD
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 13.  RE: Blood processing for PK analysis

    Posted 12-07-2022 12:14
    ICH M10 has a nice section on Stability of the Analyte in Whole Blood

    3.2.8

    '4. Stability of the analyte in whole blood
    Sufficient attention should be paid to the stability of the analyte in the sampled matrix (blood) directly
    after collection from subjects and prior to preparation for storage to ensure that the concentrations
    obtained by the analytical method reflect the concentrations of the analyte in the subject's blood at the
    time of sample collection.
    If the matrix used is plasma, the stability of the analyte in blood should be evaluated during method
    development (e.g., using an exploratory method in blood) or during method validation. The results
    should be provided in the Validation Report.'

    This does reference possibly using an exploratory blood assay but many people in the industry have steered away more to a comparative approach as Joleen describes - spike, process some to the final sample matrix and store under validated conditions and then store the blood under appropriate conditions and then process and compare both using the validated assay.  Not perfect in all situations but one that can work in many situations effectively without the development of a 'new' assay.

    The key here is if the time is 5 mins or 24hrs it should be assessed and characterised the best you can and as Robert and Joleen have pointed out not always easy to do so good scientific judgement - for may labs just getting fresh blood can be a massive challenge.

    Good luck let us know how you get on.

    Tim

    ------------------------------
    Timothy Sangster
    Executive Director
    Celerion
    Lincoln NE
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 14.  RE: Blood processing for PK analysis

    Posted 02-13-2023 15:16

    I do not  know what kind of protein it is but should  try Dried blood spot technique 



    ------------------------------
    DIVYA ANDY
    POST DOC
    The University Of TOLEDO
    Ypsilanti MI
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 15.  RE: Blood processing for PK analysis

    Community Leadership
    Posted 02-13-2023 16:54

    This reminds me of a past discussion so you may want to search the archive.

     

    I think that one solution proposed was to leave at RT for 30 minutes to clot and then put into refrigerator O/N. Whatever you choose to do, please run validation experiments to demonstrate that the handling is acceptable. If there is a phlebotomist available to draw the blood, I would see if that person can also do everything through the centrifugation. Refrigerating the vacutainer with separated serum would be much more similar than refrigerating whole blood.

     

    ------------------------------
    Joleen White Ph.D. (she/her)
    AAPS 2023 Global Health Community Past Chair

    Head of Bioassay Development
    Gates Medical Research Institute
    Cambridge MA
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------