Lab Locations

Laboratory for Therapeutic and Diagnostic Antibodies, 

KU Leuven, Belgium

Sanquin, 

Amsterdam, Netherlands

Inflammatory Bowel Disease Unit and Gastro-Immunology Laboratory, Sheba Medical Centre, Tel Aviv, Israel

University of Tours,

Tours, France

Department of Neurology, Innsbruck Medical University

Innsbruck, Austria

Department of Clinical Immunology, Karolinska University Lab,

Stockholm, Sweden

Department of Clinical Neuroscience, Karolinska Institutet,

Stockholm, Sweden

Institute of Molecular Biology at the Bulgarian Academy of Sciences,

Sofia, Bulgaria

Regional University Hospital in Málaga (IBIMA)

Malaga, Spain

Regional Multiple Sclerosis Centre, AOU San Luigi Gonzaga Orbassano, 

Turin, Italy

Canterbury Health Laboratories, Christchurch, New Zealand

The Department of Medical Biochemistry at Oslo University Hospital is the largest in Norway and performs about 12 million tests annually within all branches of medical biochemistry. The section at Radiumhospitalet specializes in production of monoclonal antibodies and in-house immunometric assays for tumor markers, biopharmaceutical blood concentration and anti-drug antibodies. We offer an extensive repertoire of assays for measurement of biopharmaceutical blood concentrations, both for routine clinical practice as well as internal and external research projects.

 

Diseases researched

The laboratory collaborates with several clinical departments within Oslo University Hospital. Other important collaborators are the Division of Rheumatology and Research at Diakonhjemmet Hospital and the Department of Gastroenterology at Akershus University Hospital.

 

Inflammatory diseases

Cancer

Immunoassay development

Immunofluorometric assays

Antibody interference testing



Website links:

Forside - Oslo universitetssykehus (oslo-universitetssykehus.no);

www.antibody.no;

Farmakologiske analyser – Rikshospitalet (anx.no)

Department of Medical Biochemistry Oslo University Hospital -Radiumhospitalet, Norway

Canterbury Health Laboratories (CHL) in Christchurch

New Zealand

Canterbury Health Laboratories (CHL) is one of two tertiary level reference and teaching laboratories within New Zealand with capability and experience in providing a range of services.   CHL employs over 400 staff, including experienced teams of medical laboratory scientists, technicians, scientific officers and clinicians, with expertise across all disciplines.  Research and development is supported.    


Diseases Researched:

The Immunology Section within CHL provides a nationwide therapeutic drug monitoring service to gastroenterologists and rheumatologists for Infliximab, Adalimumab and Etanercept. The tests provided include drug levels for infliximab, adalimumab, etanercept and ADA for infliximab, adalimumab and etanercept.


Performed Tests:

Drug levels are measured using in-house validated ELISA.  ADA are measured using HMSA method, and neutralising ADA determined using an in-house validated competitive ligand binding assay. The techniques used are published.



Website link: 

https://www.chl.co.nz/contact-us

with our tests listed under TNF Biologic Drugs


Contact: Paula Keating@cdhb.health.nz  pH +64 3 3640413

Department of Clinical Neuroscience, Karolinska Institutet,

Stockholm, Sweden

This clinical research laboratory provides science, education and training in the field of immunogenicity. Autoimmune and inflammatory diseases are the primary focus. They aim at translating research about immunological reactions against biopharmaceutical treatments in patients with chronic inflammatory diseases to clinical practice. To this end they independently test different methods for ADA detection, validate methods for detection of immune complexes by using the biobanks available at Karolinska University Hospital and the Swedish high quality patients registers. The aim is to provide clinically relevant algorithms for which patients to test, when to test them, with what methods and how to interpret the test results. Since 2003, the lab has been providing routine ADA tests for interferon beta treatment in MS patients, then ADA against natalizumab and from 2017 ADA against rituximab and ADA in immune complexes formed with infliximab. They have been part of the ABIRISK project where the lab, together with other academic and EFPIA partners, studied immunogenicity (http://www.abirisk.eu/).


Diseases Researched:

The main diseases researched in the lab are autoimmune and inflammatory diseases:

  • Multiple sclerosis
  • Rheumatoid arthritis
  • Systemic lupus erythematosus (SLE)


Developed methods: 

ADA titres:

  • ADA analysis against rituximab with ECL on MSD platform, bridging and PandA 
  • ADA against infliximab with PandA assay


Website link: 

https://ki.se/cns/ada-lab-kicmm 

Department of Clinical Immunology and Transfusion Medicine, Karolinska University Lab,

Stockholm, Sweden

Karolinska University Lab, Clinical Immunology and Transfusion Medicine. This routine laboratory servers the hospital with all clinical tests needed, including drug levels for infliximab, adalimumab, etanercept and rituximab as well as ADA for infliximab and adalimumab. It is an academic health care function, including research and education, with a close strategic partnership between Karolinska University Hospital and Karolinska Institutet. 


Diseases Researched:

Diseases that are tested in the lab include autoimmune and inflammatory diseases:

  • Rheumatoid arthritis
  • Systemic lupus erythematosus (SLE)
  • Inflammatory Bowel Disease


Performed Tests:

Drug levels:

  • Measures adalimumab, infliximab, etanercept, and rituximab with ELISA


ADA titres:

  • Measure ADA against adalimumab with ELISA


Website link: 

http://www.karolinska.se/en

Regional University Hospital in Málaga (IBIMA)

Malaga, Spain

Diseases Researched:

This lab mainly focuses on research into Multiple Sclerosis:

  • Established biomarkers in clinical practice and search of new biomarkers in MS
  • Genetics and pharmacogenetics of MS
  • Immunological mechanisms involved in the pathogenesis of MS
  • Study of drug targets in the mouse model of experimental autoimmune encephalitis (EAE)
  • Autologous adipose tissue-derived mesenchymal stem cell therapy in patients with MS


Performed Tests:

ADA titres:

  • Determination of natalizumab antibodies with ELISA
  • Determination of neutralising ADA against interferon-β with CPE (A549/EMCV assay) technique


This research laboratory is the only laboratory accredited by Biogen in Spain, spreading this service to all the hospitals throughout the Iberian peninsula.


Website link: 

http://www.ibima.eu/en/grupo_investigacion/neuroinmunologia-esclerosis-multiple 

Department of Neurology, Innsbruck Medical University

Innsbruck, Austria

Diseases Researched:

This laboratory focuses mostly on biomarkers for neurology, and researches diseases such as:

  • Multiple sclerosis
  • Neuromyelitis Optica Spectrum Disorder
  • MOG-IgG spectrum diseases,
  • Autoimmune encephalitis


Performed Tests:

Drug levels:

  • Measures drug levels for natalizumab with ELISA

ADA titres:

  • Neutralising ADA for IFNβ with Luciferase bioassay
  • Measures ADA against natalizumab with ELISA


Website link:

https://www.i-med.ac.at/neurologie/forschung/immunologie.html 


University of Tours,

Tours, France

The PATCH team (PhArmacology of TherapeutiC antibodies in Human) studies the sources of variability of response to therapeutic antibodies, both in terms of efficacy and adverse side effects. In this field, the team evaluates individual factors that may influence drug pharmacokinetics and their concentration-effect relationship in humans. The team is also studying response biomarkers in an integrative way, using a Quantitative Systems Pharmacology approach applied to pharmacokinetic-pharmacodynamic (PK-PD) modelling


Diseases Researched:

The works of the laboratory covers all therapeutic antibodies and therefore concerns:

  • Oncology- colon, breast, and lymphomas
  • Immunoinflammatory diseases- rheumatoid arthritis, ankylosing spondylitis, and inflammatory bowel diseases
  • Other pathologies treated by biopharmaceuticals- hereditary haemorrhagic telangiectasia and haemolytic-uremic syndrome.


Performed Tests:

ELISA: Measure drug concentrations of monoclonal antibodies and other biopharmaceuticals in serum and other biological fluids:

  • Infliximab
  • Adalimumab
  • Etanercept
  • Basiliximab
  • Eculizumab
  • Tocilizumab
  • Rituximab
  • Cetuximab
  • Panitumumab
  • Trastuzumab
  • Bevacizumab
  • Nivolumab


Website link: 

Research team (PATCH):

http://gicc.cnrs.univ-tours.fr/equipes/patch-pharmacology-of-therapeutic-antibodies-in-humans-586069.kjsp?RH=1432115246691  


PITAM / CePiBAc Laboratory, Tours University Hospital (in french):

http://www.chu-tours.fr/centre-pilote-de-suivi-biologique-des-traitements-par-anticorps-cepibac.html  


MAGE consortium/LE STUDIUM

http://www.lestudium-ias.com/content/monitoring-monoclonal-antibodies-group-europe-mage-inflammatory-diseases  


MabImprove

http://mabimprove.univ-tours.fr/en/  


ABIRISK

http://www.abirisk.eu/ 


Laboratory for Therapeutic and Diagnostic Antibodies, 

KU Leuven, Belgium

The laboratory for Therapeutic and Diagnostic Antibodies is a research laboratory affiliated with the Department of Pharmaceutical and Pharmacological Sciences of the KU Leuven in Belgium. The laboratory has a large expertise in the generation, characterization and application of monoclonal antibodies towards different targets.  In-house generated antibodies have been used to develop immunoassays used to determine drug and anti-drug antibody concentrations. The laboratory served as analytical centre for drug and ADA measurements within several prospective clinical studies (e.g. TAXIT, TAILORIX, GOUDA).

They are a part of the Monitoring Monoclonal Antibodies Group Europe (MAGE) and the lab is a co-founder of PharmAbs, the KU Leuven Antibody Centre. PharmAbs is an innovation, incubation and valorization platform at KU Leuven, clustering the antibody expertise of five different KU Leuven groups with a mission to translate fundamental biomedical research carried out by universities into lead products for new medicines or into novel diagnostic solutions.


Diseases Researched:

The laboratory collaborates with different hospitals in and out of Belgium. Their main collaborator is the University Hospital of Leuven (UZ Leuven) with whom they collaborate on the research of:

  • Inflammatory Bowel Diseases (Department of Gastroenterology)
  • Ankylosing Spondylitis and Rheumatoid Arthritis (Department of Rheumatology)
  • Psoriasis (Department of Dermatology) 
  • Venous thrombosis in chronic inflammatory diseases (Department of Cardiovascular diseases). 

Additionally, a collaboration has started with the Department of Dermatology of UZ Ghent. 


Performed Tests:

Drugs tested:

  • Infliximab
  • Adalimumab
  • Etanercept
  • Golimumab
  • Vedolizumab
  • Ustekinumab
  • Secukinumab 


To measure drug levels:

  • ELISA
  • Lateral flow technology
  • Fibre optic Surface Plasmon Resonance analysis 


To measure ADA titres:

  • Drug sensitive bridging ELISA
  • Drug tolerant bridging ELISA
  • Drug tolerant Affinity Capture Elution assay (ACE) 
  • Precipitation and acid dissociation assay (PANDA) 
  • Cell based assay


Website link: 

http://pharm.kuleuven.be/biotech 


Inflammatory Bowel Disease Unit and Gastro-Immunology Laboratory, Sheba Medical Centre,

Tel Aviv, Israel

Being the largest government hospital in Israel and serving more than 100,000 patients a year, Sheba Medical Centre is the responsible choice for medical treatment. It contains Gastro-Immunology Lab that researches into GI tract diseases and measures levels of biologics used to treat these diseases, and the ADAs against these therapies. It mainly focuses on irritable bowel syndrome, which is an inflammatory condition of the gut.


Diseases Researched:

Irritable Bowel Syndrome


Performed Tests:

Drug levels:

  • Measures drug levels for adalimumab and infliximab with ELISA
  • Measures drug levels for vedolizumab with ELISA


ADA titres:

  • Measures ADA levels for adalimumab and infliximab with ELISA


Website link: 

https://gastro.sheba.co.il/ 


Sanquin, 

Amsterdam, Netherlands

Sanquin produces plasma pharmaceuticals, develops blood group and immune reagents, performs a multitude of diagnostic services, conducts high-quality scientific research and provides education and training. Sanquin provides diagnostic services for blood transfusion and immunology. We can perform all blood-related laboratory tests for hospitals, blood banks, institutes, obstetrics clinics, insurance companies and pharmaceutical organisations. Sanquin Diagnostic Services provides over more than 600 different diagnostic tests.


Diseases Researched:

Sanquin is the knowledge institute in the field of blood, and conducts scientific research in the fields of:

  • Blood transfusion medicine 
  • Immunology
  • Development and production of a range of pharmaceutical and diagnostic services
  • Autoimmunity
  • Inflammatory diseases
  • Cancer


Performed Tests:

Sanquin provide services for:


Website link: 

https://www.sanquin.org/ 

Institute of Molecular Biology at the Bulgarian Academy of Sciences,

Sofia, Bulgaria

This labs research is focused on the quality of recombinant proteins produced in Escherichia coli. They are searching for the reasons causing structural instability and immunogenicity of therapeutic proteins and for ways how to overcome these problems. They discovered an unknown cause of protein drugs’ immunogenicity – the involvement of the proteins in the Maillard reaction (glycation) during their synthesis in the bacterial host. The Maillard reaction results in the formation of sugar-derived neo-epitopes in the proteins known as advanced glycation end products (AGEs). The lab further explores means to avoid or at least minimize glycation of the recombinant proteins throughout the manufacturing process starting with fermentation and ending up with drugs’ formulation and storage.


Diseases Researched:

They are developing protein drugs for treatment of:

  • Viral diseases
  • Autoimmune diseases

They have developed two pharmaceutical formulations based on human γ-interferon (hIFNγ):

  • Eye drops for treatment of eyes’ viral infections (Gammaferon) 
  • Gel (Virogel) for treatment of Herpes zoster

Current projects are committed to the development of protein drugs for management of autoimmune disorders linked to the endogenous overproduction of hIFNγ such as:

  • Multiple sclerosis
  • Alopecia areata
  • Myasthenia gravis 
  • Autoimmune uveitis


Performed Tests:

Drugs measured: 

hIFN-γ drugs

  • Kynurenine assay (with modification)- Measurement of the biological activity of hIFNγ
  • Sandwich and direct ELISA- Measurement of hIFNγ concentration
  • Isothermal titration calorimetry (ITC)- Measurement of drug-target (hIFNγ-hIFNγR) interactions


ADAs measured: 

hIFN-β binding and neutralizing antibodies, cross-reactivity of anti-IFNβ antibodies with advanced glycation end products (AGEs) 

  • Measurement of binding anti-IFN-β and anti-AGEs antibodies with direct ELISAs
  • Measurement of the cross-reactivity of anti-IFN-β antibodies with AGEs with competitive ELISA 
  • Using commercial hIFNβ1a and their own screening protocol to measure binding antibodies in human sera with indirect ELISA
  • Measurement of hIFNβ1a neutralizing antibodies in human sera  with Functional immunoassay with commercial iLite Type I IFN Assay Ready Cells


Website link: 

http://www.bio21.bas.bg/imb/?id=3 

Regional Multiple Sclerosis Centre, AOU San Luigi Gonzaga Orbassano, 

Turin, Italy

The Clinical Neurobiology Laboratory of the Regional Referring Multiple Sclerosis Centre (CRESM) is located at Neuroscience Institute Cavalieri Ottolenghi (NICO), University Hospital San Luigi Gonzaga, Orbassano, Turin (Italy). The laboratory deals with routine cerebrospinal fluid analysis and oligoclonal bands detection from AOU San Luigi Gonzaga patients and from several Piedmont centres. Additionally, detection of anti-Aquaporin 4 and anti-Myelin Oligodendrocyte Glycoprotein antibodies on serum samples by immunofluorescence assay and FACS assay respectively are performed for differential diagnosis with Neuromyelitis Optica Spectrum Disorders. Furthermore, the lab is focused on the evaluation of treatment-response biomarkers in MS treated patients to monitor the biological response to therapy and identify risk factors


Diseases Researched:

The main diseases that this lab researches are:

  • Multiple Sclerosis 
  • Neuromyelitis Optica Spectrum Disorders


Performed Tests:

Drug serum levels

  • Measure rituximab with commercial ELISA Kit 
  • Measures natalizumab with home-made flow cytometry assay


ADA titres

  • Measuring anti-IFNβ antibodies with Cytopathic Effect (CPE) assay
  • Measuring anti-natalizumab antibodies with bridging ELISA
  • Measuring anti-rituximab antibodies with commercial ELISA Kit


IFNβ biological activity

  • Quantification of MxA mRNA with quantitative real time PCR


Rituximab monitoring

  • Quantification of CD19 mRNA with droplet digital PCR