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Austin Pathology
Test Directory
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Adalimumab
Alternate Names
|
Humira Level |
Ordering Information
|
Please ensure Medicare assignment is signed by patient, otherwise patient may receive an invoice. Note: Patients with a negative ADL level (<= 0.4 ug/ml) will be tested for anti-ADL antibodies. Please note: Medicare Rebate for this test is subject to conditions. Patients may receive an invoice. Out of Pocket cost - $50.00 for both level or antibodies. |
Laboratory
|
Referred Test |
Specimen
|
Blood |
Container
|
Serum tube (gold cap OR red cap w. yellow insert) |
Minimum Adult Volume
|
5mL |
Minimum Paediatric Volume
|
None |
Frequency
|
Weekly |
Reference Interval
|
Adalimumab (ADL) levels of 5 ug/ml have been suggested as a cut-off for likelihood of clinical remission in IBD. If the patient has an ADL level of >5ug/ml with active disease, this suggests ADL drug resistance. If ADL levels are <5ug/ml with positive anti-ADL antibodies, suggest therapy be changed. Adalimumab levels Patients with a negative ADL level (<= 0.4 ug/ml) will be tested for Anti-ADL antibodies. ADL Assay Ranges: Anti-ADL Antibody Ranges: Adalimumab and anti-Adalimumab testing performed by EIA. In the setting of active IBD: If ADAL level: subtherapeutic and Anti-ADAL: low or neg If ADAL level: subtherapeutic and Anti-ADAL: High If ADAL level: Therapeutic but not responding, (Anti-ADAL not required) Ref: Am J Gastroenterol Suppl 2016; 3: 8-16 |
These PDF documents can be downloaded for your reference
Test Code
|
ADAL |
Container ID
|
S |
Storage Instructions
|
Store at 4°C |
Additional (Storage) Instructions
|
Instructions for: Metropolitan & Regional Specimen Receptions
|
Transport Instructions
|
Transport at 4°C |
Additional Transport Instruction
|
Instructions for: Heidelberg Sendaways Department
|
Laboratory Notes
|
Instructions for: Metropolitan & Regional Specimen Receptions
Sullivan Nicolaides Pathology perform Adalimumab testing every Thursday. |
External Laboratory
|
Immunology, Sullivan & Nicolaides Pathology |