Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer

Por um escritor misterioso

Descrição

Background The link between immediate hypersensitivity reactions (HSR) following the first cetuximab infusion and the IgE sensitization against anti-galactose-α-1,3-galactose (α-Gal) is now well-established. An automated Fluoroenzyme-Immunoassay (FEIA) is available and may facilitate the screening of patients with anti-α-Gal IgE before treatment. Methods This study aimed to evaluate its performances as compared to a previously validated anti-cetuximab IgE ELISA, using 185 samples from two previously studied cohorts. Results Despite 21.1% of discrepancies between the two techniques, FEIA discriminated better positive patients and similarly negative ones with a ≥ 0.525 kUA/L threshold. Sensitivity was 87.5% for both tests, specificity was better for FEIA (96.3% vs ELISA: 82.1%). FEIA had a higher positive likelihood ratio (23.9 vs ELISA: 4.89) and a similar negative likelihood ratio (0.13 vs ELISA: 0.15). In our population, the risk of severe HSR following a positive test was higher with FEIA (56.7% vs ELISA: 19.6%) and similar following a negative test (0.7% vs ELISA: 0.8%). Conclusion Although the predictive value of the IgE screening before cetuximab infusion remains discussed, this automated commercial test can identify high-risk patients and is suitable for routine use in laboratories. It could help avoiding cetuximab-induced HSR by a systematic anti-α-Gal IgE screening before treatment.
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
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Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
Recombinant Anti-SIRP alpha antibody [EPR22930-163] (ab260039)
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
BMC Cancer 1/2023
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
Allergen screening bioassays: recent developments in lab-on-a-chip and lab-on-a-disc systems
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
Risk of bias and applicability concerns summary.
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
Hypersensitivity reactions to biologics (part I): allergy as an important differential diagnosis in complex immune-derived adverse events*
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
The flowchart of the studies included in this meta-analysis.
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
IgE to the Mammalian Oligosaccharide Galactose-α-1,3-Galactose Is Associated With Increased Atheroma Volume and Plaques With Unstable Characteristics—Brief Report
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
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Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
The basophil activation test differentiates between patients with alpha-gal syndrome and asymptomatic alpha-gal sensitization - ScienceDirect
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
Mast cell activation test in the diagnosis of allergic disease and anaphylaxis - ScienceDirect
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
Gautier Petit's research works Centre Hospitalier Universitaire de Caen, Caen (CHU Caen) and other places
Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening  of patients at risk of severe anaphylaxis to cetuximab, BMC Cancer
The future of food allergy: Challenging existing paradigms of clinical practice - Anagnostou - 2023 - Allergy - Wiley Online Library
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