2020 · Clinical chemistry and laboratory medicine · paywalled
Volumetric absorptive microsampling and dried blood spot microsampling vs. conventional venous sampling for tacrolimus trough concentration monitoring
Veenhof et al.
The finding, in our words
VAMS sampling can replace venous whole blood sampling for tacrolimus trough concentration monitoring after slope correction, but VAMS is currently inferior to DBS because a higher proportion of VAMS samples were of insufficient quality and fewer VAMS results met the predefined acceptance limit compared with DBS.
A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.
In matched clinical samples from rheumatoid arthritis, VAMS and DBS showed strong agreement for methotrexate polyglutamates (slopes 0.95-1.07; bias within -4.21% to 0.36%; SRCC ≥ 0.969), with up to 100% of total MTXPG results within ±20% limits; capillary microsampling agreed closely with whole blood but differed from red blood cells, indicating matrix-specific differences that must be accounted for when interpreting against RBC-based reference values.
Kocur et al., International journal of molecular sciences · source ↗
In adult kidney transplant patients, fingerprick VAMS and dried blood spot microsampling achieved accurate simultaneous measurement of tacrolimus, mycophenolic acid, and prednisolone compared with venepuncture. The authors noted an overall preference for VAMS over conventional dried blood spots.
Scuderi et al., Therapeutic drug monitoring (paywalled) · source ↗
Clinical validation for tacrolimus and mycophenolic acid monitoring showed that while volumetric absorptive microsampling met analytical criteria after concentration correction, conventional dried blood spots achieved superior adherence to strict clinical criteria, sample quality, and cost efficiency without significant haematocrit bias.
Paniagua-González et al., Journal of pharmaceutical and biomedical analysis (paywalled) · source ↗
LC-MS/MS assay validation for monitoring tacrolimus and creatinine in renal transplant patients demonstrated that volumetric absorptive microsampling is the preferred single-sampling approach compared to traditional dried blood spots and venous sampling.
Mathew et al., Clinical biochemistry (paywalled) · source ↗
In lung and renal transplant recipients, VAMS sampling with LC-MS/MS quantification of mycophenolic acid and tacrolimus showed good linearity and accuracy, and with a haematocrit-adjusted conversion formula achieved clinical agreement in most samples; tacrolimus did not require haematocrit correction. The approach is virtually painless and enables richer sampling for more accurate drug exposure estimates, supporting decentralised therapeutic drug monitoring.
Juan et al., Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · source ↗