The Library
1530 papers on microsampling and monitoring, each with a finding paraphrased to our standard and labelled in one vocabulary. Every entry links to a legitimate copy; nothing is copied from an abstract.
Papers 201–255 of 255 labelled “tdm”, newest first.
2020
The study validated a VAMS-based bioanalytical method using the Tasso OnDemand device for the drug gefapixant and demonstrated a mathematical bridging relationship with standard plasma assays, supporting its use in decentralised clinical trials.
Clinical application of volumetric absorptive microsampling to the gefapixant development program — Roadcap et al., Bioanalysis (paywalled)
- blood
- dried
- vams
- neoteryx-mitra
- validation
- venous-agreement
- tdm
2020
Capillary microsampling using the Neoteryx Mitra device predicted tacrolimus AUC with high accuracy and precision compared with venous sampling in renal transplant recipients, with 85% of estimates within ±11.9% error. Patients could self-sample accurately at home, enabling patient-centred therapeutic drug monitoring without extended hospital stays.
Tacrolimus Area Under the Concentration Versus Time Curve Monitoring, Using Home-Based Volumetric Absorptive Capillary Microsampling — Gustavsen et al., Therapeutic drug monitoring (paywalled)
- blood
- capillary
- vams
- neoteryx-mitra
- self-collection
- validation
- venous-agreement
- tdm
- immunosuppressants
2020
In adult kidney transplant patients, adding DBS home sampling to usual care did not reduce outpatient visits or per-visit costs versus usual care alone, though most patients were willing to use DBS if it cut hospital attendances; logistical optimisation of mailing and timely analysis is required to realise travel and cost benefits.
Effects, costs and implementation of monitoring kidney transplant patients' tacrolimus levels with dried blood spot sampling: A randomized controlled hybrid implementation trial — Veenhof et al., British journal of clinical pharmacology
- blood
- dried
- dbs
- self-collection
- acceptability
- tdm
- immunosuppressants
- dct
- economics
2020
The study developed and validated a VAMS-based method for measuring cefepime in small volumes of paediatric blood with high accuracy and precision, enabling less invasive therapeutic drug monitoring in children. This advances decentralised, patient-centric sampling by allowing reliable pharmacokinetic studies without repeated venous draws.
Development and validation of a volumetric absorptive microsampling- liquid chromatography mass spectrometry method for the analysis of cefepime in human whole blood: Application to pediatric pharmacokinetic study — Moorthy et al., Journal of pharmaceutical and biomedical analysis (paywalled)
- blood
- dried
- vams
- neoteryx-mitra
- validation
- pediatric
- tdm
- antimicrobials
2020
The review highlights that volumetric absorptive microsampling enables easy, minimally invasive home sampling with room temperature storage and fixed volume accuracy, making it a viable alternative for clinical trials and therapeutic drug monitoring during the COVID-19 pandemic.
Volumetric Absorptive Microsampling as a Sampling Alternative in Clinical Trials and Therapeutic Drug Monitoring During the COVID-19 Pandemic: A Review — Harahap et al., Drug design, development and therapy
- blood
- dried
- vams
- neoteryx-mitra
- validation
- tdm
- dct
- haematocrit
2019
A clinical validation showing dried blood samples can support infliximab concentration monitoring in inflammatory bowel disease.
Dried blood samples can support monitoring of infliximab concentrations in patients with inflammatory bowel disease: A clinical validation — Berends et al., British Journal of Clinical Pharmacology
- venous-agreement
- biologics
- blood
- dbs
- tdm
- self-collection
- dried
- validation
2019
Imaging shows analytes distribute non-uniformly within a single spot, one central, one peripheral, so where a sub-punch is taken can change the answer.
Analysis of the heterogeneous distribution of amiloride and propranolol in dried blood spot by UHPLC-FLD and MALDI-imaging — Uribe et al., Molecules
- blood
- dbs
- tdm
- haematocrit
- dried
- validation
2019
The consensus guideline defining the analytical- and clinical-validation requirements for dried-blood TDM: the standardisation reference for implementing a dried assay clinically.
Official IATDMCT Guideline: Development and Validation of Dried Blood Spot-Based Methods for Therapeutic Drug Monitoring — Capiau et al., Therapeutic Drug Monitoring (paywalled)
- blood
- dbs
- tdm
- standards
- haematocrit
- dried
- validation
2019
Volumetric absorptive capillary microsampling gave reliable tacrolimus measurements throughout the dose interval in renal transplant recipients, with mean biases of -3.1% for mailed samples and -4.2% for direct delivery versus venous blood. Dried microsamples remained stable for one month at ambient temperature, enabling home-based therapeutic drug monitoring with postal shipment.
Tacrolimus Can Be Reliably Measured With Volumetric Absorptive Capillary Microsampling Throughout the Dose Interval in Renal Transplant Recipients — Vethe et al., Therapeutic drug monitoring (paywalled)
- blood
- dried
- capillary
- vams
- validation
- venous-agreement
- tdm
- immunosuppressants
2019
A systematic review of dried blood spot sampling for tacrolimus monitoring across adult and paediatric organ transplant recipients demonstrated that reported analytical bias compared with venous sampling fell within acceptable limits across the majority of studies. This supports dried blood microsampling as an accurate approach for decentralised therapeutic drug monitoring.
Predictability of Capillary Blood Spot Toward Venous Whole Blood Sampling for Therapeutic Drug Monitoring of Tacrolimus in Solid Organ Transplant Recipients — Gallant et al., European journal of drug metabolism and pharmacokinetics (paywalled)
- blood
- dried
- capillary
- dbs
- validation
- venous-agreement
- pediatric
- tdm
- immunosuppressants
2019
The authors developed and validated an LC-MS/MS assay for THC, CBD and CBN from 20 µL VAMS blood samples with linear calibration curves and inter-day accuracies of 94.4 to 107 per cent, then applied it to a pediatric pharmacokinetic study, demonstrating that patient-centric microsampling can support decentralised therapeutic drug monitoring of cannabinoids in children.
A patient-centric liquid chromatography-tandem mass spectrometry microsampling assay for analysis of cannabinoids in human whole blood: Application to pediatric pharmacokinetic study — Moorthy et al., Journal of chromatography. B, Analytical technologies in the biomedical and life sciences (paywalled)
- blood
- dried
- vams
- neoteryx-mitra
- validation
- pediatric
- tdm
2019
HPLC-MS/MS methods for midazolam and 1-OH midazolam in wet whole blood and dried blood collected on VAMS were developed and validated, meeting international guideline criteria; a strong correlation between wet and dry concentrations was observed, indicating VAMS is suitable for paediatric clinical studies.
Validation of methods for determining pediatric midazolam using wet whole blood and volumetric absorptive microsampling — Abu-Rabie et al., Bioanalysis (paywalled)
- blood
- dried
- vams
- neoteryx-mitra
- validation
- venous-agreement
- pediatric
- tdm
2019
Volumetric absorptive microsampling (VAMS) using the Neoteryx Mitra device was validated for mitotane therapeutic drug monitoring across 1–50 mg/L, with acceptable haematocrit bias and one-week stability at room temperature. However, comparison with venous plasma showed poor correlation, suggesting home-based VAMS is of limited clinical value for mitotane unless a method-specific target range is established.
A method for the minimally invasive drug monitoring of mitotane by means of volumetric absorptive microsampling for a home-based therapeutic drug monitoring — Friedl et al., Analytical and bioanalytical chemistry (paywalled)
- blood
- dried
- capillary
- vams
- neoteryx-mitra
- validation
- venous-agreement
- tdm
- oncology
2019
A web-based application that grades dried blood spot quality from smartphone photographs agreed with laboratory technicians in 90% of trained and 87% of untrained collections, raising usable sample rates for therapeutic drug monitoring from 80% to 96% in trained settings and from 42% to 88% in untrained settings. Patients rated the app as acceptable and completed the check in under two minutes, suggesting it could reduce sample rejection in decentralised settings.
Performance of a web-based application measuring spot quality in dried blood spot sampling — Veenhof et al., Clinical chemistry and laboratory medicine (paywalled)
- blood
- dried
- dbs
- self-collection
- acceptability
- tdm
2019
Guardian-collected capillary dried blood spots were feasible for home monitoring of lamotrigine, and for carbamazepine and valproic acid when conversion factors were applied, with only 4 of 190 comparisons risking a conflicting dose decision and negligible risk of patient harm. Levetiracetam DBS showed high variability against plasma and is recommended only for checking nonadherence, not for dose adjustment.
Dried Blood Spot Self-Sampling by Guardians of Children With Epilepsy Is Feasible: Comparison With Plasma for Multiple Antiepileptic Drugs — Linder et al., Therapeutic drug monitoring (paywalled)
- blood
- liquid
- dried
- capillary
- dbs
- self-collection
- validation
- venous-agreement
- pediatric
- tdm
2019
Microsampling with the Neoteryx Mitra device showed acceptable linearity and precision for cyclosporine A, everolimus, sirolimus and tacrolimus, and agreed closely with conventional venous extraction by Deming regression, supporting its use for decentralised immunosuppressant therapeutic drug monitoring.
Feasibility of Immunosuppressant Drug Monitoring by a Microsampling Device — Gruzdys et al., The journal of applied laboratory medicine (paywalled)
- blood
- vams
- neoteryx-mitra
- validation
- venous-agreement
- tdm
- immunosuppressants
2019
Subcutaneous testosterone undecanoate injection was equally acceptable to intramuscular injection despite causing more pain at 24 hours, with most men preferring the intramuscular route. Pharmacokinetic analysis using dried blood spots showed a later peak concentration after subcutaneous injection, but no clinically meaningful differences in overall exposure, suggesting subcutaneous administration is a viable alternative without dose adjustment.
Pharmacokinetics and Acceptability of Subcutaneous Injection of Testosterone Undecanoate — Turner et al., Journal of the Endocrine Society (paywalled)
- blood
- dried
- dbs
- acceptability
- hormones
- tdm
2019
The VAMS assay quantifies voriconazole and voriconazole N-oxide with linear calibration from 10.0 to 10,000 ng/mL and intra- and inter-day accuracy within 87-102%, enabling accurate and precise therapeutic drug monitoring from a small fixed volume of dried blood.
Development and validation of a volumetric absorptive microsampling assay for analysis of voriconazole and voriconazole N-oxide in human whole blood — Moorthy et al., Journal of chromatography. B, Analytical technologies in the biomedical and life sciences (paywalled)
- blood
- dried
- vams
- neoteryx-mitra
- validation
- tdm
- antimicrobials
2019
Fingerprick dried blood spots showed analytical agreement with whole blood for sirolimus and everolimus in transplant patients, but only 77.3% and 61.5% of samples fell within the pre-defined 15% clinical relevance limit, missing the 80% target for both drugs. This suggests the method cannot yet replace conventional sampling for immunosuppressant monitoring without accepting less stringent clinical criteria, which constrains its use in decentralised diagnostics.
Clinical application of a dried blood spot assay for sirolimus and everolimus in transplant patients — Veenhof et al., Clinical chemistry and laboratory medicine (paywalled)
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- tdm
- immunosuppressants
2019
The authors developed and validated a fully automated dried blood spot method for monitoring four anti-epileptic drugs and a metabolite. Accuracy and precision were within acceptable limits, samples were stable for at least one month at room temperature, and haematocrit effects were limited, demonstrating suitability for remote therapeutic drug monitoring in resource-limited settings.
Fully automated therapeutic drug monitoring of anti-epileptic drugs making use of dried blood spots — Velghe et al., Journal of chromatography. A (paywalled)
- blood
- dried
- capillary
- dbs
- validation
- tdm
- haematocrit
2019
The validated LC-MS/MS method showed similar pharmacokinetic profiles for albendazole and its metabolites across plasma, whole blood, dried blood spots and Mitra microsamples from hookworm-infected adolescents, supporting microsampling for paediatric pharmacokinetic studies. Mitra extraction proved more robust than dried blood spots during validation and is recommended for future albendazole pharmacokinetic work, despite higher albendazole sulfone concentrations observed in both microsampling devices compared with wet matrices.
Pharmacokinetics of Albendazole, Albendazole Sulfoxide, and Albendazole Sulfone Determined from Plasma, Blood, Dried-Blood Spots, and Mitra Samples of Hookworm-Infected Adolescents — Schulz et al., Antimicrobial agents and chemotherapy (paywalled)
- blood
- liquid
- dried
- capillary
- vams
- dbs
- neoteryx-mitra
- validation
- venous-agreement
- pediatric
- tdm
- antimicrobials
2019
Among 68 chronic myeloid leukaemia patients self-sampling dried blood spots for nilotinib therapeutic drug monitoring at home, 77% of samples were clinically useful. Patients found the procedure easy and not painful, with 75% requiring no assistance, though lower educational level predicted unsuitable samples, underscoring the need for clear instruction.
Feasibility of and patients' perspective on nilotinib dried blood spot self-sampling — Boons et al., European journal of clinical pharmacology (paywalled)
- blood
- dried
- dbs
- self-collection
- acceptability
- tdm
- oncology
2019
The authors validated an LC-MS/MS method for simultaneously measuring vancomycin and creatinine from plasma applied to VAMS devices, reporting acceptable precision and accuracy with both analytes stable for up to two weeks at 45 degrees Celsius, though VAMS concentrations required correction factors to estimate plasma levels. This supports wider access to vancomycin therapeutic drug monitoring in resource-limited settings by enabling ambient transport of dried plasma microsamples.
Simultaneous determination of vancomycin and creatinine in plasma applied to volumetric absorptive microsampling devices using liquid chromatography-tandem mass spectrometry — Andriguetti et al., Journal of pharmaceutical and biomedical analysis (paywalled)
- blood
- dried
- vams
- neoteryx-mitra
- validation
- tdm
- antimicrobials
2019
This review summarises the use of saliva as a non-invasive diagnostic fluid for systemic diseases, toxicology, therapeutic drug monitoring and neuropsychiatric disorders. It concludes that the ease of self-collection makes saliva particularly suitable for psychiatric patients who may struggle to cooperate with venous sampling.
Diagnostic Value of Salivary Markers in Neuropsychiatric Disorders — Kułak-Bejda et al., Disease markers
- saliva
- self-collection
- tdm
2018
Volumetric dried blood spot sampling showed good agreement with conventional venous sampling for tacrolimus and mycophenolic acid concentrations in renal transplant recipients, with most concentrations and abbreviated AUCs falling within ±20% of conventional measures. Dosing recommendations differed on some occasions but the clinical impact was modest, suggesting home-based microsampling could support decentralised therapeutic drug monitoring with appropriate patient training.
Therapeutic drug monitoring of tacrolimus and mycophenolic acid in outpatient renal transplant recipients using a volumetric dried blood spot sampling device — Zwart et al., British journal of clinical pharmacology (paywalled)
- blood
- dried
- dbs
- volumetric
- self-collection
- validation
- venous-agreement
- tdm
- immunosuppressants
2018
Acetylsalicylic acid concentrations in VAMS samples decrease without a stabilising reagent, whereas whole blood samples remain stable. For decentralised diagnostics, this means stabilisers must be added to VAMS devices before analysis to ensure accurate therapeutic drug monitoring from patient-collected samples.
Quantitative analysis of acetylsalicylic acid in human blood using volumetric absorptive microsampling — Kim et al., Translational and clinical pharmacology
- blood
- dried
- vams
- neoteryx-mitra
- validation
- tdm
2018
Daily oral HIV pre-exposure prophylaxis demonstrated high acceptability and adherence among high-risk gay and bisexual men when monitored by dried blood spot analysis, with no HIV seroconversions over one year but frequent sexually transmitted infections. The study shows dried blood spot testing can support adherence monitoring in decentralised prevention programmes, though renal function requires surveillance.
Acceptability and tolerability of and adherence to HIV preexposure prophylaxis among Toronto gay and bisexual men: a pilot study — Tan et al., CMAJ open (paywalled)
- blood
- dried
- dbs
- acceptability
- tdm
- sti
2018
The study found substantial agreement between serum tobramycin and vancomycin concentrations collected from existing peripheral or central venous catheters and those obtained by venipuncture or fingerstick in pediatric patients. This suggests that using a strict flush and waste protocol allows for therapeutic drug monitoring without additional painful needle sticks, thereby improving patient satisfaction.
Therapeutic antibiotic serum concentrations by two blood collection methods within the pediatric patient: A comparative effectiveness trial — Lichliter et al., Journal for specialists in pediatric nursing : JSPN (paywalled)
- blood
- liquid
- capillary
- venous-agreement
- pediatric
- tdm
- antimicrobials
2018
The authors validated a dried blood spot assay for benznidazole that showed strong agreement with plasma concentrations (r²=0.8295) and proved stable at room temperature for more than one year. This microsampling approach enables therapeutic drug monitoring for Chagas disease in decentralised trials and remote settings, including paediatric populations.
Dried Blood Spot Technique-Based Liquid Chromatography-Tandem Mass Spectrometry Method as a Simple Alternative for Benznidazole Pharmacokinetic Assessment — Galindo Bedor et al., Antimicrobial agents and chemotherapy
- blood
- dried
- dbs
- validation
- venous-agreement
- tdm
- antimicrobials
- haematocrit
2018
Volumetric absorptive microsampling provided acceptable analytical accuracy and precision for atenolol, lisinopril, simvastatin and capillary blood samples without being influenced by haematocrit levels. The VAMS approach demonstrated strong agreement with standard dried blood spot cards in identifying medication adherence among volunteers.
Volumetric absorptive microsampling (VAMS) coupled with high-resolution, accurate-mass (HRAM) mass spectrometry as a simplified alternative to dried blood spot (DBS) analysis for therapeutic drug monitoring of cardiovascular drugs — Tanna et al., Clinical mass spectrometry (paywalled)
- blood
- dried
- vams
- dbs
- neoteryx-mitra
- validation
- tdm
- haematocrit
2018
Dried blood spot sampling showed good agreement with whole blood for measuring everolimus in cancer patients, with ninety percent of samples demonstrating acceptable prediction error and low bias. This enables home-based therapeutic drug monitoring, allowing clinicians to individualise dosing without requiring patient visits.
Clinical validation study of dried blood spot for determining everolimus concentration in patients with cancer — Willemsen et al., European journal of clinical pharmacology
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- tdm
- oncology
2018
A volumetric absorptive microsampling method for quantifying GSKA in human blood was developed and validated. Haematocrit related assay bias was minimised across a 30 to 60 per cent range and all validation parameters met acceptance criteria, indicating the method is suitable for quantitative analysis in decentralised settings.
Drug monitoring by volumetric absorptive microsampling: method development considerations to mitigate hematocrit effects — Fang et al., Bioanalysis (paywalled)
- blood
- dried
- vams
- validation
- tdm
- haematocrit
2018
A dried blood spot LC-MS/MS method was validated for therapeutic monitoring of carbamazepine, lamotrigine, levetiracetam and valproic acid. Concentrations from dried blood spots correlated strongly with plasma (R² 0.92) across venous and capillary samples, enabling home self-collection and reducing clinic visits for children with epilepsy.
Carbamazepine, lamotrigine, levetiracetam and valproic acid in dried blood spots with liquid chromatography tandem mass spectrometry; method development and validation — Linder et al., Journal of chromatography. B, Analytical technologies in the biomedical and life sciences (paywalled)
- blood
- dried
- capillary
- dbs
- self-collection
- validation
- venous-agreement
- pediatric
- tdm
2017
Finger-prick dried blood spots supported monitoring of both adalimumab and anti-adalimumab antibodies in inflammatory rheumatic disease: biologic TDM without a venous draw.
Dried blood spots from finger prick facilitate therapeutic drug monitoring of adalimumab and anti-adalimumab in patients with inflammatory rheumatic diseases — Kneepkens et al., British Journal of Clinical Pharmacology (paywalled)
- venous-agreement
- biologics
- blood
- dbs
- tdm
- self-collection
- dried
- validation
2017
VAMS microsampling of capillary blood provided accurate measurement of hydroxychloroquine and metabolites in rheumatoid arthritis patients, with results agreeing with venous blood while overcoming dried blood spot limitations of haematocrit bias and inhomogeneity, and offered potential for home self-collection.
Capillary blood collected on volumetric absorptive microsampling (VAMS) device for monitoring hydroxychloroquine in rheumatoid arthritis patients — Qu et al., Journal of pharmaceutical and biomedical analysis (paywalled)
- blood
- dried
- capillary
- vams
- dbs
- validation
- venous-agreement
- tdm
2017
This study in children with epilepsy demonstrated strong correlation between dried blood spot and plasma concentrations for carbamazepine, lamotrigine and valproic acid. While lamotrigine concentrations were directly comparable, conversion factors were required for carbamazepine (18% higher bias) and valproic acid (35% lower bias), supporting the feasibility of home sampling for therapeutic drug monitoring and its potential to simplify care and reduce costs.
Comparison between dried blood spot and plasma sampling for therapeutic drug monitoring of antiepileptic drugs in children with epilepsy: A step towards home sampling — Linder et al., Clinical biochemistry (paywalled)
- blood
- dried
- capillary
- dbs
- validation
- pediatric
- tdm
2017
Clinical validation in twenty-eight children showed that dried blood spot sampling predicted venous tacrolimus concentrations adequately, with ninety-five percent of predicted-to-observed ratios between 0.74 and 1.28 and median prediction error below fifteen percent, whereas mycophenolic acid predictions were more variable, indicating semiquantitative utility. The authors concluded that home-based dried blood spot collection is suitable for tacrolimus therapeutic drug monitoring in paediatric transplant recipients.
Dried Blood Spot Sampling for Tacrolimus and Mycophenolic Acid in Children: Analytical and Clinical Validation — Martial et al., Therapeutic drug monitoring (paywalled)
- blood
- dried
- dbs
- validation
- venous-agreement
- pediatric
- tdm
- immunosuppressants
2017
A UHPLC-MS/MS assay for risperidone, aripiprazole, pipamperone and their metabolites in dried blood spots was validated for therapeutic drug monitoring. The method proved accurate across haematocrit values of 30-45 percent, remained stable for ten days at room temperature, and was successfully applied to patient samples, enabling decentralised monitoring in children with autism spectrum disorders.
Dried Blood Spots Combined With Ultra-High-Performance Liquid Chromatography-Mass Spectrometry for the Quantification of the Antipsychotics Risperidone, Aripiprazole, Pipamperone, and Their Major Metabolites — Tron et al., Therapeutic drug monitoring (paywalled)
- blood
- dried
- dbs
- self-collection
- validation
- pediatric
- tdm
- haematocrit
2017
VAMS devices collect accurate blood volumes regardless of haematocrit level, but conventional ultrasonication extraction showed reduced drug recovery at higher haematocrit. A new bead-based impact-assisted extraction eliminated this bias, achieving quantitative recovery of naproxen and ritonavir across all haematocrit levels tested.
Volumetric absorptive microsampling combined with impact-assisted extraction for hematocrit effect free assays — Youhnovski et al., Bioanalysis (paywalled)
- blood
- dried
- vams
- neoteryx-mitra
- validation
- tdm
- haematocrit
2017
DBS sampling by finger prick enables remote collection so patients need not attend a clinic, and assays often meet analytical criteria, but clinical validation and routine implementation are limited; ideally both medicines and clinical chemistry should be measured in the same sample.
Dried Blood Spot sampling in psychiatry: Perspectives for improving therapeutic drug monitoring — Martial et al., European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology (paywalled)
- blood
- dried
- dbs
- self-collection
- tdm
2016
A review of clinical DBS across TDM, metabolic monitoring and trials, arguing that analytical and clinical validation must be obligatory before clinical use.
Clinical feasibility of dried blood spots: analytics, validation, and applications — Enderle, Foerster & Burhenne, J. Pharmaceutical and Biomedical Analysis (paywalled)
- blood
- dbs
- tdm
- standards
- dried
- validation
2016
Home DBS sampling for therapeutic drug monitoring in children cut total costs per draw by 43% for haemato-oncology patients and 61% for renal transplant patients from a societal perspective, with smaller savings from a healthcare-only viewpoint. The findings support decentralised diagnostics in paediatric care by quantifying the economic advantage of reducing hospital visits.
Cost Evaluation of Dried Blood Spot Home Sampling as Compared to Conventional Sampling for Therapeutic Drug Monitoring in Children — Martial et al., PloS one
- blood
- dried
- dbs
- self-collection
- pediatric
- tdm
- economics
2016
DBS sampling yielded drug concentrations that agreed with plasma at 79–94% for praziquantel enantiomers and 108–122% for its metabolite in nine opisthorchiasis patients. This validates DBS as a practical alternative to conventional venous sampling for therapeutic drug monitoring in resource-limited settings.
Pharmacokinetic Study of Praziquantel Enantiomers and Its Main Metabolite R-trans-4-OH-PZQ in Plasma, Blood and Dried Blood Spots in Opisthorchis viverrini-Infected Patients — Meister et al., PLoS neglected tropical diseases
- blood
- dried
- dbs
- validation
- venous-agreement
- tdm
2016
Miltefosine concentrations measured in dried blood spots showed excellent agreement with plasma (median ratio 0.99, Pearson's r=0.946) in patients with visceral leishmaniasis. The method demonstrated 97% extraction recovery, remained stable for 162 days at 37°C, and performed reliably across haematocrit levels of 20–35%, offering a valid and practical alternative to venous sampling for therapeutic drug monitoring in decentralised settings.
Validation and Clinical Evaluation of a Novel Method To Measure Miltefosine in Leishmaniasis Patients Using Dried Blood Spot Sample Collection — Kip et al., Antimicrobial agents and chemotherapy
- blood
- dried
- dbs
- validation
- venous-agreement
- tdm
- antimicrobials
- haematocrit
2016
The validation of a dried blood spot assay for ceftriaxone achieved a limit of quantification of 0.14 mg/L with strong correlation between DBS-predicted and measured plasma concentrations (r=0.95). The method showed acceptable thermal stability, retaining over 95% of initial concentrations for periods ranging from 14 hours to 11 months. This supports the use of self-collected DBS samples for therapeutic drug monitoring of antimicrobials in remote and resource-poor settings.
Validation and Application of a Dried Blood Spot Ceftriaxone Assay — Page-Sharp et al., Antimicrobial agents and chemotherapy (paywalled)
- blood
- dried
- dbs
- validation
- venous-agreement
- tdm
- antimicrobials
- haematocrit
2016
An LC-MS/MS method accurately quantified hydroxyurea from small volumes of dried blood collected on DMPK-C cards and VAMS devices across a linear range of 0.5 to 60 μg/mL with comparable performance. This enables therapeutic drug monitoring and pharmacokinetic assessment in pediatric sickle cell anemia patients using capillary heel- or finger-prick sampling.
Stable-Isotope Dilution HPLC-Electrospray Ionization Tandem Mass Spectrometry Method for Quantifying Hydroxyurea in Dried Blood Samples — Marahatta et al., Clinical chemistry (paywalled)
- blood
- dried
- vams
- dbs
- neoteryx-mitra
- validation
- pediatric
- tdm
2015
Capillary dried blood spots collected at home by pediatric transplant patients and mailed to the laboratory gave tacrolimus and sirolimus results that were clinically comparable to venous whole blood, with small negative biases within acceptable limits, enabling remote therapeutic drug monitoring.
Tacrolimus and sirolimus in capillary dried blood spots allows for remote monitoring — Dickerson et al., Pediatric transplantation (paywalled)
- blood
- dried
- capillary
- dbs
- self-collection
- venous-agreement
- pediatric
- tdm
- immunosuppressants
2015
The authors validated an LC-MS/MS method for quantifying emixustat in whole blood collected by VAMS. The assay performed reliably across the normal adult haematocrit range and the analyte remained stable on the device under ambient, refrigerated, and frozen storage, enabling decentralised therapeutic drug monitoring without plasma separation or cold chain.
Bioanalysis of emixustat (ACU-4429) in whole blood collected with volumetric absorptive microsampling by LC-MS/MS — Miao et al., Bioanalysis (paywalled)
- blood
- dried
- vams
- neoteryx-mitra
- validation
- tdm
- haematocrit
2015
Dried blood spots from finger-pricks, collected either in clinic or by families at home, showed wide fluctuations in methotrexate levels in 17 of 48 children with juvenile arthritis or dermatomyositis, indicating nonadherence. Younger age and oral administration predicted poorer adherence, while subcutaneous dosing gave higher drug concentrations, proving that decentralised therapeutic drug monitoring is feasible in paediatric patients.
Methotrexate polyglutamates as a potential marker of adherence to long-term therapy in children with juvenile idiopathic arthritis and juvenile dermatomyositis: an observational, cross-sectional study — Hawwa et al., Arthritis research & therapy
- blood
- dried
- dbs
- self-collection
- pediatric
- tdm
- immunosuppressants
2014
Dried blood spot microsampling provides a patient-centric alternative to venous sampling for therapeutic drug monitoring, with advantages of home self-collection, small sample volumes suitable for children, and analyte stability, though accuracy is affected by haematocrit and requires patient correlation studies to validate clinical equivalence.
Therapeutic drug monitoring by dried blood spot: progress to date and future directions — Wilhelm et al., Clinical pharmacokinetics
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- pediatric
- tdm
- haematocrit
2014
The validated LC-MS method for valproic acid in dried blood spots showed imprecision below 9% CV and accuracy within ±14% across the clinically relevant range of 10 to 1200 μmol/L, with haematocrit effects manageable between 30 and 60%, supporting its potential for home-based therapeutic drug monitoring of this antiepileptic medication.
Quantification of valproic acid in dried blood spots — Pohanka et al., Scandinavian journal of clinical and laboratory investigation (paywalled)
- blood
- dried
- dbs
- self-collection
- validation
- tdm
- haematocrit
2014
Finger‑prick dried blood spots gave almost identical nandrolone and testosterone concentrations to venous samples. Home self‑collection for 21 days was well tolerated, showing that microsampling supports decentralised therapeutic drug monitoring without clinic visits, venesection or frozen storage.
Pharmacokinetic-pharmacodynamic study of subcutaneous injection of depot nandrolone decanoate using dried blood spots sampling coupled with ultrapressure liquid chromatography tandem mass spectrometry assays — Singh et al., The Journal of clinical endocrinology and metabolism (paywalled)
- blood
- dried
- capillary
- dbs
- self-collection
- venous-agreement
- hormones
- tdm
2014
Parsons et al. validated a quantitative dried blood spot assay for rifapentine that remained stable for 11 weeks at ambient temperature and showed good agreement with plasma concentrations after haematocrit correction, offering a low-volume sampling approach suitable for therapeutic drug monitoring in international and paediatric tuberculosis trials.
Quantification of rifapentine, a potent antituberculosis drug, from dried blood spot samples using liquid chromatographic-tandem mass spectrometric analysis — Parsons et al., Antimicrobial agents and chemotherapy (paywalled)
- blood
- dried
- dbs
- validation
- venous-agreement
- tdm
- antimicrobials
- haematocrit
2014
Adherence to the artemether-lumefantrine regimen was low, with only 14.9% of patients definitely adherent; measurable lumefantrine concentrations were found in 14.4% of venous samples, indicating poor compliance and the need for ongoing adherence monitoring.
Adherence to artemether-lumefantrine drug combination: a rural community experience six years after change of malaria treatment policy in Tanzania — Minzi et al., Malaria journal
- blood
- liquid
- capillary
- tdm
2014
The authors developed and validated a sensitive LCMS assay for methotrexate polyglutamates in dried blood spots from finger-prick samples, demonstrating agreement with conventional HPLC-UV analysis of matched red-cell samples in 47 paediatric patients. This enables minimally invasive, parent-collected sampling at home for therapeutic drug monitoring, supporting decentralised clinical studies and care in paediatric rheumatology.
A novel dried blood spot-LCMS method for the quantification of methotrexate polyglutamates as a potential marker for methotrexate use in children — Hawwa et al., PloS one
- blood
- dried
- dbs
- validation
- pediatric
- tdm
- immunosuppressants
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