Reflective Practive

Vasculitis

The tests available to support the diagnosis of vasculitis are:

EliA PR3S (14-5536-01) / EliA MPOS (14-5537-01)

EliA PR3S and EliA MPOS are diagnostically relevant tests with outstanding performance1

Tests with directly coated wells:
EliA PR3S EliA PR3 Assay 1
Sensitivity 79.0% 51.0% 69.0%
Specificity 98.0% 95.3% 76.3%
Positive predictive value (PPV) 96.3 87.9 94.5
Negative predictive value (NPV) 87.5 74.5 82.5
Positive likelihood ratio (LR+) 39.5 10.9 25.9
Negative likelihood ratio (LR-) 0.21 0.51 0.32
EliA MPOS EliA MPO Assay 1
Sensitivity 56.5% 35.9% 29.4%
Specificity 99.3% 99.3% 99.3%
Positive predictive value (PPV) 98.1 97.1 96.4
Negative predictive value (NPV) 78.8 71.6 9.6
Positive likelihood ratio (LR+) 84.8 53.8 44.0
Negative likelihood ratio (LR-) 0.44 0.64 0.71
Performance data of EliA PR3S/MPOS and of PR3/MPO tests with directly coated antigen (internal study - number of patients included: PR3S - 100 GPA (glomerulonephritis with polyangitis, Wegener's granulomatosis) and 150 disease controls; MPOS - 80 MPA (microscopic polyangitis), 12 NCGN (necrotising crescentric glomerulonephritis) and 150 disease controls).

Cut-off/measuring range

Negative Equivocal Positive Measuring range
EliA PR3S <2.0 GPL-U/ml 2.0-3.0 GPL-U/ml >3.0 GPL-U/ml 0.2-≥177 U/ml
EliA MPOS <3.5 GPL-U/ml 3.5-5.0 GPL-U/ml >5.0 GPL-U/ml 0.2-≥134 U/ml

Coating

  • EliA PR3S - human PR3 protein
  • EliA MPOS - human MPO protein

Dilution

  • EliA PR3S - 1:100
  • EliA MPOS - 1:50

Sample material

  • Serum, plasma (EDTA, citrate, heparin)

Cut-off/measuring range, coating, dilution and sample material have been taken from respective Phadia 250 DFUs. The data is intended as a guide and should be treated accordingly. If you have any questions or uncertainty please contact your local service team or Laboratory Sales Representative.

References
  1. Thermo Fisher Scientific. Internal Study.

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