Test Directory

Test Code
USTEK
Test Name
Ustekinumab Quantitative
CPT Codes
80299, 83520
Included Tests
  • Ustekinumab Quantitation
  • Ustekinumab Antibodies
Expected Turnaround Time
2 - 5 days
Clinical Utility

Useful for the evaluation of loss of response to therapy, quantification of ustekinumab in human serum, trough level quantitation for evaluation of patients treated with ustekinumab, and the detection of antibodies to ustekinumab in human serum.

Specimen and Container Info

Specimen Type: Serum

  

Preferred Collection Container: Gold Top, Serum Separator

Alternate Collection Container: Red Top, Plain

Desired Specimen Volume: 0.5 mL

Collection Instructions
  1. Collect a gold top, serum separator tube via venipuncture.
Processing and Submission Instructions
  1. Separate serum from cells.
  2. Transfer 0.5 mL of serum to a clear aliquot tube (screw cap).
Patient Preparation

Collect immediately before the next dose of drug administration (trough level).

Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Refrigerated

21 days

Frozen

21 days
Causes for Rejection
  • Heat-inactivated specimen
Methodology
Enzyme Linked Immunosorbent Asasy (Elisa)
Reference Intervals

See patient report.

Limitations

This assay measures free ustekinumab (UTK) and free antibodies to ustekinumab (ATU). This assay does not measure UTK bound to ATU (immunocomplexes).

Elevated rheumatoid factor (RF) may falsely increase results of ATU. During validation studies, negative ATU samples remained negative and positive ATU samples remained positive; however, the quantitative result differed by more than 20% when compared to the non-RF spiked original samples. If patients are positive for RF, clinical correlation is recommended for ATU test interpretation.

Alternate Names
  • Stelara
  • Stelara antibodies
Reference Lab
Mayo Clinic Laboratories
Testing Schedule
Routine, 3 times per week