Eltrombopag-Induced Falsely Elevated Bilirubin Concentrations in Enzymatic and Vanadate Oxidation Assays: Involvement of High Serum Eltrombopag Concentrations

Eltrombopag causes clinically significant concentration-dependent interference in total blood bilirubin, but not in conjugated bilirubin measurements through the enzymatic assay in patients with aplastic anemia. The vanadate oxidation assay may be used as an alternative to measure total blood bilirubin when the eltrombopag concentration is below 50 mcg/mL.

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Publication Details

Journal
Therapeutic Drug Monitoring
Published
2025-02-05
DOI
https://doi.org/10.1097/ftd.0000000000001307
Primary Topic
Blood groups and transfusion
Type
article
Field-Weighted Citation Impact
0.00

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article

Eltrombopag-Induced Falsely Elevated Bilirubin Concentrations in Enzymatic and Vanadate Oxidation Assays: Involvement of High Serum Eltrombopag Concentrations

Seiji Oda, Shigeru Chiba, Kosuke Doki, Naoshi Obara et al.
Therapeutic Drug Monitoring
Blood groups and transfusion
article

Eltrombopag-Induced Falsely Elevated Bilirubin Concentrations in Enzymatic and Vanadate Oxidation Assays: Involvement of High Serum Eltrombopag Concentrations

Seiji Oda, Shigeru Chiba, Kosuke Doki, Naoshi Obara, Yoshiharu Suzuki, Masato Homma
article en

Abstract

Eltrombopag causes clinically significant concentration-dependent interference in total blood bilirubin, but not in conjugated bilirubin measurements through the enzymatic assay in patients with aplastic anemia. The vanadate oxidation assay may be used as an alternative to measure total blood bilirubin when the eltrombopag concentration is below 50 mcg/mL.

Therapeutic Drug MonitoringVol. 47(5)
University of Tsukuba (JP), Mito Saiseikai General Hospital (JP), University of Tsukuba Hospital (JP)
Japan Society for the Promotion of Science
Openalex Percentile: Top 97%
Blood groups and transfusion
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Eltrombopag-Induced Falsely Elevated Bilirubin Concentrations in Enzymatic and Vanadate Oxidation Assays: Involvement of High Serum Eltrombopag Concentrations — Seiji Oda, Shigeru Chiba, et al. · Therapeutic Drug Monitoring (2025) | TGRS Research Map | TGRS