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Population pharmacokinetics of exogenous biotin and the relationship between biotin serum levels and in vitro immunoassay interference

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TLDR
The effective half-life of biotin and biotin metabolites is evaluated, and a pharmacokinetic (PK) model is established to simulate the time taken for the biotin concentration to fall below a series of thresholds to avoid false assay results.
Abstract
Aim: Biotin in human serum is a potential interfering factor for streptavidin-biotin-based assays. We aimed to evaluate the effective half-life of biotin and biotin metabolites, and establish a pharmacokinetic (PK) model to simulate the time taken for the biotin concentration to fall below a series of thresholds. Materials & methods: PK properties of biotin (5, 10 and 20 mg daily) were evaluated in healthy participants. Biotin serum concentrations were simulated for high-dose regimens (1 mg daily to 300 mg q.i.d.) using a population PK model. Results: Washout periods required for biotin concentrations to reach thresholds ranging from 10 to 100 ng/ml were successfully simulated. Conclusion: Our simulations provide valuable guidance on biotin washout periods necessary to avoid false assay results.

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Citations
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Prevalence of biotin supplement usage in outpatients and plasma biotin concentrations in patients presenting to the emergency department.

TL;DR: The range of biotin concentrations in ED patient samples highlights the magnitude of the biotin interference problem and identifies a population at risk for potential harm.
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Clinical And Analytical Performance Of An Automated Serological Test That Identifies S1/S2 Neutralizing IgG In Covid-19 Patients Semiquantitatively

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Best practices in mitigating the risk of biotin interference with laboratory testing

TL;DR: A best practice workflow for laboratory scientists to evaluate discrepant immunoassay results is proposed, comprising: serial dilution; retesting after biotin clearance and/or repeat testing on an alternate platform; and confirmation of the presence of biotin using depletion protocols or direct measurement ofBiotin concentrations.
References
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Journal ArticleDOI

The biotin-(strept)avidin system: principles and applications in biotechnology.

TL;DR: An overview of the biotin-(strept)avidin system is presented, its components and advantages are described, and how the system is used in various applications, with emphasis on immunological and nucleic acid hybridization assays.
Journal ArticleDOI

High doses of biotin in chronic progressive multiple sclerosis: a pilot study.

TL;DR: Preliminary data suggest that high doses of biotin might have an impact on disability and progression in progressive MS.
Journal ArticleDOI

False biochemical diagnosis of hyperthyroidism in streptavidin-biotin-based immunoassays: the problem of biotin intake and related interferences

TL;DR: A review of immunoassays for hormone measurement underlines the importance of keeping close interactions between biologists and clinicians to be able to correlate the hormonal assay results with the clinical picture.
Journal ArticleDOI

Pharmacokinetics and pharmacodynamics of MD1003 (high-dose biotin) in the treatment of progressive multiple sclerosis

TL;DR: Results of randomized, double-blind, placebo-controlled trial in 154 progressive MS patients confirmed the beneficial effect of MD1003 (high-dose biotin) on reversing or stabilizing disability progression, with a good safety profile.
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