An Automated one Stage Assay Technique for the Routine Evaluation of Factor VIII Concentrates
There is a general need for a reliable automated F VIII assay system with a large capacity for block bioassays. We present a method fulfilling these requirements. A rebuilt device for APTT determinations based on an optically clear activator and an artificial F VIII deficient substrate plasma has been used continously for 2 years. The substitution of hemophilia plasma by an artificial substrate plasma is a necessary feature for any satisfactory large scale automated system. There was no evidence of any differences between results obtained using this substrate and congenital deficient plasma. The reproducibility of the assay system was very good.(S.D. ≈ 10 %). And the results obtained by two different machines where indistingquish-able. The results showed very good agreement between the relative potency estimates of known F VIII standards obtained with this method and those found at recent international collaborative studies. However, comparison of assay results of clinical F VIII preparations with estimates of in vivo recovery shows that this method estimates lower potency of the given concentrates. These finding is in accordance with several other studies, that has shown that different assay methods detect relatively differing activities in preparations of different purity. Since it is important that the labeled unitage of the clinical material should continue to produce the same measured in vivo recovery at the “Reference Hemophilia Centre” (Malmö, Sweden), we have calculated simple convertion factors to apply to the assay results eliminating the appearent différencies.