EHA Library - The official digital education library of European Hematology Association (EHA)

MULTISITE PERFORMANCE EVALUATION STUDY OF THE BD ONEFLOW PLASMA CELL DISORDERS (PCD) PANEL
Author(s): ,
Balaji Balasa
Affiliations:
Medical Affairs,BD Biosciences,San Jose,United States
,
Dennis van Hoof
Affiliations:
BD Biosciences,San Jose,United States
,
Casey Fox
Affiliations:
BD Biosciences,San Jose,United States
,
Emily Deal Becker
Affiliations:
BD Biosciences,San Jose,United States
,
Jennifer perkins
Affiliations:
BD Biosciences,San Jose,United States
,
Christopher Green
Affiliations:
BD Biosciences,San Jose,United States
,
Catherine Bessette
Affiliations:
BD Biosciences,San Jose,United States
Kevin Judge
Affiliations:
BD Biosciences,San Jose,United States
(Abstract release date: 05/18/17) EHA Library. Balasa B. 05/18/17; 182673; PB1959
Balaji Balasa
Balaji Balasa
Contributions
Abstract

Abstract: PB1959

Type: Publication Only

Background
The BD OneFlow solution for plasma cell disorders incorporates a standardized flow cytometry approach based on the EuroFlow (EF) Consortium liquid reagent system. The BD OneFlow solution enables reproducible identification and discrimination of distinct cell populations by combining standardized assays, setup reagents, and protocols. The plasma cell disorders (PCD) panel is composed of the BD OneFlow PCST (Plasma Cell Screening Tube) and BD OneFlow PCD. BD OneFlow PCST helps differentiate normal plasma cell populations from those requiring follow-up. The BD OneFlow PCD classification tube helps differentiate abnormal from normal plasma cell populations. The BD OneFlow PCD tube, when run in parallel with BD OneFlow PCST tube, characterizes the abnormal plasma cell population for identification of plasma cell disorders.

Aims
The objective of this study was to compare the accuracy between the BD OneFlow PCD system and the EF liquid comparator system.

Methods
De-identified remnant human bone marrow specimens (n = 48) were collected at two study sites and tested in an unblinded manner within 26 hours of draw. Specimens were simultaneously stained with BD OneFlow PCD and BD OneFlow PCST tubes and EF specified liquid reagents. Acquisition and analysis were performed on a BD FACSCanto II instrument using standardized acquisition and analysis templates in BD FACSDiva software. For qualitative endpoints, overall agreement, negative agreement, and positive agreement, along with their one-sided lower 95% confidence limits, were calculated. For accuracy quantitative endpoints (% positive plasma cell population), the slope, intercept, and 95% confidence limits of the slope from a Deming regression were calculated for the BD OneFlow vs EF methods.

Results
The BD OneFlow PCD system is in 100% agreement (26 of 26) with the EF system in classifying patients as having normal plasma cell populations. BD OneFlow PCD system is in 100% agreement (22 of 22) with the EF system in identifying patients with a plasma cell disorder. Furthermore, the BD OneFlow PCD system correctly identified 100% of patients who had a plasma cell disorder based on clinical results.

Conclusion
The multisite evaluation between the BD OneFlow PCD system (PCST and PCD tubes) and the EF liquid reagent system was fully concordant in identifying patients with abnormal plasma cell populations. Additionally, all subjects identified as having plasma cell disorder based on clinical results were identified as having plasma cell disorder by the BD OneFlow PCD system.

The BD OneFlow PCD panel is a fully standardized and validated system for aiding in the diagnosis of plasma cell disorders from bone marrow specimens.
BD OneFlow PCD and BD OneFlow PCST are for in Vitro Diagnostic Use; CE Marked to the European In Vitro Diagnostic Medical Device Directive 98/79/EC.
23-19565-00

Session topic: 14. Myeloma and other monoclonal gammopathies - Clinical

Keyword(s): Clinical Trial, Plasma cells, Myeloma, Diagnosis

Abstract: PB1959

Type: Publication Only

Background
The BD OneFlow solution for plasma cell disorders incorporates a standardized flow cytometry approach based on the EuroFlow (EF) Consortium liquid reagent system. The BD OneFlow solution enables reproducible identification and discrimination of distinct cell populations by combining standardized assays, setup reagents, and protocols. The plasma cell disorders (PCD) panel is composed of the BD OneFlow PCST (Plasma Cell Screening Tube) and BD OneFlow PCD. BD OneFlow PCST helps differentiate normal plasma cell populations from those requiring follow-up. The BD OneFlow PCD classification tube helps differentiate abnormal from normal plasma cell populations. The BD OneFlow PCD tube, when run in parallel with BD OneFlow PCST tube, characterizes the abnormal plasma cell population for identification of plasma cell disorders.

Aims
The objective of this study was to compare the accuracy between the BD OneFlow PCD system and the EF liquid comparator system.

Methods
De-identified remnant human bone marrow specimens (n = 48) were collected at two study sites and tested in an unblinded manner within 26 hours of draw. Specimens were simultaneously stained with BD OneFlow PCD and BD OneFlow PCST tubes and EF specified liquid reagents. Acquisition and analysis were performed on a BD FACSCanto II instrument using standardized acquisition and analysis templates in BD FACSDiva software. For qualitative endpoints, overall agreement, negative agreement, and positive agreement, along with their one-sided lower 95% confidence limits, were calculated. For accuracy quantitative endpoints (% positive plasma cell population), the slope, intercept, and 95% confidence limits of the slope from a Deming regression were calculated for the BD OneFlow vs EF methods.

Results
The BD OneFlow PCD system is in 100% agreement (26 of 26) with the EF system in classifying patients as having normal plasma cell populations. BD OneFlow PCD system is in 100% agreement (22 of 22) with the EF system in identifying patients with a plasma cell disorder. Furthermore, the BD OneFlow PCD system correctly identified 100% of patients who had a plasma cell disorder based on clinical results.

Conclusion
The multisite evaluation between the BD OneFlow PCD system (PCST and PCD tubes) and the EF liquid reagent system was fully concordant in identifying patients with abnormal plasma cell populations. Additionally, all subjects identified as having plasma cell disorder based on clinical results were identified as having plasma cell disorder by the BD OneFlow PCD system.

The BD OneFlow PCD panel is a fully standardized and validated system for aiding in the diagnosis of plasma cell disorders from bone marrow specimens.
BD OneFlow PCD and BD OneFlow PCST are for in Vitro Diagnostic Use; CE Marked to the European In Vitro Diagnostic Medical Device Directive 98/79/EC.
23-19565-00

Session topic: 14. Myeloma and other monoclonal gammopathies - Clinical

Keyword(s): Clinical Trial, Plasma cells, Myeloma, Diagnosis

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