Skip to main content

Sirolimus, Whole Blood

CPT 80195
Synonyms
  • Rapamune®

Test Details

Methodology

Liquid chromatography/tandem mass spectrometry (LC/MS-MS)

Result Turnaround Time

2 - 4 days

Use

Monitor immunosuppressive therapy following organ transplant

Specimen Requirements

Limitations

This test was developed and its performance characteristics determined by LabCorp. It has not been cleared or approved by the Food and Drug Administration.

References

Taylor PJ, Johnson AG. Quantitative analysis of sirolimus (Rapamycin®) in blood by high-performance liquid chromatography-electrospray tandem mass spectrometry. J Chromatogr B Biomed Sci Appl. 1998; 718(2):251-257. 9840435

Custom Additional Information

Sirolimus may be administered in conjunction with cyclosporine (CsA) and corticosteroids to reduce or prevent host graft rejection. Using this therapy, peak concentrations are achieved in one to two hours. The mean terminal elimination half-life is 62 hours.1 Drug-drug interactions, including CsA, may alter the pharmacokinetics of sirolimus, making therapeutic drug monitoring appropriate.

Specimen

Whole blood

Volume

3 mL

Minimum Volume

1.1 mL

Container

Lavender-top (EDTA) tube

Storage Instructions

Room temperature

Causes for Rejection

Clotted specimen

Collection Instructions

Trough: 30 minutes to one hour before the next oral dose

Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3

Reference Range

3.0−20.0 ng/mL

Footnotes

1. MacDonald A, Scarola J, Burke JT, et al. Clinical pharmacokinetics and therapeutic drug monitoring of sirolimus. Clin Ther. 2000; 22(Suppl B):B101-121 (review). 10823378