Mass spectrometry assays for measuring peripheral blood MRD

AssayTypePlatformSensitivityComments
MASS-FIX (Mayo Clinic) Intact light chain MALDI-TOF 0.01 g/dL Commercially available through Mayo Clinic reference laboratory; has replaced SPEP/IFE in their workflow3; evaluated in STAMINA4  
EXENT (Thermo Fisher), previously known as QIP-MS) Intact light chain MALDI-TOF 0.0015 g/dL Commercially available in Europe; evaluated in, for example, GEM2012MENOS655 and GMMG-MM56  
M-Insight (Sebia) Clonotypic peptide LC-MS 2 × 10−5 to 5 × 10−4 g/dL Commercially available in the United States; evaluated in IFM20097,8  
EasyM (Rapid Novor) Clonotypic peptide LC-MS 3 × 10−6 to 6 × 10−4 g/dL Commercially available in the United States; evaluated in MCRN-0019  
AssayTypePlatformSensitivityComments
MASS-FIX (Mayo Clinic) Intact light chain MALDI-TOF 0.01 g/dL Commercially available through Mayo Clinic reference laboratory; has replaced SPEP/IFE in their workflow3; evaluated in STAMINA4  
EXENT (Thermo Fisher), previously known as QIP-MS) Intact light chain MALDI-TOF 0.0015 g/dL Commercially available in Europe; evaluated in, for example, GEM2012MENOS655 and GMMG-MM56  
M-Insight (Sebia) Clonotypic peptide LC-MS 2 × 10−5 to 5 × 10−4 g/dL Commercially available in the United States; evaluated in IFM20097,8  
EasyM (Rapid Novor) Clonotypic peptide LC-MS 3 × 10−6 to 6 × 10−4 g/dL Commercially available in the United States; evaluated in MCRN-0019  

LC-MS, liquid chromatography mass spectrometry; MALDI-TOF, matrix-assisted laser desorption ionization–time of flight; QIP-MS, quantitative immunoprecipitation mass spectroscopy; SPEP/FIX, serum protein electrophoresis/serum immunofixation.

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