New FDA-approved Biomarker Test System: The Thermo Scientific PlGF and sFlt-1 Test System.

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The page below is a sample from the LabCE course Detection and Management of Preeclampsia: Current Laboratory Testing and Emerging Biomarkers. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

Learn more about Detection and Management of Preeclampsia: Current Laboratory Testing and Emerging Biomarkers (online CE course)
New FDA-approved Biomarker Test System: The Thermo Scientific PlGF and sFlt-1 Test System.

The B·R·A·H·M·S sFlt-1/ PlGF KRYPTOR Test System:
On May 19, 2023, the U.S. Food and Drug Administration (FDA) announced the FDA approval granting marketing of Thermo Fisher Scientific's BRAHMS sFlt-1/PlGF ratio KRYPTOR test system to aid in the risk assessment of certain pregnant women hospitalized for hypertensive disorders such as preeclampsia or chronic hypertension or gestational hypertension likely to progress to PE with severe features.
The test system is an automated immunofluorescent assay that uses Time-Resolved Amplified Cryptate Emission (TRACE) technology for the quantitative detection of placental biomarkers, Placental Growth Factor (PlGF) and Soluble Fms-like tyrosine kinase-1 (sFlt-1) in human serum and plasma. The BRAHMS sFlt-1/ PlGF KRYPTOR Test System is the first device to receive FDA approval to aid in the prognosis of PE with severe features in pregnant women. These new assays are designed to run on the Thermo Scientific B·R·A·H·M·S™ KRYPTOR™ compact PLUS clinical chemistry analyzer. Using TRACE technology, the test system can deliver results in less than 30 minutes.
The test system measures the serum or plasma levels of the two biomarkers, PlGF and sFlt-1 and the results are expressed as the sFlt-1/PlGF ratio or referred to as the risk stratification ratio. A positive result for the test is a ratio equal or greater than 40. Women who test positive based on the risk stratification ratio of > 40 would be considered as candidates to benefit from enhanced surveillance and accelerated care before severe PE features develop.
Note: It is important to stress that this new FDA-approved biomarker assay system is intended to be used along with other laboratory tests and clinical assessments to aid in the risk assessment of pregnant women who have been hospitalized for hypertensive disorders of pregnancy to determine if they are at risk of progressing to preeclampsia with severe features within the next two weeks.
For more details on the FDA-approved BRAHMS sFlt-1/PlGF ratio KRYPTOR test system, please consult the following links:
FDA approval of BRAHMS sFlt-1/PlGF KRYPTOR Test System, FDA Announcement: Available at FDA Roundup: May 19, 2023 | FDA Accessed August 8, 2023.
FDA Cleared Immunoassay for assessing preeclampsia: Available at Immunoassays for assessing preeclampsia risk FDA cleared (selectscience.net) Accessed August 8, 2023.
Management of pre-eclampsia with biomarkers: Thermo Scientific Test: Available at pre-eclampsia-management-with-biomarkers.pdf (brahms.de) Accessed August 8, 2023.