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1. Plikaytis BD, et al. Determination of parallelism and nonparallelism in bioassay dilution curves. J. Clin. Microbiol. 32, 2441¨C2447 (1994).
2. Draft Guidance for Industry, Bioanalytical Method Validation. US Department of Health and Human Services, US FDA, Center for Drug Evaluation and Research, Center for Veterinary Medicine, MD, USA 2013).www.fda.gov/downloads/drugs/guidance compliance
3. Tu, J. and P. Bennett, Parallelism experiments to evaluate matrix effects, selectivity and sensitivity in ligand-binding assay method development: pros and cons. Bioanalysis, 2017. 9(14): p. 1107-1122.
4. Guideline on Bioanalytical Method Validation. European Medicines Agency, London, UK. (2011).www.ema.europa.eu/docs/en_GB/document library/
5. DeSilva B, et al. Recommendations for the bioanalytical method validation of ligand-binding assays to support pharmacokinetic assessments of macromolecules. Pharm. Res. 20(11), 1885¨C1900 (2003).
6. Stevenson LF, Purushothama S. Parallelism: considerations for the development, validation and implementation of PK and biomarker ligand-binding assays. Bioanalysis 6(2), 185¨C198 (2014).
7. Lee JW, et al. Bioanalytical approaches to quantify ¡®total¡¯ and ¡®free¡¯ therapeutic antibodies and their targets: technical challenges and PK/PD applications over the course of drug development. AAPS J. 13(1), 99¨C110 (2013).
8. DeSilva B, et al. 2012 White paper on recent issues in bioanalysis and alignment of multiple guidelines. Bioanalysis 4(18) 2213¨C2226 (2012).
9. Stevenson L, et al. Large molecule specific assay operation: recommendations for the best practices and harmonization from the global bioanalysis consortium harmonization team. AAPS J. 16(1), 83¨C88 (2013).
10. Booth B, et al. Workshop report: Crystal City V-quantitative bioanalytical method validation and implementation: the 2013 revised FDA guidance. AAPS J. 17(2), 277¨C288 (2015).
11. Tate J, Ward G. Interferences in immunoassay. Clin. Biochem. Rev. 25(2), 105¨C120 (2004).
12. Kricka LJ. Human anti-animal antibody interferences in immunological assays. Clin. Chem. 45(7), 942¨C956 (1999).
13. Lee J, Ma H. Specificity and selectivity evaluation of ligand binding assay of protein therapeutics against concomitant drugs and related endogenous proteins. AAPS J. 9(2) E164¨CE170 (2007).
14. Gorovits B, et al. Protein-based matrix interferences in ligand-binding assays. Bioanalysis 6(8),1131¨C1140 (2014).
15. Hennig C, et al. The influence of naturally occurring heterophilic anti-immunoglobulin antibodies on direct measurement of serum protein using sandwich ELISAs. J. Immunol. Methods 235(1¨C2), 71¨C80 (2000).
16. Schwichart M, et al. Interference in immunoassays to support therapeutic antibody development in preclinical and clinical studies. Bioanalysis 6(14),1939¨C1951 (2014).
17. Salimi-Moosavi H, et al. Novel approaches using alkaline or acid/guanidine treatment to eliminate therapeutic antibody interference in the measurement of total target ligand. J. Pharm. Biomed. Anal. 51(5), 1128¨C1133 (2010).
18. Bastarache JA, et al. Accuracy and reproducibility of a multiplex immunoassay platform: a validation study. J. Immunol. Methods 367(1¨C2), 33¨C39 (2011).
19. Stevenson L, et al. Large molecule specific assay operations: recommendations for best practices and harmonization from the Global Bioanalysis Consortium Harmonization Team. AAPS J. 16(1), 83¨C88 (2014).
20. Jani D, et al. Recommendations for use and fit-for-purpose validation of biomarker multiplex ligand binding assays in drug development. AAPS J. 18(1), 1¨C14 (2016).
21. Bowsher RR, Sailstad JM. Insights in the application of research-grade diagnostic kits for biomarker assessments in support of clinical drug development: bioanalysis of circulating concentrations of soluble receptor activator of nuclear factor ¦Ê¦Â ligand. J. Pharm. Biomed. Anal. 48(5), 1282¨C1289 (2008).
22. Nowatzke W, et al. Systematic analytical validation of commercial kits for the determination of novel biomarkers for clinical drug development. Bioanalysis 2(2), 237¨C247 (2010).
23. Ray CA, et al. Development, validation, and implementation of a multiplex immunoassay for the simultaneous determination of five cytokines in human serum. J. Pharm. Biomed. Anal. 36(5), 1037¨C1044 (2005).
24. Aldo P, et al. Simple Plex?: a novel multi-analyte, automated microfluidic immunoassay platform for the detection of human and mouse cytokines and chemokines. Am. J. Reprod. Immunol. 75(6), 678¨C693 (2016).
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