With continuous discovery of
tumor immune targets and continuous changes in antibody
research and development technology, antibody
drugs are becoming more and more widely used in clinical practice. However, some targets are not only expressed on
tumor cells, but also on
red blood cells. Therefore, the clinical application of
antibodies against the corresponding targets may interfere with the
detection of
blood transfusion compatibility, resulting in difficulty in
blood matching or delay of
blood transfusion. This
consensus summarizes the current
solutions for the interference of CD38
monoclonal antibody (CD38 mAb) in transfusion compatibility testing. After analyzing the advantages and disadvantages of different
methods,
polybrene and sulfhydryl
reducing agents [
dithiothreitol (DTT) or
2-mercaptoethanol (
2-Me)], as a
solution for CD38 mAb interference in
blood compatibility testing, are recommended for
Chinese patients, so as to eliminate
blood transfusion interference produce by CD38 mAb and further provide a pre-transfusion
workflow for clinicians and technicians in Department of
Blood Transfusion.