QC medium: short answer [Bioanalytics]

posted by ElMaestro  – Denmark, 2012-10-18 18:51 (4605 d 23:47 ago) – Posting: # 9435
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Hi haydonat and Helmut and others,

ok, the guideline suggests that medium QC is midway between LLOQ and ULOQ, but to be honest I don't think it is fully unreasonable to use a mean ("Medium") for QC that is closer to LLOQ than ULOQ. This is because it is not uncommon to see more observed values closer to the LLOQ than to the ULOQ. I am basing this on typical PK-profiles (often rapid increase towards Cmax, then rapid decrease) and intuition.
Add to this that a safety factor if often included for the ULOQ (expected Cmax plus a nice generous bit) to minimise the need for dilutions.

Thus I would expect a medium closer to LLOQ than ULOQ to be reflective of more samples than if it was just the average, and I would on that basis argue that such a QC value would be more relevant.

If the medium then should be calculated as the geometric mean or via some other sneaky method to make sure the QC level is representative of typical or expected samples, that of course remains to be discussed. Likewise, if someone has scientific arguments why a medium QCs should not reflect typical or expected values then I'd be happy to learn.

Pass or fail!
ElMaestro

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