MATRIKS BIOTECHNOLOGY

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2 INDEX MATRIKS BIOTECHNOLOGY RESEARCH & DEVELOPMENT CE IVD Certification Why SHIKARI Kits? BIOLOGIC THERAPY OPTIMIZATION IMMUNOGENICITY AGAINST BIOTHERAPEUTIC DRUGS SHIKARI ELISA KITS FOR DETECTING ANTI-DRUG ANTIBODIES (ADA) EXAMPLE: SHIKARI Q-ATI DUO Biosimilars: Similar but not identical Why and how to test biological drugs? PRODUCTS INFLIXIMAB INFILIXIMAB-BIOSIMILAR ADALIMUMAB ETANERCEPT GOLIMUMAB CERTOLIZUMAB VEDOLIZUMAB USTEKINUMAB RAMUCIRUMAB BEVACIZUMAB RITUXIMAB TRASTUZUMAB CETUXIMAB DENOSUMAB OMALIZUMAB IPILIMUMAB NIVOLUMAB PEMBROLIZUMAB AVELUMAB FILGRASTIM RANIBIZUMAB Products Chart trace & catch REFERENCES PUBLICATIONS POSTER PRESENTATIONS

3 Matriks Biotechnology is a biotechnology company that conducts research on biotechnology, developing products and offering its products at global scale helping people to lead a better life. MATRIKS BIOTECHNOLOGY Matriks Biotek Co., as a biotechnology company founded in 2002 and is celebrating its 6 years in the business. The Matriks Biotek is the producer of "Shikari " ELISA kits for biological drug testing can be efficiently used for monitoring serum trough levels and the presence of anti-drug antibodies respectively. Matriks Biotek is the first company to introduce these products in to the market and creating a worldwide market since Currently company has 4 kits to measure trough levels (PK) and immunogenicity for 6 biological drugs (one for biosimilar). Matriks Biotek continues its R&D and product development operations in collaboration with the other specialized biotechnology companies, research institutes and universities and its products are currently used in over 35 countries and 30 pharmaceutical companies with confidence. Our production is under ISO 3485:202 quality management system and have CE IVD mark for all of our products. Focused on understanding the mechanisms of the various diseases, a discovery of new targets for diseases treatment and diagnosis, Matriks Biotek is consistently in the endeavor of adding new products to its pipeline. RESEARCH & DEVELOPMENT Therapeutic Drug Monitoring (PK/immunogenicity): Add new ELISA kits for drug measurement and anti-drug antibody assays to our existing pipeline. Different formats of these tests are under investigation to provide more information about the patient and the drug. Custom ELISA kit Development: Especially for biosimilar and original monoclonal antibody-based biologics. Infectious diseases Our company has identified several markers and developed several monoclonal antibodies to diagnose and to treat fungal deep-seated Candida sp. via novel diagnostic tests and immune therapy, respectively. Inflammation and Immunology: Inflammatory Bowel Disease: Development and validation of novel marker(s) in Crohn s disease to enlighten the etiology, disease activity and distinguish it from Ulcerative Colitis. Our laboratory is working on various novel modalities to be used to resolve these challenges. Our company also focuses on antibody molecules for reducing and/or preventing inflammatory response that may have impact on various diseases. Senescence and inflammation. Obesity, type II diabetes and cardiovascular disease: Our Company focused on developing monoclonal antibodies to prevent the disease and diagnose risk for developing heart disease due to obesity. *Matriks Biotek, SHIKARI and KLONART are registered Trade Marks of Matriks Biotechnology Co. Ltd. Trace & Catch 2

4 innovation for health & wellness Matriks Biotek is now cerified for quality management system ISO 3485:202. All of the SHIKARI products from Matriks Biotek are marked with the CE IVD mark according to Council Directive 98 / 79 / EC relating to In Vitro Diagnostic Medical Device Directive. 3

5 Why Shikari Kits? Each kit is optimized for Cmax-Cmin values of the drugs when measuring especially trough levels. Also, researchers can also estimate biological levels in human, mouse, rat and monkey serum or plasma samples for pharmacokinetic studies. Quantitative ELISA kits for anti-drug antibodies (immunogenicity) available for 6 different biological drugs. At the same time, Matriks Biotek is the first biotechnology company which produces ELISA kits for Remsima (Infliximab Biosimilar CT-P3). Kits produced for Remsima includes quantitative free drug detection kits Q-REMS, qualitative ANTI-Remsima detection kits and total antibody detection kit for Remsima. Total antibody kits have been developed to identify anti-drug antibodies that are bound by drugs in the serum and can not be determined by free antibody detection kits. Matriks Biotek developed total antibody detection kits for 3 different drugs: Infliximab (Remicade ), Remsima, and Adalimumab (Humira ). Total antibody detection kit development studies for different drugs are ongoing. Quantitative ADA detection kits include confirmation reagent to eliminate false positives when reporting the results. More kits will be added for this purpose in the near future. Inter and intra assay CV to fulfill requirements for FDA & EMEA. High recovery rates (%85-5), Low sample volumes (0-40 µl) even if you have very small samples such as mouse serum All liquid and stabilized ready to use reagents. The highest quality material used. Microplates NUNC, plastic bottles Nalgene and glass vials Schott Our kits are in well format and you can run as much as 90 samples from each kit. (best price for each individual test) Time saver: Short incubation times for biologics testing (55-40 min) Minimum expiry date of year and delivery is at room temperature Immediate delivery (-5 days all over the world) Kits are suitable for biosimilar work. No radioactivity All Shikari ELISA kits are produced under ISO 3485 quality system and have CE IVD mark. * Hunter, one that pursues something with great desire, searching and finding it out. 4

6 innovation for health & wellness BIOLOGICS THERAPY OPTIMIZATION Algorithm for Therapeutic Drug Monitoring Poor Clinical Response Good Clinical Response Sub-therapeutic drug level Drug level in therapeutic range Drug level in therapeutic range Negative for anti-drug antibodies Positive for anti-drug antibodies High titer of anti-drug antibodies Negative for anti-drug antibodies Negative for anti-drug antibodies Drug rapidly cleared Consider adjusting dosage and / or frequency of administraton Secondary Failure Consider switching to another treatment option Risk of infusion reaction Primary Failure Optimal Therapeutic target may not be the drug ligand Consider switching to other treatment option Adequate response Consider lowering dosage and / or frequency of administration CLINICAL RESPONSE, PATIENT SAFETY & COST EFFECTIVENESS Keep monitoring drug-levels and antibodies against drug with SHIKARI ELISA KIT for PRECISE TREATMENT! For more information please visit 5

7 IMMUNOGENICITY AGAINST BIOTHERAPEUTIC DRUGS Immunogenicity is well defined but is an undesirable situation in the development of biological drugs and in the treatment process. Immunity to biotherapeutics greatly affects product safety and efficacy. Especially, anti-drug antibodies (ADA) can impact drug exposure by affecting the ability of the drug to reach the intended target, alter the PK profile, and potentially mediate serious adverse effects. The clinical effects of patient who use biological drugs, immune responses are highly variable, ranging from no effect at all to extremely harmful effects (such as anaphylaxis, cytokine release syndrome, and cross-reactive neutralization of endogenous proteins mediating critical functions) on patient health. The immunogenic response generally includes both cellular (T cell) and humoral (antibody) arms of the immune response and some factors originating from the patient and the product, are affecting the immunogenicity against biological drugs. Antibodies directed against TP (antidrug antibodies, ADA) may consist of IgM, IgG, IgE, and/or IgA isotypes. An ADA response can result in a loss of efficacy and/or increase the risk of adverse reactions (e.g., infusion reactions, anaphylaxis, or immune-complex-mediated diseases). In rare cases, the ADA response is directed not only to the administrated biotherapeutic but also to its endogenous counterpart protein and may elicit a life-threatening response if the endogenous protein is unique and nonredundant and has a vital life function. In recognition of these possibilities, the regulatory agencies request that a biotherapeutic s immunogenicity be assessed and a determination of its characteristics relative to any induced clinical consequences be done as part of the approval process for biotherapeutics. Importance of Drug Tolerance Immunogenicity assays routinely utilize the therapeutic agent as a cornerstone, typically by immobilization of the drug Specificity of detected anti-drug antibodies is often confirmed by a reduction in binding of the ADA in the presence of excess soluble drug Circulating immune complexes can form when soluble residual drug is present in patient s blood The presence of soluble drug in the patient s serum sample for ADA analysis can inhibit the assay from detecting anti-drug antibodies Definition of Drug Tolerance Drug tolerance describes the sensitivity of your anti-drug antibody assay in the presence of soluble drug Tolerance is determined by assessing assay sensitivity in the presence of increasing amounts of added soluble drug Potential Effect of Antibody Response Safety Considerations Risk for hypersensitivity reactions Potential for immune complex disease 6

8 Efficacy Considerations Antibodies may bind to drug and alter the pharmacokinetics Antibodies may alter the biodistribution of the drug Antibodies may bind to (or near) the active site of a drug and inhibit its activity Antibodies may bind in a way that interferes with the drug binding to its receptor or ligand LOW IMPACT CLINICAL IMMUNOGENICITY Risk of Clinical Sequelae Binding ADA PK- altering ADA Neutralizing ADA Hypersensitivity ADA Cross-Reactive Neutralizing ADA HIGH FREQUENCY HIGH The severity of Anti Drug Antibody (ADA) impact and its frequency of occurrence have been inversely correlated. LOW SHIKARI ELISA KITS FOR DETECTING ANTI-DRUG ANTIBODIES (ADA) Matriks Biotek has produced several ADA kits for immunogenicity measurements with different formats. Strategic approach for measurement of drug level and ADA is to take samples just or -2 days prior to administrating the next drug dose where the the clearance of the drug achieved mostly. SHIKARI ELISA KITS TEST FORMATS: Screening for free antidrug antibody ELISA kit: In this test format, the plate is coated with the drug and anti-drug antibodies against this drug are captured by the drug. Same drug labeled with the enzyme and used for monitoring the ADA in the sample. Quantitative free antidrug antibody kit with confirmation: In this test format, the plate is coated with the drug and anti-drug antibodies against this drug are captured by the drug. Same drug labeled with the enzyme and used for monitoring the ADA in the sample. Quantitation is done by standard curve which are composed of decreasing amount of neutralizing monoclonal antibodies giving precise results. After measuring the ADA levels, the samples can be confirmed with a Confirmation Reagent discriminating false and true ADA in the sample. Semi quantitative DUO free and total antidrug antibody ELISA kit: Kit enables to measure free and total antidrug antibodies simultaneously within the same kit and same assay protocol. Samples either used directly to measure free ADA and/or used by first acid dissociation then after measured for total ADA. Acid dissociation disrupt circulating immune complexes and enables to detect and measure bound ADA along with free ones. Thus, ADA assay has high drug tolerance giving more information about the occurring ADA and patient status. Kit contains negative, positive and immune-complex standards enabling to control of the the assay procedure. 7

9 EXAMPLE: SHIKARI Q-ATI DUO Semi-quantitative SHIKARI ELISA kits for Total and Free anti-drug antibodies to Infliximab (Remicade ) Specifications of the test: Detects Free and Total anti-drug antibodies with the same kit simultaneously. After dissociation step for total ATI, the kit uses the same assay protocol as free ATI Requires only 40 µl of serum/plasma sample Total incubation time is as short as h 35min. Easily adaptable to automation. Contains reactive, negative and immune-complex (drug+neutralizing antibody) control Lowest detection limit: 56 ngr/ml Specifications of the test: infliximab (Remicade ) Detects Free and Total anti-drug antibodies with the same kit simultaneously. After dissociation step for total ATI, the kit uses the same assay protocol as free ATI Requires only 40 µl of serum/plasma sample Total incubation time is as short as h 35min. Easily adaptable to automation. Contains reactive, negative and immune-complex (drug+neutralizing antibody) control Lowest detection limit: 56 ngr/ml Specifications of the test: infliximab (Remicade ) Detects Free and Total anti-drug antibodies with the same kit simultaneously. After dissociation step for total ATI, the kit uses the same assay protocol as free ATI Requires only 40 µl of serum/plasma sample Total incubation time is as short as h 35min. Easily adaptable to automation. Contains reactive, negative and immune-complex (drug+neutralizing antibody) control Lowest detection limit: 56 ngr/ml Immune-complex (drug+neutralizing antibody) Before and after dissociation Five patient samples Before and after dissociation With these kits, ratio of free and total ADA can be obtained and follow up of the patients can be done precisely. These kits are available for infliximab and adalimumab TNF alpha blockers and only from Matriks Biotek. 8

10 Biosimilars: Similar but not identical - Contract manufacturing ELISA kits for your biosimilar drug(pk&ada) A biosimilar is highly similar to, but not exactly the same as the existing, FDA-approved biologic, called the reference drug. People are familiar with generic versions of brand-name drugs, but biosimilars are not generic drugs. Generic versions of brand-name drugs are exact copies of chemically synthesized medicines. Biosimilars are not-quite-perfect copies of biologics drugs derived from living cells that are impossible to replicate exactly. Development of biosimilar proteins will present drug developers with a variety of challenges, both in manufacturing and in the clinic. Immunogenicity will prove to be one of the biggest challenges. Proper design and validation of an assay to detect anti-drug antibodies and accurate interpretation of sample analysis results will prove integral to developing a biosimilar protein. Taking the above and below-mentioned subjects into account Matriks Biotek offers to develop custom ELISA kits for your biosimilars or biologics on contract manufacturing basis depending on the molecule provided. Matriks Biotek also offers test optimizations for drug measurements in formulation buffer and in cell culture medium as well. Our drug measurement (PK) kits utilize drug target ligand (recombinant protein) for detection that makes more suitable for biosimilar drug measurements. Comparisons for measuring especially ADA and trough levels are made by the tests developed for reference drug not for biosimilar which may differ on the test results. On the contrary, we do not know the results when comparisons were done by the ELISA kit developed for the biosimilar drug, it can present low immunogenicity as well. The causes of immunogenicity can be chimeric biological drugs (e.g. infliximab), even humanized molecules (e.g. adalimumab) and fully humanized biological drugs (golimumab) most the cases the residual immunogenicity resides in the CDR regions glycosylation profiles, fermentation, purification, formulation (aggregate formation), administration mode (i.m., i.v. and s.c.), dosing, degradation products and contaminants. The pharmaceutical formulation strategy is a critical step and needs to be accurate. The knowledge about physical and biological properties of the biological drug orientate the formulation process. Important components of protein formulations are ph, stabilizer, solubilizer, buffer, and tonicity modifier (bulking agent). The typical stability problems observed in protein pharmaceuticals are non-covalent aggregation, covalent aggregation, deamidation, cyclic imide, and cleavages. This process can affect directly the efficacy (e.g. immunogenicity) and safety (e.g. adverse events) of a biological drug. The potential immunogenicity of a therapeutic protein can be influenced not only by the manufacturing processes mentioned above but also by the type of disease, route of administration and dose. Biosimilar proteins will most likely not be identical to the innovator drug, and because of this, immunogenicity becomes a major concern when developing biosimilar proteins. The potential exists for serious clinical consequences due to anti-drug immune responses with all protein therapeutics. A safe immunogenicity profile of the innovator product does not indicate that the biosimilar protein will be safe. 9

11 Why and how to test biological drugs? EXAMPLE CASE Patient: Timothy Richmond 42 years old Working in an automotive factory for 7 years. 4 years ago, I visited a gastroenterologist complaining of stomach ache, diarrhea, loss of appetite, loss of weight and fatigue and he asked me to get some tests after the physical examination. I took the tests he asked for. And based on these findings, he diagnosed me with Crohn Disease and I started therapy. I took conventional medication that he prescribed for my therapy for 3 years. At first, everything seemed okay. My complaints were gradually relieved. But, for almost a year, the clinical profile of my disease has changed. The developing of fistulas were started. My physician added the TNF blocker to the therapy protocol. I be efited from it for the first 8 months. After months 9 and 0, while I was taking it once every 8 weeks regu larly, on the week 5 after month 9, my complaints began to increase. My physician suspected it and asked me to make a blood test to measure the drug level. It was the first time that a physician asked me for such a test. It seems that these things happen when you take drugs. After taking the drug for a while, my body developed an antibody against the drug and blocked its effect. And there are kits to determine that. The physician may modify the therapy depending on the results of this test. And at the laboratory that he re ferred me to, the tests performed with the said kits revealed that my body develops antibody against the drug. My physician added another drug to the protocol to support my immune system. It has been a month now. I feel very good. And I know where to go and what to ask if I experience any problems. Physician Tim is my patient for 4 years. I diagnosed him with Crohn Disease that is an inflammatory bowel disease. I recommended conventional drugs for his therapy. For the first 3 years that I was following him, there was no problem, but when he came visiting me a year ago, his complaints were increased. I also observed the development of fistulas. The first thing that came to my mind was to add an anti-tnf blocker to the therapy protocol. We started the drug. The therapy was a success for 8 months. However, from months 9 and 0, the complaints of the patient began to increase again. I thought that his body might have developed antibody against the biological drug and asked him to take a test. The only way to find this out was to determine the antibody presence with an ELISA kit. I know a laboratory that I trust very much in these types of cases. I trust them both in terms of personnel and the kits they use. They work with Shikari ELISA Kits from the beginning. And I never saw them go wrong. I am a physician who believes in the customization of the thera pies. It is true that people differ from each other genetically and biologically. And therefore, it is natural for different diseases to have a different course in different people. Why should the therapy be the same then? It should be customized to the individual. I always discuss this in detail with each and every patient that I start to treat. If there are ups and downs during the therapy, i.e. if they do not improve even though they take drugs or they worsen after a while, they inform me. I even have patients that ask for tests with ELISA kit without me recommending it if there is something wrong. Laboratory official We can t say that there are a great number of physicians who refer their patients to our laboratory to test the antibody development against the drugs they use. But, as a matter of fact, this rationalist way is be coming a more frequent method gradually. And the reason is the patients themselves. If the patient knows that there is such a method, he warns his physician. If it is an adept and principle physician, there is no need to do that; but the knowledge and the awareness of the patient here is what determines it. We work with Shikari ELISA Kits from the beginning. Because the results of the tests performed with these kits comply very well with the clinic of the patient. * The names mentioned in this story are fictious and do not reflect real persons. 0

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13 INFLIXIMAB SHIKARI Q- INFLIXI Q-ATIv5 Q-ATIv6 Q-ATIv8 INFILIXIMAB (Remicade ) ELISA Infliximab is a chimeric human-murine anti-human tumor necrosis factor (TNF) monoclonal antibody. Infliximab neutralizes the biological activity of TNFa by binding with high affinity to the soluble and transmembrane forms of TNFa and inhibits binding of TNFa with its receptors. It is used for severe active Crohn's, ulcerative colitis treatment. Also used to manage signs and symptoms of rheumatoid arthritis (in conjunction with methotrexate), ankylosing spondylitis, psoriatic arthritis, and juvenile arthritis. The determination of free drug and anti-drug antibodies in serum is very important for the follow-up of these diseases. The maximum serum concentration (Cmax) of Infiliximab is 5 µg/ml and minimum concentration (Cmin) is 2 µg/ml in serum. Effective doses for treatment are between 3 and 7µg/ml. The Matriks Biotek Infiliximab-ELISA and Antibody to Infiliximab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-infiliximab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-INFLIXI: Enzyme immunoassay for the quantitative determination of infliximab (Remicade ) in serum and plasma. SHIKARI Q-ATIv5: Enzyme immunoassay for the and qualitative determination of specific antibodies to infliximab in human serum and plasma. Required Volume ( l) Total Time (min) Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) Q-INFLIXI Free Infliximab (Remicade ) quantitative analyses 0 70 Serum, plasma 30 Between 85-5 Q-ATIv5 Free Anti-Infliximab (Remicade )antibodies qualitative analyses 0 40 Serum, plasma +/- - 2

14 INFLIXIMAB SHIKARI Q- INFLIXI Q-ATIv5 Q-ATIv6 Q-ATIv8 INFILIXIMAB (Remicade ) ELISA SHIKARI Q-ATIv6: Enzyme immunoassay for the quantitative determination of specific antibodies to infliximab in human serum and plasma. SHIKARI Q-ATIv8 DUO: Enzyme immunoassay for the semi-quantitative determination of free and total antibodies to Infliximab in serum and plasma. Demonstration of anti-infliximab antibodies during treatment with infliximab (Remicade ) has a major concern and monitoring for the presence and/or quantitation of specific antibodies during clinical trials is an important issue for follow up of the treatment regimens. With the Matriks Biotek SHIKARI Q-ATI DUO ELISA Kit infliximab-specific antibodies that are free and bound infliximab in serum and can not be detected by free antibody detection kits can be determined in patients receiving Remicade. Infliximab trough concentration (TC) measurement Undetactable TC (TC<0.3 µg /ml) (TC<0.3 µg /ml) 0.3 µg /ml TC 7 µg /ml TC > 7 µg /ml ATI measurement. Interval decrease (by 2 weeks) to min 4 weeks No dose adaptation. Dose decrease (by 5 mg/kg) to max 5 mg / kg High ATI ATI > 8 µg /ml Low ATI ATI < 8 µg /ml 2. Dose increase (by 5 mg/kg) to max 0 mg / kg 2. Interval increase (by 2 weeks) to max 2 weeks STOP. Interval decrease (by 2 weeks) to min 4 weeks 2. Dose increase (by 5 mg/kg) to max 0 mg / kg Required Volume ( l) Total Time (min) Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) Q-ATIv6 Free Infliximab (Remicade ) quantitative analyses 0 40 Serum, plasma 5 Between 85-5 Q-ATIv8 DUO Infliximab (Remicade ) antibodies qualitative analyse Serum, plasma 56-3

15 INFLIXIMAB-BIOSIMILAR SHIKARI Q- REMS S-AIRv S-AIRv2 S-AIRv3 INFLIXIMAB BIOSIMILAR (Remsima ) ELISA Remsima, the world first biosimilar mab (approved in 203 by EMA). The Agency s Committee for Medicinal Products for Human Use (CHMP) decided that, in accordance with EU requirements, Remsima has been shown to have a comparable quality, safety and efficacy profile to Remicade. Remsima is a chimeric monoclonal antibody which is a tumor necrosis factor α (TNF-α) antagonist used to treat rheumatoid arthritis, ankylosing spondylitis, ulcerative colitis, adult Crohn's disease, plaque psoriasis, and psoriatic arthritis. The determination of free drug and anti-drug antibodies in serum is very important for the follow-up of these diseases. The maximum serum concentration (Cmax) of Infliximab is 5 µg/ml and minimum concentration (Cmin) is 2 µg/ml in serum. For infliximab, serum levels are expected to be between 3 and 7 µg/ml. The Matriks Biotek Infliximab (biosimilar)-elisa and Antibody to Infliximab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-infliximab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-REMS: Enzyme immunoassay for the quantitative determination of free infliximab biosimilar(remsima ) in serum and plasma. Matriks Biotek Infliximab ELISA has been especially developed for the quantitative analysis of free infliximab biosimilar in serum and plasma samples at high specificity. SHIKARI S-AIRv: The Matriks Biotek Antibody to infliximab biosimilar (Remsima ) Enzyme-Linked- Immuno Sorbent-Assay (ELISA) Kit is intended for the qualitative determination of antibodies to infliximab biosimilar (Remsima ) in serum and plasma. Required Volume ( l) Total Time (min) Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) Q-REMS Free Infliximab-Biosimilar (Remsima ) quantitative analyses 0 70 Serum, plasma 00 Between 85-5 S-AIRv Free Anti-Infliximab-Biosimilar (Remsima )antibodies qualitative analyses 0 40 Serum, plasma +/- - 4

16 INFLIXIMAB-BIOSIMILAR SHIKARI Q- REMS S-AIRv S-AIRv2 S-AIRv3 INFLIXIMAB BIOSIMILAR (Remsima ) ELISA SHIKARI S-AIRv2: The Matriks Biotek Antibody to infliximab biosimilar (Remsima ) Enzyme-Linked- ImmunoSorbent-Assay (ELISA) Kit is intended for the quantitative determination of antibodies to infliximab biosimilar (Remsima ) in serum and plasma. SHIKARI S-AIRv3: Enzyme immunoassay for the semi-quantitative determination of total (free and drugbound) antibodies to Infliximab (biosimilar) in serum and plasma. Demonstration of anti-infliximab antibodies during treatment with infliximab-biosimilar (Remsima ) has a major concern and monitoring for the presence and/or quantitation of specific antibodies during clinical trials is an important issue for follow up of the treatment regimens. With the Matriks Biotek SHIKARI S-AIRv3 ELISA Kit infiliximab-specific antibodies that are bound to infiliximab in serum and can not be detected by free antibody detection kits can be determined in patients receiving Remsima. Required Volume ( l) Total Time (min) Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) S-AIRv2 Free Anti-Infliximab-Biosimilar (Remsima ) antibodies quantitative analyses Serum, plasma 30 Between 85-5 S-AIRv3 Total Anti-Infliximab-Biosimilar (Remsima )antibodies semi-quantitative analyses Serum, plasma 56-5

17 ADALIMUMAB SHIKARI Q-ADA S-ATAv S-ATAv2 S-ATAv4 ADALIMUMAB (Humira ) ELISA Adalimumab (Humira ) is a recombinant human IgG monoclonal antibody specific for human tumor necrosis factor alpha (TNF-a). Adalimumab is used for treatment of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and Crohn's disease. The determination of free drug and anti-drug antibodies in serum is very important for the follow-up of these diseases. Effective doses for treatment are between 5 and 2µg/ml. The Matriks Biotek Adalimumab-ELISA and Antibody to Adalimumab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-adalimumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-ADA: Enzyme immunoassay for the quantitative determination of free adalimumab (Humira ) in serum and plasma. The Matriks Biotek SHIKARI Q-ADA ELISA has been especially developed for the quantitative analysis of free adalimumab in serum and plasma samples. SHIKARI S-ATAv: Enzyme immunoassay for the qualitative determination (screening) of antibodies to adalimumab in serum and plasma. Required Volume ( l) Total Time (min) Sample Q-ADA Free Adalimumab (Humira ) quantitative analyses S-ATAv Free Anti-Adalimumab (Humira )antibodies qualitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 0 Between /- - 6

18 ADALIMUMAB SHIKARI Q-ADA S-ATAv S-ATAv2 S-ATAv4 ADALIMUMAB (Humira ) ELISA SHIKARI S-ATAv2: Enzyme-Linked- Immuno-Sorbent-Assay (ELISA) Kit is intended for the quantitative determination of antibodies to Adlimumab (Humira ) in serum and plasma. SHIKARI S-ATAv4 DUO: Enzyme immunoassay for the semi-quantitative determination of free and total antibodies to IAdalimumab in serum and plasma. Demonstration of anti-adalimumab antibodies during treatment with adalimumab (Humira ) has a major concern and monitoring for the presence and/or quantitation of specific antibodies during clinical trials is an important issue for follow up of the treatment regimens. With the Matriks Biotek SHIKARI S-ATA DUO ELISA Kit adalimumab-specific antibodies that are bound to adalimumab in serum and can not be detected by free antibody detection kits can be determined in patients receiving Humira. Adalimumab trough concentration (TC) measurement Undetactable TC Undetactable TC 5 µg /ml TC 2 µg /ml TC > 2 µg /ml ATA measurement. Interval decrease 2. Dose increase No dose adaptation. Dose decrease 2. Interval increase High ATA Low ATA STOP. Interval decrease 2. Dose increase Required Volume ( l) Total Time (min) Sample S-ATAv2 Free Anti-Adalimumab (Humira )antibodies quantitative analyses S-ATAv4 DUO Adalimumab (Humira ) antibodies qualitative analyses Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 30 Between ng/ml - 7

19 ETANERCEPT SHIKARI Q-ETA S-ATEv2 ETANERCEPT (Enbrel ) ELISA Etanercept binds specifically to tumor necrosis factor (TNF) and thereby modulates biological processes that are induced or regulated by TNF. Such processes or molecules affected include the level of adhesion molecules expressed, as well as serum levels of cytokines and matrix metalloproteinase-3, also known as stromelysin. In animal models, etanarcept has been demonstrated to affect inflammation, such as in murine collagen-induced arthritis. The maximum serum concentration (Cmax) of Etanercept is 2,6 mg/l And minimum concentration (Cmin) is,2 mg/l in serum. The Matriks Biotek Etanercept-ELISA and Antibody to Etanercept ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-etanercept antibodies respectively, during therpy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-ETA: Enzyme immunoassay for the quantitative determination of free Etanercept (Enbrel ) in serum and plasma. Matriks Biotek Etanercept ELISA has been developed for the quantitative analysis of free Etanercept in serum and plasma samples at high specificity. SHIKARI S-ATEv2: The Matriks Biotek Antibody to Etanercept (Enbrel ) Enzyme-Linked-Immuno- Sorbent Assay (ELISA) Kit is intended for the qualitative determination of antibodies to Etanercept in serum and plasma. Q-ETA Free Etanercept (Enbrel ) quantitative analyses Serum, plasma Required Volume ( l) 0 Total Time (min) 40 Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 0. Between 85-5 S-ATEv2 Free Anti-Etanercept (Enbrel ) antibodies qualitative analyses Serum, plasma +/- - 8

20 GOLIMUMAB SHIKARI Q- GOL S-ATG GOLIMUMAB (Simponi ) ELISA Golimumab (Simponi, CNTO-48) is a human immunoglobulin Gκ monoclonal antibody which is specific for pro-inflammatory cytokine, tumor necrosis factor-α (TNFα). In 2009, it was approved by FDA for the treatment of rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis in adult patients. TNF is a naturally occurring cytokine that is involved in normal inflammatory and immune responses. Elevated levels of TNF are found in the synovial fluid of rheumatoid arthritis, including juvenile idiopathic arthritis, psoriatic arthritis, and ankylosing spondylitis patients and play an important role in both the pathologic inflammation and the joint destruction that are hallmarks of these diseases. The maximum serum concentration (Cmax) of Golimumab is 3,2 µg/ml and minimum concentration (Cmin) is 0,5 µg/ml in serum. The Matriks Biotek Golimumab-ELISA and Antibody to Golimumab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-golimumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-GOL: Enzyme immunoassay for the quantitative determination of free Golimumab (Simponi ) in serum and plasma. Matriks Biotek Golimumab ELISA has been developed for the quantitative analysis of free golimumab in serum and plasma samples at high specificity. SHIKARI S-ATGv: The Matriks Biotek Antibody to Golimumab (Simponi ) Enzyme-Linked-Immuno-Sorbent Assay (ELISA) Kit is intended for the qualitative determination of antibodies to Golimumab in serum and plasma. Q-GOL Free Golimumab (Simponi ) quantative analyses S-ATG Free Anti-Golimumab (Simponi ) antibodies qualitative analyses Required Volume ( l) 20 0 Total Time (min) Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 00 Between /- - 9

21 CERTOLIZUMAB SHIKARI Q- CERT CERTOLIZUMAB ELISA Certolizumab pegol (Cimzia ) is currently the only PEGylated anti-tnfα biologic approved for the treatment of rheumatoid arthritis and Crohn disease. Indicated for reducing signs and symptoms of Crohn disease and maintaining clinical response in patients with moderate to severe active disease who had an inadequate response to conventional therapy. SHIKARI Q-CERT: Enzyme immunoassay for the quantitative determination of free Certolizumab (Cimzia ) in serum and plasma. Matriks Biotek Certolizumab ELISA has been developed for the quantitative analysis of free Certolizumab in serum and plasma samples at high specificity. Required Volume ( l) Total Time (min) Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) Q-CERT free Certolizumab (Cimzia ) quantative analyses Between

22 VEDOLIZUMAB SHIKARI Q- VEDO S-ATCER VEDOLIZUMAB ELISA Vedolizumab is a recombinant humanized IgG monoclonal antibody directed against the human lymphocyte α4β7 integrin, a key mediator of gastrointestinal inflammation. It is used in the treatment of moderate to severe active ulcerative colitis and Crohn's disease for patients who have had an inadequate response with, lost response to, or were intolerant to inhibitors of tumor necrosis factor-alpha (TNF-alpha) or other conventional therapies. By blocking its primary target, α4β7 integrin, vedolizumab reduces inflammation in the gut. SHIKARI Q-VEDO: Enzyme immunoassay for the quantitative determination of Vedolizumab (Entyvio ) in serum and plasma. The Matriks Biotek Shikari Q-VEDO ELISA has been especially developed for the quantitative analysis of Vedolizumab in serum and plasma samples. SHIKARI S-ATV: The Matriks Biotek Antibody to Vedolizumab(Entyvio ) Enzyme-Linked-Immuno Sorbent Assay (ELISA) Kit is intended for the qualitative determination of antibodies to Vedolizumab (Entyvio ) in serum and plasma. Required Volume ( l) Total Time (min) Sample Q-VEDO Free Nivolumab (Opdivo ) quantitative analyses 0 40 S-ATV Nivolumab (Opdivo ) antibodies qualitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 30 Between /- - 2

23 USTEKINUMAB SHIKARI Q- UST S-ATU USTEKINUMAB ELISA Ustekinumab is a fully human monoclonal antibody that binds with high specificity and affinity to the cytokines interleukin (IL)-2 and IL-23, thereby suppressing IL-2- and IL-23-mediated inflammation associated with psoriasis. Ustekinumab (STELARA ) is the only FDA-approved medicine that targets IL-2 and IL-23, which are thought to be associated with gastrointestinal inflammation in Crohn's disease. SHIKARI Q-UST: Enzyme immunoassay for the quantitative determination of Ustekinumab (Stelara ) in serum and plasma. The Matriks Biotek Shikari Q-UST ELISA has been especially developed for the quantitative analysis of Ustekinumab in serum and plasma samples. SHIKARI S-ATU: The Matriks Biotek Antibody to Ustekinumab(Stelara ) Enzyme-Linked-Immuno Sorbent Assay (ELISA) Kit is intended for the qualitative determination of antibodies to Ustekinumab (Stelara ) in serum and plasma Required Volume ( l) Total Time (min) Sample Q-UST Ustekinumab (Stelara ) quantitative analyses 0 70 S-ATU Ustekinumab (Stelara ) antibodies qualitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 3 Between /- - 22

24 RAMUCIRUMAB SHIKARI Q- RAM S-ATRAM RAMUCIRUMAB ELISA Ramucirumab is a human monoclonal antibody (IgG) against vascular endothelial growth factor receptor 2 (VEGFR2), a type II trans-membrane tyrosine kinase receptor expressed on endothelial cells. By binding to VEGFR2, ramucirumab prevents binding of its ligands (VEGF-A, VEGF-C, and VEGF-D), thereby preventing VEGF-stimulated receptor phosphorylation and downstream ligand-induced proliferation, permeability, and migration of human endothelial cells. Ramucirumab is indicated for us in advanced gastric or gastro-esophageal junction adenocarcinoma as a single agent or in combination with paclitaxel after prior fluoropyrimidine- or platinum-containing chemotherapy. According to the information given by the manufacturer; Cmax: 7 µg/ml, Cmin: 49.5 µg/ml. SHIKARI Q-RAM: Enzyme immunoassay for the quantitative determination of free ramucirumab (Cyramza ) in serum and plasma. Matriks Biotek Ramucirumab ELISA has been especially developed for the quantitative analysis of free ramucirumab in serum and plasma samples at high specificity. SHIKARI S-ATRAM: The Matriks Biotek Antibody to Ramucirumab (Cyramza ) Enzyme-Linked-ImmunoSorbent-Assay (ELISA) Kit is intended for the qualitative determination of antibodies to Ramucirumab (Cyramza ) in serum and plasma. Required Volume ( l) Total Time (min) Sample Q-RAM free Ramucirumab (Cyramza ) quantitative analyses 0 70 S-ATRAM Ramucirumab (Cyramza ) antibodies qualitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 20 Between /- - 23

25 BEVACIZUMAB SHIKARI Q- BEVA S-ATBv S-ATBv2 BEVACIZUMAB (Avastin ) ELISA Bevacizumab is an antineoplastic agent and prevents or reduces the formation of blood vessels (angiogenesis) thereby preventing or reducing metatstatic disease progressing. Bevacizumab binds VEGF and prevents vascular endothelial growth and endothelial cell proliferation. Bevacizumab binds VEGF and prevents the interaction of VEGF to its receptors (Flt- and KDR) on the surface of endothelial cells. This prevents blood vessel proliferation and in response retardation of metastatic tumor growth occurs. The maximum serum concentration (Cmax) of Bevacizumab is 300 µg/ml and minimum concentration (Cmin) is 0 µg/ml in serum. The Matriks Biotek Bevacizumab-ELISA and Antibody to Bevacizumab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-bevacizumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-BEVA: The Matriks Biotek Shikari Q-BEVA Enzyme Immunoassay has been developed for the quantitative analysis of bevacizumab in serum and plasma samples between the Cmin and Cmax range of concentrations indicated in the pharmacokinetics section of prospectus. SHIKARI S-ATBv: The Matriks Biotek Antibody to Bevacizumab (Avastin ) Enzyme-Linked-Immuno- Sorbent-Assay (ELISA) Kit is intended for the qualitative determination of antibodies to bevacizumab (Avastin ) in serum and plasma. SHIKARI S-ATBv2: The Matriks Biotek Antibody to Bevacizumab (Avastin ) Enzyme-Linked- Immuno-Sorbent-Assay (ELISA) Kit is intended for the quantitative determination of antibodies to Bevacizumab (Avastin ) in serum and plasma. Q-BEVA S-ATBv S-ATBv2 Required Volume ( l) Total Time (min) Sample Free Bevacizumab (Avastin ) quantitative analyses 5 70 Free Anti-Bevacizumab (Avastin )antibodies qualitative analyses 0 40 Free-Anti Bevacizumab (Avastin )antibodies quantitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 30 +/- Between Between

26 RITUXIMAB SHIKARI Q-RITUX S-ATRv S-ATRv2 RITUXIMAB (Rituxan, Mabthera ) ELISA Rituxan is a genetically engineered chimeric murine/human monoclonal antibody (IgG kappa immunoglobulin) directed against the CD20 antigen found on the surface of normal and malignant B lymphocytes. The antibody is used for treatment of CD20-positive non-hodgkins lymphoma, chronic lymphocytic leukemia, and rheumatoid arthritis. The determination of free drug and anti-drug antibodies in serum is very important for the follow-up of these diseases. The maximum cerum concentration (Cmax) of Rituximab is 67 µg/ml and minimum concentration (Cmin) is 22 µg/ml in serum. The Matriks Biotek Rituximab-ELISA and Antibody to Rituximab ELISA Kits can be efficiently used, for montoring serum through levels and the presence of anti-rituximab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-RITUX: Enzyme immunoassay for the quantitative determination of free rituximab (Rituxan, Mabthera ) in serum and plasma. Matriks Biotek Rituximab ELISA has been especially developed for the quantitative analysis of free rituximab in serum and plasma samples at high specificity. SHIKARI S-ATRv: Enzyme immunoassay for the qualitative determination of antibodies to rituximab in serum and plasma. The Matriks Biotek S-ATR (Rituxan, Mabthera ) Elisa Kit is intended for the qualitative determination of antibodies to rituximab (Rituxan, Mabthera ) in serum and plasma. SHIKARI S-ATRv2: The Matriks Biotek Antibody to Rituximab (Rituxan, Mabthera ) Enzyme-Linked-Immuno-Sorbent-Assay (ELISA) Kit is intended for the quantitative determination of antibodies to rituximab (Rituxan, Mabthera ) in serum and plasma. Q-RITUX S-ATRv S-ATRv2 Required Volume ( l) Total Time (min) Sample Free Rituximab (Rituxan, Mabthera ) quantitative analyses 0 35 Free Anti-Rituximab (Rituxan, Mabthera ) antibodies qualitative analyses 0 40 Free Anti-Rituximab (Rituxan, Mabthera ) antibodies quantitative analyses Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 3 Between / Between

27 TRASTUZUMAB SHIKARI Q- TRAS S-ATTv S-ATTv2 TRASTUZUMAB (Herclon, Herceptin ) ELISA Trastuzumab is a recombinant IgG kappa, humanized monoclonal antibody that selectively binds with high affinity in a cell-based assay (Kd = 5 nm) to the extracellular domain of the human epidermal growth factor receptor protein. Trastuzumab has antitumor activity and it is used for treatment of early stage HER2- positive breast cancer, or metastatic breast cancer that substantially overexpress HER2. The determination of free drug and anti-drug antibodies in serum is very important for the follow-up of these diseases. The maximum cerum concentration (Cmax) of Trastuzumab is 23 µg/ml And minimum concentration (Cmin) is 27µg/ml in serum. The Matriks Biotek Trastuzumab-ELISA and Antibody to Trastuzumab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-trastuzumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-TRAS: Enzyme immunoassay for the quantitative determination of free Trastuzumab (Herclon, Herceptin ) in serum and plasma. Matriks Biotek trastuzumab ELISA has been developed for the quantitative analysis of free trastuzumab in serum and plasma samples at high specificity. SHIKARI S-ATTv: The Matriks Biotek Antibody to Trastuzumab (Herclon, Herceptin ) Enzyme-Linked-Immuno-Sorbent Assay (ELISA) Kit is intended for the qualitative determination of antibodies to Trastuzumab in serum and plasma. SHIKARI S-ATTv2: The Matriks Biotek Antibody to Trastuzumab (Herclon, Herceptin ) Enzyme-Linked-Immuno-Sorbent-Assay (ELISA) Kit is intended for the quantitative determination of antibodies to Trastuzumab in serum and plasma. Required Volume ( l) Total Time (min) Sample Q-TRAS S-ATTv S-ATTv2 Free Trastuzumab (Herclon, Herceptin ) quantitative analyses 0 70 Free Anti-Trastuzumab (Herclon, Herceptin ) antibodies qualitative analyses 0 40 Free Anti-Trastuzumab (Herclon, Herceptin ) antibodies quantitative analyses Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 2 Between / Between

28 CETUXIMAB SHIKARI Q- CET S-ATCv S-ATCv2 CETUXIMAB (Erbitux ) ELISA Used in the treatment of colorectal cancer, cetuximab binds specifically to the epidermal growth factor receptor (EGFr, HER, c-erbb-) on both normal and tumor cells. EGFr is over-expressed in many colorectal cancers. Cetuximab competitively inhibits the binding of epidermal growth factor (EGF) and other ligands, such as transforming growth factor alpha. Binding of cetuximab to the EGFr blocks phosphorylation and activation of receptor-associated kinases, resulting in inhibition of cell growth, induction of apoptosis, decreased matrix metalloproteinase secretion and reduced vascular endothelial growth factor production. The maximum serum concentration (Cmax) of Cetuximab is 84 µg/ml And minimum concentration (Cmin) is 4 µg/ml in serum. The Matriks Biotek Cetuximab-ELISA and Antibody to Cetuximab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-cetuximab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-CET: Enzyme immunoassay for the quantitative determination of free Cetuximab (Erbitux ) in serum and plasma. Matriks Biotek Cetuximab ELISA has been developed for the quantitative analysis of free Cetuximab in serum and plasma samples at high specificity. SHIKARI S-ATCv: The Matriks Biotek Antibody to Cetuximab (Erbitux ) Enzyme-Linked-Immuno- Sorbent Assay (ELISA) Kit is intended for the qualitative determination of antibodies to Cetuximab in serum and plasma. SHIKARI S-ATCv2: The Matriks Biotek Antibody to Cetuximab (ATC) (Erbitux ) Enzyme-Linked- Immuno-Sorbent-Assay (ELISA) Kit is intended for the quantitative determination of antibodies to Cetuximab in serum and plasma. Q-CET S-ATCv S-ATCv2 Required Volume ( l) Total Time (min) Sample Free Cetuximab (Erbitux ) quantative analyses 0 70 Free Anti-Cetuximab (Erbitux ) antibodies qualitative analyses 0 40 Free Anti-Cetuximab (Erbitux ) antibodies quantitative analyses Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 00 Between / Between

29 AVELUMAB SHIKARI Q-AVE S-ATAVv AVELUMAB (Bavencio ) ELISA Avelumab is a programmed death ligand- (PD-L) blocking antibody indicated for the treatment of adults and pediatric patients 2 years and older with metastatic Merkel cell carcinoma (MCC). It is a fully human anti-pd immunoglobulin G (IgG) lambda monoclonal antibody with antineoplastic actions. Indicated for the treatment of adults and pediatric patients 2 years and older with metastatic Merkel cell carcinoma (MCC). The maximum serum concentration (Cmax) of Avelumab is 0.3 mg/ml and minimum concentration (Cmin) is mg/ml in serum. The Matriks Biotek Avelumab ELISA and Antibody to Avelumab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-avelumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-AVE: Enzyme immunoassay for the quantitative determination of free Avelumab (Bavencio ) in serum and plasma. Matriks Biotek Avelumab ELISA has been developed for the quantitative analysis of free Avelumab in serum and plasma samples at high specificity. SHIKARI S-ATAVv: The Matriks Biotek Antibody to Avelumab (Bavencio ) EnzymeLinked-Immuno-Sorbent Assay (ELISA) Kit is intended for the qualitative determination of antibodies to Avelumab in serum and plasma. Required Volume ( l) Total Time (min) Sample Q-AVE Free Avelumab (Bavencio ) quantitative analyses 0 70 S-ATAVv Free Anti-Avelumab (Bavencio )antibodies qualitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 30 Between /- - 28

30 NIVOLUMAB SHIKARI Q- NIVO S-ATN NIVOLUMAB (Opdivo ) ELISA Nivolumab is a human immunoglobulin G4 (IgG4) monoclonal antibody that binds to the programmed cell death (PD-) receptor and selectively blocks interaction with its programmed death ligands PD-L and PDL2. Upregulation of PD- ligands occurs in some tumors and signalling through this pathway can contribute to inhibition of active T-cell immune surveillance of tumour tissue. The inhibitory effect of PD- and its ligands occurs through the promotion of apoptosis in antigen specific T cells while simultaneously blocking apoptosis in suppressor T cells. Blocking PD- activity has been shown to lead to decreased tumour growth in mouse tumour models.the maximum serum concentration (Cmax) of Nivolumab is 37 ng/ml and minimum concentration (Cmin) is 7 ng/ml in serum. The Matriks Biotek Nivolumab-ELISA and Antibody to Nivolumab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-nivolumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-NIVO: Enzyme immunoassay for the quantitative determination of free Nivolumab (Opdivo ) in serum and plasma. Matriks Biotek Nivolumab ELISA has been developed for the quantitative analysis of free Nivolumab in serum and plasma samples at high specificity. SHIKARI S-ATNv: The Matriks Biotek Antibody to Nivolumab (Opdivo ) Enzyme-Linked-Immuno- Sorbent Assay (ELISA) Kit is intended for the qualitative determination of antibodies to Nivolumab in serum and plasma. Required Volume ( l) Total Time (min) Sample Q-NIVO Free Nivolumab (Opdivo ) quantitative analyses 0 70 S-ATN Free Anti-Nivolumab (Opdivo ) antibodies qualitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 00 Between /- - 29

31 PEMBROLIZUMAB SHIKARI Q- PEM S-ATP PEMBROLIZUMAB (Keytruda ) ELISA Pembrolizumab is a humanized monoclonal antibody that blocks the interaction between PD- and its ligands, PD-L and PD-L2. It is used for the treatment of several types of cancer such as, Melanoma, Non-Small Cell Lung Cancer and Head and Neck Cancer. The determination of free drug and anti-drug antibodies in serum is very important for the follow-up of these diseases. The maximum cerum concentration (Cmax) of Pebrolizumab is 67,5 µg/ml and minimum serum concentration of Pembrolizumab (Cmin) is 23,5 µg/ml in serum after 2 mg/kg dosing. The Matriks Biotek Pembrolizumab-ELISA and Antibody to Pembrolizumab ELISA Kits are unique in the market and they can be efficiently used, for monitoring serum through levels and the presence of antipembrolizumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-PEM: Enzyme immunoassay for the quantitative determination of pembrolizumab (Keytruda ) in serum and plasma. Matriks Biotek pembrolizumab ELISA has been especially developed for the quantitative analysis pembrolizumab in serum and plasma samples between the Cmin and Cmax range of concentrations. SHIKARI S-ATP: The Matriks Biotek Antibody to Pembrolizumab (Keytruda ) Enzyme-Linked Immuno SorbentAssay (ELISA) Kit is intended for the qualitative determination of antibodies to pembrolizumab (Keytruda ) in serum and plasma. Q-PEM Free Pembrolizumab (Keytruda ) quantitative analyses 0 40 S-ATP Free Anti-Pembrolizumab (Keytruda ) qualitative analyses Required Volume ( l) 0 Total Time (min) 40 Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 30 Between /- - 30

32 IPILIMUMAB SHIKARI Q- IPI S-ATI IPILIMUMAB (Yervoy ) ELISA Ipilimumab, a recombinant human monoclonal antibody (IgG kappa immunoglobin), is an antineoplastic agent. Ipilimumab is indicated for the treatment of unresectable or metastatic melanoma in adults. Also, it is used to reduce the risk of the deadly skin cancer returning after surgery. The absence or presence of CTLA-4 can augment or suppress the immune system's T-cell response in fighting disease. The determination of free drug and anti-drug antibodies in serum is very important for the follow-up of these diseases. The maximum serum concentration (Cmax) of ipilimumab is 85 µg/ml in serum. The Matriks Biotek Ipilimumab-ELISA and Antibody to Ipilimumab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-ipilimumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-IPI: Enzyme immunoassay for the quantitative determination of Ipilimumab (Yervoy ) in serum and plasma. MatriksBiotek Ipilimumab ELISA has been especially developed for the quantitative analysis of Ipilimumab in serum and plasma samples between the Cmin and Cmax range of concentrations indicated in the pharmacokinetics section of prospectus. SHIKARI S-ATI: Enzyme immunoassay for the qualitative determination of antibodies to Ipilimumab (Yervoy ) in serum and plasma. The MatriksBiotek S-ATI ELISA Kit can be simply used for scan anti- Ipilimumab antibodies during therapy with the drug Ipilimumab (Yervoy ). Required Volume ( l) Total Time (min) Sample Q-IPI Free Ipilimumab (Yervoy ) quantitative analyses 0 70 S-ATI Free Anti-Ipilimumab (Yervoy ) antibodies qualitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 00 Between /- - 3

33 DENOSUMAB SHIKARI Q- DEN S-ATD DENOSUMAB (Prolia ) ELISA Kappa-B ligand (RANKL), suppresses bone resorption markers in patients with a variety of metastatic tumors and is being investigated in multiple clinical trials for the prevention and treatment of bone metastases. Prolia is indicated for the treatment of postmenopausal women with osteoporosis at high risk for fracture. It reduces the incidence of vertebral, nonvertebral, and hip fractures. Prolia is also indicated as a treatment to increase bone mass in women at high risk for fracture receiving adjuvant aromatase inhibitor therapy for breast cancer. It can also be used in men with osteoporosis at high risk for fracture or in men receiving androgen deprivation therapy for nonmetastatic prostate cancer to increase bone mass. Xgeva is indicated for the prevention of skeletal-related events in patients with bone metastases from solid tumors. The determination of free drug and anti-drug antibodies in serum is very important for the follow-up of these diseases. The maximum serum concentration (Cmax) of denosumab is 6,75±,89 µg/ml in serum. The Matriks Biotek Denosumab-ELISA and Antibody to Denosumab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti-denosumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-DEN: Enzyme immunoassay for the quantitative determination of denosumab (Prolia ) in serum and plasma. SHIKARI S-ATD: Enzyme immunoassay (ELISA) Kit is intended for the qualitative determination of antibodies to denosumab (Prolia ) in serum and plasma. Required Volume ( l) Total Time (min) Sample Q-DEN Free Denosumab (Prolia ) quantitative analyses 0 70 S-ATD Free Anti-Denosumab (Prolia ) antibodies qualitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 3 Between /- - 32

34 OMALIZUMAB SHIKARI Q- OMA S-ATO OMALIZUMAB (Xolair ) ELISA A recombinant DNA-derived humanized IgGk monoclonal antibody that selectively binds to human immunoglobulin E (IgE). Xolair inhibits the binding of IgE to the high-affinity IgE receptor (FceRI) on the surface of mast cells and basophils. Reduction in surface-bound IgE on FceRI-bearing cells limits the degree of release of mediators of the allergic response. Xolair is used to treat severe, persistent asthma. The determination of free drug and anti-drug antibodies in serum is very important for the follow-up of these diseases. The maximum serum concentration (Cmax) of omalizumab is 08,8 ng/ml and minimum concentration (Cmin) is 7,9 ng/ml in serum. The Matriks Biotek Omalizumab-ELISA and Antibody to Omalizumab ELISA Kits can be efficiently used, for monitoring serum through levels and the presence of anti- Omalizumab antibodies respectively, during therapy and offers the scientist a tool for decision on possible preventive measures. SHIKARI Q-OMA: Enzyme immunoassay for the quantitative determination of Omalizumab (Xolair ) in serum and plasma. Matriks Biotek Omalizumab ELISA has been especially developed for the quantitative analysis Omalizumab in serum and plasma samples between the Cmin and Cmax range of concentrations indicated in the pharmacokinetics section of prospectus. SHIKARI S-ATO: The Matriks Biotek Antibody to Omalizumab (Xolair ) ELISA Kit is intended for the qualitative determination of antibodies to Omalizumab (Xolair ) in serum and plasma. The Matriks Biotek S-ATI ELISA Kit can be efficiently used for scan anti Omalizumab antibodies during therapy and offers clinician a tool for decision on beneficial preventive measure like possible addition of immunosuppressive drug to reduce anti-omalizumab antibodies. Required Volume ( l) Total Time (min) Sample Q-OMA Free Omalizumab (Xolair ) quantitative analyses 5 70 S-ATO Free Anti-Omalizumab (Xolair ) antibodies qualitative analyses 0 40 Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) 0 Between /- - 33

35 FILGRASTIM SHIKARI Q-AFA FILGRASTIM ELISA Filgrastim binds to the G-CSF receptor and stimulates the production of neutrophils in the bone marrow. As a G-CSF analog, it controls proliferation of committed progenitor cells and influences their maturation into mature neutrophils. Filgrastim also stimulates the release of neutrophils from bone marrow storage pools and reduces their maturation time. Filgrastim acts to increase the phagocytic activity of mature neutrophils. In patients receiving cytotoxic chemotherapy, Filgrastim can accelerate neutrophil recovery, leading to a reduction in duration of the neutropenic phase. Filgrastim is used in patients with acute myeloid leukemia receiving induction or consolidation chemotherapy. It is also used in cancer patients receiving bone marrow transplant. In general, filgrastim increases neutrophil counts in order to decrease the risk of infection or duration of neutropenia in the aforementioned patient populations. Infection and neutropenia are adverse events associated with chemotherapy. Furthermore, filgrastim is also indicated for patients with severe chronic neutropenia. It mobilizes hematopoietic progenitor cells into the peripheral blood for collection by leukapheresis to allow for a more rapid engraftment. The Matriks Biotek Antibody to Filgrastim enzyme immunoassay (ELISA) Kit is intended for the quantitative determination of antibodies to filgrastim in serum and plasma. SHIKARI Q-AFA: Enzyme immunoassay for the quantitative determination of antibodies to Filgrastim in serum and plasma with confirmation reagent-ligand binding Nab assay. Required Volume ( l) Total Time (min) Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) Q-AFA Free Anti-Filgrastim antibodies quantitative analyses Between months 34

36 RANIBIZUMAB SHIKARI Q- RAN RANIBIZUMAB ELISA Ranibizumab is a recombinant humanized IgG kappa isotype monoclonal antibody fragment designed for intraocular use. Ranibizumab binds to and inhibits the biologic activity of human vascular endothelial growth factor A (VEGF-A). It is indicated for the treatment of macular edema after retinal vein occlusion, age-related macular degeneration (wet), and diabetic macular edema. After monthly intravitreal injections, maximum aqueous humour concentrations are minimal around 0.3 ng/ml to 2.36 ng/ml. SHIKARI Q-RAN: Enzyme immunoassay for the quantitative determination of free ranibizumab (Lucentis ) in aqueous humour. Matriks Biotek Ranibizumab ELISA has been especially developed for the quantitative analysis of free ranibizumab in aqueous humour samples at high specificity. Required Volume ( l) Total Time (min) Sample Sample Number Detection Limit (ng/ml) Spike Recovery (%) Shelf Life (year) Q-RAN free Ranibizumab (Lucentis ) quantative analyses 0 70 Aqueous humour 0.3 Between

37 REFERENCE CODE PRODUCT NAME DESCRIPTION TR-Q- INFLIXIv2 Q- INFLIXI Enzyme immunoassay for the quantitative determination of free Infliximab (Remicade ) in serum and plasma. TR-ATIv5 TR-ATIv6 TR-ATIv8 TR-ADAv TR-AADAv TR-AADAv2 TR-AADAv4 TR-ETAv2 TR-AETAv2 TR-BEVAv2 TR-ABEVAv TR-ABEVAv2 TR-RTXv2 TR-ARTXv TR-ARTXv2 TR-TRASv2 TR-ATRASv TR-ATRASv2 TR-GOLv TR-ATGv TR-CETv TR-ATCv TR-ATCv2 TR-REMSv TR-AREMSv TR-AREMSv2 TR-AREMSv3 TR-QDENv TR-AATDv TR-OMAv TR-AATOv TR-Q-NIVOv TR-ATNv TR-PEMv TR-A-PEMv TR-AFAv TR-IPIv TR-AIPIv TR-Q-AVEv TR-A-AVEv Q- ATI Q- ATI Q- ATI Q-ADA S-ATA S-ATA S-ATA Q-ETA S-ATE Q-BEVA S-ATB S-ATB Q-RITUX S-ATR S-ATR Q-TRAS S-ATT S-ATT Q-GOL S-ATG Q-CET S-ATC S-ATC Q-REMS S-AIR S-AIR S-AIR Q-DEN S-ATD Q-OMA S-ATO Q-NIVO S-ATN Q-PEM S-ATP Q-AFA Q-IPI S-ATI Q-AVE S-ATAV Enzyme immunoassay for the qualitative determination of specific antibodies to infliximab in human serum and plasma with confirmation. Enzyme immunoassay for the quantitative determination of specific antibodies to infliximab in human serum and plasma with confirmation. Enzyme immunoassay for the semi-quantitative determination (screening) of total and free antibodies to infliximab (Remicade ) in serum and plasma. Enzyme immunoassay for the quantitative determination of free adalimumab (Humira ) in serum and plasma Enzyme immunoassay for the qualitative determination of antibodies to adalimumab (Humira ) in serum and plasma with confirmation Enzyme immunoassay for the quantitative determination of antibodies to adalimumab (Humira ) in serum and plasma with confirmation Enzyme immunoassay for the semi-quantitative determination (screening) of total and free antibodies to adalimumab (Humira ) in serum and plasma. Enzyme immunoassay for the quantitative determination of free Etanercept (Enbrel) in serum and plasma Enzyme immunoassay for the qualitative determination of antibodies to etanercept in serum and plasma Enzyme immunoassay for the quantitative determination of Bevacizumab (Avastin ) in serum and plasma Enzyme immunoassay for the qualitative determination of antibodies to Bevacizumab (Avastin ) in serum and plasma Enzyme immunoassay for the quantitative determination of antibodies to Bevacizumab (Avastin ) in serum and plasma Enzyme immunoassay for the quantitative determination of antibodies to Rituximab (Rituxan, Mabthera ) in serum and plasma. Enzyme immunoassay for the qualitative determination of antibodies to Rituximab (Rituxan, Mabthera ) in serum and plasma Enzyme immunoassay for the quantitative determination of antibodies to Rituximab (Rituxan, Mabthera ) in serum and plasma Enzyme immunoassay for the quantitative determination of Trastuzumab (Herceptin, Herclon ) Enzyme immunoassay for the qualitative determination of antibodies to Trastuzumab (Herceptin, Herclon ) in serum and plasma Enzyme immunoassay for the quantitative determination of antibodies to Trastuzumab (Herceptin, Herclon ) in serum and plasma Enzyme immunoassay for the quantitative determination of free Golimumab (Simponi ) in serum and plasma. Enzyme immunoassay for the qualitative determination of antibodies to Golimumab in serum and plasma. Enzyme immunoassay for the quantitative determination of free Cetuximab (Erbitux ) in serum and plasma. Enzyme immunoassay for the qualitative determination of antibodies to cetuximab in serum and plasma. Enzyme immunoassay for the quantitative determination of antibodies to cetuximab in serum and plasma. Enzyme immunoassay for the quantitative determination of free Infliximab (Remsima ) in serum and plasma. Enzyme immunoassay for the qualitative determination of antibodies to Infliximab Remsima in serum and plasma. Enzyme immunoassay for the quantitative determination of antibodies to Infliximab Remsima in serum and plasma. Enzyme immunoassay for the semi-quantitative determination (screening) of total antibodies to Infliximab biosimilar (Remsima ) in serum and plasma. Enzyme immunoassay for the quantitative determination of Denosumab (Prolia )in serum and plasma. Enzyme immunoassay for the qualitative determination of antibodies to Denosumab in serum and plasma. Enzyme immunoassay for the quantitative determination of Omalizumab (Xolair ) Remsima in serum and plasma. Enzyme immunoassay for the qualitative determination of antibodies to Omalizumab in serum and plasma. Enzyme immunoassay for the quantitative determination of Nivolumab (Opdivo ) in serum and plasma. Enzyme immunoassay for the qualitative determination of antibodies to Nivolumab in serum and plasma. Enzyme immunoassay for the quantitative determination of Pembrolizumab (Keytruda ) in serum and plasma. Enzyme immunoassay for the qualitative determination of antibodies to Pembrolizumab in serum and plasma. Enzyme immunoassay for the quantitative determination of specific anibodies to Filgrastim in serum and plasma. Enzyme immunoassay for the quantitative determination of specific Ipilimumab(Yervoy ) in human serum and plasma. Enzyme immunoassay for the qualitative determination of specific anibodies to Ipilimumab in serum and plasma. Enzyme immunoassay for the quantitative determination of specific Avelumab(Bavencio ) in human serum and plasma. Enzyme immunoassay for the qualitative determination of specific anibodies to Avelumab in serum and plasma. TR-RANv Q-RAN Enzyme immunoassay for the quantitative determination of free Ranibizumab in aqueous humour. TR-RAMv TR-ARAMv TR-CERTv TR-Q-VEDOv TR-ATVv TR-Q-USTv TR-ATUv Q-RAM S-ATRAM Q-CERT Q-VEDO S-ATV Q-UST S-ATU Enzyme immunoassay for the quantitative determination of free Ramucirumab in serum and plasma. Enzyme immunoassay for the qualitative determination of antibodies to Ramucirumab in serum and plasma. Enzyme immunoassay for the quantitative determination of Certolizumab in human serum and plasma. Enzyme immunoassay for the quantitative determination of Vedolizumab in human serum and plasma Enzyme immunoassay for the qualitative determination of antibodies to Vedolizumab in human serum and plasma Enzyme immunoassay for the quantitative determination of Ustekinumab in human serum and plasma Enzyme immunoassay for the qualitative determination of antibodies to Ustekinumab in human serum and plasma We can send you a proforma invoice and relavant information for bank transfer according to amount of kits you require. Delivery is immadiately after prepayment. Our delivery process is on room tempreature. All of our kits are for samples. Our kits have been widely used for clinical and pharmacokinetic purposes. 36

38 trace & catch ALASKA USA CANADA UNITED KINGDOM FINLAND RUSSIAN FEDERATION EUROPE USA TURKEY SOUTH KOREA JAPAN MEXICO ISRAEL IRAN INDIA CHINA TAIWAN BRAZIL AUSTRALIA NEW ZEALAND You can order directly from us. For detailed information and distribution, please check out Contact Info: Matriks Biotechnology Co., Ltd. Gazi Üniversitesi Teknoplaza Binası, BZ7, Gölbaşı ANKARA / TURKEY Tel: +90 (32) Fax: +90 (32) innovation for health & wellness Web: info@matriksbiotek.com 37

39 REFERENCES innovation for health & wellness 38

40 REFERENCES innovation for health & wellness 39

41 PUBLICATIONS Publications done by using SHIKARI ELISA kits from Matriks Biotek For all information: PATENT: Imaging probe for angiogenic activity in pulmonary arterial hypertension PATENT: Controled drug delivery systems for anti-tnf-α WO A PATENT: Preparing method and medical application of optimized plant source recombination humanized bevacizumab PATENT: Genetically modified micro-organ secreting antibody and methods of use PhD Thesis: A BIOLÓGIAI TERÁPIA HATÉKONYSÁGA ÉS KORLÁTAI KÜLÖNBÖZŐ TÍPUSÚ GYULLADÁSOS BÉLBETEGSÉGEKBEN Dr. Molnár Tamás Szegedi Tudományegyetem In Hungarian PhD Thesis: A PIKKELYSÖMÖR KLINIKAI, BIOKÉMIAI, IMMUNOLÓGIAI ÉS GENETIKAI JELLEGZETESSÉGEINEK VIZSGÁLA- TA Dr. Gyulai Rolland Pécsi Tudományegyetem, ÁOK In Hungarian 40

42 PUBLICATIONS Publications done by using SHIKARI ELISA kits from Matriks Biotek For all information: PhD Thesis: La Spectrometrıe De Masse Applıquee A La Quantıfıcatıon Absolue Des Antıcorps Monoclonaux Therapeutıques En Mılıeu Plasmatıque Pour La Realısatıon D etudes Pharmacocınetıques Dr.Rachel LEGERON-LIEUTENANT Universitè de Bordeaux In French PhD Thesis: EVALUATION of TRANSSCLERAL PERMEABILITY EFFECTS of NANOTECHNOLOGY BASED DRUG DELIVERY SYSTEM in OCULAR DRUG APPLICATIONS Dr. NAGİHAN UGURLU Hacettepe University In Turkish with English abstract. 4

43 69 PEER REVIEWED JOURNAL ARTICLES Kang, Ben, et al. "Long-term Outcomes After Switching to CT-P3 in Pediatric-Onset Inflammatory Bowel Disease: A Single-Center Prospective Observational Study." Inflammatory bowel diseases 24.3 (208): Duricova, Dana, et al. "Safety of Anti-TNF-Alpha Therapy During Pregnancy on Long-term Outcome of Exposed Children: A Controlled, Multicenter Observation." Inflammatory bowel diseases (208). Gregoritza, Manuel, et al. "Fabrication of antibody-loaded microgels using microfluidics and thiol-ene photoclick chemistry." European Journal of Pharmaceutics and Biopharmaceutics 27 (208): de Redín, Inés Luis, et al. "Human serum albumin nanoparticles for ocular delivery of bevacizumab." International journal of pharmaceutics (208): Pérez, Irene, et al. "Reliability evaluation of four different assays for therapeutic drug monitoring of infliximab levels." Therapeutic Advances in Gastroenterology (208): Bolia, Rishi, et al. "Secondary Loss of Response to Infliximab in Pediatric Crohn Disease: Does It Matter How and When We Start?." Journal of pediatric gastroenterology and nutrition 66.4 (208): Kang, Ben, et al. "Subtherapeutic infliximab trough levels and complete mucosal healing are associated with sustained clinical remission after infliximab cessation in paediatric-onset Crohn s disease patients treated with combined immunosuppressive therapy." Journal of Crohn's and Colitis 2.6 (208): Shirai, Shimpei, et al. "Immunogenicity of Quadrivalent Influenza Vaccine for Patients with Inflammatory Bowel Disease Undergoing Immunosuppressive Therapy." Inflammatory bowel diseases 24.5 (208): Iwamoto, Noriko, Akinobu Hamada, and Takashi Shimada. "Antibody drug quantitation in coexistence with anti-drug antibodies on nsmol bioanalysis." Analytical biochemistry 540 (208): Sugita, Naoko, et al. "Efficacy of a concomitant elemental diet to reduce the loss of response to adalimumab in patients with intractable Crohn's disease." Journal of gastroenterology and hepatology 33.3 (208): M. Kolar et al., "Pregnancy outcomes in women with inflammatory bowel disease treated with biosimilar infliximab" Gastroent Hepatol (208) 72(): Jing Chen et. al., "Tailor-Making Fluorescent Hyaluronic Acid Microgels via Combining Microfluidics and Photoclick Chemistry for Sustained and Localized Delivery of Herceptin in Tumor." ACS Appl. Mater. Interfaces, (208). Beswick, Lauren, et al. "Exploration of predictive biomarkers of early infliximab response in acute severe colitis: A prospective pilot study." Journal of Crohn's and Colitis 2.3 (207): Piñero, Paula, et al. "IL26 modulates cytokine response and anti-tnf consumption in Crohn s disease patients with bacterial DNA." Journal of Molecular Medicine 95. (207): Štefan Raffáč et al., "Detection of anti-infliximab antibodies in Slovak IBD patients and its costs saving effect" Neuroendocrinology Letters Volume 38 Suppl. (207) Ward, M. G., et al. "Intra-patient variability in adalimumab drug levels within and between cycles in Crohn's disease." Alimentary pharmacology & therapeutics 45.8 (207): Kevin H, et al, Prolonged in vivo expression and anti-tumor response of DNA-based anti-her2 antibodies : Oncotarget, 208, Vol. 9, (No. 7), pp: Aomori, Tohru, et al. "Suppression of infliximab antibody levels by azathioprine in patients with rheumatoid arthritis." Die Pharmazie-An International Journal of Pharmaceutical Sciences 72.2 (207):

44 Kaito Shibata, et al. Simple and rapid LC-MS/MS method for the absolute determination of cetuximab in human serum using an immobilized trypsin Journal of Pharmaceutical and Biomedical Analysis Volume 46, Pages , 30 November 207 Johannes Gojo, Robert Sauermann, Ursula Knaack, Irene Slave, Andreas Peyrl, Pharmacokinetics of Bevacizumab in Three Patients Under the Age of 3 Years with CNS Malignancies. Drugs R D 7: , 207. Ohem J, Hradsky O, Zarubova K, Copova I, Bukovska P, Prusa R, Malickova K and Bronsky J. Evaluation of Infliximab Therapy in Children with Crohn's Disease Using Trough Levels Predictors. Dig Dis. Aug 8, 207. Al-Karkhi MA, Al-Ani MM, Jassim NA, Mahdi BM, Association Between HLA-DRB alleles and development of antibodies to infliximab in Iraqi patients with rheumatoid arthritis, Basic Research Journals, 6(3): 30-35, 207 Bálint A, Rutka M, Végh Z, et al. Frequency and Characteristics of Infusion Reactions during Biosimilar Infliximab Treatment in Inflammatory Bowel Diseases: results from Central European nationwide cohort, Expert Opinion on Drug Safety, 6(8): , 207. Lombardi S, Bernardoni C, Bertolucci D, et al. Biologic therapies in rheumatic diseases: drug and anti-drug antibody levels and clinical efficacy. Journal of Autoimmunity and Cell Responses, 4(), 207. Gregoritza M, Messmann V, Abstiens K, Brandl FP, Göpferich AM, Controlled antibody release from degradable thermoresponsive hydrogels cross-linked by Diels-Alder chemistry, Biomacromolecules, Just Accepted Manuscript, 207. Aldrich MB, Velasquez FC, Kwon S, Lymphatic delivery of etanercept via nanotopography improves response to collagen-induced arthritis, et al., Arthritis Research & Therapy 9:6, 207. Kolar M, Duricova D, Bortlik M, et al., Infliximab Biosimilar (Remsima TM ) in Therapy of Inflammatory Bowel Diseases Patients: Experience from One Tertiary Inflammatory Bowel Diseases Centre, Digestive Disease, 35:9 00, 207. Gibellini L, De Biasi S, Bianchini E, et al. Anti-TNF-α Drugs Differently Affect the TNFα-sTNFR System and Monocyte Subsets in Patients with Psoriasis. Richard Y, ed. PLoS ONE. (2), 206 Julsgaard M, Christensen LA, Gibson PR, Gearry RB, Fallingborg J, Hvas CL,Bibby BM, Uldbjerg N, Connell WR, Rosella O, Grosen A, Brown SJ, Kjeldsen J,Wildt S, Svenningsen L, Sparrow MP, Walsh A, Connor SJ, Radford-Smith G, LawranceIC, Andrews JM, Ellard K, Bell SJ. Concentrations of Adalimumab and Infliximab in Mothers and Newborns, and Effects on Infection. Gastroenterology. Jul;5():0-9, 206. Jonathan GG, Beatriz AÁ, Nazco C GJ, Norberto BL, Fernando GN. Plasma levels of trastuzumab in gastric cancer: Case report. J Oncol Pharm Pract. Sep 23, 206. Choi SY, Kang B, Lee JH, Choe YH. Clinical Use of Measuring Trough Levels and Antibodies against Infliximab in Patients with Pediatric Inflammatory Bowel Disease. Gut Liver, 206. Chen L., et al., Efficient Production of a Bioactive Bevacizumab Monoclonal Antibody Using the 2A Self-cleavage Peptide in Transgenic Rice Callus. Frontiers in Plant Science, 7 (56), 206. Kang B., et al., Mucosal Healing in Paediatric Patients with Moderate-to-Severe Luminal Crohn s Disease Under Combined Immunosuppression: Escalation versus Early Treatment Farkas K., et al., Efficacy of infliximab biosimilar CT-P3 induction therapy on mucosal healing in ulcerative colitis. Journal of Crohn's and Colitis Advance Access published, 206. Gutiérrez A, Zapater P, Juanola O, Sempere L, García M, Laveda R, Martínez A, Scharl M, González-Navajas JM, Such J, Wiest R, Rogler G, Francés R. Gut Bacterial DNA Translocation is an Independent Risk Factor of Flare at Short Term in Patients with Crohn's Disease. Am J Gastroenterol.,(4):529-40,

45 Won Jae Song, Ben Kang, So Yoon Choi, and Yon Ho Choe. Adalimumab Treatment in Pediatric-Onset Crohn s Disease Patients after Infliximab Failure: A Single Center Study. Pediatr Gastroenterol Hepatol Nutr.; 9(2): 6 22, 206. Hayashi S, et al., Early Prognostic Factors Associated with the Efficacy of Infliximab Treatment for Patients with Rheumatoid Arthritis with Inadequate Response to Methotrexate. Rheumatol Ther., 3:55 66, 206. Bortlik M., et al., Discontinuation of anti-tumor necrosis factor therapy in inflammatory bowel disease patients: a prospective observation. Scandinavian Journal of Gastroenterology, 5(2), 202, 206. Kui R, Gál B, Gaál M, Kiss M, Kemény L, Gyulai R. Presence of antidrug antibodies correlates inversely with the plasma tumor necrosis factor (TNF)-α level and the efficacy of TNF-inhibitor therapy in psoriasis. J Dermatol.,43(9):08-23, 206. Al-Karkhi M.A., et al., Correlation between Anti-infliximab and Anti-CCP Antibodies Development in Patients with Rheumatoid Arthritis Treated with Infliximab in Baghdad Teaching Hospital. IOSR Journal of Dental and Medical Sciences, 4() : 95-00, 205. Bodini G., Edoardo G. Giannini, Edoardo V. Savarino, and Vincenzo Savarino. Adalimumab Trough Levels and Response to Biological Treatment in Patients With Infl ammatory Bowel Disease: A Useful Cutoff in Clinical Practice. Am J Gastroenterol., Vol.0, 205. Juanola O., et al., Anti-TNF-alpha loss of response is associated with a decreased percentage of FoxP3+ T cells and a variant NOD2 genotype in patients with Crohn s disease. J Gastroenterol,50: , 205. Fujita T, Murata Y, Hemmi S, Kajiwara M, Yabuki M, et al. (205) Persistent Complement Activation is Associated with Insulin Resistance and Chronic Inflammation in Overweight Patients with Type 2 Diabetes with Dyslipidemia. Int J Immunol Immunother 2:007, 205. Malíckova K, et al., Serum trough infliximab levels: A comparison of three different immunoassays for the monitoring of CT-P3 (infliximab) treatment in patients with inflammatory bowel disease, Biologicals 205. Lee Y.M. et al, Infliximab Top-Down Strategy is Superior to Step-Up in Maintaining Long-Term Remission in the Treatment of Pediatric Crohn Disease. JPGN 60: ( ), 205. Al-Karkhi M.A., et al., Development of Antibodies against Infliximab in Iraqi Patients with Rheumatoid Arthritis. J Fac Med Baghdad, 57: (24-243), 205 Bergen T.V., et al., Complementary effects of bevacizumab and MMC in the improvement of surgical outcome after glaucoma filtration surgery. Acta Ophthalmologica, , 205. Aydın C, Ataoglu H., Demonstration of β-,2 Mannan Structures Expressed on the Cell Wall of Candida albicans Yeast Form But Not on the Hyphal Form by Using Monoclonal Antibodies Mikrobiyol Bul 49(): 66-76, 205. Kozub P, Curkova AK, Zuzulova M, Simaljakova M, Management of Infliximab Treated Patients with Psoriasis Based On Infliximab Plasma Levels and Antibodies to Infliximab, Clinical & Experimental Dermatology Research, 5(2), 204. Pallagi-Kunstár É. et al., Utility of serum TNF-a, infliximab trough level, and antibody titers in inflammatory bowel disease. World J Gastroenterol. 20(7): ( ), 204. Khanna R., et al., Therapeutic Drug Monitoring of TNF Antagonists in Inflammatory Bowel Disease. Gastroenterology & Hepatology, ( ),204. Krajcovicova A. et al., Delayed hypersensitivity reaction after initial dose of infliximab: a case report. European Journal of Gastroenterology& Hepatology, 26:( ),

46 Erdemli Ö, et al, In vitro evaluation of effects of sustained anti-tnf release from MPEG-PCL-MPEG and PCL microspheres on human rheumat oid arthritis synoviocytes.204. Journal of Biomaterials Application, 29(4):524-42, 204. Avdeeva A.A., Aleksandrova E.N., Karateev D.E., Luchikhina E.L., Novikov A.A., Cherkasova M.V., Nasonov E.L. Effıcacy Of Adalımumab In Early Rheumatoıd Arthrıtıs In Relatıon To Its Serum Level And The Presence Of Antı-Drug Antıbody, Rheumatology Science and Practice, 52(6): , 204. Bortlik M, et al, Impact of Anti-Tumor Necrosis Factor Alpha Antibodies Administered to Pregnant Women With Inflammatory Bowel Disease on Long-term Outcome of Exposed Children. Inflamm Bowel Dis 20 : (495-45), 204. Jung Y et al., Temperature-modulated noncovalent interaction controllable complex for the long-term delivery of etanercept to treat rheumatoid arthritis, J. Control. Release 203. Gutierrez A, et al, Genetic susceptibility to increased bacterial translocation influences the response to biological therapy in patients with Crohn s disease, Gut 0: 9, 203 Grosen A., et al, Infliximab concentrations in the milk of nursing mothers with inflammatory bowel disease, J Crohns Colitis 203. Romero G., et al, Poly(Lactide-co-Glycolide) Nanoparticles, Layer by Layer Engineered for the Sustainable Delivery of AntiTNF-α. Macromol. Biosci. 3: (903 92), 203. Cheong C, et al, Etanercept Attenuates Traumatic Brain Injury in Rats by Reducing Brain TNF-α Contents and by Stimulating Newly Formed Neurogenesis, Mediators of Inflammation, 203; Volume 203, Article ID , 9 pages ** Bortlik M et al, Pregnancy and newborn outcome of mothers with inflammatory bowel diseases exposed to anti-tnf-a therapy during pregnancy: three-center study, Scandinavian Journal of Gastroenterology. 48: , 203. Bodini G, Savarino V, Fazio V, et al. Relationship Between Drug Serum Concentration and Clinical Activity in Patients With Crohn Disease Who Achieved Remission With Adalimumab a Prospective Study,Aga, Volume 42, Issue 5, Supplement, Page S-388, 202. Bortlik M, et al, Infliximab trough levels may predict sustained response to infliximab in patients with Crohn's disease, Journal of Crohn's and Colitis, 202. Malickova K, et al, Phosphatidylserine-dependent anti-prothrombin antibodies (aps/pt) in infliximab - treated patients with inflammatory bowel diseases, Autoimmun Highlights, 202. Takahashi H, et al, Plasma trough levels of adalimumab and infliximab in terms of clinical efficacy during the treatment of psoriasis, Journal of Dermatology, 39: - 4, 202. Seok Lee Y, et al, Efficacy of Early Infliximab Treatment for Pediatric Crohn s Disease: A Three-year Follow-up, Pediatric Gastroenterology, Hepatology & Nutrition, 5(4): , 202. Molnar T, et al, Importance of trough levels and antibody titers on the efficacy and safety of Infliximab therapy in inflammatory bowel disease, Z Gastroenterol, 50 - A53, 202. Kato S, et al, Elevated Serum IgE Prior to Acute Severe Infusion Reaction During Infliximab Maintenance Therapy in a Crohn s Disease Patient, Crohn s & Colitis Foundation of America, 20. Adisen E, et al, Anti-infliximab antibody status and its relation to clinical response in psoriatic patients : A pilot study, Journal of Dermatology, 37: , 200. Kevin H, et al, Prolonged in vivo expression and anti-tumor response of DNA-based anti-her2 antibodies : Oncotarget, 208, Vol. 9, (No. 7), pp:

47 6 POSTER PRESENTATIONS: Little, R., et al. "P709 Is there a difference in adalimumab drug levels according to pen vs. syringe use: An international, multi-centre retrospective analysis." Journal of Crohn's and Colitis 2.supplement_ (208): S469-S470. H. Akbulut, M. Ocal et al., The trough levels of bevacizumab significantly affects the outcome of the treatment in patents with metastatic colorectal cancer:a Turkish Oncology Group Study Patil A, Upadhyaya SK, Dawar R, et al., Through Infiliximab Levels and Anti-Infiliximab Antibodies in Spondyloarthritis Patients on Treatment with Low Dose Infiliximab: A Single Centre Cross-Sectional Study, BMJ Journals, Annals of the Rheumatic Diseases,(207). Malickova K, Duricova D, Kolar M, et al., No difference in immunogenicity of the original and biosimilar infliximab in patients with inflammatory bowel disease: short-term results, First Medical Faculty and General Teaching Hospital, Charles University, Institute of Medical Biochemistry and Laboratory Diagnostics, Prague, Czech Republic, 2 ISCARE, IBD clinical and research centre, Prague, Czech Republic, (207). H. Akbulut, et al: The role of immune system on the efficacy of bevacizumab in patients with metastatic colorectal cancer (mcrc). Medical Oncology, Ankara University School of Medicine, Ankara, Turkey. 553 P, Annals of Oncology, Volume 27, 206, 7 October 206, Copenhagen, Denmark. Perez I, Fernandez L, Sanchez-Ramón S, P55 Comparison of 4 assay kits for measuring infliximab trough levels and antibodies to infliximab in patients with inflammatory bowel disease,hospital Clínico San Carlos, IBD Unit, Madrid, Spain, Hospital Clínico San Carlos, Clinical Immunology, IdiSSC, IBD Unit, Gastroenterology,206 Madrid, Spain. Goldberg R., et al, Predictors of sub-therapeutic infliximab oradalimumab trough levels and anti-drug antibodies and their influence on therapeutic decisions, ECCO 204 Inflammatory Bowel Disease. Julsgaard M., et al, Intra-uterine Exposure to Anti-TNF-alpha therapy(era study):infliximab and adalimumab cord blood levels correlate with maternal levels at birth, ECCO 204 Inflammatory Bowel Disease. Szepes Z., et al, Clinical utility of measuring serum TNF alpha level, anti TNF alpha levels and antibody titers in critical situations in inflammatory bowel disease and in psoriasis, ECCO 204 Inflammatory Bowel Disease. Julsgaard M, et al, Time since last drug exposure in pregnancy determines Adalimumab and Infliximab levels in neonates(era Study), Italy 204. Bodini G, et al, Correlation between Adalimumab trough serum concentration, Anti-Adalimumab antibodies and TNF-Alpha levels with clinical outcome in patients affected by Crohn s disease,. United European Gastroenterology. Italy 203. Duricova D, et al, Predictors of sustained response to infliximab with Crohn s disease: A single cohort study, Czech Republic Lukas M, et al, Anti-infliximab antibodies in routine clinical practice is it worth to assess them, Czech Republic Malickova K, et al, Relationship between serum trough infliximab levels, serum antibodies to infliximab, serum albumin levels and clinical response to infliximab treatment in patients with inflammatory bowel diseases, Charles University in Prague Czech Republic. (20) Malickova K, et al, Formation of antiphospholipid antibodies and antibodies to infliximab in anti-tnf-alpha antibody-treated patients with inflammatory bowel diseases, Charles University in Prague Czech Republic (20). 46

48 Matriks Biotek Laboratories