Therapeutic Drug Monitoring
Antieleptics
Gabapentin
Lacosamide
Lamotrigine
Levetiracetam
Oxcarbazepine Metabolite
Topiramate
Zonisamide
ARK Methotrexate II Assay

- Monoclonal antibody ensures consistent lot quality
- Exceptional sensitivity, precision, linearity, and stability
- Minimal cross-reactivity with 7-hydroxymethotrexate (≤ 0.01%)
- Improved limit of detection (LOD) and limit of quantification (LOQ)
- Applications for all major clinical chemistry analyzers
- Liquid, ready-to-use reagents, calibrators, and controls
Clinical Background
Methotrexate is an antimetabolite commonly used in adults to treat a variety of neoplastic diseases. Due to its potential for serious side effects, close monitoring of methotrexate levels is essential to detect toxicity early and optimize therapy.
Therapeutic drug monitoring is particularly important during high-dose methotrexate treatments. Accurate and timely measurements help clinicians adjust supportive care effectively. Clinical guidelines recommend leucovorin (citrovorum factor) rescue therapy in conjunction with moderate to high doses of methotrexate (approximately 35 mg/m² to 12 g/m²). This treatment approach has shown efficacy in managing osteogenic sarcomas, leukemia, non-Hodgkin lymphomas, and certain solid tumors such as lung and breast cancers.