PMID- 12908938 OWN - NLM STAT- MEDLINE DCOM- 20040702 LR - 20190513 IS - 0146-4760 (Print) IS - 0146-4760 (Linking) VI - 27 IP - 5 DP - 2003 Jul-Aug TI - Comparison and evaluation of DRI methamphetamine, DRI ecstasy, Abuscreen ONLINE amphetamine, and a modified Abuscreen ONLINE amphetamine screening immunoassays for the detection of amphetamine (AMP), methamphetamine (MTH), 3,4-methylenedioxyamphetamine (MDA), and 3,4-methylenedioxymethamphetamine (MDMA) in human urine. PG - 265-9 AB - The performances of four immunoassays (DRI amphetamines, DRI ecstasy, Abuscreen ONLINE amphetamines, and a modified Abuscreen ONLINE amphetamines) were evaluated for control failure rates, sensitivity, and specificity for amphetamine (AMP), methamphetamine (MTH), 3,4-methylenedioxyamphetamine (MDA), and 3,4-methylenedioxymethamphetamine (MDMA). The two DRI reagents and the ONLINE reagents were run according to manufacturer specifications using a Roche Hitachi Modular DDP system. The modified ONLINE reagent was calibrated with MDMA and had 16mM sodium periodate added to the R2 reagent. These assays were run on approximately 27,500 human urine samples and 7000 control urine samples prepared at 350 and 674 ng/mL over the course of 8 days. All assays were calibrated using a single point, qualitative cutoff standard with the manufacturer-recommended compound at the Department of Defense cutoff (500 ng/mL). Gas chromatography-mass spectrometry (GC-MS) confirmation was conducted on screened-positive samples. Control performance for the manufacturer recommended assays was excellent, with a maximum qualitative control failure rate of 2.03%. The modified ONLINE reagent demonstrated poor control performance with a maximum failure rate of 38.3% and showed no improved MDMA sensitivity when compared with the ONLINE reagent; the confirmation rate (20%) was improved when compared with the production ONLINE reagent (8%). The DRI ecstasy reagent provided improved sensitivity for MDMA as compared with the ONLINE reagent, with approximately 23% more samples screening and confirming positive for MDMA and a confirmation rate of approximately 90%. The DRI methamphetamine reagent had a low confirmation rate (6% or less) and produced numerous positives for samples with only ephedrine or pseudoephedrine present. FAU - Stout, Peter R AU - Stout PR AD - Aegis Sciences Corp., 345 Hill Avenue, Nashville, Tennessee 37210, USA. FAU - Klette, Kevin L AU - Klette KL FAU - Wiegand, Russell AU - Wiegand R LA - eng PT - Comparative Study PT - Journal Article PL - England TA - J Anal Toxicol JT - Journal of analytical toxicology JID - 7705085 RN - 0 (Indicators and Reagents) RN - 10450-60-9 (Periodic Acid) RN - 44RAL3456C (Methamphetamine) RN - 4764-17-4 (3,4-Methylenedioxyamphetamine) RN - B45A1BUM4Q (metaperiodate) RN - CK833KGX7E (Amphetamine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - 3,4-Methylenedioxyamphetamine/urine MH - Amphetamine/*urine MH - Gas Chromatography-Mass Spectrometry MH - Humans MH - Immunoassay/methods MH - Indicators and Reagents MH - Methamphetamine/urine MH - N-Methyl-3,4-methylenedioxyamphetamine/analysis/*urine MH - Periodic Acid MH - Sensitivity and Specificity MH - Substance Abuse Detection/*methods EDAT- 2003/08/12 05:00 MHDA- 2004/07/03 05:00 CRDT- 2003/08/12 05:00 PHST- 2003/08/12 05:00 [pubmed] PHST- 2004/07/03 05:00 [medline] PHST- 2003/08/12 05:00 [entrez] AID - 10.1093/jat/27.5.265 [doi] PST - ppublish SO - J Anal Toxicol. 2003 Jul-Aug;27(5):265-9. doi: 10.1093/jat/27.5.265.