Use Hevylite to accurately and quantitatively monitor intact immunoglobulin Multiple Myeloma patients when electrophoresis is inaccurate or insensitive. This laboratory test overcomes technical issues seen with SPE/CZE/IFE such as co-migration, fuzzy/diffuse bands and dye saturation. More accurate information improves patient care.
Equivalence to current methods like SPE and IFE has been shown, with almost perfect agreement, for patient responses following treatment
In studies monitoring IgA Multiple Myeloma, monoclonality was detected by an abnormal Hevylite ratio in more than twice as many patients than by SPE
Monitor with Hevylite when the monoclonal protein is <10 g/L (e.g. oligosecretory multiple myeloma) – these low levels cannot be measured accurately using electrophoresis
Detect residual disease - some patients said to have responded well to treatment by electrophoresis methods (Complete Response) were abnormal by Hevylite (see D). The abnormal Hevylite ratio in B-D is produced by immunosuppression of the uninvolved immunoglobulin (IgAλ) rather than an increase in the monoclonal protein IgAκ, highlighting the unique information provided by this test
Early detection of relapse allows closer monitoring of patients. A number of publications show disease relapse was indicated by Hevylite some months before detection by IFE and CZE/SPE.