HLA B*15:02, Carbamazepine Sensitivity

HLA B*1502, Carbamazepine Sensitivity

CPT: 81381
Updated on 10/18/2019
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Synonyms

  • B1502
  • Carbamazepine Sensitivity
  • HLA B*1502
  • HLA B1502

Special Instructions

If you have questions, please call 800-533-1037 (HLA customer service) for assistance in selecting the proper HLA test for the patient.


Expected Turnaround Time

3 - 7 days


Related Documents


Specimen Requirements


Specimen

Whole blood or buccal swabs


Minimum Volume

7 mL whole blood or four buccal swabs


Container

Lavender-top (EDTA) tube or four buccal swabs in a sealed envelope (buccal swab kit). When submitting buccal swabs, please use a buccal swab kit provided by LabCorp. To obtain the buccal kit, please telephone 800-533-1037.


Storage Instructions

Maintain whole blood at room temperature or refrigerate. Keep buccal swabs dry and at room temperature.


Causes for Rejection

Hemolysis; clotted specimen; insufficient volume of DNA


Test Details


Use

This test has been recommended for patients of Asian descent who are being considered for carbamazepine therapy. The utility of this test for patients of other ethnic backgrounds has not been established.


Limitations

Even with appropriate precautions, an occasional specimen may not be satisfactory for testing. In such cases, an additional specimen should be collected for retesting.

This test was developed, and its performance characteristics determined, by LabCorp. It has not been cleared or approved by the US Food and Drug Administration (FDA).


Methodology

Sequence-based typing (SBT), sequence-specific oligonucleotide probes (SSOP), and/or sequence-specific primers (SSP) as needed to obtain the required resolution.


References

Alfirevic A, Jorgensen AL, Williamson PR, Chadwick DW, Park BK, Pirmohamed M.. HLA-B locus in Caucasian patients with carbamazepine hypersensitivity. Pharmacogenomics J. 2006 Sep; 7(6):813-818.
Chung WH, Hung SI, Hong HS, et al. Medical genetics: A marker for Stevens-Johnson syndrome. Nature. 2004 Apr 1; 428(6982):486.
Hung SI, Chung WH, Jee SH, et al. Genetic susceptibility to carbamazepine-induced cutaneous adverse drug reactions. Pharmacogenet Genomics. 2006 Apr; 16(4):297-306.
Lonjou C, Thomas L, Borot N, et al. A marker for Stevens-Johnson syndrome: Ethnicity matters. Pharmacogenomics J. 2006 Jul-Aug; 6(4):265-268.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
167129 HLA-B*15:02 019422 HLA-B 57979-7
167129 HLA-B*15:02 019423 HLA-B 57979-7
167129 HLA-B*15:02 167384 HLA Methodology 49549-9

For Providers

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The LOINC® codes are copyright © 1994-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf