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Serum or Plasma Immunoassay for Anti-Drug Antibodies (e.g., to Anti-Tumor Necrosis Factor Agents)

Published: August 9, 2026Updated: August 16, 2026

This test checks for antibodies your immune system may produce against medications used to treat conditions like rheumatoid arthritis, Crohn’s disease, or psoriasis.

Quick summary

["Helps determine if your body is reacting to certain disease-modifying drugs."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
8041-6
Short code
T palldm Ab Ser Ql HA
Synonyms
T palldm Ab Ser Ql HA
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
1.5
Ref high
9
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ha
CPT
83002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Matters

Some medications used to control autoimmune diseases (such as tumor necrosis factor inhibitors) can sometimes trigger an immune response that attacks the drug itself. This test detects whether your body has developed antibodies against these drugs, which could affect how well they work.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm or vein to draw a blood sample. The test is usually done in a lab and results are ready within a few days.

Common Conditions This Test Helps Diagnose

This test is often used in patients on anti-tumor necrosis factor (TNF) therapy to monitor for antibody development, which may impact treatment effectiveness or cause side effects like infections.

What the Results Mean

Positive results indicate the presence of antibodies against the drug, which may require adjustments to your treatment plan. Negative results mean no antibodies were detected at this time.

Reference range

Follicular: 1.5-9.0 mIU/mLN/A

Specimen: serum

For females: inform if menstrual cycle status. For certain tests, timing within menstrual cycle may matter.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Antibodies against TNF inhibitors can reduce drug effectiveness, leading to less control over symptoms like joint pain or inflammation. They may also increase the risk of infections, as the drug’s anti-inflammatory effects are partially neutralized.

Short name

Anti-TNF Antibody Test

Frequently asked questions

Why might my doctor order this test?
Your doctor may recommend this test if you’re on a TNF inhibitor medication and experiencing symptoms like persistent joint pain, inflammation, or signs of infection, even though your treatment seems to be working.
What does a positive result mean for my treatment?
A positive result suggests your body is producing antibodies against the drug, which could mean your treatment may not be working as intended. Your doctor may adjust your medication or switch to a different type of therapy.
Can I still take the medication if my test is positive?
Yes, but your doctor will likely monitor you closely and may switch you to a different medication that your body tolerates better or adjust the dosage to minimize antibody formation.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy