The disclosure refers to reagents, kits and methods for detecting anti-PF4 antibodies and diagnosing thrombotic events not induced by
heparin, including vaccine-induced thrombotic thrombocytopenia. The method provided by the disclosure comprises: (i) contacting
whole blood.
plasma or serum sample obtained from a subject with a
reagent comprising: (a) a binding molecule selected from the group consisting of
platelet factor 4
protein (PF4), a fragment of PF4 which can bind anti-PF4 antibodies, and an anti-
idiotype antibody of anti-
platelet factor 4 antibodies (anti-PF4 antibodies); and (b) a
solid support, wherein the binding molecule (a) is covalently bound to the surface of the
solid support (b), and wherein the binding molecule (a) does not include
heparin or a
heparin surrogate, and (ii) analysing the sample to detect a complex formed by the
reagent and the anti-PF4 antibodies, wherein detecting the complex is indicative of the sample containing anti-PF4 antibodies.