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  • Performance Evaluation of the BD SARS-CoV-2 Reagents for the BD MAX System.

Performance Evaluation of the BD SARS-CoV-2 Reagents for the BD MAX System.

Journal of clinical microbiology (2021-09-30)
Karen Yanson, William Laviers, Lori Neely, Elizabeth Lockamy, Luis Carlos Castillo-Hernandez, Christopher Oldfied, Ronald Ackerman, Jamie Ackerman, Daniel A Ortiz, Sixto Pacheco, Patricia J Simner, Stephen Young, Erin McElvania, Charles K Cooper
ABSTRACT

Nucleic acid amplification testing (NAAT) for SARS-CoV-2 is the standard approach for confirming COVID-19 cases. This study compared results between two emergency use authorization (EUA) NAATs, with two additional EUA NAATs utilized for discrepant testing. The limits of detection (LOD) for the BD SARS-CoV-2 reagents for the BD MAX system (MAX SARS-CoV-2 assay), the bioMérieux BioFire respiratory panel 2.1 (BioFire SARS-CoV-2 assay), the Roche cobas SARS-CoV-2 assay (cobas SARS-CoV-2 assay), and the Hologic Aptima SARS-CoV-2 assay Panther (Aptima SARS-CoV-2 assay) NAAT systems were determined using a total of 84 contrived nasopharyngeal specimens with 7 target levels for each comparator. The positive and negative percent agreement (PPA and NPA, respectively) of the MAX SARS-CoV-2 assay, compared to the Aptima SARS-CoV-2 assay, was evaluated in a postmarket clinical study utilizing 708 nasopharyngeal specimens collected from suspected COVID-19 cases. Discordant testing was achieved using the cobas and BioFire SARS-CoV-2 NAATs. In this study, the measured LOD for the MAX SARS-CoV-2 assay (251 copies/ml; 95% confidence interval [CI], 186 to 427) was comparable to the cobas SARS-CoV-2 assay (298 copies/ml; 95% CI, 225 to 509) and the BioFire SARS-CoV-2 assay (302 copies/ml; 95% CI, 219 to 565); the Aptima SARS-CoV-2 assay had an LOD of 612 copies/ml (95% CI, 474 to 918). The MAX SARS-CoV-2 assay had a PPA of 100% (95% CI, 97.3% to 100.0%) and an NPA of 96.7% (95% CI, 94.9% to 97.9%) compared to the Aptima SARS-CoV-2 assay. The clinical performance of the MAX SARS-CoV-2 assay agreed with another sensitive EUA assay.

MATERIALS
Product Number
Brand
Product Description

Sigma-Aldrich
Mucin from bovine submaxillary glands, Type I-S
Sigma-Aldrich
Albumin from human serum, lyophilized powder, ≥96% (agarose gel electrophoresis)
Sigma-Aldrich
IgM from bovine serum, reagent grade, ≥95% (SDS-PAGE or HPLC), buffered aqueous solution
Sigma-Aldrich
Immunoglobulin G from human serum, ≥95% (GE)