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Virology

Clinical Evaluation of BD Veritor SARS-CoV-2 Point-of-Care Test Performance Compared to PCR-Based Testing and versus the Sofia 2 SARS Antigen Point-of-Care Test

Stephen Young, Stephanie N. Taylor, Catherine L. Cammarata, Katey G. Varnado, Celine Roger-Dalbert, Amanda Montano, Christen Griego-Fullbright, Cameron Burgard, Catherine Fernandez, Karen Eckert, Jeffrey C. Andrews, Huimiao Ren, Joseph Allen, Ronald Ackerman, Charles K. Cooper
Melissa B. Miller, Editor
Stephen Young
aTricore Reference Laboratory, Albuquerque, New Mexico, USA
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Stephanie N. Taylor
bLouisiana State University Health Sciences Center, New Orleans, Louisiana, USA
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Catherine L. Cammarata
bLouisiana State University Health Sciences Center, New Orleans, Louisiana, USA
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Katey G. Varnado
bLouisiana State University Health Sciences Center, New Orleans, Louisiana, USA
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Celine Roger-Dalbert
cBecton, Dickinson and Company, BD Life Sciences—Integrated Diagnostic Solutions, Sparks, Maryland, USA
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Amanda Montano
aTricore Reference Laboratory, Albuquerque, New Mexico, USA
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Christen Griego-Fullbright
aTricore Reference Laboratory, Albuquerque, New Mexico, USA
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Cameron Burgard
aTricore Reference Laboratory, Albuquerque, New Mexico, USA
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Catherine Fernandez
dBecton, Dickinson and Company, BD Life Sciences—Integrated Diagnostic Solutions, San Diego, California, USA
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Karen Eckert
cBecton, Dickinson and Company, BD Life Sciences—Integrated Diagnostic Solutions, Sparks, Maryland, USA
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Jeffrey C. Andrews
cBecton, Dickinson and Company, BD Life Sciences—Integrated Diagnostic Solutions, Sparks, Maryland, USA
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Huimiao Ren
dBecton, Dickinson and Company, BD Life Sciences—Integrated Diagnostic Solutions, San Diego, California, USA
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Joseph Allen
eSTAT Research, Vandalia, Ohio, USA
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Ronald Ackerman
fComprehensive Clinical Research, LLC, West Palm Beach, Florida, USA
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Charles K. Cooper
cBecton, Dickinson and Company, BD Life Sciences—Integrated Diagnostic Solutions, Sparks, Maryland, USA
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Melissa B. Miller
UNC School of Medicine
Roles: Editor
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DOI: 10.1128/JCM.02338-20
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  • FIG 1
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    FIG 1

    Veritor test performance results are plotted as a receiver-operator curve with sensitivity (corresponding to positive percent agreement) on the y axis and 1-specificity (corresponding to 1-negative percent agreement) on the x axis. Five lines, representing 0 to 1 DSO, 0 to 3 DSO, 0 to 5 DSO, 0 to 6 DSO, and 0 to 7 DSO are shown. Also shown are the area under the curve (AUC) values. Abbreviations: DSO, days from symptom onset; AUC, area under the curve.

  • FIG 2
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    FIG 2

    (a) The distribution of CT values corresponding to the 38 specimens that were positive by the Lyra assay (from specimens collected from participants, 0 to 7 DSO) following stratification by number of symptoms. CT score distribution for specimens matched to 1 symptom is shown in blue, while those matched to ≥2 symptoms are shown in orange; the pink color indicates blue/orange overlap. (b) The mean CT values (and standard deviation) are shown for the ≥2-symptom specimens (n = 31; mean = 22.10, standard deviation = 5.63) and the 1-symptom specimens (n = 7; mean = 25.56, standard deviation = 3.90). A two-sample t test (two-tailed) analysis indicated nonsignificant difference between the means (P = 0.077; mean difference of 3.46; [95% CI = −0.43 to 7.36]).

  • FIG 3
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    FIG 3

    (a) The distribution of CT values corresponding to the 38 specimens that were positive by the Lyra assay (from specimens collected from participants, 0 to 7 DSO). Plotted along the fitted distribution line are the 29 true-positive Veritor results (orange circles) and the nine participant designations (letters superimposed onto blue circles), corresponding to those in Table 3, that represent the Veritor false-negative results matched to Lyra assay CT value. (b) The mean CT values (and standard deviation) are shown for the 29 true-positive (20.76 and 4.21, respectively) and the 9 false-negative (29.12 and 4.11, respectively) Veritor test results. A two-sample t test (two-tailed) analysis indicated a significantly higher mean Lyra assay CT value for specimens matched to the 9 Veritor test false-negative results compared to those matched to the 29 true positive results (P < 0.001; mean difference of 8.36; [95% CI = 4.95 to 11.77]).

Tables

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  • TABLE 1

    Veritor test performance at 1 through 7 DSOa

    TABLE 1
    • ↵a Abbreviations: DSO, days from symptom onset; PPA, positive percent agreement; NPA, negative percent agreement; OPA, overall percent agreement; AUC, area under the curve. CI, confidence interval; n, number of results.

    • ↵b Performance of Veritor test compared to the Lyra assay as a reference.

    • ↵c The Veritor test is FDA authorized for detection of SARS-CoV-2 only in individuals that are 0 to 5 DSO.

  • TABLE 2

    Veritor test performance by number of symptoms at 0 to 5 and 0 to 6 DSOa

    TABLE 2
    • ↵a Abbreviations: DSO, days from symptom onset; PPA, positive percent agreement; NPA, negative percent agreement; OPA, overall percent agreement; CI, confidence interval.

    • ↵b Performance of Veritor test compared to the Lyra assay as a reference.

  • TABLE 3

    Discordant analysis for specimens associated with disagreement between the Veritor test and the Lyra assaya

    TABLE 3
    • ↵a Abbreviations: DSO, days from symptom onset; FN, false negative; FP, false positive; POS, positive; NEG, negative; NA, not available; n, number of findings.

    • ↵b *, Agreement of Veritor test with the MAX assay for a negative result for SARS-CoV-2.

    • ↵c Serology testing was done as part of the standard of care prior to study-related activities.

    • ↵d UNR, unresolved. The RNase P result (internal control) in the MAX assay was negative, suggesting no presence of human material on the nasal swab.

  • TABLE 4

    Agreement between Veritor and Sofia 2 for detection of SARS-CoV-2a

    TABLE 4
    • ↵a Abbreviations: PPA, positive percent agreement; NPA, negative percent agreement; OPA, overall percent agreement; CI, confidence interval.

    • ↵b The one negative Veritor test/positive Sofia 2 test result was positive by Lyra assay discordant testing.

    • ↵c Of the six positive Veritor test/negative Sofia 2 test results, five were positive and one was negative by Lyra assay discordant testing.

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      Tables S1 to S5 and Fig. S1 and S2

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Clinical Evaluation of BD Veritor SARS-CoV-2 Point-of-Care Test Performance Compared to PCR-Based Testing and versus the Sofia 2 SARS Antigen Point-of-Care Test
Stephen Young, Stephanie N. Taylor, Catherine L. Cammarata, Katey G. Varnado, Celine Roger-Dalbert, Amanda Montano, Christen Griego-Fullbright, Cameron Burgard, Catherine Fernandez, Karen Eckert, Jeffrey C. Andrews, Huimiao Ren, Joseph Allen, Ronald Ackerman, Charles K. Cooper
Journal of Clinical Microbiology Dec 2020, 59 (1) e02338-20; DOI: 10.1128/JCM.02338-20

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Clinical Evaluation of BD Veritor SARS-CoV-2 Point-of-Care Test Performance Compared to PCR-Based Testing and versus the Sofia 2 SARS Antigen Point-of-Care Test
Stephen Young, Stephanie N. Taylor, Catherine L. Cammarata, Katey G. Varnado, Celine Roger-Dalbert, Amanda Montano, Christen Griego-Fullbright, Cameron Burgard, Catherine Fernandez, Karen Eckert, Jeffrey C. Andrews, Huimiao Ren, Joseph Allen, Ronald Ackerman, Charles K. Cooper
Journal of Clinical Microbiology Dec 2020, 59 (1) e02338-20; DOI: 10.1128/JCM.02338-20
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  • Article
    • ABSTRACT
    • INTRODUCTION
    • MATERIALS AND METHODS
    • RESULTS
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KEYWORDS

COVID-19
SARS-CoV-2
Veritor test
point-of-care test
Sofia 2 test

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