1. Agile design and development of a high throughput cobas SARS-CoV-2 RT-PCR diagnostic test
- Author
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Chitra Manohar, Jingtao Sun, Peter Schlag, Chris Santini, Marcel Fontecha, Pirmin Lötscher, Carolin Bier, Kristina Goepfert, Dana Duncan, Gene Spier, Daniel Jarem, and Dmitriy Kosarikov
- Subjects
SARS-CoV-2 ,COVID-19 ,Pandemic ,RT-PCR ,Diagnostic testing ,Molecular assay design ,Science (General) ,Q1-390 ,Social sciences (General) ,H1-99 - Abstract
Diagnostic testing is essential for management of the COVID-19 pandemic. An agile assay design methodology, optimized for the cobas® 6800/8800 system, was used to develop a dual-target, qualitative SARS-CoV-2 RT-PCR test using commercially available reagents and existing sample processing and thermocycling profiles. The limit of detection was 30–52 copies/mL for USA-WA1/2020. Assay sensitivity was confirmed for SARS-CoV-2 variants Alpha, Beta, Gamma, Delta and Kappa. The coefficients of variation of the cycle threshold number (Ct) were between 1.1 and 2.2%. There was no difference in Ct using nasopharyngeal compared to oropharyngeal swabs in universal transport medium (UTM). A small increase in Ct was observed with specimens collected in cobas PCR medium compared to UTM. In silico analysis indicated that the dual-target test is capable of detecting all >1,800,000 SARS-CoV-2 sequences in the GISAID database. Our agile assay design approach facilitated rapid development and deployment of this SARS-CoV-2 RT-PCR test.
- Published
- 2022
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