eTable 1.
PRODUCT‡ | TEST AT HOME | ACCESSIBILITY | MULTIANALYTE | METHOD | RESULTS REPRESENTATION§ | SAMPLE TYPE¶ | TARGET | PERFORMANCE EVIDENCE FOR SARS-CoV-2# | TIME TO RESULSTS |
---|---|---|---|---|---|---|---|---|---|
Cue COVID-19 Test for Home and OTC∗∗Use | Yes | OTC home testing, health care provider†† at POC | No | RT,‡‡ isothermal amplification | Qualitative, instrument read | Anterior nasal swab in adults (self-swabbing) or children ≥ 2 y of age (swabbed by an adult) | Nucleocapsid gene | LoD§§: 20 genome copies/sample wand PPA¶¶: 97.4% (95% CI, 86.5% to 99.5%) NPA##: 99.1% (95% CI, 96.9% to 99.8%) |
~ 20 min |
Visby Medical COVID-19 POC Test | No | Health care provider | No | RT-PCR∗∗∗ | Qualitative, visual read | Nasopharyngeal, anterior nasal, or Midturbinate swabs collected by a health care provider or anterior nasal or mid-turbinate swabs self-collected (by people aged ≥ 18 y, under the supervision of a health care provider) | Nucleocapsid gene | LoD: 435 copies/swab PPA: 100.0% (95% CI, 89.0% to 100.0%) NPA: 95.3% (95% CI, 87.1% to 98.4%) |
~ 30 min |
Xpert Xpress SARS-CoV-2 Test | No | Health care provider | No | Real-time RT-PCR | Qualitative, instrument read | Nasopharyngeal, nasal, or mid-turbinate swab | Nucleocapsid gene, envelope protein gene | LoD: 5.4 x 103 RNA NAAT‡‡‡ detectable units/milliliter PPA: 97.8% (95% CI, 88.4% to 99.6%) NPA: 95.6% (95% CI, 85.2% to 98.8%) |
30 min for positives and ~ 45 min for negatives |
Accula SARS-Cov-2 Test | No | Health care provider | No | PCR and lateral flow | Qualitative, visual read | Clinician-collected nasal or nasal mid-turbinate swab samples or clinician-instructed self-collected (collected on site) nasal swab | Nucleocapsid gene | LoD: 200 copies/reaction. PPA: 95.8% (95% CI, 78.88% to 99.89%) NPA: 100% (95% CI, 86.77% to 100%) |
~ 30 min |
BioFire Respiratory Panel 2.1-EZ | No | Health care provider | Yes,16 viruses and 4 bacteria | Real-time, nested multiplexed PCR | Qualitative, instrument read | Nasopharyngeal swab | Spike protein gene and membrane protein gene | Overall, 97.1% sensitivity and 99.3% specificity (prospective specimens) 98.0% sensitivity and 100% specificity (archived specimens) 100% PPA and 100% NPA (contrived specimens) |
~ 45 min |
Cobas SARS-CoV-2 & Influenza A/B Nucleic Acid Test | No | Health care provider | SARS-CoV-2, influenza A and influenza B virus | Multiplexed real-time RT-PCR | Qualitative, instrument read | Health care provider-collected nasopharyngeal and nasal swabs and self-collected nasal swabs (collected in a health care setting with instruction by a health care provider) | RdRp gene (ORF1ab) and nucleocapsid gene | LoD: 12 copies/mL PPA: 100% NPA: 100% |
~ 20 min |
Lucira COVID-19 All-in-One Test Kit | Yes | Prescription home testing, health care provider at POC | No | RT-loop mediated isothermal amplification | Qualitative, instrument read | Self-collected nasal swab in people aged ≥14 y and in people aged ≤ 13 y when the specimen is collected by a health care provider at the POC | 2 non overlapping regions of the nucleocapsid gene | LoD: 900 copies/mL PPA: 94.1% (95%CI, 85.5% to 98.4% NPA: 98.0% (95%CI, 89.4% to 99.9%) |
< 30 min |
ID NOW COVID-19 | No | Health care provider | No | RT, isothermal amplification | Qualitative, instrument read | Direct nasal, nasopharyngeal or throat swabs | RdRp | LoD: 125 genome equivalents/mL | ≤ 13 min |
Xpert Xpress SARS-CoV-2/Flu/RSV††† | No | Health care provider | SARS-CoV-2, influenza A and influenza B virus, RSV | Multiplexed real-time RT-PCR | Qualitative, instrument read | Nasopharyngeal or nasal swab | Envelope and N-nucleocapsid (N2) | LoD:131 copies/mL for COVID-19 PPA and NPA of 97.9% and 100.0% for SARS-CoV-2, respectively; 100.0% and 100.0% for influenza A, respectively; 100.0% and 99.0% for influenza B, respectively 100.0% and 100.0% for RSV, respectively |
25 min for positive COVID-19 results and 36 min for all 4 pathogens |
Cue COVID-19 Test | No | Health care provider | No | RT, isothermal amplification | Qualitative, instrument read | Direct nasal swabs | Nucleocapsid gene | LoD: 1,300 copies/mL PPA 100% NPA 92% |
25 min |
POC: Point-of-care.
As of April 5, 2021. An up-to-date list of POC molecular diagnostic tests is available online at the US Food and Drug Administration’s “In Vitro Diagnostics EUAs: Molecular Diagnostic Tests for SARS-CoV-2.”7 Those tests that have W in the Authorized Setting column are authorized for POC use. The link for each product’s user instruction is provided in the Authorization Documents section.
Products are listed according to the authorization date.
All of the mentioned products automate all aspects of nucleic acid testing, from nucleic acid extraction to results.
Nasal and nasopharyngeal swabs are contraindicated in people who are susceptible to nosebleeds or have had recent facial or head injury or surgery.
SARS-CoV-2: Severe acute respiratory syndrome coronavirus 2.
OTC: Over-the-counter.
A health care provider includes, but is not limited to, physicians, dentists, nurses, pharmacists, technologists, laboratory directors, epidemiologists, or any other practitioners or allied health care professionals. The Centers for Disease Control and Prevention provides an online guideline for the collecting and handling of clinical specimens for COVID-19 testing.36
RT: Reverse transcription.
LoD: Limit of detection.
PPA: Positive percentage agreement.
NPA: Negative percentage agreement.
PCR: Polymerase chain reaction.
NAAT: Nucleic acid amplification test.
RSV: Respiratory syncytial virus.