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. 2021 Jan 21;59(2):e01731-20. doi: 10.1128/JCM.01731-20

TABLE 2.

Sensitivities and specificities of the qSAT antibody assays for negative controls plus either all positive samples or positive samples at different times since the onset of symptoms and different thresholds targeting specificities of 100%, 99%, and 98%a

Antibody/antigen combination AUC % specificity % sensitivity
All samples
    IgG N + IgM RBD + IgA RBD + IgM S2 0.925 100 80.77
    IgG N + IgM RBD + IgA RBD + IgM S2 + IgG N Ct 0.922 100 80.77
    IgG N + IgA S2 + IgM RBD + IgM S + IgM S2 + IgA N 0.919 100 80.77
    IgG N + IgA S2 + IgM RBD 0.920 99.22 82.69
    IgG N + IgA S2 + IgM RBD + IgG S + IgA N + IgA S 0.919 99.22 82.69
    IgG N + IgM RBD + IgA S 0.917 99.22 82.69
    IgG N + IgA S2 + IgM RBD 0.920 98.44 82.69
    IgG N + IgA S2 + IgM RBD + IgG S + IgA S 0.919 98.44 82.69
    IgG N + IgA S2 + IgM RBD + IgG S + IgA N + IgA S 0.918 98.44 82.69
≥7 days since onset of symptoms
    IgA S2 + IgM S + IgA RBD 0.975 100 92.94
    IgA S2 + IgM S 0.975 100 92.94
    IgA S2 + IgM S + IgM S2 + IgA RBD 0.971 100 92.94
    IgA S2 + IgG S2 + IgM S + IgA RBD 0.981 99.22 92.94
    IgM RBD + IgA S2 + IgG S + IgM S + IgM S2 + IgA RBD 0.980 99.22 92.94
    IgM RBD + IgA S2 + IgG S 0.980 99.22 92.94
    IgA S2 + IgG S + IgM S 0.983 98.44 92.94
    IgG S2 + IgM S + IgA RBD 0.983 98.44 92.94
    IgA S2 + IgG S2 + IgM S + IgA RBD 0.981 98.44 92.94
≥14 days since onset of symptoms
    IgM RBD + IgG N + IgA S 0.977 100 95.78
    IgA S2 + IgM S + IgG N + IgG N Ct + IgM S2 0.975 100 95.78
    IgA S2 + IgG N + IgM S2 0.975 100 95.78
    IgM RBD + IgG S + IgM S + IgG N 0.992 99.22 95.78
    IgM RBD + IgG S + IgA S2 + IgM S + IgG N + IgG RBD + IgG N Ct 0.992 99.22 95.78
    IgM RBD + IgG S + IgA S2 + IgG N + IgM S2 0.991 99.22 95.78
    IgG S + IgG RBD + IgG N Ct + IgM S2 0.985 98.44 97.18
    IgG S + IgG RBD 0.984 98.44 97.18
    IgG S + IgA S2 + IgG RBD + IgM S2 + IgA RBD 0.983 98.44 97.18
≥21 days since onset of symptoms
    IgG S + IgM RBD + IgG N + IgM S + IgM S2 0.999 100 95.65
    IgM RBD + IgG N Ct + IgM S2 + IgA RBD 0.995 100 95.65
    IgM RBD + IgM S2 + IgA S 0.992 100 95.65
    IgG S + IgG RBD + IgM RBD 0.999 99.22 97.83
    IgG S + IgG RBD + IgM RBD + IgG N + IgM S2 0.999 99.22 97.83
    IgG S + IgG RBD + IgM RBD + IgG N + IgM S2 + IgA RBD 0.999 99.22 97.83
    IgG S + IgG RBD + IgM RBD 0.999 98.44 100
    IgG S + IgA S2 + IgG RBD + IgM RBD + IgM S2 + IgA RBD + IgA S 0.999 98.44 100
    IgG S + IgA S2 + IgM RBD + IgM S2 + IgA RBD 0.999 98.44 100
≥28 days since onset of symptoms
    IgA S2 + IgG N + IgM S2 0.9997 100 95.83
    IgA S2 + IgM S + IgG N Ct + IgM RBD + IgM S2 0.9997 100 95.83
    IgG N + IgG N Ct + IgM RBD 0.9997 100 95.83
    IgA S2 + IgG N + IgM S2 0.9997 99.22 100
    IgA S2 + IgM S + IgG N Ct + IgM RBD + IgM S2 0.9997 99.22 100
    IgG N + IgG N Ct + IgM RBD 0.9997 99.22 100
    IgA S2 + IgG N + IgM S2 0.9997 98.44 100
    IgA S2 + IgM S + IgG N Ct + IgM RBD + IgM S2 0.9997 98.44 100
    IgG N + IgG N Ct + IgM RBD 0.9997 98.44 100
a

The top 3 best-performing signatures for each category are shown. AUC, area under the curve; N Ct, C terminus of N.