Table 1.
(a). Assay performance to discriminate pre and postinfection (n = 75) | |||||||
Cut off | Sensitivity (%) | 95% CI (%) | Specificity (%) | 95% CI (%) | AUC-ROC | p Value | |
SAA1 | R > 0.336 | 66.67 | 55.42 to 76.29 | 100 | 95.13 to 100.0 | 0.8241 | <0.0001 |
IP-10 | R > 0.766 | 61.33 | 50.02 to 71.54 | 93.33 | 85.32 to 97.12 | 0.8445 | <0.0001 |
IL-6 | R > 0.034 | 60 | 48.69 to 70.34 | 94.67 | 87.07 to 97.91 | 0.7907 | <0.0001 |
3BM | #pos BM ≥ 1 | 78.67 | 68.12 to 86.42 | 89.33 | 80.34 to 94.50 | 0.8694 | <0.0001 |
(b). Assay performance to discriminate pre and postinfection (n = 36) | |||||||
Cut off | Sensitivity (%) | 95% CI (%) | Specificity (%) | 95% CI (%) | AUC-ROC | p Value | |
SAA1 | R > 0.350 | 75.00 | 58.93 to 86.25 | 100 | 90.36 to 100.00 | 0.8738 | <0.0001 |
IP-10 | R > 0.656 | 86.11 | 71.34 to 93.92 | 91.67 | 78.17 to 97.13 | 0.9502 | <0.0001 |
IL-6 | R > 0.055 | 63.89 | 47.58 to 77.52 | 97.22 | 85.83 to 99.86 | 0.8214 | <0.0001 |
3BM | #pos BM ≥ 1 | 86.11 | 71.34 to 93.92 | 88.89 | 74.69 to 95.59 | 0.9150 | <0.0001 |
SAA1, IP-10 and IL-6 levels were measured by UCP-LFAs in serum from MTB Erdman infected rhesus macaques (n = 75) before infection and at the study endpoint. Results are displayed as the Ratio value (R) between Test (T) and Flow-Control (FC) signal based on relative fluorescence units (RFUs; excitation at 980 nm and emission at 550 nm) measured at the respective lines on the UCP-LF strips. The ability to distinguish pre from postinfection states in the same animals was evaluated by ROC curve analysis, and the corresponding Area Under the Curve (AUC) was determined (ROC-AUC). The cut-off value for each biomarker was determined by Youden’s index; values above the cutoff for each biomarker were considered positive. A 3BM (3 biomarkers) signature was generated using the sum of all positive tests results from the individual markers. (a) Assay performance in MTB Erdman infected rhesus macaques (n = 75). (b) Assay performance in unvaccinated rhesus macaques only (n = 36), infected with a high- (500 CFU, n = 24) or a low-dose (15 CFU, n = 12) of MTB Erdman. CI, confidence interval.