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. Author manuscript; available in PMC: 2022 Nov 1.
Published in final edited form as: Drug Alcohol Depend. 2022 Aug 31;240:109610. doi: 10.1016/j.drugalcdep.2022.109610

Table 3:

Sensitivity and Specificity of BTNX Rapid Response Fentanyl Single Drug Test Strip (20ng/ml) for Fentanyl and Fentanyl Analogs using Drug Samples Provided by Baltimore City Law Enforcement - By Drug Category

Stimulants (Cocaine) Prescription Opioids (oxycodone,
tramadol, morphine)
Sample size (n) 72 Sample size (n) 40
Cocaine only 66 PO only 20
Cocaine and fentanyls 5 PO with fentanyls 19
Cocaine with all other CDS 1 PO with other CDS 1
 Sensitivity (%) 100.0  Sensitivity (%) 100.0
  False negative rate (%) 0.0   False negative rate (%) 0.0
 Specificity (%) 97.0  Specificity (%) 90.5
  False positive rate (%) 3.0   False positive rate (%) 9.5
Stimulants (Methamphetamine) Prescription Benzodiazpines (alprazolam,
clonazepam)
Sample size (n) 25 Sample size (n) 10
Methamphetamine only 24 PB only 10
Methamphetamine with fentanyls 1
 Sensitivity (%)  Sensitivity (%) --
  False negative rate (%)   False negative rate (%) --
 Specificity (%) 100.0  Specificity (%) 100.0
  False positive rate (%) 0.0   False positive rate (%) 0.0
Synthetic Cathinones (eutylone) Heroin
Sample size (n) 17 Sample size (n) 47
Synthetic cathinones only 17 Heroin only 2
Heroin and fentanyls 45
 Sensitivity (%) --  Sensitivity (%) 100.0
  False negative rate (%) --   False negative rate (%) 0.0
 Specificity (%) 100.0  Specificity (%)
  False positive rate (%) 0.0   False positive rate (%)
Cannabinoids (delta-9-THC, cannabinoid, CBD) 4-ANPP (fentanyl precursor)
Sample size (n) 26 Sample size (n) 87
Cannabinoids only 25 4-ANPP with fentanyls 87
Delta-9-THC with fentanyl 1
 Sensitivity (%)  Sensitivity (%) 98.9
  False negative rate (%)   False negative rate (%) 1.1
 Specificity (%) 96.0  Specificity (%) --
  False positive rate (%) 4.0   False positive rate (%) --
*

We excluded para-Fluorobutyryl fentanyl / 4-FBF / FBF; para-Fluoroisobutyrfentanyl / 4-FIBF / FIBF*; Para-chloroisobutyryl fentanyl / CIBF