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Abbott RealTime CT/NG

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<strong>Abbott</strong> <strong>RealTime</strong><br />

<strong>CT</strong>/<strong>NG</strong><br />

New<br />

Formulation with<br />

Dual Targets<br />

<strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong><br />

The <strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong> assay is an in vitro polymerase chain reaction (PCR) assay<br />

for the direct, qualitative detection of the plasmid DNA for Chlamydia trachomatis and<br />

the genomic DNA of Neisseria gonorrhoeae in female endocervical or vaginal swab<br />

specimens, male urethral swab specimens, or male and female urine specimens.<br />

The <strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong> assay uses PCR technology with homogenous real-time<br />

fluorescence detection. The <strong>CT</strong>/<strong>NG</strong> assay is used for the dual detection of the sexually<br />

transmitted disease pathogens, C. trachomatis and N. gonorrhoeae.<br />

<strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong> Performance<br />

Technology<br />

Sensitivity<br />

Specificity<br />

Serovar Detection<br />

Interference<br />

Target Region<br />

Specimen<br />

Internal Control<br />

Collection Device<br />

Multiplex, homogenous <strong>RealTime</strong> PCR<br />

320 plasmid copies per 400 µl sample<br />

No cross-reactivity with 111 organisms<br />

All C. trachomatis serovars and all N. gonorrhoeae strains were detectable<br />

No interference with 26 substances<br />

C. trachomatis: Dual Targets in cryptic plasmid<br />

N. gonorrhoeae: Opa gene<br />

Endocervical, vaginal and urethral swabs; male and female urine<br />

Added to lysis buffer during extraction<br />

Measured to demonstrate proper specimen processing and assay validity<br />

<strong>Abbott</strong> multi-Collect Specimen Collection Kit<br />

Dual Cryptic Plasmid Targets<br />

377bp deletion (nv<strong>CT</strong>)<br />

<strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong><br />

target region<br />

<strong>CT</strong> cryptic plasmid X06707<br />

7501 bp<br />

Benefits<br />

<strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong><br />

additional target region<br />

Detects wt<strong>CT</strong> clinical specimen<br />

Detects nv<strong>CT</strong> clinical specimen<br />

High sensitivity of cryptic plasmid<br />

Built in back-up potential for new strains


Analytical Sensitivity<br />

Analytical sensitivity of the <strong>CT</strong>/<strong>NG</strong> assay was evaluated. A <strong>CT</strong> sample and a Swedish variant <strong>CT</strong> (nv<strong>CT</strong>)<br />

sample were prepared to the LOD of the assay, 320 plasmid copies per 400 µl of specimen transport<br />

buffer, and tested with three lots of amplification reagents on three m2000 Systems. The results are<br />

summarized and demonstrate the representative sensitivity of both <strong>CT</strong> and <strong>NG</strong> assay components.<br />

One-sided Lower<br />

Replicates Tested Replicates Detected Detection Bound of<br />

Analyte n n Rate (%) 95% CI (%)<br />

<strong>CT</strong> 403 403 100.0 99.3<br />

nv<strong>CT</strong> 403 403 100.0 99.3<br />

<strong>NG</strong> 403 403 100.0 99.3<br />

Performance data shown from internal verification.<br />

Analytical Specificity (Cross Reactivity)<br />

A total of 111 strains of bacteria, viruses, parasites, yeast, and fungi that can be found in the urogenital<br />

tract were tested for potential cross reactivity in the <strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong> assay. Three replicates of<br />

each purified DNA, RNA, or purified viral particles were diluted in transport buffer to final concentrations<br />

of 1x10 7 copies per 0.4 ml sample preparation input for the m2000sp <strong>CT</strong>/<strong>NG</strong> sample preparation. All<br />

results were negative for both <strong>CT</strong> and <strong>NG</strong>.<br />

High-Low Concentration Challenge Study<br />

A study was performed to evaluate the performance of the <strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong> assay when samples<br />

contained high target numbers of either <strong>CT</strong> or <strong>NG</strong> in the presence of low target numbers of the opposite<br />

analyte. One sample (T1) was prepared to contain wt<strong>CT</strong> at 320 plasmid copies and <strong>NG</strong> at 1x10 7 plasmid<br />

copies per 0.4 ml. A second sample (T2) to contain wt<strong>CT</strong> at 1x10 7 plasmid copies and <strong>NG</strong> at 320 plasmid<br />

copies per 0.4 ml. A third sample (T3) was prepared to contain Swedish cryptic plasmid deletion variant<br />

of <strong>CT</strong> (nv<strong>CT</strong>) at 320 plasmid copies and <strong>NG</strong> at 1x10 7 plasmid copies per 0.4 ml and a fourth sample<br />

(T4) to contain nv<strong>CT</strong> at 1x10 7 plasmid copies and <strong>NG</strong> at 320 plasmid copies per 0.4 ml. The four samples<br />

were tested with three lots of reagents on three m2000 Systems for a total of 405 replicates.<br />

One-sided Lower<br />

Replicates Replicates Detection Bound of<br />

Analyte Sample n Detected Rate (%) 95% CI (%)<br />

<strong>CT</strong> T1 400 a 397 99.3 98.1<br />

<strong>NG</strong> T2 404 b 398 98.5 97.1<br />

<strong>CT</strong> T3 405 405 100.0 99.3<br />

<strong>NG</strong> T4 405 405 100.0 99.3<br />

a<br />

Five replicate results were invalid and excluded from analysis. b One replicate result was invalid and excluded from analysis.<br />

Product List Number Configuration<br />

<strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong> Amplification Reagent Kit 2G2891 192 tests (4 packs of 48 tests/pack)<br />

<strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong> Control Kit 2G2880 8 <strong>CT</strong>/<strong>NG</strong> Negative Control,<br />

16 <strong>CT</strong>/<strong>NG</strong> Cutoff Control<br />

<strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong> Application CD-ROM 1L7004 1 each<br />

<strong>Abbott</strong> multi-Collect Specimen Collection Kit 9K1201 500 per case (10 boxes with 50/box)<br />

<strong>Abbott</strong> mSample Preparation System DNA 6K1224 192 (4 x 48 preparations)<br />

All data from Instructions for Use<br />

AR2140/uk <strong>Abbott</strong> <strong>RealTime</strong> <strong>CT</strong>/<strong>NG</strong> 01/08/17

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