Abbott RealTime CT/NG
Abbott RealTime CT/NG
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