Evidence map›Paper›PMID 34383260›Full record

ArticleInfection2022

Evaluation of accuracy, exclusivity, limit-of-detection and ease-of-use of LumiraDx™: An antigen-detecting point-of-care device for SARS-CoV-2.

Lisa J Krüger, Julian A F Klein, Frank Tobian, Mary Gaeddert, Federica Lainati, Sarah Klemm, Paul Schnitzler, Ralf Bartenschlager, Berati Cerikan, Christopher J Neufeldt and 13 more

Abstract readMulticenter Study
In one paragraph

Article in Infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Rapid, point-of-care antigen tests for diagnosis of SARS-CoV-2 infection.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Rapid, point-of-care antigen tests for diagnosis of SARS-CoV-2 infection.The Cochrane database of systematic reviews · 2022
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Review
  10. Comparison of a Commercial SARS-CoV-2 Rapid Antigen Test with Real-Time PCR.Infectious diseases & clinical microbiology · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Sars-Cov-2 antigen tests predict infectivity based on viral culture: comparison of antigen, PCR viral load, and viral culture testing on a large sample cohort.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Article
  18. Review
  19. Review
  20. Rapid Antigen Test LumiraDxInternational journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Lisa J KrügerDivision of Clinical Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany.
Julian A F KleinDivision of Clinical Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany.
Frank TobianDivision of Clinical Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany.
Mary GaeddertDivision of Clinical Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany.
Federica LainatiDivision of Clinical Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany.
Sarah KlemmVirology, Heidelberg University Hospital, Heidelberg, Germany.
Paul SchnitzlerVirology, Heidelberg University Hospital, Heidelberg, Germany.
Ralf BartenschlagerDepartment of Infectious Diseases, Molecular Virology, Centre for Integrative Infectious Diseases Research (CIID), Heidelberg University Hospital, Heidelberg, Germany.
Berati CerikanDepartment of Infectious Diseases, Molecular Virology, Centre for Integrative Infectious Diseases Research (CIID), Heidelberg University Hospital, Heidelberg, Germany.
Christopher J NeufeldtDepartment of Infectious Diseases, Molecular Virology, Centre for Integrative Infectious Diseases Research (CIID), Heidelberg University Hospital, Heidelberg, Germany.
Olga NikolaiCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany.
Andreas K LindnerCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany.
Frank P MockenhauptCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany.
Joachim SeyboldMedical Directorate, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Terry C JonesInstitute of Virology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Victor M CormanInstitute of Virology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Nira R PollockDepartment of Laboratory Medicine, Boston Children's Hospital, Boston, MA, USA.
Britta KnorrDepartment of Public Health Rhein Neckar Region, Heidelberg, Germany.
Andreas WelkerDepartment of Public Health Rhein Neckar Region, Heidelberg, Germany.
Margaretha de VosFoundation for Innovative New Diagnostics, Geneva, Switzerland.
Jilian A SacksFoundation for Innovative New Diagnostics, Geneva, Switzerland.
Claudia M DenkingerDivision of Clinical Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany. claudia.Denkinger@uni-heidelberg.de.ORCID http://orcid.org/0000-0002-7216-7067
ACE-IT Study Group

Funding

NIAID NIH HHS HHSN272201400008CUK Department of International Development 300341-102Unitaid 2019-32-FIND MDR
6 · The paper itself

Abstract

purposeRapid antigen-detecting tests (Ag-RDTs) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can transform pandemic control. Thus far, sensitivity (≤ 85%) of lateral-flow assays has limited scale-up. Conceivably, microfluidic immunofluorescence Ag-RDTs could increase sensitivity for SARS-CoV-2 detection.

methodsThis multi-centre diagnostic accuracy study investigated performance of the microfluidic immunofluorescence LumiraDx™ assay, enrolling symptomatic and asymptomatic participants with suspected SARS-CoV-2 infection. Participants collected a supervised nasal mid-turbinate (NMT) self-swab for Ag-RDT testing, in addition to a professionally collected nasopharyngeal (NP) swab for routine testing with reverse transcriptase polymerase chain reaction (RT-PCR). Results were compared to calculate sensitivity and specificity. Sub-analyses investigated the results by viral load, symptom presence and duration. An analytical study assessed exclusivity and limit-of-detection (LOD). In addition, we evaluated ease-of-use.

resultsThe study was conducted between November 2nd 2020 and 4th of December 2020. 761 participants were enrolled, with 486 participants reporting symptoms on testing day. 120 out of 146 RT-PCR positive cases were detected positive by LumiraDx™, resulting in a sensitivity of 82.2% (95% CI 75.2-87.5%). Specificity was 99.3% (CI 98.3-99.7%). Sensitivity was increased in individuals with viral load ≥ 7 log10 SARS-CoV2 RNA copies/ml (93.8%; CI 86.2-97.3%). Testing against common respiratory commensals and pathogens showed no cross-reactivity and LOD was estimated to be 2-56 PFU/mL. The ease-of-use-assessment was favourable for lower throughput settings.

conclusionThe LumiraDx™ assay showed excellent analytical sensitivity, exclusivity and clinical specificity with good clinical sensitivity using supervised NMT self-sampling. TRIAL REGISTRATION NUMBER AND REGISTRATION DATE: DRKS00021220 and 01.04.2020.

Indexed as

COVID-19SARS-CoV-2HumansPandemicsPoint-of-Care SystemsRNA, ViralSensitivity and SpecificityRNA, ViralAntigen-detecting diagnosticsCovid-19Diagnostic accuracyPoint-of-careSARS-CoV-2

Identifiers

PMID34383260
PMCPMC8358901

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.