Evidence map›Paper›PMID 37212699›Full record

ArticleMicrobiology spectrum2023

Multicenter Diagnostic Evaluation of OnSite COVID-19 Rapid Test (CTK Biotech) among Symptomatic Individuals in Brazil and the United Kingdom.

Caitlin R Thompson, Pablo Muñoz Torres, Konstantina Kontogianni, Rachel L Byrne, LSTM Diagnostic group, Saidy Vásconez Noguera, Alessandra Luna-Muschi, Ana Paula Marchi, Pâmela S Andrade, Antonio Dos Santos Barboza and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Microbiology spectrum, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

18 authors.

Caitlin R ThompsonLiverpool School of Tropical Medicine, Centre for Drugs and Diagnostics, Liverpool, United Kingdom.ORCID 0000-0003-1763-8863
Pablo Muñoz TorresLIM-49, Instituto de Medicina Tropical, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Konstantina KontogianniLiverpool School of Tropical Medicine, Centre for Drugs and Diagnostics, Liverpool, United Kingdom.
Rachel L ByrneLiverpool School of Tropical Medicine, Centre for Drugs and Diagnostics, Liverpool, United Kingdom.ORCID 0000-0001-5398-3125
LSTM Diagnostic group
Saidy Vásconez NogueraLIM-49, Instituto de Medicina Tropical, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Alessandra Luna-MuschiLIM-49, Instituto de Medicina Tropical, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Ana Paula MarchiLIM-49, Instituto de Medicina Tropical, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Pâmela S AndradeDepartment of Epidemiology, School of Public Health of University of São Paulo, São Paulo, Brazil.
Antonio Dos Santos BarbozaCentro de atendimento ao colaborador, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Marli NishikawaraCentro de atendimento ao colaborador, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
CONDOR steering group
Richard BodyManchester University NHS Foundation Trust, Manchester, United Kingdom.
Margaretha de VosFIND, Geneva, Switzerland.ORCID 0000-0003-3059-2986
Camille EscadafalDivisão de Laboratório Central, Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Emily AdamsLiverpool School of Tropical Medicine, Centre for Drugs and Diagnostics, Liverpool, United Kingdom.
Silvia Figueiredo Costa *LIM-49, Instituto de Medicina Tropical, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Ana I Cubas-Atienzar *Liverpool School of Tropical Medicine, Centre for Drugs and Diagnostics, Liverpool, United Kingdom.ORCID 0000-0002-9604-124X

Funding

Department of Health
6 · The paper itself

Abstract

The COVID-19 pandemic has given rise to numerous commercially available antigen rapid diagnostic tests (Ag-RDTs). To generate and to share accurate and independent data with the global community requires multisite prospective diagnostic evaluations of Ag-RDTs. This report describes the clinical evaluation of the OnSite COVID-19 rapid test (CTK Biotech, CA, USA) in Brazil and the United Kingdom. A total of 496 paired nasopharyngeal (NP) swabs were collected from symptomatic health care workers at Hospital das Clínicas in São Paulo, Brazil, and 211 NP swabs were collected from symptomatic participants at a COVID-19 drive-through testing site in Liverpool, United Kingdom. Swabs were analyzed by Ag-RDT, and results were compared to quantitative reverse transcriptase PCR (RT-qPCR). The clinical sensitivity of the OnSite COVID-19 rapid test in Brazil was 90.3% (95% confidence interval [CI], 75.1 to 96.7%) and in the United Kingdom was 75.3% (95% CI, 64.6 to 83.6%). The clinical specificity in Brazil was 99.4% (95% CI, 98.1 to 99.8%) and in the United Kingdom was 95.5% (95% CI, 90.6 to 97.9%). Concurrently, analytical evaluation of the Ag-RDT was assessed using direct culture supernatant of SARS-CoV-2 strains from wild-type (WT), Alpha, Delta, Gamma, and Omicron lineages. This study provides comparative performance of an Ag-RDT across two different settings, geographical areas, and populations. Overall, the OnSite Ag-RDT demonstrated a lower clinical sensitivity than claimed by the manufacturer. The sensitivity and specificity from the Brazil study fulfilled the performance criteria determined by the World Health Organization, but the performance obtained from the UK study failed to do. Further evaluation of Ag-RDTs should include harmonized protocols between laboratories to facilitate comparison between settings.

Indexed as

COVID-19BiotechnologyBrazilCOVID-19 TestingHumansPandemicsProspective StudiesSARS-CoV-2United KingdomCOVID-19diagnosticsRDT

Identifiers

PMID37212699
PMCPMC10269675

What OpenQuestion holds

Textmetadata
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.