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Agile design and development of a high throughput cobas(R) SARS-CoV-2 RT-PCR diagnostic test
Chitra Manohar; Jingtao Sun; Peter Schlag; Chris Santini; Marcel Fontecha; Pirmin Lotscher; Carolin Bier; Kristina Goepfert; Dana Duncan; Gene Spier; Daniel Jarem; Dmitriy Kosarikov.
Affiliation
  • Chitra Manohar; Roche Molecular Systems, Inc., Pleasanton, United States
  • Jingtao Sun; Roche Molecular Systems, Inc., Pleasanton, United States
  • Peter Schlag; Roche Molecular Systems, Inc., Pleasanton, United States
  • Chris Santini; Roche Molecular Systems, Inc., Pleasanton, United States
  • Marcel Fontecha; Roche Molecular Systems, Inc., Pleasanton, United States
  • Pirmin Lotscher; Roche Diagnostics International AG, Rotkreuz, Switzerland
  • Carolin Bier; Roche Diagnostics International AG, Rotkreuz, Switzerland
  • Kristina Goepfert; Roche Diagnostics International AG, Rotkreuz, Switzerland
  • Dana Duncan; Roche Molecular Systems, Inc., Pleasanton, United States
  • Gene Spier; Roche Molecular Systems, Inc., Pleasanton, United States
  • Daniel Jarem; Roche Molecular Systems, Inc., Pleasanton, United States
  • Dmitriy Kosarikov; Roche Molecular Systems, Inc., Pleasanton, United States
Preprint in English | medRxiv | ID: ppmedrxiv-21264919
Journal article
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ABSTRACT
Diagnostic testing is essential for management of the COVID-19 pandemic. An agile assay design methodology, optimized for the cobas(R) 6800/8800 system, was used to develop a dual-target, qualitative SARS-CoV-2 RT-PCR test using commercially available reagents and existing sample processing and thermocycling profiles. The limit of detection was 0.004 to 0.007 TCID50/mL for USA-WA1/2020. Assay sensitivity was confirmed for SARS-CoV-2 variants Alpha, Beta, Gamma, Delta and Kappa. The coefficients of variation of the cycle threshold number (Ct) were between 1.1 and 2.2%. There was no difference in Ct using nasopharyngeal compared to oropharyngeal swabs in universal transport medium (UTM). A small increase in Ct was observed with specimens collected in cobas(R) PCR medium compared to UTM. In silico analysis indicated that the dual-target test is capable of detecting all >1,800,000 SARS-CoV-2 sequences in the GISAID database. Our agile assay design approach facilitated rapid development and deployment of this SARS-CoV-2 RT-PCR test.
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Full text: Available Collection: Preprints Database: medRxiv Type of study: Diagnostic study / Qualitative research Language: English Year: 2021 Document type: Preprint
Full text: Available Collection: Preprints Database: medRxiv Type of study: Diagnostic study / Qualitative research Language: English Year: 2021 Document type: Preprint
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