COVID-19 Clinical Trial
Official title:
Evaluation of Rapid Diagnostic Solutions, Serological and Molecular Tests for COVID-19
Prospective study for clinical performance evaluation of COVID-19 diagnostic tests: detection of anti-SARS-CoV-2 antibodies by RDTs or ELISA (manual or automated), rapid diagnostic tests based on antigen detection, molecular or proteomic testing of SARS-CoV-2 (sensitivity, specificity, predictive values)
Since initially reported in Wuhan, China, in late December 2019, the outbreak of SARS-CoV-2
(severe acute respiratory syndrome coronavirus 2) has spread globally, stressing many health
systems especially intensive care unit (ICU) capacities thus resulting in high mortality. On
16 March 2020, WHO Director-General called on all countries to ramp up their testing programs
as the best way to slow the advance of the coronavirus pandemic. Although the current gold
standard for COVID-19 diagnosis remains real time reverse transcription-polymerase chain
reaction (rRT-PCR), this technique has many shortcomings such as low sensitivity on
nasopharyngeal swabs (70%). Multiple diagnostic test manufacturers have developed and begun
selling rapid and easy-to-use devices. Before these tests can be recommended, they must be
validated in the appropriate populations and settings.
Funded by French Defense Innovation Agency (AID), ERap-CoV is a prospective clinical study
which aims to assess clinical performances of serological and antigenic assays for the
diagnosis of SARS-CoV-2 infection, in comparison with current diagnostic tests on the market
(immunological, proteomic, molecular). The ERap-CoV research will extend the clinical
validation of the first NG-Test IgM-IgG COVID-19 point-of-care immunodiagnostic test (NG
Biotech), which has shown excellent biological performance, compatible with the
recommendations of the Haute Autorité de Santé (HAS) for serological assays (sensitivity> 90%
and specificity> 98%, 15 days after symptoms) (1). Finally, AID funding will be used to
develop 100% French-made serological and antigenic RDTs in less than a year.
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