The study is designed as a prospective, multicentric, clinical study to investigate thepositive percent agreement (PPA) and negative percent agreement (NPA) of the Panbio™COVID-19/Flu A&B Panel using anterior nasal swab specimens tested directly, relative tothe comparator methods, Roche cobas® SARS-CoV-2 (K231306) and Quidel Lyra® Influenza A+BAssay(K230236) (RT-PCR) in symptomatic patients suspected of respiratory viral infectionby a healthcare provider.
Approximately 2,000 symptomatic Participants to achieve at least 80 COVID-19 PCR
confirmed positives, 80 Flu A PCR confirmed positives, 80 Flu B PCR confirmed positives,
and 500 COVID-19 and Influenza PCR-confirmed negatives.
Site staff will collect two (2) anterior nasal swabs from each Participant from whom
informed consent has been obtained. Participants ages two (2) years and older meeting
eligibility criteria will be enrolled.
One anterior nasal swab will be immediately eluted in an extraction buffer tube and
tested with the Panbio™ COVID-19/Flu A&B Panel. If immediate testing is not possible, the
swab specimen can be kept in an extraction buffer tube filled with extraction buffer at
room temperature (59-86°F /15-30 °C) for up to one (1) hour prior to testing.
The other anterior nasal swab will be rotated vigorously in VTM, and the swab head will
be left in the VTM, by snapping the shaft or clipping the base of the swab if necessary.
Anterior nasal swab sample collection will be as follows:
With the swab designated for Panbio testing, use gentle rotation to push the swab into
the right nostril until resistance is met at the level of the turbinates (less than one
inch into the nostril). Rotate the swab several times against the nasal wall then slowly
remove from the nostril. Using the swab designated for PCR testing, repeat sample
collection in the left nostril.
With the swab designated for PCR testing, use gentle rotation to push the swab into the
right nostril until resistance is met at the level of the turbinates (less than one inch
into the nostril). Rotate the swab several times against the nasal wall then slowly
remove from the nostril. Using the swab designated for Panbio testing, repeat sample
collection in the left nostril.
The VTM samples will be stored, handled, and tested with comparator assays according to
the manufacturers' product instructions. VTM specimens can be stored for up to 48 hours
at 2-8°C. If delivery and processing of samples exceeds specified time periods, specimens
should be transported in dry ice and once in laboratory frozen at -70°C or colder.
Swab eluate samples containing the swab head in VTM will be tested at the central
laboratory with the Roche cobas® SARS-CoV-2 (K231306) and Quidel Lyra® Influenza A+B
Assay (K230236) per product instructions. All discordant samples (i.e., samples with the
Roche cobas® SARS-CoV-2 (K231306) or Quidel Lyra® Influenza A+B Assay (K230236) results
that conflict with the Panbio™ COVID-19/Flu A&B Panel results) will be evaluated with the
Hologic SARS-CoV-2/Flu A/B/RSV Assay (Panther Fusion® System) for information only.
Samples may also be tested for viral culture.
Note: For the purposes of the COVID-19 method comparison, Roche cobas® SARS-CoV-2 results
will be interpreted per the package insert. Roche cobas® SARS-CoV-2 results where the
ORF1a/b (Target 2) is Negative or Invalid and the E-Gene (Target 3) is Positive are
considered Presumptive Positive for COVID-19. These samples will be further evaluated
with the Hologic SARS-CoV-2/Flu A/B/RSV Assay (Panther Fusion® System).
Each Participant's demographic data, inclusion/exclusion data, days of symptom onset,
comparator results, Panbio™ COVID-19/Flu A&B Panel results and other data elements will
be recorded as detailed in Section 10 of this document. Defined Participant data will be
recorded on source documentation and entered into an Electronic Data Capture (EDC)
system. Panbio™ results and the comparator method results will not be provided to study
Participants. Panbio™ COVID-19/Flu A&B Panel test operators will be blinded to a
Participant's standard of care COVID-19 and/or Flu test results.
Diagnostic Test: Panbio™
The Panbio™ COVID-19/Flu A&B Panel is a visual lateral flow in vitro immunoassay for the
qualitative detection of the nucleocapsid protein antigen to SARS-CoV-2, Influenza A, and
Influenza B in anterior nasal swab samples from individuals with symptoms and suspected
of COVID-19 or Flu infection by their healthcare provider.
Other Name: Panbio™ COVID-19/Flu A&B Panel
Inclusion Criteria:
  -  Participant is suspected of acute viral respiratory infection by a healthcare
     professional, and
- Participant is age two (2) years or older, and
- Participant is within seven (7) days of symptom onset, and
- Participant is experiencing two or more of the following symptoms:
- Fever of >100.0°F/ 37.8°C
- Cough
- Fatigue
- New loss of taste or smell
- Congestion or runny nose
- Shortness of breath or difficulty breathing
- Sore throat
- Muscle or body aches
- Headache
- Nausea or vomiting
- Diarrhea
Exclusion Criteria:
  -  Participant is currently enrolled in a study to evaluate an investigational drug or
     experimental treatment
- Participants with an active nosebleed
  -  Participant has undergone a nasal wash or nasal aspirate procedure on day of
     enrollment
  -  Participant has received a nasal spray or mist Influenza vaccine (i.e. FluMist)
     within the last 30 days
  -  Participant has tested positive for COVID-19 within the last 45 days (excluding test
     results received after current onset of symptoms)
  -  Participant has received antiviral medications for Influenza (Amantadine,
     Rimantadine, Ribavirin, Oseltamivir, Zanamivir) in the previous 45 days
  -  Participant has received medication or treatment for COVID-19 infection in the last
     45 days (including antivirals, convalescent plasma therapy, monoclonal antibody
     treatment (mAb), Remdesivir, long-acting antibody (LAAB) treatment (Evusheld)
Advanced Pediatrics
Vienna	4791160, Virginia	6254928, United States
Not Provided