RespiFinder® RG Panel Performance Characteristics REF RespiFinder RG Panel, Version 1, Check 4692163 availability of new electronic labeling revisions at www.qiagen.com/p/RespiFinder-RG-Panel-CE before test execution. The current revision status is indicated by the issue date (format: month/year). Limit of detection (LOD) The limit of detection (LOD) in consideration of the purification (sensitivity limit) was assessed for the RespiFinder RG Panel using whole virus and bacterial specimens in Universal Transport Medium (UTM) in combination with the QIAamp® MinElute® Virus Spin Kit extraction. The limit of detection in consideration of the purification of the RespiFinder RG Panel was determined using a dilution series of viral and bacterial strains (ATCC®, Zeptometrix®, Viral Culture) in UTM. These were subjected to RNA/DNA extraction using the QIAamp MinElute Virus Spin Kit (extraction volume: 200 μl, elution volume: 60 μl). Each of the 5 dilutions was analyzed with the RespiFinder RG Panel with 11 replicates each. The results were determined by hit rate (≥95% hit rate was defined as the analytical detection limit for the respective pathogen). An overview of the limit of detection for all pathogens tested is shown in Table 1. Table 1. Limit of detection in consideration of the purification (QIAamp MinElute Virus Spin Kit) of the RespiFinder RG Panel Subtype/ Pathogen strain Hit rate Source LOD titer (%) Viruses Adenovirus B3 Bocavirus n.a.† Coronavirus 229E ATCC* Recombinant plasmid ATCC * American Type Culture Collection, USA. † 10(0.40) TCID50/0.2 ml 95 4 x 10–3 fg/μl 100 10(–3.95) TCID50/0.2 ml 100 Table continued on next page n.a.: not applicable. November 2013 Sample & Assay Technologies Table 1. Continued Subtype/ Pathogen strain Hit rate Source LOD titer (%) Viruses (continued) Coronavirus OC43 ATCC* 10(–2.25) TCID50/0.2 ml 100 Coronavirus NL63 Zeptometrix n.a.† 100 Coxsackievirus A9 ATCC 10(–0.60) TCID50/0.2 ml 95 hMPV B3 Zeptometrix n.a. 100 ATCC 10(–1.50) TCID50/0.2 ml 100 ATCC 10(0.10) TCID50/0.2 ml 100 Influenza A Influenza A H3N2 Victoria H1N1 Virginia Influenza B Maryland ATCC 10(–1.17) TCID50/0.2 ml 100 Parainfluenza 1 ATCC 10(–3.25) TCID50/0.2 ml 95 Parainfluenza 2 ATCC 10(–1.25) TCID50/0.2 ml 100 Parainfluenza 3 ATCC 10(–0.25) TCID50/0.2 ml 100 Parainfluenza 4a ATCC 10(–0.75) TCID50/0.2 ml 100 Rhinovirus 16 ATCC 10(1.50) TCID50/0.2 ml 100 RSV-A 2 ATCC 10(–2.25) TCID50/0.2 ml 95 RSV-B 18537 ATCC 10(–1.75) TCID50/0.2 ml 100 B. pertussis n.a. ATCC 8 x 10–4 100 L. pneumophila n.a. ATCC 10(–1.70) bact/0.2 ml 100 M. pneumoniae n.a. ATCC 10–2 100 Bacteria * American Type Culture Collection, USA. † n.a.: not applicable. Performance Characteristics: RespiFinder RG Panel page 2 of 8 Specificity The specificity of the RespiFinder RG Panel is first and foremost ensured by the selection of the primers and probes, as well as the selection of stringent reaction conditions. The primers and probes were checked for possible homologies to all sequences published in gene banks by sequence comparison analysis. The detectability of all relevant genotypes has thus been ensured by RespiFinder RG Panel runs on a Rotor-Gene® Q MDx instrument with the following genotypes (see Table 2). Table 2. Testing of the specificity of relevant strains Internal control Pathogen Source FAM™/ROX™ FAM/Cy 5 (FAM/BHQ®)) Adenovirus B7 ATCC* + – + Adenovirus B11 ATCC + – + Adenovirus B14 ATCC + – + Adenovirus C1 ATCC + – + Adenovirus C5 ATCC + – + Adenovirus C6 ATCC + – + Adenovirus E4 ATCC + – + Coxsackievirus A10 ATCC – + + Coxsackievirus A24 ATCC – + + Coxsackievirus B1 ATCC – + + Coxsackievirus B2 ATCC – + + Coxsackievirus B3 ATCC – + + Coxsackievirus B5 ATCC – + + Echovirus 4 ATCC – + + Echovirus 11 ATCC – + + Echovirus 30 ATCC – + + ATCC + – + Influenza A H1N1 New Jersey * American Type Culture Collection, USA. Performance Characteristics: RespiFinder RG Panel ® Table continued on next page page 3 of 8 Table 2. Continued Internal control Pathogen Source FAM/ROX FAM/Cy5 (FAM/BHQ)) Parainfluenza 4b ATCC* + – + Rhinovirus 1A ATCC – + + Rhinovirus 1B ATCC – + + Rhinovirus 2 ATCC – + + Rhinovirus 30 ATCC – + + Rhinovirus 39 ATCC – + + Rhinovirus 60 ATCC – + + RSV-A long ATCC + – + RSV-B WV ATCC + – + * American Type Culture Collection, USA. A potential cross-reactivity of the RespiFinder RG Panel was tested using the control group listed in Table 3. None of the tested pathogens were reactive. Table 3. Testing the specificity of the kit with potentially cross-reactive pathogens Internal control Pathogen FAM/ROX FAM/Cy5 (FAM/BHQ) Cytomegalovirus – – + Epstein-Barr virus – – + Herpes simplex virus – – + Varicella-zoster virus – – + A. baumannii – – + A. fumigatus – – + Viruses Bacteria Table continued on next page Performance Characteristics: RespiFinder RG Panel page 4 of 8 Table 3. Continued Internal control Pathogen FAM/ROX FAM/Cy5 (FAM/BHQ) C. albicans – – + C. krusei – – + C. lusitaniae – – + E. cloacae – – + E. coli – – + H. influenzea – – + K. pneumoniae – – + K. oxytoca – – + M. catarrhalis – – + M. tuberculosis – – + P. aeruginosa – – + S. aureus – – + S. marcescens – – + S. pneumoniae – – + Bacteria (continued) Co-infections The RespiFinder RG Panel was validated for multiple infections to confirm detection of relevant coinfections. As shown in Table 4, co-infections of influenza A, influenza B, RSV-A, or RSV-B with adenovirus or rhinovirus were tested at different concentrations of both pathogens. All co-infections were detected. Performance Characteristics: RespiFinder RG Panel page 5 of 8 Table 4. Testing the specificity of the kit with multiplex infections Internal control Pathogen 1 Pathogen 2 FAM/ROX FAM/Cy5 (FAM/BHQ)) + – + + – + + + + + + + + – + + – + + + + + + + + – + + – + + + + + + + Adenovirus B3 — 10x LOD Adenovirus B3 Influenza A H3N2 — 100x LOD Victoria — 10x LOD Rhinovirus 16 — 10x LOD Rhinovirus 16 — 100x LOD Adenovirus B3 — 10x LOD Adenovirus B3 Influenza B Maryland — 100x LOD — 10x LOD Rhinovirus 16 — 10x LOD Rhinovirus 16 — 100x LOD Adenovirus B3 — 10x LOD Adenovirus B3 — 100x LOD RSV-A 2 — 10x LOD Rhinovirus 16 — 10x LOD Rhinovirus 16 — 100x LOD Table continued on next page Performance Characteristics: RespiFinder RG Panel page 6 of 8 Table 4. Continued Internal control Pathogen 1 Pathogen 2 FAM/ROX FAM/Cy5 (FAM/BHQ)) + – + + – + + + + + + + Adenovirus B3 — 10x LOD Adenovirus B3 RSV-B 18537 — — 100x LOD 10x LOD Rhinovirus 16 — 10x LOD Rhinovirus 16 — 100x LOD Robustness The verification of the robustness allows the determination of the total failure rate of the RespiFinder RG Panel internal control. To verify the robustness, 30 negative nasopharyngeal swab samples in Universal Transport Medium (UTM) were tested with the RespiFinder RG Panel. After extraction using the QIAamp MinElute Virus Spin Kit (extraction volume: 200 μl, elution volume: 60 μl), these samples were analyzed with the RespiFinder RG Panel. In all samples the internal control was detected and valid. Thus, the robustness of the RespiFinder RG Panel is ≥99%. Interfering substances The RespiFinder RG Panel was tested for the interference by nasal spray (Otrivin®, Novartis®) and human genomic DNA. All pathogens listed in Table 1 (pages 1–2) were tested at a concentration of 3x LOD in the presence of 50 ng human DNA. Additional negative control samples were tested in the presence of human DNA. The correct pathogens were detected in all samples containing additional human DNA, and the internal control was detected in the negative control samples, showing no interference of human DNA on the performance of RespiFinder RG Panel. Ten representative pathogens from Table 1 (adenovirus B3, coronavirus OC43, hMPV B3, influenza A H1N1 Virginia, influenza B Maryland, parainfluenza 1, rhinovirus 16, RSV-A 2, L. pneumophila, and M. pneumoniae) were tested at a concentration of 3x LOD in the presence of 10% (v/v) nasal spray. Additional negative control samples were tested in the presence of 10% nasal spray. The correct pathogens were detected in all samples containing nasal spray, and the internal control was detected in the negative control samples, showing no interference of nasal spray (10% of sample: swab in Universal Transport Medium) on the performance of RespiFinder RG Panel. Performance Characteristics: RespiFinder RG Panel page 7 of 8 For up-to-date licensing information and product-specific disclaimers, see the respective QIAGEN kit handbook or user manual. QIAGEN kit handbooks and user manuals are available at www.qiagen.com or can be requested from QIAGEN Technical Services or your local distributor. Trademarks: QIAGEN®, QIAamp®, MinElute®, Rotor-Gene® (QIAGEN Group); ATCC® (American Type Culture Collection); BHQ® (Biosearch Technologies, Inc.); Cy® (GE Healthcare); FAM™, ROX™ (Life Technologies); Novartis®, Otrivin® (Novartis); RespiFinder® (PathoFinder BV); Zeptometrix® (Zeptometrix Corp.). 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