Evaluation of a COVID-19 antibody test: What is the performance of the Panbio™ COVID-19 IgG/IgM rapid test device in fingerstick blood, venous whole blood, serum and plasma in adult participants?

ISRCTN ISRCTN60400862
DOI https://doi.org/10.1186/ISRCTN60400862
IRAS number 283040
Secondary identifying numbers CLDG-0503, IRAS 283040
Submission date
19/06/2020
Registration date
22/06/2020
Last edited
28/01/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
COVID-19 is a condition caused by the coronavirus (called SARS-CoV-2) that was first identified in late 2019. This virus can infect the respiratory (breathing) system. Some people do not have symptoms but can carry the virus and pass it on to others. People who have developed the condition may develop a fever and/or a continuous cough among other symptoms. This can develop into pneumonia. Pneumonia is a chest infection where the small air pockets of the lungs, called alveoli, fill with liquid and make it more difficult to breathe.

In 2020, the virus has spread to many countries around the world and neither a vaccine against the virus or specific treatment for COVID-19 has yet been developed. As of March 2020, it is advised that people minimize travel and social contact, and regularly wash their hands to reduce the spread of the virus.

Groups who are at a higher risk from infection with the virus, and therefore of developing COVID-19, include people aged over 70 years, people who have long-term health conditions (such as asthma or diabetes), people who have a weakened immune system and people who are pregnant. People in these groups, and people who might come into contact with them, can reduce this risk by following the up-to-date advice to reduce the spread of the virus.

Antibodies detected by blood tests indicate that a person had an immune response to SARS-CoV-2. Antibody tests are important to confirm prior infection, including in individuals with few or no symptoms.
The Panbio™ COVID-19 IgG/IgM Rapid Test is a rapid test that uses a small drop of blood for the qualitative detection of IgG and IgM antibodies to SARS-CoV-2 in human serum, plasma, venous and capillary whole blood. The test is interpreted 10-20 minutes after sample application.
This study will evaluate the performance of the Panbio COVID-19 IgG/IgM test.

Who can participate?
Adults over 18 years who are known to have been infected with SARS-CoV-2, and participants who have not been infected with SARS-CoV-2.

What does the study involve?
Participants will have several different blood tests performed.

What are the possible benefits and risks of participating?
It is possible that the collection of blood through venipuncture and capillary finger-stick could cause discomfort. However, as these are routine medical procedures and the samples will be obtained by trained medical personnel, the discomfort is likely to be minimized.
COVID-19 transmission is a risk to the participants. However, convalescent patients are not expected to be transmitting virus. There is a risk, albeit low, that a symptomatic patients in the control group will be carrying COVID-19. All operations will be conducted under strict social distancing to minimize the risk of transmission.

Where is the study run from?
The Royal London Hospital (UK)

When is the study starting and how long is it expected to run for?
April 2020 to July 2020

Who is funding the study?
Abbott Rapid Diagnostics (Germany)

Who is the main contact?
Prof. Patrick T. Kennedy, p.kennedy@qmul.ac.uk

Contact information

Prof Patrick T. Kennedy
Scientific

Barts Liver Centre, Immunobiology
Blizard Institute
Barts and The London SMD, QMUL
4 Newark Street
London
E1 2AT
United Kingdom

Phone +44 (0)207 882 6187
Email p.kennedy@qmul.ac.uk

Study information

Study designObservational case-control study
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Not available in web format, please use contact details to request a participant information sheet.
Scientific titlePanbio™ COVID-19 IgG/IgM rapid test device matrix equivalence study: evaluating test performance in comparison with a laboratory reference method using venous whole blood, serum and plasma as well as capillary whole blood from adult participants
Study hypothesisThe performance of the Panbio COVID-19 IgG/IgM test using the matrices fingerstick whole blood, venous whole blood and serum is similar to the test performance using venous plasma.
Ethics approval(s)Approved 22/04/2020, South Central - Berkshire Research Ethics Committee (Bristol REC Centre, Whitefriars, BS1 2NT, UK; +44 (0)207 1048046; berkshire.rec@hra.nhs.uk), ref: 20/SC/0191
ConditionCOVID-19 (SARS-CoV-2 infection) past exposure
InterventionAll participants provided a fingerstick capillary whole blood sample as well as a venous blood sample. All participants had a fingerstick capillary whole blood sample, a venous EDTA whole blood sample, a venous EDTA plasma sample and a venous serum sample tested using the Panbio COVID-19 IgG/IgM Rapid Test Device. The results are evaluated using laboratory based SARS-CoV-2 IgM and IgG reference tests.
Intervention typeOther
Primary outcome measureUser’s test result interpretation of the Panbio™ COVID-19 IgG/IgM rapid test device at 10 minutes and at 20 minutes after sample application, using fingerstick whole blood, venous whole blood and venous serum, in comparison with venous plasma
Secondary outcome measures1. User’s test result interpretation of the Panbio™ COVID-19 IgG/IgM rapid test device at 10 minutes and at 20 minutes after sample application using fingerstick whole blood, venous whole blood, venous serum and venous plasma, in comparison with laboratory reference tests
2. Prevalence of COVID-19 antibodies in all participants at the time of enrolment, as determined by a laboratory-based test
Overall study start date06/04/2020
Overall study end date03/07/2020

Eligibility

Participant type(s)Mixed
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsThe intended study population will include at least 103 evaluable participants who are known to have been infected with SARS-CoV-2, and at least 103 evaluable participants who have not been infected with SARS-CoV-2.
Participant inclusion criteria1. Aged 18 years or older
2. Known to have been infected with SARS-CoV-2, or who have not been infected with SARS-CoV-2
3. Agrees to complete all aspects of the study
Participant exclusion criteria1. Belongs to a study group that has been filled
2. Has already participated in this study on a previous occasion
3. Is enrolled in a study to evaluate a new drug
4. Unable or unwilling to provide informed consent
5. Is a vulnerable person as deemed unfit for the study by the Principal Investigator
Recruitment start date15/05/2020
Recruitment end date10/06/2020

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

The Royal London Hospital
Barts Health NHS Trust
Whitechapel Road
Whitechapel
London
E1 1BB
United Kingdom

Sponsor information

Abbott (Germany)
Industry

Abbott Rapid Diagnostics Jena GmbH
Orlaweg 1
Jena
07743
Germany

Phone +44 7792902244
Email camilla.forssten@abbott.com
Website http://www.abbott.com/
ROR logo "ROR" https://ror.org/02x2gk324

Funders

Funder type

Not defined

Abbott Rapid Diagnostics Jena GmbH

No information available

Results and Publications

Intention to publish date28/08/2020
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available as consent has not been obtained for making de-identified participant data available under GDPR. The data will be clearly explained in a peer-reviewed publication.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 27/04/2021 28/01/2022 Yes No
HRA research summary 28/06/2023 No No

Editorial Notes

28/01/2022: Publication reference added.
06/08/2020: The intention to publish date was changed from 17/07/2020 to 28/08/2020.
22/06/2020: Trial’s existence confirmed by HRA.