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Tiara MR, Djauhari H, Rachman FR, Rettob AC, Utami D, Pulungan FCS, Purwanta H, Wisaksana R, Alisjahbana B, Indrati AR. Performance of a Point-of-Care Fluorescence Immunoassay Test to Measure the Anti-Severe Acute Respiratory Syndrome Corona Virus 2 Spike, Receptor Binding Domain Antibody Level. Diagnostics (Basel) 2023; 13:3686. [PMID: 38132270 PMCID: PMC10743294 DOI: 10.3390/diagnostics13243686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 11/01/2023] [Accepted: 12/14/2023] [Indexed: 12/23/2023] Open
Abstract
Quantitative determination of anti-SARS-CoV2-S-RBD is necessary for the evaluation of vaccination effectiveness. The surrogate viral neutralization test (SVNT) is approved for measuring anti-SARS-CoV2-S-RBD, but a point-of-care platform is needed to simplify anti-SARS-CoV-2-S-RBD measurement. We aimed to evaluate the performance of a rapid fluorescent immunoassay-based kit, FastBio-RBDTM, compared to the SVNT. During April-September 2021, we enrolled two groups of subjects, convalescent subjects and subjects without a COVID-19 history. The subjects were tested for the anti-SARS-CoV2-S-RBD antibody using FastBio-RBDTM and the GenScript-cPASSTM SVNT. We measured the correlation coefficient and conducted an ROC analysis to determine the best cut-off value of anti-SARS-CoV2-S-RBD against the SVNT percent inhibition levels of 30% and 60%. We included 109 subjects. Anti-SARS-CoV-2-S-RBD strongly correlated to SVNT % inhibition with an R value of 0.866 (p < 0.0001). The ROC analysis showed that the anti-SARS-CoV-2-S-RBD of 6.71 AU/mL had 95.7% sensitivity and 87.5% specificity to detect a percentage inhibition of 30%. The anti-SARS-CoV-2-S-RBD of 59.76 AU/mL had a sensitivity of 88.1% and specificity of 97.0% to detect a percentage inhibition of 60%. FastBio-RBDTM could determine the presence and level of anti-SARS-CoV-2-S-RBD with good sensitivity and specificity. It has the potential to be deployed in health facilities with limited resources.
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Affiliation(s)
- Marita Restie Tiara
- Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
| | - Hofiya Djauhari
- Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
| | - Febi Ramdhani Rachman
- Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
| | - Antonius Christianus Rettob
- Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
| | - Darmastuti Utami
- Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
| | - Fahda Cintia Suci Pulungan
- Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
| | - Heru Purwanta
- Research Center for Agroindustry–National Research and Innovation Agency (BRIN), Jakarta 16911, DKI Jakarta, Indonesia
| | - Rudi Wisaksana
- Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
- Department of Internal Medicine, Hasan Sadikin Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
| | - Bachti Alisjahbana
- Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
- Department of Internal Medicine, Hasan Sadikin Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
| | - Agnes Rengga Indrati
- Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
- Department of Clinical Pathology, Hasan Sadikin Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia
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