AdvaMedDx Comments on FDA Viral Mutation Impact Guidance
AdvaMedDx says its members develop in vitro diagnostic tests that facilitate evidence-based medicine, improve quality of patient care, enable early detection of disease, and reduce overall healthcare costs. In comments on an FDA guidance, Policy for Evaluating Impact of Viral Mutations on Covid-19 Tests, the association says its members “anticipate virus mutations and, when designing tests, strive to target multiple areas of the viral genome, focusing on those sites that are least likely to mutate, in an effort to ensure such tests work for variants.”
The letter contains overall recommendations on these topics: FDA/industry partnership, appearance of sequences in public databases may not directly correspond with prevalence and level of clinical concern, utilization of in silico analysis, transparency and flexibility in protocols and reporting results, and different types of assays trigger different considerations.
It also has recommendations specific to molecular tests, antigen tests, T-cell tests, and serology tests.