FDA Promoting Covid Test Development: Shuren

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Writing in an online opinion column at The Hill, CDRH director Jeffrey Shuren and Office of In Vitro Diagnostics and Radiological Health director Timothy Stenzel say the Center has authorized over 200 Covid-19 tests in just over 200 days since the first diagnostic test was authorized. “The sheer volume and variety of available tests is a testament to FDA’s support of innovative test design and our commitment to public health,” they write.

They devote much of their column to the development of testing outside a healthcare setting, such as in consumers’ homes. The article notes that the agency currently recommends that diagnostics for Covid-19 used at home should perform with at least 80% sensitivity if ordered by a healthcare professional, and at least 90% sensitivity if purchased over-the-counter for one-time testing.

“When consumers take the test over-the-counter at home, the consumers wouldn’t be advised by a healthcare professional on what to do or if they need a second test,” Shuren and Stenzel write. “Americans will use those results and make decisions about quarantining further or returning to work, school, and their community. Therefore, accurate results are particularly important.”

Shuren and Stenzel say the agency’s recommendations are only recommendations, rather than requirements, and FDA is open to alternative proposals from developers and will continue to consider them. “More significant trade-offs in test accuracy may be appropriate where the need for availability and fast results is not being met,” they add.

They conclude that the agency supports any testing proposal where, among other criteria, the benefits outweigh the risks based on sound science. They commit to continuing to work with test developers and to encourage those with novel testing ideas to reach out to CDRH by e-mail, telephone, or at the weekly test developer online town hall meetings.

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