Over 200 Covid Tests Authorized Through EUA
CDRH Office of In Vitro Diagnostics and Radiological Health director Timothy Stenzel says FDA has authorized over 200 SARS-CoV-2 tests in the emergency use authorization pathway. Speaking on an 8/5 virtual town hall on development and validation of coronavirus tests, Stenzel said there are “hundreds of EUA applications in house.”
According to Stenzel, FDA is operating on an honor system, expecting that companies submitting tests have done their validations well and have acceptable performance.
He also addressed pooling of tests on the Webinar, noting that in all cases pooling appears to decrease the percent positive rate and thus low positives are going to be missed. He said that is a given with pooled tests but FDA wants to limit the misses to an acceptable level. Stenzel said updated agency templates call for a sensitivity/PPA (positive agreement) relative to single tests on the platform of 85%.
“You can pool up to as many as you want as long as you hit that number,” he said. “We are asking for an even distribution of levels of positivity, so a good range of low positive and high positives, up to high positives…. We’ll work closely with you to make sure that that distribution is good.”