Specimens (plasma/serum) from 131 HCV infected patients were tested with the Abbott RealTime HCV assay and a comparator assay per NCCLS Document EP9-A2.
EASL HCV Viral Load Testing Recommendations3
The European Association for the Study of the Liver (EASL) recommendations on HCV RNA monitoring:
- A sensitive molecular method with a lower limit of detection ≤15 IU/mL should be used to monitor HCV RNA levels in serum or plasma.
- In low- or middle-income countries and in specific settings in high-income countries, a qualitative HCV RNA assay with a lower limit of detection ≤1,000 IU/mL (3.0 Log10 IU/mL) can be used to provide broad affordable access to HC diagnosis and care.
- Whole blood sampled on dried blood spots can be used as an alternative to serum or plasma obtained by venipuncture for HCV RNA testing.
- In patients treated with an IFN-free regimen, HCV RNA or HCV core antigen levels should be measured at base-line and 12 or 24 weeks after the end of therapy (to assess SVR12 or SVR24, respectively).
Intended Use
The Abbott RealTime HCV viral load assay is an in vitro reverse transcription-polymerase chain reaction (RT-PCR) assay for the quantitation of hepatitis C viral ribonucleic acid (HCV RNA) in human serum and plasma from HCV-infected individuals. The Abbott RealTime HCV viral load assay is intended for use as an aid in the management of HCV-infected patients undergoing antiviral therapy. The Abbott RealTime HCV viral load assay is not for screening blood, plasma, serum or tissue donors for HCV, or to be used as a diagnostic test to confirm the presence of HCV infection.
Intended Use for DBS
The Abbott RealTime HCV assay is an in vitro reverse transcription polymerase chain reaction (RT-PCR) assay for the quantitation of hepatitis C viral RNA (HCV RNA) in whole blood spotted on cards as dried blood spots (DBS) (ie, obtained via venipuncture or capillary blood) from HCV infected individuals. The Abbott RealTime HCV assay is intended for use as an aid in the management of HCV-infected patients undergoing antiviral therapy. The Abbott RealTime HCV assay is not for screening blood, plasma, serum or tissue donor for HCV, or to be used as a diagnostic test to confirm the presence of HCV infection.
References
- Wiesmann F et al. Variation analysis of six HCV viral load assays using low viremic HCV samples in the range of the clinical decision points for HCV protease inhibitors. Med Microbiol Immunol. 2015 Aug;204(4):515-25. DOI 10.1007/s00430-014-0364-z. Epub 2014 Nov 15.
- Adapted from Wiesmann F et al. Poster #465. ESCV 2013. Comparison of viral load assays for the quantification of HCV genotypes 1-4 in the setting of low viremic samples.
- EASL Recommendations on Treatment of Hepatitis C 2018. European Association for the Study of the Liver. Journal of Heppatology.