Abstract
Background:
Hepatitis B virus (HBV) nucleic acid amplification testing (NAAT) is important for the diagnosis and management of HBV infection. We evaluated the analytical performance of the cobas HBV NAAT (Roche Diagnostics GmbH, Mannheim, Germany) on the cobas 4800 System in comparison with COBAS AmpliPrep/COBAS TaqMan HBV Test (CAP/CTM HBV).
Methods:
Precision was evaluated using three levels of cobas HBV/HCV/HIV-1 Control Kit, and linearity was evaluated across the anticipated measuring range (10.0–1.0×109 IU/mL) at seven levels using clinical samples. Detection capability, including limit of blank (LOB), limit of detection (LOD) and limit of quantitation (LOQ), was verified using the 4th WHO International Standard for HBV DNA for NAT (NIBSC code: 10/266). Correlation between the two systems was compared using 205 clinical samples (102 sera and 103 EDTA plasma).
Results:
Repeatability and total imprecision (coefficient of variation) ranged from 0.5% to 3.8% and from 0.5% to 3.5%, respectively. Linearity (coefficient of determination, R2) was 0.999. LOB, LOD and LOQ were all acceptable within the observed proportion rate (85%). Correlation was very high between the two systems in both serum and plasma samples (correlation coefficient [r]=0.995).
Conclusions:
The new cobas HBV real-time PCR assay on the cobas 4800 System showed reliable analytical performances.
Acknowledgments
This study was supported by the grant and product from Roche Diagnostics.
Author contributions: Kim H performed the experiment, analyzed the data and wrote the draft; Hur M designed the study and finalized the draft; Bae E, Lee KA and Lee WI participated in sample collection, reviewed the draft and commented on it. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
1. Schaefer S. Hepatitis B virus taxonomy and hepatitis B virus genotypes. World J Gastroenterol 2007;13:14–21.10.3748/wjg.v13.i1.14Search in Google Scholar PubMed PubMed Central
2. World Health Organization. Hepatitis B Fact sheet. Reviewed July 2017. Available at: http://www.who.int/mediacentre/factsheets/fs204/en/. (Updated on Nov 2017).Search in Google Scholar
3. Kumar R, Testoni B, Fresquet J, Lim TK, Hao Y, Tan HH, et al. Development of hepatocellular carcinoma in chronic hepatitis B patients with advanced fibrosis is independent of viral genotype. J Med Virol 2017;89:845–8.10.1002/jmv.24707Search in Google Scholar PubMed
4. Irshad M, Gupta P, Mankotia DS, Ansari MA. Multiplex qPCR for serodetection and serotyping of hepatitis viruses: a brief review. World J Gastroenterol 2016;22:4824–34.10.3748/wjg.v22.i20.4824Search in Google Scholar PubMed PubMed Central
5. Allain JP, Opare-Sem O. Screening and diagnosis of HBV in low-income and middle-income countries. Nat Rev Gastroenterol Hepatol 2016;13:643–53.10.1038/nrgastro.2016.138Search in Google Scholar PubMed
6. Allain JP. Genomic screening for blood-borne viruses in transfusion settings. Clin Lab Haematol 2000;22:1–10.10.1046/j.1365-2257.2000.00265.xSearch in Google Scholar PubMed
7. Han MS, Park Y, Nah H, Kim HS. Comparison of the QIAGEN artus HBV QS-RGQ assay with the Roche COBAS AmpliPrep/COBAS TaqMan HBV assay for quantifying viral DNA in sera of chronic hepatitis B patients. Ann Lab Med 2017;37:248–53.10.3343/alm.2017.37.3.248Search in Google Scholar PubMed PubMed Central
8. Li M, Chen L, Liu LM, Li YL, Li BA, Li B, et al. Performance verification and comparison of TianLong automatic hypersensitive hepatitis B virus DNA quantification system with Roche CAP/CTM system. World J Gastroenterol 2017;23:6845–53.10.3748/wjg.v23.i37.6845Search in Google Scholar PubMed PubMed Central
9. Yeh ML, Huang CF, Hsieh MY, Huang JF, Dai CY, Yu ML, et al. Comparison of the Abbott RealTime HBV assay with the Roche Cobas AmpliPrep/Cobas TaqMan HBV assay for HBV DNA detection and quantification. J Clin Virol 2014;60:206–14.10.1016/j.jcv.2014.04.008Search in Google Scholar PubMed
10. Thatcher SA. DNA/RNA preparation for molecular detection. Clin Chem 2015;61:89–99.10.1373/clinchem.2014.221374Search in Google Scholar PubMed
11. Rahman MM, Elaissari A. Nucleic acid sample preparation for in vitro molecular diagnosis: from conventional techniques to biotechnology. Drug Discov Today 2012;17:129–207.10.1016/j.drudis.2012.07.001Search in Google Scholar PubMed
12. COBAS® HBV Test for use on the cobas® 4800 System. Available at: https://molecular.roche.com/assays/cobas-hbv-for-use-on-the-cobas-4800-system/. Accessed 15 November 2017.Search in Google Scholar
13. COBAS®AmpliPrep/COBAS®TaqMan®HBV Test, v2.0. Available at: https://molecular.roche.com/assays/cobas-ampliprep-cobas-taqman-hbv-test-v2/. Accessed 15 November 2017.Search in Google Scholar
14. CLSI. User verification of precision and estimation of bias; Approved guideline – 3rd ed. CLSI document EP15-A3. Wayne, PA: Clinical and Laboratory Standards Institute, 2014.Search in Google Scholar
15. CLSI. Evaluation of the linearity of quantitative measurement procedures: a statistical approach; Approved guideline. CLSI document EP06-A. Wayne, PA: Clinical and Laboratory Standards Institute, 2003.Search in Google Scholar
16. CLSI. Evaluation of detection capability for clinical laboratory measurement procedures; Approved Guideline – 2nd ed. CLSI document EP17-A2. Wayne, PA: Clinical and Laboratory Standards Institute, 2012.Search in Google Scholar
17. WHO International Standard 4th WHO International Standard for HBV DNA for NAT NIBSC code: 10/266. Instructions for use. Available at: http://www.nibsc.org/documents/ifu/10-266.pdf. Accessed 15 November 2017.Search in Google Scholar
18. CLSI. Measurement procedure comparison and bias estimation using patients; Approved Guideline, 3rd ed. CLSI document EP09-A3. Wayne, PA: Clinical and Laboratory Standards Institute, 2013.Search in Google Scholar
19. Ungerer JP, Pretorius CJ. Method comparison – a practical approach based on error identification. Clin Chem Lab Med 2017;56:1–4.10.1515/cclm-2017-0842Search in Google Scholar PubMed
20. Mukaka MM. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J 2012;24:69–71.Search in Google Scholar
21. Dewitte K, Fierens C, Stöckl D, Thienpont LM. Application of the Bland-Altman plot for interpretation of method-comparison studies: a critical investigation of its practice. Clin Chem 2002;48:799–801.10.1093/clinchem/48.5.799Search in Google Scholar
22. Pyne MT, Vest L, Clement J, Lee J, Rosvall JR, Luk K, et al. Comparison of three Roche hepatitis B virus viral load assay formats. J Clin Microbiol 2012;50:2337–42.10.1128/JCM.00746-12Search in Google Scholar PubMed PubMed Central
23. Kim H, Shin S, Oh EJ, Kahng J, Kim Y, Lee HK, et al. Comparison of the AdvanSure HBV real-time PCR test with three other HBV DNA quantification assays. Ann Clin Lab Sci 2013;43:230–7.Search in Google Scholar
24. Fraser CG, Sandberg S. Biological variation. In: Rifai A, Horvath AR, Wittwer CT, editor. Tietz textbook of clinical chemistry and molecular diagnostics. 6th ed. St. Louis: Elsevier, 2018: 157–69.Search in Google Scholar
25. Desirable specifications for imprecision, inaccuracy, and total allowable error, calculated from data on within-subject and between-subject biologic variation. Updated for 2014. Westgard QC. Available at: https://www.westgard.com/biodatabase1.htm. Accessed 15 November 2017.Search in Google Scholar
26. Kao JH. Molecular epidemiology of hepatitis B virus. Korean J Intern Med 2011;26:255–61.10.3904/kjim.2011.26.3.255Search in Google Scholar PubMed PubMed Central
27. Sunbul M. Hepatitis B virus genotypes: global distribution and clinical importance. World J Gastroenterol 2014;20: 5427–34.10.3748/wjg.v20.i18.5427Search in Google Scholar PubMed PubMed Central
©2018 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
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- Editorial
- Free light chains in the cerebrospinal fluid. Do we still need oligoclonal IgG?
- Reviews
- Obese phenotype and natriuretic peptides in patients with heart failure with preserved ejection fraction
- Prognostic value of HE4 in patients with ovarian cancer
- Opinion Paper
- Laboratory hemostasis: from biology to the bench
- Genetics and Molecular Diagnostics
- Multicenter validation study for the certification of a CFTR gene scanning method using next generation sequencing technology
- General Clinical Chemistry and Laboratory Medicine
- IL8 and IL16 levels indicate serum and plasma quality
- “Send & hold” clinical decision support rules improvement to reduce unnecessary testing of vitamins A, E, K, B1, B2, B3, B6 and C
- CSF free light chain identification of demyelinating disease: comparison with oligoclonal banding and other CSF indexes
- Search for new biomarkers of pediatric multiple sclerosis: application of immunoglobulin free light chain analysis
- The importance of detecting anti-DFS70 in routine clinical practice: comparison of different care settings
- Higher D-lactate levels are associated with higher prevalence of small dense low-density lipoprotein in obese adolescents
- LC-MSMS assays of urinary cortisol, a comparison between four in-house assays
- Optimized angiotensin-converting enzyme activity assay for the accurate diagnosis of sarcoidosis
- Quantitative urine test strip reading for leukocyte esterase and hemoglobin peroxidase
- Performance evaluation of cobas HBV real-time PCR assay on Roche cobas 4800 System in comparison with COBAS AmpliPrep/COBAS TaqMan HBV Test
- Systematic comparison of routine laboratory measurements with in-hospital mortality: ICU-Labome, a large cohort study of critically ill patients
- Reference Values and Biological Variations
- Establishing reference intervals for sex hormones and SHBG in apparently healthy Chinese adult men based on a multicenter study
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- Cancer Diagnostics
- Analytical validation of the Hevylite assays for M-protein quantification
- Cardiovascular Diseases
- Assessing matrix, interferences and comparability between the Abbott Diagnostics and the Beckman Coulter high-sensitivity cardiac troponin I assays
- Infectious Diseases
- Evaluation of a novel prognostic score based on thrombosis and inflammation in patients with sepsis: a retrospective cohort study
- Letters to the Editor
- Independent evaluation using fresh patient samples under real clinical conditions is vital for confirming the suitability and marketability of any new HbA1c assay. An example
- Anti-streptavidin antibodies mimicking heterophilic antibodies in thyroid function tests
- Site-specific DNA methylation detection based on enzyme-linked immunosorbent assay using recombinant methyl-CpG binding protein
- 3q29 microduplication in a small family with complex metabolic phenotype from Southern Italy
- A D1424N mutation in the MYH9 gene results in macrothrombocytopenia and granulocytic inclusion bodies in a Chinese inherited macrothrombocytopenia pedigree
- Evaluation of analytical performance of a chemiluminescence enzyme immunoassay (CLEIA) for cTnI using the automated AIA-CL2400 platform
- Cellular markers of eryptosis are altered in type 2 diabetes
- Platelet serotonin is not elevated in patients with benign head and neck paragangliomas
Articles in the same Issue
- Frontmatter
- Editorial
- Free light chains in the cerebrospinal fluid. Do we still need oligoclonal IgG?
- Reviews
- Obese phenotype and natriuretic peptides in patients with heart failure with preserved ejection fraction
- Prognostic value of HE4 in patients with ovarian cancer
- Opinion Paper
- Laboratory hemostasis: from biology to the bench
- Genetics and Molecular Diagnostics
- Multicenter validation study for the certification of a CFTR gene scanning method using next generation sequencing technology
- General Clinical Chemistry and Laboratory Medicine
- IL8 and IL16 levels indicate serum and plasma quality
- “Send & hold” clinical decision support rules improvement to reduce unnecessary testing of vitamins A, E, K, B1, B2, B3, B6 and C
- CSF free light chain identification of demyelinating disease: comparison with oligoclonal banding and other CSF indexes
- Search for new biomarkers of pediatric multiple sclerosis: application of immunoglobulin free light chain analysis
- The importance of detecting anti-DFS70 in routine clinical practice: comparison of different care settings
- Higher D-lactate levels are associated with higher prevalence of small dense low-density lipoprotein in obese adolescents
- LC-MSMS assays of urinary cortisol, a comparison between four in-house assays
- Optimized angiotensin-converting enzyme activity assay for the accurate diagnosis of sarcoidosis
- Quantitative urine test strip reading for leukocyte esterase and hemoglobin peroxidase
- Performance evaluation of cobas HBV real-time PCR assay on Roche cobas 4800 System in comparison with COBAS AmpliPrep/COBAS TaqMan HBV Test
- Systematic comparison of routine laboratory measurements with in-hospital mortality: ICU-Labome, a large cohort study of critically ill patients
- Reference Values and Biological Variations
- Establishing reference intervals for sex hormones and SHBG in apparently healthy Chinese adult men based on a multicenter study
- Plasma midregional proadrenomedullin (MR-proADM) concentrations and their biological determinants in a reference population
- Cancer Diagnostics
- Analytical validation of the Hevylite assays for M-protein quantification
- Cardiovascular Diseases
- Assessing matrix, interferences and comparability between the Abbott Diagnostics and the Beckman Coulter high-sensitivity cardiac troponin I assays
- Infectious Diseases
- Evaluation of a novel prognostic score based on thrombosis and inflammation in patients with sepsis: a retrospective cohort study
- Letters to the Editor
- Independent evaluation using fresh patient samples under real clinical conditions is vital for confirming the suitability and marketability of any new HbA1c assay. An example
- Anti-streptavidin antibodies mimicking heterophilic antibodies in thyroid function tests
- Site-specific DNA methylation detection based on enzyme-linked immunosorbent assay using recombinant methyl-CpG binding protein
- 3q29 microduplication in a small family with complex metabolic phenotype from Southern Italy
- A D1424N mutation in the MYH9 gene results in macrothrombocytopenia and granulocytic inclusion bodies in a Chinese inherited macrothrombocytopenia pedigree
- Evaluation of analytical performance of a chemiluminescence enzyme immunoassay (CLEIA) for cTnI using the automated AIA-CL2400 platform
- Cellular markers of eryptosis are altered in type 2 diabetes
- Platelet serotonin is not elevated in patients with benign head and neck paragangliomas