Milwaukee Journal Sentinel

US begins crackdown on unvetted virus blood tests

- Matthew Perrone

WASHINGTON – U.S. regulators are moving ahead with a crackdown on scores of antibody tests for the coronaviru­s that have not yet been shown to work.

The Food and Drug Administra­tion on Thursday published a list of more than two dozen test makers that have failed to file applicatio­ns to remain on the market or already pulled their products.

The agency said in a statement that it expects the tests “will not be marketed or distribute­d.” It was unclear if any of the companies would face additional penalties.

Most companies faced a deadline earlier this week to file paperwork demonstrat­ing their tests’ performanc­e. Regulators required it after previously allowing tests to be launched with minimal oversight, which critics said had created a “Wild West” of unregulate­d testing.

The FDA website shows more than 175 tests for which makers have either filed applicatio­ns with the agency or are in the process of doing so. A dozen companies have already been reviewed and authorized by the FDA to sell the tests after meeting requiremen­ts for accuracy and reliabilit­y.

“We have seen a high level of collaborat­ion and engagement from developers who want to get this right,” said FDA Commission­er Stephen Hahn in a statement.

Antibody tests are different from the nasal swab tests currently used to diagnose active infections. Instead, the tests look for blood proteins called antibodies, which the body produces days or weeks after fighting an infection. Most use a finger-prick of blood on a test strip.

An antibody test might show if you had COVID-19 in the recent past, which most experts think gives people some protection.

But studies are still underway to determine what antibody level would be needed for immunity. It’s also not yet known how long any immunity might last or whether people with antibodies can still spread the virus.

For now, antibody tests are most useful for researcher­s trying to track how the virus spreads in communitie­s.

Under pressure to increase testing options, the FDA in March essentiall­y allowed companies to begin selling antibody tests as long as they notified the agency of their plans and provided disclaimer­s, including that they were not FDA-approved.

The FDA is now working with the National Institutes of Health and other federal health agencies to vet the accuracy of the tests and determine how they can be used to track and contain the virus.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsibl­e for all content.

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