Table 3 Summary of validation parameters for Tier 1 and Tier 3 assays. CI: confidence interval. CV: coefficient of variation. Source data are provided as a Source Data file.

From: Establishing a mass spectrometry-based system for rapid detection of SARS-CoV-2 in large clinical sample cohorts

Validation parameter

Results

Tier 1

Tier 3

Method comparison n Tier 1 = 445 samples

n Tier 3 = 540 samples

Accuracy = 87.2% (CI 95%, 83.8–90.0%)

Sensitivity = 78.2% (CI 95%, 72.4–83.0%)

Specificity = 96.8% (CI 95%, 93.5–98.4%)

Accuracy = 87.7% (CI 95%, 79.4–95.2%)

Sensitivity = 83.6% (CI 95%, 70.6–95.7%)

Specificity = 93.3% (CI 95%, 82.4–100%)

Linearity

n = 12, 4 levels

IGMEVTPSGTWLTYTGAIK: up to 1000 ng/mL

R2 = 0.9948, mean recovery =  101.2%

DGIIWVATEGALNTPK: up to 1000 ng/mL

R2 = 0.9786, mean recovery =  103.6%

Not applicable

Limits of blank

n Tier 1 = 52

n Tier 3 = 38

IGMEVTPSGTWLTYTGAIK:

relative response factor = 0.068

DGIIWVATEGALNTPK:

relative response factor = 0.101

IGMEVTPSGTWLTYTGAIK:

Signal-to-noise = 1.65

DGIIWVATEGALNTPK:

Signal-to-noise = 0.83

Limits of detection

n Tier 1 = 50

n Tier 3 = 20

IGMEVTPSGTWLTYTGAIK:

relative response factor = 0.117

(equivalent to 2.7 ng/mL)

DGIIWVATEGALNTPK:

relative response factor = 0.162

(equivalent to 3.2 ng/mL)

IGMEVTPSGTWLTYTGAIK:

Signal-to-noise = 3.03

DGIIWVATEGALNTPK:

Signal-to-noise =  1.10

Limits of quantification

n = 45 (5 levels, 9 independent replicates)

IGMEVTPSGTWLTYTGAIK = 6.0 ng/mL

DGIIWVATEGALNTPK = 4.4 ng/mL

Not applicable

Reproducibility

n Tier 1 = 44

n Tier 3 = 10

Negative: undetectable

Positive (mean = 21.9 ng/mL):

IGMEVTPSGTWLTYTGAIK: CV =  17.5%

DGIIWVATEGALNTPK: CV = 19.2%

Negative: undetectable

Positive:

IGMEVTPSGTWLTYTGAIK: CV = 19.8%

DGIIWVATEGALNTPK: CV = 18.7%

Carryover n = 12

IGMEVTPSGTWLTYTGAIK: 1.2% and 0.2% (first and second injection)

DGIIWVATEGALNTPK: 4.0% and 0.7% (first and second injection)

 

Stability n = 299 (5 replicates per condition), 95% CI

Sample storage stability:

Saline: stable for all conditions (30 days, 21 oC, 4 oC, −20 oC and −80  oC)

Virus transport medium: p < 0.05 at 21 oC to low viral load for all storage time

Thermal test (90 oC for 5 min):

Stable for all conditions

 

Interference

Undetected (Supplementary Table 5)