Guardian | Scientists working for the US military
have designed a new Covid-19 test that could potentially identify
carriers before they become infectious and spread the disease, the
Guardian has learned.
In what could be a significant breakthrough, project coordinators
hope the blood-based test will be able to detect the virus’s presence as
early as 24 hours after infection – before people show symptoms and
several days before a carrier is considered capable of spreading it to
other people. That is also around four days before current tests can
detect the virus.
The test has emerged from a project set up by the US military’s
Defense Advanced Research Projects Agency (Darpa) aimed at rapid
diagnosis of germ or chemical warfare poisoning. It was hurriedly
repurposed when the pandemic broke out and the new test is expected to
be put forward for emergency use approval (EUA) by the US Food and Drug
Administration (FDA) within a week.
“The concept fills a diagnostic gap worldwide,” the head of Darpa’s
biological technologies office, Dr Brad Ringeisen, told the Guardian,
since it should also fill in testing gaps at later stages of the
infection. If given FDA approval, he said, it had the potential to be
“absolutely a gamechanger”.
While pre-infectious detection would improve the efficiency of
test-and-trace programmes as governments worldwide relax lockdowns,
Darpa cautioned that it must wait until after FDA approval is given and
the test can be put into practise for evidence of exactly how early it
can pick up the virus.
“The goal of research is to develop and validate an early host blood
response diagnostic test for Covid,” Prof Stuart Sealfon, who leads the
research team at Mount Sinai hospital in New York, said in an email.
He said the testing approach, which looks at the body’s response as
it fights Covid-19, should produce earlier results than current
nose-swab tests that hunt for the virus itself. “Because the immune
response to infection develops immediately after infection, a Covid
signature is expected to provide more sensitive Covid infection
diagnosis earlier,” he told the Guardian.
The
research behind the development of the tests will eventually be made
public, with the collaborating teams from medical schools at Mount
Sinai, Duke University and Princeton expected to publish online,
allowing scientists around the world to trial similar methods.
If EUA is granted, the test should start being rolled out in the US
in the second half of May. Approval is not guaranteed, but Darpa
scientists are enthusiastic about the potential impact as governments
loosen lockdowns amid worries about controlling potential second-wave
outbreaks.
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