(168 days)
Not Found
No
The device description focuses on standard PCR and ARMS technology, and the analysis is based on fluorescent signal detection and cycle threshold, which are typical for real-time PCR and do not inherently involve AI/ML. There is no mention of AI, ML, or related concepts in the document.
No
The device is described as a qualitative in vitro diagnostic test for the JAK2 V617F/G1849T allele, intended for use as an adjunct to evaluation of suspected Myeloproliferative Neoplasm. It is a diagnostic tool, not one that treats or prevents disease.
Yes
This device is described as an "in vitro diagnostic test" for detecting a specific genetic allele. Its intended use is "as an adjunct to evaluation of suspected Myeloproliferative Neoplasm," indicating its role in assisting with a medical diagnosis, rather than being a standalone treatment or direct intervention.
No
The device is an in vitro diagnostic kit that includes reagents and is used in conjunction with specific hardware instruments (QIAsymphony SP instrument and Rotor-Gene Q MDx instrument) for sample preparation, amplification, and detection. While it uses software (Rotor-Gene AssayManager), it is not solely software.
Yes, this device is an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The "Intended Use / Indications for Use" section explicitly states that the ipsogen JAK2 RGQ PCR Kit is a "qualitative in vitro diagnostic test".
- Device Description: The "Device Description" also refers to the kit as a "qualitative in vitro diagnostic test".
- Sample Type: The test is performed on genomic DNA extracted from EDTA whole blood, which is a biological sample taken from the body.
- Purpose: The test is intended for use as an adjunct to the evaluation of suspected Myeloproliferative Neoplasm, which is a medical condition.
- Method: The test uses real-time PCR, a common technique used in in vitro diagnostics to detect specific genetic sequences.
All of these points align with the definition of an In Vitro Diagnostic device, which is a medical device intended for use in vitro for the examination of specimens derived from the human body solely or principally for the purpose of providing information concerning a physiological or pathological state, or a congenital abnormality, or to determine the compatibility with potential recipients, or to monitor therapeutic measures.
N/A
Intended Use / Indications for Use
The ipsogen JAK2 RGQ PCR Kit is a qualitative in vitro diagnostic test for the JAK2 V617F/G1849T allele in genomic DNA extracted from EDTA whole blood. The ipsogen JAK2 RGQ PCR Kit is a real time PCR test performed on the QIAGEN Rotor-Gene Q MDx instrument. The test is intended for use as an adjunct to evaluation of suspected Myeloproliferative Neoplasm in conjunction with other clinicopathological factors.
This test does not detect less common JAK2 mutations associated with Myeloproliferative Neoplasm including mutations in exon 12 and is not intended for stand-alone diagnosis of Myeloproliferative Neoplasm.
Product codes (comma separated list FDA assigned to the subject device)
PSU
Device Description
The ipsogen® JAK2 RGQ PCR Kit is a qualitative in vitro diagnostic test for the detection of the JAK2 V617F/G1849T allele in genomic DNA extracted from whole blood. The ipsogen JAK2 RGQ PCR Kit uses polymerase chain reaction (PCR), and ARMS (amplification refractory mutation system) technology on the Rotor-Gene O MDx instrument.
Samples are extracted and prepared using the QIAsymphony SP instrument (QSSP) with the QIAsymphony® DSP DNA Mini Kit, followed by assay setup amplification and detection are carried out using the ipsogen JAK2 RGQ PCR Kit with the Rotor-Gene Q MDx and Rotor-Gene AssayManager software version 2.1.x**. Rotor-Gene AssayManager Gamma MDx plug-in installed, version 1.0.x** and an associated JAK2 Assay profile (from file AP ipsogen JAK2 blood US Vx x x**.iap).
The extraction step on the OIAsymphony instrument (OSSP) ensures that enough gDNA (of adequate quality) is purified during each run (no repeated extraction for the same sample is expected unless the instrument states that the step failed).
The ipsogen JAK2 RGQ PCR Kit is designed to be used with the Rotor-Gene Q MDx (RGO) instrument which is a real-time PCR analyzer designed for rapid thermal cvcling and real-time detection of PCR assays. The Rotor-Gene AssayManager (RGAM) controls and monitors PCR reactions and allows the determination of the mutation status based upon PCR results.
The presence of the JAK2 mutation is indicated by the fluorescent signal generated through the use of fluorescently labeled oligonucleotide probes. The probes do not generate a signal unless they are specifically bound to the amplified product. The amplification cycle at which fluorescent signal is detected by the RGO MDx is inversely proportional to the DNA target concentration present in the original specimen.
The ipsogen JAK2 RGQ PCR Kit contains reagents for two separate PCR reactions: one mutation-specific reaction and one wild-type specific reaction mix uses a mutant-specific or wild-type specific primer (Reverse primer), together with a common Forward primer and a labeled probe, to amplify and detect the G1849T mutation or the wild-type sequence in the JAK2 gene.
In addition, each Reaction Mix contains reagents (unlabeled primers, probe and oligonucleotide template) for an internal control reaction. The internal control is designed to be a reaction that does not compete significantly with the mutation-specific or wildtype specific, reaction mixes. and serve to demonstrate that the entire assay process has proceeded correctly for each specimen.
Note: ** x≥ 0, x corresponds to the latest version available on OIAGEN Website
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Not Found
Indicated Patient Age Range
Not Found
Intended User / Care Setting
Not Found
Description of the training set, sample size, data source, and annotation protocol
Not Found
Description of the test set, sample size, data source, and annotation protocol
Not Found
Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)
Analytical Accuracy
The purpose of this study was to validate the analytical accuracy of the ipsogen JAK2 RGO PCR Kit under condition of normal use on clinical samples from subjects suspected of having myeloproliferative neoplasms. This study was performed on gDNA samples extracted from a total of 473 specimens: 276 with suspected PV, 98 with ET and 99 with PMF. The JAK2 V617F status of the patient samples obtained with the ipsogen JAK2 RGQ PCR kit were compared with the JAK2 V617F status obtained with the reference method for JAK2 status determination, i.e. an independently validated bi-directional sequencing (BDS). Of the 473 specimens 15 specimens were JAK2 positive by the ipsogen JAK2 RGQ PCR kit while negative by BDS.
The overall agreement is 96.8% (458/473 subjects; 95% CI: [94.8%; 98.2%]). The positive agreement was 100% (165/165 subjects: 95%Cl: [97.8%; 100%] and the negative agreement was 95.1 % (293/308 subjects; 95% CI: [92.1%; 97.2 %]). The results are shown in Table 2.
Assessment of analytical accuracy study results in MPN cohorts
For ET, the overall agreement is 90.8% (89/98 subjects; 95% CI: [83.3% - 95.7%]), the positive agreement is 100% (43/43 subjects; 95% CI: [91.8% - 100%]), and the negative agreement is 83.6% (46/55 subjects; 95% CI: [71.2% - 92.2%]).
For PMF. the overall agreement is 94.9% (94/99 subjects: 95% CI: [88.6% - 98.3%]), the positive agreement is 100% (51/51 subjects: 95% CI: [93.0% - 100%]), and the negative agreement is 89.6% (43/48 subjects; 95% CI: [77.3% – 96.5%]).
For PV, the overall agreement is 99.6% (275/276 subjects: 95% CI: [98.0% - 100%]), the positive agreement is 100% (71/71 subjects: 95% CI: [94.9% - 100%]), and the negative agreement is 99.5% (204/205 subjects; 95% CI: [97.3% - 100%]).
The specimens yielding discordant results appeared to have mutation levels below the BDS detection capability (around 10%). Because Sanger sequencing is not as sensitive as the JAK2 assay, and the JAK2 assay reporting ≥ 1%, a separate study was conducted using a validated next generation sequencing (NGS) method to detect JAK2 V617F allele in the 15 discordant samples (9 ET, 5 PMF, and 1 PV), as well as a randomly selected set of 22 JAK2 V617F positive and negative concordant specimens. All 15 discordants tested positive by NGS, agreeing with the ipsogen JAK2 RGQ PCR Kit. All concordant samples tested the same with NGS and in agreement with the ipsogen JAK2 RGO PCR Kit and BDS.
Conclusion of the analytical accuracy study
The ipsogen JAK2 RGQ PCR Kit was 100% accurate for the detection of JAK2 V617F allele in specimens from subjects with JAK2 V617F levels ≥1%.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Overall agreement: 96.8% (458/473 subjects; 95% CI: [94.8%; 98.2%])
Positive agreement: 100% (165/165 subjects: 95%Cl: [97.8%; 100%])
Negative agreement: 95.1 % (293/308 subjects; 95% CI: [92.1%; 97.2 %])
For ET:
Overall agreement: 90.8% (89/98 subjects; 95% CI: [83.3% - 95.7%])
Positive agreement: 100% (43/43 subjects; 95% CI: [91.8% - 100%])
Negative agreement: 83.6% (46/55 subjects; 95% CI: [71.2% - 92.2%])
For PMF:
Overall agreement: 94.9% (94/99 subjects: 95% CI: [88.6% - 98.3%])
Positive agreement: 100% (51/51 subjects: 95% CI: [93.0% - 100%])
Negative agreement: 89.6% (43/48 subjects; 95% CI: [77.3% – 96.5%])
For PV:
Overall agreement: 99.6% (275/276 subjects: 95% CI: [98.0% - 100%])
Positive agreement: 100% (71/71 subjects; 95% CI: [94.9% - 100%])
Negative agreement: 99.5% (204/205 subjects; 95% CI: [97.3% - 100%])
Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.
Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).
Not Found
N/A
0
January 12, 2018
Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
QIAGEN, GmbH c/o Claire Ryan Senior Manager, Regulatory Affairs OIAGEN Manchester, LTD Skelton House, Lloyd Street North Manchester, M15 6SH UK
Re: K172287
Trade/Device Name: ipsogen® JAK2 RGQ PCR Kit Regulation Number: 21 CFR 866.6070 Regulation Name: Mutation detection test for myeloproliferative neoplasms Regulatory Class: Class II Product Code: PSU Dated: December 14, 2017 Received: December 14, 2017
Dear Claire Ryan:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food. Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR
1
Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Yun-fu Hu -S
for Reena Philip, Ph.D. Director Division of Molecular Genetics and Pathology Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health
Enclosure
2
Indications for Use
510(k) Number (if known) K172287
Device Name ipsogen JAK2 RGQ PCR Kit
Indications for Use (Describe)
The ipsogen JAK2 RGQ PCR Kit is a qualitative in vitro diagnostic test for the JAK2 V617F/G1849T allele in genomic DNA extracted from EDTA whole blood. The ipsogen JAK2 RGQ PCR Kit is a real time PCR test performed on the QIAGEN Rotor-Gene Q MDx instrument. The test is intended for use as an adjunct to evaluation of suspected Myeloproliferative Neoplasm in conjunction with other clinicopathological factors.
This test does not detect less common JAK2 mutations associated with Myeloproliferative Neoplasm including mutations in exon 12 and is not intended for stand-alone diagnosis of Myeloproliferative Neoplasm.
Type of Use (Select one or both, as applicable)
☑ Prescription Use (Part 21 CFR 801 Subpart D) |
---|
☐ Over-The-Counter Use (21 CFR 801 Subpart C) |
CONTINUE ON A SEPARATE PAGE IF NEEDED.
This section applies only to requirements of the Paperwork Reduction Act of 1995.
DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."
3
510(K) SUMMARY
General Information
| Submitted by: | QIAGEN GmbH
Qiagen Strasse 1
Hilden, Germany D-40724 | | |
|------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|--|
| Contact Person: | Claire Ryan
Senior Manager, Regulatory Affairs
Skelton House,
Lloyd Street North,
Manchester,
M15 6SH,
UK
Phone: +44 161 204 1136
Fax: +44 161 204 1200
Email: claire.ryan@qiagen.com | | |
| Date Prepared: | July 28, 2017 | | |
| Device Name: | ipsogen® JAK2 RGQ PCR Kit | | |
| Trade Name: | ipsogen® JAK2 RGQ PCR Kit | | |
| Common Name: | Mutation detection test for myeloproliferative neoplasms | | |
| Classification: | Class II | | |
| Product Code: | PSU | | |
| Predicate Device | | | |
| Manufacturer | Product Name | 510(k) No. | |
| QIAGEN GmbH | ipsogen® JAK2 RGQ PCR Kit | DEN160028 | |
4
Device Description
The ipsogen® JAK2 RGQ PCR Kit is a qualitative in vitro diagnostic test for the detection of the JAK2 V617F/G1849T allele in genomic DNA extracted from whole blood. The ipsogen JAK2 RGQ PCR Kit uses polymerase chain reaction (PCR), and ARMS (amplification refractory mutation system) technology on the Rotor-Gene O MDx instrument.
Samples are extracted and prepared using the QIAsymphony SP instrument (QSSP) with the QIAsymphony® DSP DNA Mini Kit, followed by assay setup amplification and detection are carried out using the ipsogen JAK2 RGQ PCR Kit with the Rotor-Gene Q MDx and Rotor-Gene AssayManager software version 2.1.x**. Rotor-Gene AssayManager Gamma MDx plug-in installed, version 1.0.x** and an associated JAK2 Assay profile (from file AP ipsogen JAK2 blood US Vx x x**.iap).
The extraction step on the OIAsymphony instrument (OSSP) ensures that enough gDNA (of adequate quality) is purified during each run (no repeated extraction for the same sample is expected unless the instrument states that the step failed).
The ipsogen JAK2 RGQ PCR Kit is designed to be used with the Rotor-Gene Q MDx (RGO) instrument which is a real-time PCR analyzer designed for rapid thermal cvcling and real-time detection of PCR assays. The Rotor-Gene AssayManager (RGAM) controls and monitors PCR reactions and allows the determination of the mutation status based upon PCR results.
The presence of the JAK2 mutation is indicated by the fluorescent signal generated through the use of fluorescently labeled oligonucleotide probes. The probes do not generate a signal unless they are specifically bound to the amplified product. The amplification cycle at which fluorescent signal is detected by the RGO MDx is inversely proportional to the DNA target concentration present in the original specimen.
The ipsogen JAK2 RGQ PCR Kit contains reagents for two separate PCR reactions: one mutation-specific reaction and one wild-type specific reaction mix uses a mutant-specific or wild-type specific primer (Reverse primer), together with a common Forward primer and a labeled probe, to amplify and detect the G1849T mutation or the wild-type sequence in the JAK2 gene.
In addition, each Reaction Mix contains reagents (unlabeled primers, probe and oligonucleotide template) for an internal control reaction. The internal control is designed to be a reaction that does not compete significantly with the mutation-specific or wildtype specific, reaction mixes. and serve to demonstrate that the entire assay process has proceeded correctly for each specimen.
Note: ** x≥ 0, x corresponds to the latest version available on OIAGEN Website
5
Intended Use
The ipsogen JAK2 RGQ PCR Kit is a qualitative in vitro diagnostic test for the detection of the JAK2 V617F/G1849T allele in genomic DNA extracted from EDTA whole blood. The ipsogen JAK2 RGO PCR Kit is a real time PCR test performed on the QIAGEN Rotor-Gene O MDx instrument. The test is intended for use as an adjunct to evaluation of suspected Myeloproliferative Neoplasms, in conjunction with other clinicopathological factors.
does not detect less common JAK2 mutations associated with This test Myeloproliferative Neoplasms including mutations in exon 12 and is not intended for stand-alone diagnosis of Myeloproliferative Neoplasm.
Comparison of the ipsogen JAK2 RGQ PCR Kit and the Predicate Device
The ipsogen JAK2 RGQ PCR Kit is substantially equivalent to the predicate device
- DEN160028: ipsogen JAK2 RGQ PCR Kit ●
Similarities and differences between the insogen JAK2 RGO PCR Kit and the predicate device are shown in Table 1.
Table 1: Comparison of the ipsogen JAK2 RGQ PCR Kit with the Predicate Device
Characteristic | Device | Predicate |
---|---|---|
Similarities | ||
Specimen Type | genomic DNA extracted from | |
EDTA whole blood | genomic DNA extracted from | |
EDTA whole blood | ||
Assay Targets | JAK2 V617F/G1849T allele | JAK2 V617F/G1849T allele |
Genomic DNA | ||
Extraction | DNA should be extracted using | |
the QIAsymphony SP | ||
instrument in combination with | ||
the QIAsymphony DSP DNA | ||
Mini Kit | DNA should be extracted using | |
the QIAsymphony SP | ||
instrument in combination with | ||
the QIAsymphony DSP DNA | ||
Mini Kit | ||
Amplification and | ||
Detection | ||
Technology | Real-time PCR DNA | |
amplification | Real-time PCR DNA | |
amplification | ||
Characteristic | Device | Predicate |
Amplification and | ||
Detection | ||
Instrument System | Assay uses the Rotor-Gene Q MDx | Assay uses the Rotor-Gene Q MDx |
Assay Controls | Positive Control, Negative Control and Internal Control included in the kit. | Positive Control, Negative Control and Internal Control included in the kit. |
Differences | ||
Intended Use | The ipsogen JAK2 RGQ PCR Kit is a qualitative in vitro diagnostic test for the detection of the JAK2 V617F/G1849T allele in genomic DNA extracted from EDTA whole blood. The ipsogen JAK2 RGQ PCR Kit is a real-time PCR test performed on the QIAGEN Rotor-Gene Q MDx instrument. The test is intended for use as an adjunct to evaluation of suspected Myeloproliferative Neoplasms, in conjunction with other clinicopathological factors. |
This test does not detect less common JAK2 mutations associated with Myeloproliferative Neoplasms including mutations in exon 12 and is not intended for stand-alone diagnosis of Myeloproliferative Neoplasms. | The ipsogen JAK2 RGQ PCR Kit is a qualitative in vitro diagnostic test for the detection of the JAK2 V617F/G1849T allele in genomic DNA extracted from EDTA whole blood. The ipsogen JAK2 RGQ PCR Kit is a real-time PCR test performed on the QIAGEN Rotor-Gene Q MDx instrument. The test is intended for use as an adjunct to evaluation of suspected Polycythemia Vera, in conjunction with other clinicopathological factors.
This test does not detect less common mutations associated with Polycythemia Vera including mutations in exon 12 and is not intended for stand-alone diagnosis of Polycythemia Vera. |
| Amplification and
Detection
Instrument System
Software | • Rotor-Gene AssayManager® software version 2.1.x**
• Rotor-Gene AssayManager Gamma MDx plug-in installed, version 1.0.x**
• JAK2 Assay Profile (from file AP_ipsogen_JAK2_blood_U S_Vx_x_x**iap)
(** x≥0, x corresponds to the latest version available on QIAGEN Website) | • Rotor-Gene AssayManager® software version 1.0.x (where x is greater than or equal to 4)
• Rotor-Gene AssayManager JAK2 plug-in installed, version 1.0.x (where x is greater than or equal to 2)
• JAK2 Assay Profile (from file AP_ipsogen_JAK2_blood_U S_V1.0.0.iap) |
6
7
The differences between the ipsogen JAK2 RGQ PCR Kit and the predicate device are the broader intended use statement which has been extended to include the evaluation of patients with suspected Myeloproliferative Neoplasms in addition to Polycythemia Vera and the software following the release of the updated Rotor Gene Assay Manager (RGAM) software. This includes the update to the Rotor-Gene AssayManager software, the Rotor-Gene AssayManager Gamma MDx plug-in and the JAK2 Assay Profile. The updated software includes updates to invalidating sample flags, however there is no change to the automated data analysis and interpretation of the results for the ipsogen JAK2 RGQ PCR Kit.
These differences do not affect substantial equivalency of the ipsogen JAK2 RGQ PCR Kit and the predicate device. Both assays detect the JAK2 V617F/G1849T allele in genomic DNA extracted from EDTA whole blood using the QIAGEN Rotor-Gene Q MDx instrument. The differences noted above do not raise questions of safety and effectiveness because both assays use the same controls, follow the same workflow for the same purpose of DNA extraction, assay setup, and Real-time PCR DNA amplification.
Therefore, the ipsogen JAK2 RGQ PCR Kit is substantially equivalent to the legally marked predicate device listed.
Performance Characteristics - Non-Clinical Studies in this 510(k)
Analytical Accuracy
The purpose of this study was to validate the analytical accuracy of the ipsogen JAK2 RGO PCR Kit under condition of normal use on clinical samples from subjects suspected of having myeloproliferative neoplasms. This study was performed on gDNA samples extracted from a total of 473 specimens: 276 with suspected PV, 98 with ET and 99 with PMF. The JAK2 V617F status of the patient samples obtained with the ipsogen JAK2 RGQ PCR kit were compared with the JAK2 V617F status obtained with the reference method for JAK2 status determination, i.e. an independently validated bi-directional sequencing (BDS). Of the 473 specimens 15 specimens were JAK2 positive by the ipsogen JAK2 RGQ PCR kit while negative by BDS.
The overall agreement is 96.8% (458/473 subjects; 95% CI: [94.8%; 98.2%]). The positive agreement was 100% (165/165 subjects: 95%Cl: [97.8%; 100%] and the negative agreement was 95.1 % (293/308 subjects; 95% CI: [92.1%; 97.2 %]). The results are shown in Table 2.
8
| | | Sanger bi-directional
sequencing | | Total |
|-----------------------------|------------------------|-------------------------------------|------------------------|-------|
| | | JAK2 V617F
positive | JAK2 V617F
negative | |
| ipsogen JAK2
RGQ PCR Kit | JAK2 V617F
positive | 165 | 15 | 180 |
| | JAK2 V617F
negative | 0 | 293 | 293 |
| | Total | 165 | 308 | 473 |
Table 2: Concordance table between ipsogen JAK2 RGQ PCR Kit and Sanger Bidirectional Sequencing in MPN population (combined ET, PMF and PV populations)
Assessment of analytical accuracy study results in MPN cohorts
The overall concordance between results obtained for the JAK2 V617F mutation with the ipsogen JAK2 RGO PCR Kit and with Sanger sequencing (BDS) in subjects with ET, PMF and PV are provided separately:
For ET, the overall agreement is 90.8% (89/98 subjects; 95% CI: [83.3% - 95.7%]), the positive agreement is 100% (43/43 subjects; 95% CI: [91.8% - 100%]), and the negative agreement is 83.6% (46/55 subjects; 95% CI: [71.2% - 92.2%]).
For PMF. the overall agreement is 94.9% (94/99 subjects: 95% CI: [88.6% - 98.3%]), the positive agreement is 100% (51/51 subjects: 95% CI: [93.0% - 100%]), and the negative agreement is 89.6% (43/48 subjects; 95% CI: [77.3% – 96.5%]).
For PV, the overall agreement is 99.6% (275/276 subjects: 95% CI: [98.0% - 100%]), the positive agreement is 100% (71/71 subjects: 95% CI: [94.9% - 100%]), and the negative agreement is 99.5% (204/205 subjects; 95% CI: [97.3% - 100%]).
The specimens yielding discordant results appeared to have mutation levels below the BDS detection capability (around 10%). Because Sanger sequencing is not as sensitive as the JAK2 assay, and the JAK2 assay reporting ≥ 1%, a separate study was conducted using a validated next generation sequencing (NGS) method to detect JAK2 V617F allele in the 15 discordant samples (9 ET, 5 PMF, and 1 PV), as well as a randomly selected set of 22 JAK2 V617F positive and negative concordant specimens. All 15 discordants tested positive by NGS, agreeing with the ipsogen JAK2 RGQ PCR Kit. All concordant samples tested the same with NGS and in agreement with the ipsogen JAK2 RGO PCR Kit and BDS .
9
Conclusion of the analytical accuracy study
The ipsogen JAK2 RGQ PCR Kit was 100% accurate for the detection of JAK2 V617F allele in specimens from subjects with JAK2 V617F levels ≥1%.
Conclusions
The ipsogen JAK2 RGQ PCR Kit is substantially equivalent to the legally marketed QIAGEN ipsogen JAK2 RGQ PCR Kit.