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1-Panel - THC
One Step Marijuana Test Device (Page 2)
Page 1
Accuracy
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A three-way side-by-side comparison was conducted using the THC One Step Marijuana Test Device and a leading commercially available THC rapid test. Testing was performed on specimens previously collected from subjects presenting for Drug Screen Testing. Presumptive positive results were confirmed by GC/MS. The following results were tabulated:
Method Other THC Rapid Test Total
Results
THC One Step
Test Device
Results Positive Negative
Positive 143 0 143
Negative 0 157 157
Total Results 143 157 300
% Agreement With
This Commercial Kit
100% 100% 100%
When compared to GC/MS at 50 ng/mL, the following results were tabulated:
Method GC/MS Total
Results
THC One Step
Test Device
Results Positive Negative
Positive 119 24 143
Negative 3 154 157
Total Results 122 178 300
% Agreement With
GC/MS Analysis
98% 87% 91%
When compared to GC/MS at 25 ng/mL, the following results were tabulated:
Method GC/MS Total
Results
THC One Step
Test Device
Results Positive Negative
Positive 137 6 143
Negative 4 153 157
Total Results 141 159 300
% Agreement With
GC/MS Analysis
97% 96% 97%
Point of Care Accuracy
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A study was conducted using the same clinical specimens with ten percent (10%) distribution at 25% above and below the 50ng/mL cut-off at three geographically distinct point of care sites to determine the accuracy of the THC One Step Marijuana Test Device in the hands of a point of care user. Forty (40) positive specimens and forty (40) negative specimens were tested on three (3) different lots of each product. The difference in sensitivity and specificity results obtained by the laboratory professional for the same clinical specimens compared to the results obtained by the point of care (untrained) user was insignificant. At a ninety-five percent (95%) confidence interval, the odds ratio for the point of care user versus the laboratory professional was 1 to 1 for sensitivity and specificity.
Analytical Sensitivity
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A drug-free urine pool was spiked with 11-nor-D9-THC-9 COOH at the following concentrations: 75 ng/mL, 62.5 ng/mL, 37.5 ng/mL, 25 ng/mL, and 0 ng/mL. The result demonstrates 100% accuracy at 50% above and 50% below the cut-off concentration. The data are summarized below:
THC Concentration
(ng/mL)
Percent of
Cutoff
n Visual Result
Negative Positive
0 0% 30 30 0
25 -50% 30 30 0
37.5 -25% 30 10 20
50 Cutoff 30 4 26
62.5 +25% 30 3 27
75 +50% 30 0 30
Precision
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A study was conducted at 3 geographically distinct physicians' offices by untrained operators using 3 different lots of product to demonstrate the within run, between run and between operator precision. An identical panel of coded specimens containing, according to GC/MS, no THC, 25% THC above and below the cut-off and 50% THC above and below the 50 ng/mL cut-off was provided to each site. For the specimens below the -25 % cut-off concentration, the 3 sites demonstrated 98% agreement with each other. For the -25% to +25% cut-off specimens, the 3 sites demonstrated 83% agreement with each other. For specimens above the +25% cut-off concentration, the 3 sites demonstrated 100% agreement with each other. For all results, the 3 sites were found to have a 92% agreement with each other.
Effect of Urinary Specific Gravity
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Twenty-six (26) urine samples of normal, high, and low specific gravity ranges were spiked with 25 ng/mL and 75 ng/mL of 11-nor-D9-THC-9 COOH, respectively. The THC One Step Marijuana Test Device was tested in duplicate using the twenty-six neat and spiked urine samples. The results demonstrate that varying ranges of urinary specific gravity does not affect the test results.
Effect of Urinary pH
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The pH of an aliquoted negative urine pool was adjusted to a pH range of 5 to 9 in 1 pH unit increments and spiked with 11-nor-D9-THC-9 COOH to 25 ng/mL and 75 ng/mL. The spiked, pH-adjusted urine was tested with the THC One Step Marijuana Test Device in duplicate and interpreted according to the package insert. The results demonstrate that varying ranges of pH does not interfere with the performance of the test.
Specificity and Cross-reactivity:  See Page 1.
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