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5-Panel - THC-COC-OPI-AMP-PCP

One Step Marijuana, Cocaine, Opiate, Amphetamine, and Phencyclidine
Drug Screen Test Card (Page 2)

Page 1
Cross-Reactivity
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A study was conducted to determine the cross-reactivity of the test with compounds in either drug-free urine or drug positive urine containing Marijuana, Cocaine, Opiate, Amphetamine, or Phencyclidine. The following compounds show no cross-reactivity when tested with the One Step Drug Screen Test Card at a concentration of 100,000 ng/mL.
Non Cross-Reacting Compounds
Acetaminophen; Acetophenetidin; N-Acetylprocainamide; Acetylsalicylic acid; Aminopyrine; Amoxicillin; Ampicillin; l-Ascorbic acid; Apomorphine; Aspartame; Atropine; Benzilic acid; Benzoic acid; Benzphetamine (parent compound only); Bilirubin; dl-Brompheniramine; Caffeine; Cannabidiol; Chloral-hydrate; Chloramphenicol; Chlorothiazide; dl-Chlorpheniramine; Chlorpromazine; Chloroquine; Cholesterol; Clonidine; Cortisone; l-Cotinine; Creatinine; Deoxycorticosterone; Dextromethorphan; Diclofenac; Diflunisal; Digoxin; Diphenhydramine; Ecgonine methyl ester; l-Pseudoephedrine; B-Estradiol; Estrone-3-sulfate; Ethyl-p-aminobenzoate; [1R,2S] l-Ephedrine; l-Epinephrine; Erythromycin; Fenoprofen; Furosemide; Gentisic acid; Hemoglobin; Hydralazine; Hydrochlorothiazide; Hydrocortisone; o-Hydroxyhippuric acid; p-Hydroxyamphetamine; p-Hydroxytyramine; Ibuprofen; Iproniazid; dl-Isoproterenol; Isoxsuprine; Ketamine; Ketoprofen; Labetalol; Loperamide; Meperidine; Meprobamate; Methoxyphenamine; Methylphenidate; Nalidixic acid; Naloxone; Naltrexone; Naproxen; Niacinamide; Nifedipine; Norethindrone; d-Norpropoxyphene; Noscapine; dl-Octopamine; Oxalic acid; Oxolinic acid; Oxymetazoline; Papaverine; Penicillin-G; Pentazocine hydrochloride; Perphenazine; Phenelzine; Trans-2-Phenylcyclo-propylamine hydrochloride; l-Phenylephrine; B-Phenylethylamine; Phenylpropanolamine; Prednisolone; Prednisone; dl-Propranolol; d-Propoxyphene; d-Pseudoephedrine; Quinacrine; Quinine; Quinidine; Ranitidine; Salicylic acid; Serotonin; Sulfamethazine; Sulindac; Tetracycline; Tetrahydrocortisone 3-acetate; Tetrahydrocortisone 3 (B-D-glucuronide); Tetrahydrozoline; Thiamine; Thioridazine; dl-Tyrosine; Tolbutamide; Triamterene; Trifluoperazine; Trimethoprim; Tryptamine; dl-Tryptophan; Tyramine; Uric acid; Verapamil; Zomepirac
Accuracy
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A side-by-side comparison was conducted using the One Step Drug Screen Test Card and commercially available drug rapid tests. Testing was performed on approximately 300 specimens per drug type previously collected from subjects presenting for Drug Screen Testing. Presumptive positive results were confirmed by GC/MS. The following compounds were quantified by GC/MS and contributed to the total amount of drugs found in presumptive positive urine samples tested.

Test Compounds Contributed to the Totals of GC/MS
THC 11-nor-D9-tetrahydrocannabinol-9 carboxylic acid
COC Benzoylecgonine
OPI Morphine, Codeine
AMP Amphetamine
PCP Phencyclidine
The following results are tabulated from these clinical studies:
 
Method
GC/MS
Multi-Drug
Single-Line
Test Card
Neg. Neg.
(< -25%
cutoff)
Near
Cutoff
Neg.
(< -25%
cutoff to
cutoff)
Near
Cutoff
Pos.
(cutoff
to +25%
cutoff)
Pos.
(> +25%
cutoff)
Agreement
with
GC/MS
THC Positive 0 13 9 12 109 96%
Negative 150 6 0 0 1 97%
COC Positive 0 2 15 16 103 96%
Negative 150 5 7 1 1 90%
OPI Positive 0 0 16 18 116 >99%
Negative 150 0 0 0 0 90%
AMP Positive 0 1 8 18 114 97%
Negative 149 1 5 4 0 95%
PCP Positive 0 0 6 10 40 >99%
Negative 150 6 0 0 0 97%
% Agreement With Commercial Kit
  THC COC OPI AMP PCP
Positive Agreement 98% 95% >99% 97% 98%
Negative Agreement >99% >99% >99% >99% >99%
Total Results 99% 98% >99% 98% 99%
% Agreement With GC/MS
  THC COC OPI AMP PCP
Positive Agreement 96% 96% >99% 97% 100%
Negative Agreement 97% 90% >90% 95% 97%
Total Results 96% 93% >95% 96% 98%
Forty (40) clinical samples for each drug were run using each of The One Step Drug Screen Test Card by an untrained operator at a Professional Point of Care site. Based on GC/MS data, the operator obtained statistically similar Positive Agreement, Negative Agreement and Overall Agreement rates as trained laboratory personnel.
Precision
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A study was conducted at three physician offices by untrained operators using three different lots of product to demonstrate the within run, between run and between operator precision. An identical panel of coded specimens, containing drugs at the concentration of +/- 50% and +/- 25% cutoff level, was labeled, blinded and tested at each site. The results are given below:
11-nor-D9-THC-9 COOH
Concentration (ng/mL)
n Site A Site B Site C
- + - + - +
0 15 15 0 15 0 15 0
25 15 15 0 15 0 14 1
37.5 15 9 6 14 1 9 6
62.5 15 2 13 0 15 0 15
75 15 0 15 0 15 0 15
Benzoylecgonine
Concentration (ng/mL)
n Site A Site B Site C
+ - + - + -
0 15 14* 0 15 0 15 0
150 15 14 1 15 0 14 1
225 15 4 11 5 10 8 7
375 15 0 15 0 15 0 15
450 15 0 15 0 15 1 14
*Note: One invalid result was obtained.
Morphine
Concentration (ng/mL)
n Site A Site B Site C
- + - + - +
0 15 15 0 15 0 15 0
1,000 15 15 0 15 0 14 1
1,500 15 13 2 11 4 7 8
2,500 15 4 11 1 14 2 13
3,000 15 0 15 0 15 2 13
Amphetamine
Concentration (ng/mL)
n Site A Site B Site C
- + - + - +
0 15 15 0 15 0 15 0
500 15 15 0 15 0 14 1
750 15 13 2 11 4 11 4
1,250 15 6 9 4 11 4 11
1,500 15 2 13 1 14 1 14
Phencyclidine
Concentration (ng/mL)
n Site A Site B Site C
- + - + - +
0 15 15 0 15 0 15 0
12.5 15 15 0 14 1 14 1
18.75 15 11 4 13 2 10 5
31.25 15 8 7 5 10 1 14
37.5 15 4 11 0 15 0 15
Analytical Sensitivity
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A drug-free urine pool was spiked with drugs at concentrations listed. The results are summarized below.
Drug Concentration
Cutoff Range
n THC COC OPI AMP PCP
- + - + - + - + - +
0% Cutoff 30 30 0 30 0 30 0 30 0 30 0
-50% Cutoff 30 30 0 30 0 30 0 30 0 30 0
-25% Cutoff 30 12 18 30 0 30 0 22 8 19 11
Cutoff 30 1 29 4 26 13 17 12 18 16 14
+25% Cutoff 30 1 29 0 30 4 26 2 28 6 24
+50% Cutoff 30 0 30 0 30 0 30 0 30 0 30
Effect of Urinary Specific Gravity
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Fifteen (15) urine samples of normal, high, and low specific gravity ranges (1.000-1.037) were spiked with drugs at 50% below and 50% above cutoff levels respectively. The One Step Drug Screen Test Card was tested in duplicate using fifteen drug-free urine 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 drugs at 50% below and 50% above cutoff levels. The spiked, pH-adjusted urine was tested with the One Step Drug Screen Test Card. The results demonstrate that varying ranges of pH does not interfere with the performance of the test.
Analytical Specificity:  See Page 1.
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