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Principal Investigator: Andrew Slator Paterson
Organization: LUMINOSTICS, INC.
Fiscal Year: 2020
Award: $718,866
Funding agency: National Institute of Allergy and Infectious Diseases
Abstract
In this Emergency Supplemental project, Luminostics will leverage our de-risked and scale-ready CLIP platform
to develop a rapid smartphone-based point-of-care (POC) diagnostic for the detection of SARS-CoV-2 antigens
from respiratory specimens. Luminostics' CLIP technology enables high-sensitivity lateral flow immunoassays
(LFAs) using proprietary “nanophosphors” in combination with consumer smartphone optics and advanced signal
processing algorithms for readout. As there is an immediate need for validated tools for rapid POC detection of
active COVID-19 disease, this project will expeditiously adapt CLIP technology for detection of SARS-CoV-2
antigens. While nucleic acid amplification tests (NAATs) have high accuracy, they can take days to return a
result, increasing the potential for continued transmission. In addition, most NAATs must be processed in a
laboratory setting using expensive equipment. POC tests approved under the FDA's emergency use
authorization (EUA) for COVID-19 also require the purchase of specialized equipment, limiting widespread use.
Thus, this project will develop, validate, and obtain FDA EUA for CLIP-COVID, a rapid smartphone-based test
for the detection of active COVID-19 infection based on an ultrasensitive immunoassay for SARS-CoV-2
antigens in respiratory samples, including remnant viral transport media (VTM), nasopharyngeal/nasal swabs,
nasal aspirate, saliva, and sputum. When used as labels in LFAs, Luminostics' patented persistent luminescent
inorganic nanophosphors enable orders-of-magnitude lower limits of detection (LODs)—and therefore higher
clinical sensitivities—on the CLIP platform compared to traditional visually-read LFAs, using only a smartphone's
optics, paired with an inexpensive adapter and mobile app, for unambiguous readout. The assay will use high-
affinity monoclonal antibodies (mAbs) specific to SARS-CoV-2 antigens as diagnostic reagents. The CLIP
platform has been previously optimized to detect bacterial and viral pathogens has returned—for our Chlamydia
test—a clinical sensitivity of ~90%, specificity of 99%, and room temperature-stability for >15 months, enabling
the easy transport, storage, and stockpiling of test kits. This project seeks to develop, validate, and obtain FDA
EUA for a CLIP-COVID diagnostic test through the following aims: 1) Screening of a large number of mAbs for
specific binding to SARS-CoV-2 antigens and selection of 2–3 preferred sandwich mAb pairs; 2) Development
and optimization of CLIP-COVID components, including assay design, buffer/conjugate chemistry, and other
ancillary components; and 3) Analytical/clinical validation studies, manufacturing transfer, and EUA submission.
The expected outcome of this project is an affordable, shelf-stable, rapid, user-friendly test for POC COVID-19
detection with FDA EUA submission completed within 6 months of project initiation.
Terms: <2019 novel coronavirus><2019-nCoV><AIDS Virus><Acquired Immune Deficiency Syndrome Virus><Acquired Immunodeficiency Syndrome Virus><Acute><Affinity><Algorithms><Antigens><Aspirate><Aspirate substance><Assay><Authorization><Authorization documentation><Award><B blood cells><B cell><B cells><B-Cells><B-Lymphocytes><B-cell><Bedside Testings><Binding><Bioassay><Biologic Assays><Biological Assay><Buffers><C trachomatis><C. trachomatis><COVID><COVID-19><COVID19><Case Study><Cell Phone><Cellular Phone><Cellular Telephone><Chemistry><Chlamydia><Chlamydia trachomatis><Clinical><Clinical Research><Clinical Sensitivity><Clinical Study><Clinical Treatment Moab><CoV disease><Collaborations><Cristobalite><Data><Decentralization><Detection><Development><Diagnosis><Diagnostic><Diagnostic Reagent><Diagnostic tests><Disease><Disorder><Earth><Emergencies><Emergency Situation><Encapsulated><Epidemiology><Equipment><Funding><Genome><Goals><Gonococcus><Grant><HIV><Health Care Systems><Healthcare><Healthcare Systems><Home><Home environment><Human Immunodeficiency Viruses><Immunity><Immunoassay><Infection><Influenza A><Influenza A virus><Influenza Viruses Type A><Influenzavirus A><LAV-HTLV-III><Label><Laboratories><Lateral><Legal patent><Lymphadenopathy-Associated Virus><Manufacturer><Manufacturer Name><Methods><Miyagawanella><Molecular Interaction><Monitor><Monoclonal Antibodies><N gonorrhea><N gonorrhoeae><N. gonorrhea><N. gonorrhoeae><NIAID><Nasal><Nasal Passages Nose><National Institute of Allergy and Infectious Disease><Neisseria gonorrhea><Neisseria gonorrhoeae><Nose><Nucleic Acid Amplification Tests><Nucleic Acid Testing><Nucleoproteins><Optics><Orthomyxovirus Type A><Outcome><Parents><Patents><Permission><Phase><Planet Earth><Process><Proteins><Public Health><Reagent><Reporter><Reproducibility><Research Resources><Research Specimen><Resources><Respiratory System, Nose, Nasal Passages><Rickettsia trachomae><Risk><SARS-CoV-2><SARS-CoV2><SARS-associated coronavirus 2><SARS-coronavirus-2><SARS-related coronavirus 2><SBIR><Saliva><Sampling><Sand><Severe acute respiratory syndrome coronavirus 2><Silica><Silicon Dioxide><Small Business Innovation Research><Small Business Innovation Research Grant><Source><Specificity><Specimen><Sputum><Strontium><Survivors><Swab><System><Technology><Temperature><Testing><Time><Transmission><Tridymite><Type A Influenza><Viral><Virus-HIV><Work><Wuhan coronavirus><bacterial pathogen><base><bedsonia><case report><combat><communicable disease transmission><corona virus disease><corona virus disease 2019><coronavirus disease><coronavirus disease 2019><cost><cross reactivity><depository><design><designing><developmental><disease transmission><epidemiologic><epidemiological><health care><iPhone><immunogen><infectious disease transmission><insight><mAbs><mobile app><mobile application><nano particle><nano-sized particle><nanoparticle><nanosized particle><optical><pandemic><pandemic disease><pathogenic bacteria><pathogenic virus><point of care><point of care testing><point-of-care diagnostics><portability><repository><respiratory><scale up><screening><signal processing><smart phone><smartphone><tool><transmission process><user-friendly><validation studies><viral pathogen>