Human diagnostics. Better be Sure: Quantify HDV & HBV viral load. RoboGene product family

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Human diagnostics Better be Sure: Quantify HDV & HBV viral load. RoboGene product family

2 RoboGene Product Family Improved patient management: Standardized monitoring of HBV DNA and HDV RNA viral load. RoboGene Product Family Precise. Reliable. Highly Sensitive and Certified.

3 Background information Hepatitis B and D Hepatitis D is caused by infection with the hepatitis D virus (HDV) and is considered to be the most severe form of viral hepatitis in humans. Hepatitis D infections always occur in the presence of a co-existing hepatitis B virus (HBV) infection and are spread in the same way as HBV, mainly through parenteral exposure. The virus shows high prevalence in the Mediterranean Basin, the Middle East, South and Central Asia, West Africa, the Amazon Basin of South America and certain South Pacific Islands. Every individual who is HBV-positive should be tested for HDV at least once (Wedemeyer and Manns, 2010). The method of choice for confirmation of HBV and HDV infection, as well as assessing the effectiveness of antiviral treatment should be quantitative Real-Time PCR, which can detect 5 to 25 IU/ml in serum of infected patients. Analytik Jena s RoboGene product family expands the possibilities of laboratory investigation of different types of hepatitis. The RoboGene HDV RNA Quantification Kit 2.0 is the first, worldwide unique CE-IVD certified Real-Time PCR kit for quantification of HDV RNA applying the 1 st WHO standard for HDV RNA.

4 RoboGene HBV DNA Quantification Kit 2.0 Real-Time PCR-based detection system for highly sensitive quantification of HBV DNA CE-IVD certified kit for distinguishing between acute and chronic HBV infection and to assess the viral response to antiviral treatment Detection of genotypes (A-G) with equal efficiency Contains ready-to-use, lyophilized standards and extraction tubes coated with Internal Control DNA Complete Workflow: Combination of fast and easy DNA isolation with subsequent highly specific analysis Product specifications* Target Detection principle Starting material CE-IVD Nucleic acid extraction kit Detection time Linear range Sensitivity Performance feature Hepatitis B surface antigen (HBsAg) Quantitative qpcr (TaqMan ) DNA from human plasma or serum INSTANT Virus RNA/DNA 120 min 5-10 9 copies/reaction 24 IU/ml Contamination control by means of optional UDG digestion Storage/Stability Min. 6 months at -20 C * Dependent on extraction procedure and Real-Time PCR Cycler Diagnostic evaluation Comparison of the RoboGene HBV DNA Quantification Kit 2.0 (DNA extraction: INSTANT Virus RNA/DNA Kit) to the Cobas TaqMan HBV Kit. Application example Amplification of extracted HBV DNA from patient samples (3.4 10 8 IU/ml, 6.7 10 3 and 42 IU/ml) in parallel to the RoboGene Quantitation Standards using the Rotor-Gene Real-Time PCR instrument. Linear regression of quantitative results from both tests (n=10 3 ) showed a very high degree of correlation. Amplification of HBV DNA from patient samples (red) as well as 4 out of 8 Quantitation Standards (FAM channel).

5 RoboGene HDV RNA Quantification Kit 2.0 Real-Time PCR-based detection system for highly sensitive quantification of Hepatitis D Virus (HDV) RNA Exceptional Reliability: Worldwide unique CE-IVD certified and referenced to 1st WHO standard to Standardized protocols including 8-point standard curve Complete Workflow: Combination of fast and easy RNA isolation with subsequent highly specific analysis Product specifications* Target Detection principle Starting material CE-IVD Nucleic acid extraction kit Detection time Linear range Sensitivity L-HDAg-Gen Quantitative qpcr (TaqMan ) RNA from human plasma and serum INSTANT Virus RNA/DNA 120 min 5-10 8 copies/reaction 6 IU/ml Performance feature Used for establishment of the 1 st WHO HDV RNA standard (Chudy et. al 2013) Storage/Stability Min. 6 months at -20 C * Dependent on extraction procedure and Real-Time PCR Cycler Diagnostic evaluation Diagnostic performance of the RoboGene HDV RNA Quantification Kit 2.0 was analyzed with HDV RNA positive patient samples. Data were compared with results obtained at a accredited laboratory applying a certified in-house assay. Application example Linearity of > 8 logs of the RoboGene HDV RNA Quantification Kit 2.0 was determined by analyzing a dilution series of synthetic HDV quantitation standard ranging from 5 to 1 10 9 copies per run. Linear regression of quantitative results from both tests (n=50) showed a very high degree of correlation. Linearity of the RoboGene HDV RNA Quantification Kit 2.0 on 7500 Fast using synthetic HDV quantitation standard.

6 INSTANT Virus RNA/DNA Kit Universal purification system optimized to be used in conjunction with the RoboGene product family Co-purification: Efficient recovery of viral DNA and RNA from 200 to 400 µl sample DC-Technology : Improved buffers and enzymes realize shortened lysis, stabilization of desired viral nucleic acid and highly selective binding to membrane-optimized Spin Filter CE-IVD certified Product specifications Basis Handling Starting material Extraction time Elution volume Storage Stability Filter membrane Manual processing of Spin Filter columns Serum and plasma Approx. 35 minutes 2 x 30 µl Elution Buffer 12 month at room temperature (14 C - 25 C) Procedure 1. Lyse the starting material 2. Bind the viral nucleic acids to the Spin Filter 3. Wash the bound nucleic acids 4. Elute the viral nucleic acids 1 2 3 4 Application example Amplification of HDV RNA extracted from patient samples (red: 4.3 10 7 IU/ml, 3.2 10 4 IU/ml and 100 IU/ml) using the INSTANT RNA/DNA Kit in comparison to the RoboGene Quantitation Standards (black). Amplification of RNA from patient samples as well as 4 out of 8 Quantitation Standards (FAM channel).

7 Order Information INSTANT Virus RNA/DNA Kit Order number Quantity 847-0259200501 10 reactions 847-0259200502 50 reactions 847-0259200503 250 reactions RoboGene HBV DNA Quantification Kit 2.0 Order number Description Quantity 847-0207500102 847-0207500104 Regular profile strips 0.2 ml clear (RUO) 72 reactions 847-0207500142 847-0207500144 Regular profile tubes 0.2 ml clear 132 reactions 66 reactions 847-0207500152 847-0207500154 Reaction tubes 25 µl (RUO) 70 reactions 847-0207500162 847-0207500164 Low profile strips 0.1 ml clear 72 reactions 847-0207500182 847-0207500184 Low profile strips 0.1 ml white 72 reactions RoboGene HDV RNA Quantification Kit 2.0 Order number Description Quantity 847-0207400542 847-0207400544 Regular profile tubes 0.2 ml clear 132 reactions 66 reactions 847-0207400582 847-0207400584 Low profile strips 0.1 ml white * 72 reactions * Kit version also to be used with qpcr platforms for Low profile strips 0.1 ml clear Related products INSTANT Virus RNA Kit RoboGene HCV RNA Quantification Kit RoboGene HIV RNA Quantification Kit References M Chudy, KM Hanschmann, M Bozdayi, J Kress, CM Nübling (2013) Collaborative study to establish a World Health Organization international standard for hepatitis D virus RNA for nucleic acid amplification technique (NAT)-based assays. WHO Expert Committee on Biological Standardization. WHO/BS/2013.2227 H Wedemeyer, MP Manns (2010) Epidemiology, pathogenesis and management of hepatitis D: update and challenges ahead. Nat Rev Gastroenterol Hepatol 7(1): 31-40

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