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Aspergillus Infection

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FDA Clears Rapid Test for Aspergillus Infection

BETHESDA, MD -- May 20, 2003 -- The Food and Drug Administration (FDA) has

cleared for marketing the first rapid laboratory test for a life-threatening

invasive fungal infection that occurs in leukemia patients, organ and bone

marrow transplant patients, and patients whose immune systems are compromised by

illness or chemotherapy. The test will allow doctors to diagnose invasive

aspergillus infection quicker and begin treatment with anti-fungal drugs sooner.

The new test, the Platelia Aspergillus EIA, manufactured by Bio-Rad

Laboratories, of Redmond, Wash., detects Aspergillus galactomannan antigen in

blood, and is a good indicator of invasive infection. Results are available in

about three hours. By comparison, the standard culture method of testing for

aspergillus takes a minimum of four weeks before results are available.

" Earlier detection means earlier and more accurate intervention with life-saving

treatment for these critically ill patients, " said FDA Commissioner Mark B.

McClellan, M.D., Ph.D. " One of FDA's goals is to help make new products that

improve medical care available to the public as quickly as possible. " FDA

cleared the product based on clinical studies of the test's performance at three

cancer centers that showed the test could accurately identify the presence or

absence of the aspergillus antigen.

The centers tested 1,890 blood samples collected from 170 patients. Thirty one

patients had proven or probable invasive aspergillosis. The new test correctly

identified 25 of the 31 people who had aspergillus antigen (80.7% sensitivity).

When 148 patients without signs or symptoms of invasive aspergillosis were

tested, the test correctly identified 132 of the 148 (89.2% specificity) as not

having the antigen.

Although the number of invasive aspergillus cases in the United States is

estimated to be only a few thousand per year, the disease is very serious and

has a mortality rate of 50%-100%.

SOURCE: FDA

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