Malaria RAPID DIAGNOSTIC TEST (RDT) Quality Control Report Initial

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Department of Health Research Institute for Tropical Medicine Filinvest Corporate City Compound, Alabang, Muntinlupa City, Philippines 1781 Trunk Line Nos.: (63-2) 807-2628 to 32 * Fax Nos. (63-2) 842-2245, 842-2828 Direct Line No.: (63-2) 809-7599 * Website: www.ritm.gov.ph Malaria RAPID DIAGNOSTIC TEST (RDT) Quality Control Report Initial (Routine) Report n RITM-520 Date of the report: 16.08.2012 Report prepared by: name(s) / QA-RDT network laboratory (Institute): Malaria RDT Quality Assurance Laboratory, Research Institute for Tropical Medicine Institution that requested the RDT-QC: name Place from where tests were sent: Send address: Requesting Institution Contact(s): name of the institution Contact(s) Email: Interpretation of results: see last page RDT Product Name: (see product insert) Malaria RDT Catalog No: 00000 Manufacturer: Company name Date received: (dd/mm/yyyy) 16-août-12 Place received: RITM, Philippines Transport method: (Sending Institution to Testing Institution) Storage condition during transport: (Sending Institution to Testing Institution) Condition of RDTs on receipt: Kit content: Heat Stability: Other: Buffer: Lancet : Alcohol swab: Blood transfer device: Page 1 of 5

Lot number(s) Lot no Expiry date No of Boxes received No of tests / box Total to test Testing interval Result 1 08/2015 5 25 125 0 PASS Comments Page 2 of 5

Summary of results: Product (lot N ) Testing Interval Storage Temp. ( C) Date tested Result 200 % positive results 2000 200 500 2000 Observations 1 0 Room T C 16.08.2012 PASS N/A N/A N/A Page 3 of 5

1. 0 month(s) Quality control dilutions Lot N : 1 - RITM Sample ID (parasites/цl) RDTs Tested RDTs Positive % Positive X Page 4 of 5

1. QC testing Method: RDTs were tested with frozen QC samples based on the algorithm described in SOP 2.06 of the WHO Quality Control Methods Manual for Malaria RDTs. For a lot of RDTs to pass the QC assessment, all quality control dilutions must be positive (100%). RDTs which do not meet these criteria will be forwarded to a second laboratory for confirmation. False positive results will be reported in the 'Observations' section. The RDT lots will be retained in this laboratory for long term Quality Control. A further report will be issued after the next QC assessment. 2. Samples used for QC testing Quality control (QC) samples of dilutions from wild-types parasites prepared according to SOP 3.08 of the WHO Quality Assurance Methods Manual for Malaria RDTs. Samples are stored at -70oC. Samples used include: a) Negative control: 0 parasites/ul of Plasmodium spp. b) Low Positive Control: 200 parasites/ul of Plasmodium falciparum. c) High Positive Control: 2000 parasites/ul of Plasmodium falciparum. d) Low Positive Control: 200 parasites/ul of Plasmodium vivax. e) Medium Positive Control: 500 parasites/ul of Plasmodium vivax. f) High Positive Control: 2000 parasites/ul of Plasmodium vivax. 3. RDT preparation method: RDTs were tested as per manufacturer instructions, using micropipette for blood transfer. 4. Interpretation of results: For a lot of RDTs to pass the QC assessment, all positive quality control dilutions must be positive (100%). Performance on Plasmodium negative control samples should also be taken into account when interpreting results. Interpretation of results: PASS: This RDT lot passed the quality control test and the RDT sample assessed detects antigen at a threshold SUFFICIENT FOR USE in the field. DEFERRED: This RDT lot failed this assessment, and has been sent to another institution for confirmation. A final report will be issued on receipt of the confirmatory results. It is recommended that the lot is RETAINED until a final report is received. FAIL: This RDT lot failed the initial QC assessment and also failed confirmatory testing at another institution. It is recommended that this lot should NOT BE USED in the field as it has been assessed as lacking sufficient sensitivity. It is recommended that the manufacturer be contacted and advised of the results. Note: This RDT lot will be retained for long term Quality Control. A further report will only be issued after the next scheduled assessment (6 months). This assessment is performed in collaboration with the World Health Organization (WHO), the Foundation for Innovative New Diagnostics (FIND) and the Special Programme for Research Training in Tropical Diseases (TDR). The report is prepared for the confidential information of the institution that submitted these Rapid Diagnostic Tests (RDTs) for assessment. The results are for use of the institution that submitted the RDTs for assessment as evidence that the stored samples of the particular lot of RDTs tested performed with sufficient sensitivity for use. They must not be used for purposes of advertising or otherwise promoting a product, or as evidence of formal approval or recommendation of a product, without the written permission of the testing institution and World Health Organization. Other than confirmation of sufficient sensitivity of the sample of the tested lot, the results listed here do not indicate endorsement of the RDT product by the World Health Organization or the testing institution. While the results indicate that the RDTs tested detect antigen to an acceptable threshold in the QC parasite samples used for testing, they do not necessarily reflect actual sensitivity in the field where local storage conditions, variation in parasite antigen, and host factors may affect operation. Recommendations on use and storage of RDTs in the field can be obtained from the WHO website www.wpro.who.int/rdt, or by email from mal-rdt@wpro.who.int. Signed : Page 5 of 5