The FDA on July 31, 2020, authorized the first two covid-19 serology tests that display an estimated quantity of antibodies present in the individual’s blood resulting from a past infection with SARS-CoV-2, the virus that causes covid-19. The Advia Centaur COV2G and Atellica COV2G, both from Siemens Healthineers, Erlangen, Germany, are “semi-quantitative” tests, meaning that they do not display a precise measurement, but rather estimate the quantity of a patient’s antibodies produced against infection with the virus that causes covid-19.
“Being able to measure a patient’s relative level of antibodies in response to a previous SARS-CoV-2 infection may be useful as we continue to learn more about the virus and what the existence of antibodies may mean,” says Tim Stenzel, MD, PhD, director of the Office of In Vitro Diagnostics and Radiological Health in the FDA’s Center for Devices and Radiological Health. “There are still many unknowns about what the presence of SARS-CoV-2 antibodies may tell us about potential immunity, but today’s authorizations give us additional tools to evaluate those antibodies as we continue to research and study this virus. Patients should not interpret results as telling them they are immune, or have any level of immunity, from the virus.”
Due to these unknowns, the FDA cautions patients against using the results from these tests, or any serology test, as an indication that they can stop taking steps to protect themselves and others, such as stopping social distancing, discontinuing wearing masks or returning to work. The FDA also wants to remind patients that serology tests should not be used to diagnose an active infection, as they only detect antibodies the immune system develops in response to the virus—not the virus itself.