New At-Home Covid Test Gets Green Light From F.D.A.

New At-Home Covid Test Gets Green Light From F.D.A.

Unlike similar at-home tests, Ellume’s does not require a prescription.

The Food and Drug Administration on Tuesday issued an emergency authorization for the country’s first coronavirus test that can run from start to finish at home without the need for a prescription.

People as young as 2 years old are cleared to use the test, which takes just 15 to 20 minutes to deliver a result. Unlike many similar products, which are only supposed to be used by people with symptoms of Covid-19, this test is authorized for people with or without symptoms.

The test, developed by the Australian company Ellume, detects bits of coronavirus proteins called antigens. It’s slightly less accurate than gold standard laboratory tests designed to look for coronavirus genetic material with a technique called polymerase chain reaction, or P.C.R. But in a clinical study of nearly 200 people, Ellume’s product was able to detect 95 percent of the coronavirus infections found by P.C.R., regardless of whether the infected people felt sick. It also correctly identified 97 percent of the people who received negative laboratory test results.

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New At-Home Covid Test Gets Green Light From F.D.A.

Ellume, which was awarded a $30 million grant from the National Institutes of Health, said it planned to manufacture and deliver about 20 million home coronavirus tests to the United States within the first half of 2021. Each kit, which tests a single swab sample, is expected to cost about $30 or less, said Bella Zabinofsky, a spokeswoman for the company.

In a statement, the F.D.A. commissioner Dr. Stephen M. Hahn called Ellume’s authorization “a major milestone in diagnostic testing for Covid-19” in light of the coronavirus’s persistent grip on the nation. The product will be available in drugstores, Dr. Hahn noted, and gives Americans “more testing options from the comfort and safety of their own homes.”

Ellume’s test works best in people with Covid symptoms. In people without symptoms, the product’s accuracy dropped a bit, finding 91 percent of the coronavirus infections discovered by P.C.R.

Dr. Valerie Fitzhugh, a pathologist at Rutgers University, noted that all of the study’s false positives occurred in the asymptomatic group. That “does make me a little nervous,” Dr. Fitzhugh said. False positives could send people into unnecessary periods of isolation or erode trust in testing, among other issues.