RealTime HCV Genotype II
Intended Use
The Abbott RealTime HCV Genotype II is an in vitro reverse transcription-polymerase chain reaction (RT-PCR) assay for determining the genotype(s) of hepatitis C virus (HCV) in plasma and serum from HCV-infected individuals. The Abbott RealTime HCV Genotype II is not for screening blood, plasma serum or tissue donors for HCV, or to be used as a diagnostic test to confirm the presence of HCV infection.
| Abbott RealTime HCV Genotype performance* |
|
| Sensitivity | 500 IU/mL (0.5 mL prep) |
| Specificity | 100% ** |
| Target Region | 5'UTR & NS5b |
| Genotype Detection | 1a (NS5b), 1b (NS5b), 1, 2, 3, 4, 5, 6 (5'UTR) |
| Standardization | Second WHO International Standard for Hepatitis C Virus RNA |
| Internal Control | Yes; processed through sample prep with each sample |
| External Control | Yes; Negative, Positive |
| Results reported | Qualitative - Genotype Call |
*Performance data shown from internal verification.
**The specificity of Abbott RealTime Genotype II was evaluated by testing 100 HCV serologically negative plasma specimens. All negative specimens tested were interpreted as HCV RNA negative by the Abbott RealTime HCV Genotype II assay, resulting in 100% specificity.
Target Region
The Abbott RealTime HCV Genotype II assay detects genotypes 1, 2, 3, 4, 5, and 6, and subtypes 1a and 1b through the use of genotype-specific fluorescent-labeled oligonucleotide probes. It targets the 5'UTR for the classification of HCV genotypes 1, 2, 3, 4, 5, and 6, and the NS5B region to accurately subtype HCV genotypes 1a and 1b.

Uses 5'UTR as well as NS5b region for broader subtype identification
The accuracy of the Abbott RealTime HCV Genotype II assay was demonstrated by testing 169 HCV genotype 1 (110 of genotype 1a, 58 of subtype 1b, and 1 genotype 1 only), 41 HCV genotype 2, 27 HCV genotype 3, 28 HCV genotype 4, 14 HCV genotype 5, and 12 HCV genotype 6 positive specimens. Nucleotide sequencing was used to determine the reference genotype of each specimen tested.
| HVC Genotype/Subtype | Numbers Samples Tested | Numbers Samples Correctly Identified | Detection Rate (%) |
| 1* | 169 | 169 | 100.00 |
| 1a** | 110 | 107 | 97.27 |
| 1b*** | 58 | 56 | 96.55 |
| 2 | 41 | 41 | 100.00 |
| 3 | 27 | 27 | 100.00 |
| 4**** | 28 | 25 | 89.29 |
| 5 | 14 | 14 | 100.00 |
| 6 | 12 | 10 | 83.33 |
| 1 though 6‡ | 291 | 286 | 98.28 |
* Denotes analysis based upon samples tested with m2000rt results: 1, 1a, 1b, 1/1a, and 1/1b.
** Three out of 110 subtype 1a samples were identified as genotype 1 only but not as subtype 1a.
*** One vendor identified subtype 1b sample was excluded from analysis because it was identified by sequencing as genotype 1 only. Two out of 58 remaining subtype 1b samples were identified as genotype 1 but not as subtype 1b.
**** Genotype 4 was detected in all 28 samples. Genotype 1 was also detected in 3 of the samples which could not be resolved due to 2-way cross-reactivity.
‡ Denotes analysis based upon genotypes 1, 2, 3, 4, 5, and 6 combined.
Genotype Detection
The assay requires three separate reactions per sample to detect genotypes 1,2,3,4,5, and 6 and subtypes 1a and 1b:
- Reaction A is designed to detect all HCV isolates, subtype 1a isolates, and genotype 3 isolates.
- Reaction B is designed to detect genotype 2 isolates, subtype 1b isolates, and genotype 1 isolates.
- Reaction C is designed to detect genotype 4 isolates, genotype 5 isolates, and genotype 6 isolates.
