How to determine if multiple analytes for joint testing can be considered as the same registration unit
18 03 2024
When conducting joint testing for multiple analytes, the first consideration should be whether these analytes have synergistic diagnostic significance. The joint testing products should be able to target the same applicable population and indications, taking into account the clinical application's joint testing requirements and necessity. It is not recommended to design joint testing reagents for multiple analytes that do not have synergistic diagnostic significance.
Different combinations of multiple analyte test kits can be considered as the same registration unit. Different combinations are limited to cases where the detection reaction systems for each individual test are relatively independent and not mixed. For example, drug testing paper strips, five individual test paper strips, and three or four-item joint test cards. Whether it is joint testing or individual testing, the detection of each item is relatively independent and does not interfere with others. If submitted as the same registration unit, providing all technical data for all five items should cover all products. For different combinations of joint testing reagent kits, the product names can be unified based on the relevant indications, such as combining a three-item joint testing reagent with a five-item joint testing reagent as the same registration unit, named as a multi-drug joint detection reagent kit (colloidal gold method). However, individual test reagent kits cannot be unified with multi-analyte test kits due to differences in product names and usage. For example, multi-analyte test reagents using chip hybridization methods or PCR methods for each analyte in separate reactions. Cases where the reaction systems for each analyte are mixed do not fall under the above situations, such as PCR reagents where multiple analytes are mixed in one reaction system.
If the product registration unit includes different combinations of multiple joint tests, registration inspection/outsourced inspection and clinical evaluation should use specifications for the most comprehensive item combinations, and product performance research data should cover all analytes being tested.