Today, the U.S. Food and Drug Administration announced it is allowing the use of the Binx Health IO CT/NG Assay at point-of-care settings, such as in physician offices, community-based clinics, urgent care settings, outpatient health care facilities and other patient care settings, operating under a CLIA Certificate of Waiver, Certificate of Compliance or Certificate of Accreditation. This action is the result of the FDA granting a waiver under the Clinical Laboratory Improvement Amendments of 1988 (“CLIA”) for the Binx Health IO CT/NG Assay.

“The ability to diagnose at a point-of-care setting will help with more quickly and appropriately treating sexually-transmitted infections, which is a major milestone in helping patients,” said Tim Stenzel, M.D., Ph.D., director of the Office of In Vitro Diagnostics and Radiological Health in the FDA’s Center for Devices and Radiological Health. “More convenient testing with quicker results can help patients get access to the most appropriate treatment. According to the CDC, one in five Americans are diagnosed with sexually transmitted infections every year, which is why access to faster diagnostic results and faster, more appropriate treatments will make significant strides in combatting these infections.”
Following clearance for use by individuals trained in the test procedure and under the oversight of a CLIA certified laboratory that meets the requirements for high or moderate complexity testing, Binx Health applied for a CLIA Waiver by Application based on data demonstrating that the test meets the criteria for a CLIA waiver. The waiver granted today broadens its use to point-of-care settings operating under a CLIA Certificate of Waiver.
The test, which uses female vaginal swabs and male urine specimens, can detect the presence of the bacteria Chlamydia trachomatis and Neisseria gonorrhoeae, which cause the sexually transmitted infections chlamydia and gonorrhea, respectively.
The test is performed while the patient is present, providing an actionable result in approximately 30 minutes. The test’s performance was evaluated in females 16 years and older and in males 17 years and older and was demonstrated to be comparable to tests performed in a CLIA certified laboratory that meets the requirements for high or moderate complexity testing.
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Point-of-care (poc) tests will mean fewer reported case to health authorities. Most current reporting is from licensed labs. As poc tests gain more use, estimating the extent of disease in the US will be a challenge.