# Rapid point-of-care test for hepatitis C virus (HCV) core antigen to screen active HCV infection

> **NIH NIH R43** · GLUCOSENTIENT, INC. · 2021 · $224,018

## Abstract

Project Summary / Abstract
 The number of people testing positive for hepatitis C virus (HCV) has increased significantly in the last decade
and younger adults contracting the virus has become more common. Now, roughly 50,000 infections are
expected each year and about 40% of the people are not aware of their infections. Although, about half of these
acute infections can be cleared by the individual, the remainder will become chronically infected. If hepatitis C is
undiagnosed and remains untreated, severe liver damage and death can occur. HCV related liver damage is
now a leading cause of death in the U.S., claiming ~15,000 lives annually. Although no vaccine for HCV is
currently available, effective anti-retroviral treatment does exist to treat the disease with over 95% cure rate.
Hence, identifying people with hepatitis C (chronic infection) is a critical task to treat and stop the spread of HCV.
Currently, screening and diagnosing active HCV infection requires two tests. One antibody test to determine
prior exposure and one nucleic acid test (NAT) to confirm an active infection. However, this two-step procedure
is cumbersome and heavily relies on clinical laboratories; additionally, the antibody is not sensitive in the first
two months of a new HCV infection and missing these cases. Hence, the current testing procedure has become
the bottleneck for screening hepatitis C.
 Besides the current two-step approach, HCV core antigen (cAg) test has been proposed as an equally effective
approach for screening and diagnosing active HCV infections. Numerous clinical studies since the 2000s have
demonstrated a highly sensitive cAg test can be used to screen active HCV infection as effectively as NAT.
However, all currently available HCV cAg test can only be performed in a laboratory setting and require trained
personnel for operation and maintenance. As a result, this Phase I project is proposed to demonstrate the
feasibility of developing a highly sensitive cAg test that can be performed quickly and accurately at the point-of-
care (POC) by utilizing a detection platform based on the existing Blood Glucose Meter (BGM) hardware and a
disposable microfluidic assay cartridge. Today’s BGM is the culmination of decades of R&D, designed for small
footprint, simple operation, low cost and large-scale production. Leveraging the BGM technology with a familiar
assay format for new applications allows us to reduce the risk and costs associated with device development
and scale-up production. The final product will be a POC system composed of a BGM based meter and
disposable cartridges for HCV cAg for measuring cAg levels in high risk individuals. The new POC HCV cAg test
will be able to quickly identify individuals with chronic HCV infection and allow early curative treatment. The
proposed product will also greatly benefit developing countries with high HCV prevalence but lacking testing
infrastructure.
 The project will include three development goals, including...

## Key facts

- **NIH application ID:** 10254771
- **Project number:** 1R43AI162165-01
- **Recipient organization:** GLUCOSENTIENT, INC.
- **Principal Investigator:** Tian Lan
- **Activity code:** R43 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $224,018
- **Award type:** 1
- **Project period:** 2021-04-01 → 2022-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10254771

## Citation

> US National Institutes of Health, RePORTER application 10254771, Rapid point-of-care test for hepatitis C virus (HCV) core antigen to screen active HCV infection (1R43AI162165-01). Retrieved via AI Analytics 2026-06-02 from https://api.ai-analytics.org/grant/nih/10254771. Licensed CC0.

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