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Exhibit 99.1

 

T2Bacteria® Panel Pivotal Clinical Study Information

 

On August 4, 2017, T2 Biosystems, Inc. completed a pivotal clinical study of the T2Bacteria® Panel, run on the T2Dx® Instrument (T2Dx), which is a qualitative T2 Magnetic Resonance (T2MR®) assay designed for the direct detection of bacterial species in EDTA human whole blood specimens from patients with suspected bacteremia. The T2Bacteria Panel is designed to identify six species of bacteria directly from human whole blood specimens: Acinetobacter baumannii, Enterococcus faecium, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Staphylococcus aureus.

 

The performance characteristics of the T2Bacteria Panel were evaluated through a series of analytical studies as well as a multi-center clinical study.  The clinical study evaluated the performance of the T2Bacteria Panel in comparison to the current standard of care, blood culture.  All of the data generated in the analytical studies and the clinical study were submitted to the United States Food and Drug Administration, or FDA, in a 510(k) premarket notification on September 8, 2017.

 

The clinical study consisted of two arms, a prospective arm and a seeded arm. In the prospective arm, a total of 1,427 subjects were tested at eleven geographically dispersed and demographically diverse sites in the United States.   In the seeded arm, 300 specimens of known bacterial composition were evaluated at three sites. Seeded specimens were prepared by spiking whole blood with multiple strains of the bacterial species detected by the T2Bacteria Panel at defined concentrations (CFU/mL). Fifty negative blood samples also were evaluated as part of the seeded arm of the study.  In total, 1,777 (1,427 prospective specimens and 350 seeded and negative) clinical samples were tested to evaluate the clinical performance of the T2Bacteria Panel.

 

The study findings submitted to the FDA include:

 

·                  The overall sensitivity for the prospective and seeded arms combined was 95.8% (see Table 1a below);

 

·                  In the seeded arm of the study, the average sensitivity was 96.8% (see Table 2a), with the sensitivity by bacterial target ranging from 90.9%% to 100.0% (see Table 2b);

 

·                  In the prospective arm of the study, the average sensitivity was 89.7% (see Table 3a), with the sensitivity by bacterial target ranging from 81.3%% to 100.0% (see Table 3b);

 

·                  The average specificity  for the prospective and seeded arms combined was 98.1% (see Table 1a);

 

·                  In the seeded arm of the study, the average specificity of the test was 99.0% (see Table 2a), with the specificity by bacterial target ranging from 97.3% to 100.0% (see Table 2b);

 

·                  In the prospective arm of the study the average specificity of the test was 97.9% (see Table 3a), with the specificity by bacterial target ranging from 95.0% to 99.4% (see Table 3b);

 

·                  In the prospective arm of the study, results that were identified as positive by the T2Bacteria Panel but negative by blood culture were evaluated by looking at additional blood culture results obtained +/- 14 days of the paired T2 / blood culture draw.  36% of the T2 positive / blood culture negative results were found to be culture positive for the organism identified by the T2Bacteria Panel within the defined 14 day window (Table 4).

 

·                  In the prospective arm of the study, four specimens that were identified as negative by the T2Bacteria Panel but positive by blood culture were evaluated by running a second archived blood sample..   Two of the four samples generated positive results by the T2Bacteria Panel that were in agreement with blood culture, one for S. aureus and the other for E.coli.

 



 

Table 1a: T2Bacteria Panel Overall Performance for Prospective and Seeded Arms

 

Sensitivity

 

95% CI

 

Specificity

 

95% CI

 

95.8% (248 / 259)

 

92.6%-97.6%

 

98.1% (10,129/10,323)

 

97.8%-98.4%

 

 

Table 1b: T2Bacteria Panel Combined Performance for Prospective and Seeded Arms

 

 

 

Sensitivity (PPA)

 

Specificity (NPA)

 

Species

 

Sensitivity

 

95% CI

 

Specificity

 

95% CI

 

A. baumannii

 

97.5% (39/40)

 

87.1% - 99.6%

 

99.2% (1713/1727)

 

98.6% - 99.5%

 

E. coli

 

90.9% (30/33)

 

76.4% - 96.9%

 

95.4% (1637/1716)

 

94.3% - 96.3%

 

E. faecium

 

100.0% (41/41)

 

91.4% - 100.0%

 

99.5% (1717/1726)

 

99.0% - 99.7%

 

K. pneumoniae

 

100.0% (46/46)

 

92.3% - 100.0%

 

98.6% (1697/1721)

 

97.9% - 99.1%

 

P. aeruginosa

 

97.7% (43/44)

 

88.2% - 99.6%

 

97.7% (1682/1722)

 

96.9% - 98.3%

 

S. aureus

 

89.1% (49/55)

 

78.2% - 94.9%

 

98.4% (1683/1711)

 

97.6% - 98.9%

 

 

·                  PPA (sensitivity) calculated against samples with titer levels at or above limit of detection (LoD) in Seeded Arm and blood culture positives in Prospective Arm

·                  NPA (specificity) calculated from all samples (including below LoD and unspiked negative samples) as the total number of negative channels divided by total number of non-spiked channels in Seeded Arm and blood culture negatives in Prospective Arm.

 

Table 2a: T2Bacteria Panel Seeded Sample Performance

 

Sensitivity (PPA)

 

Specificity (NPA)

 

PPA

 

95% CI

 

NPA

 

95% CI

 

96.8% (213/220)

 

93.6 - 98.5%

 

99.0% (1782/1800)

 

98.4 - 99.4%

 

 

·                  PPA (sensitivity) calculated against samples with titer levels at or above limit of detection (LoD)

 

Table 2b: T2Bacteria Panel Seeded Sample Performance

 

 

 

Sensitivity (PPA)

 

Specificity (NPA)

 

Species

 

PPA

 

95% CI

 

NPA

 

95% CI

 

A. baumannii

 

97.5% (39/40)

 

87.1 - 99.6%

 

99.7% (299/300)

 

98.1 - 99.9%

 

E. coli

 

90.9% (20/22)

 

72.2 - 97.5%

 

97.3% (292/300)

 

94.8 - 98.6%

 

E. faecium

 

100% (40/40)

 

91.2 - 100%

 

100% (300/300)

 

98.7 - 100%

 

K. pneumoniae

 

100% (40/40)

 

91.2 - 100%

 

99.3% (298/300)

 

97.6 - 99.8%

 

P. aeruginosa

 

97.4% (38/39)

 

86.8 - 99.5%

 

97.7% (293/300)

 

95.3 - 98.9%

 

S. aureus

 

92.3% (36/39)

 

79.7 - 97.3%

 

100% (300/300)

 

98.7 - 100%

 

 

·                  PPA (sensitivity) calculated against samples with titer levels at or above limit of detection (LoD)

 



 

Table 3a: T2Bacteria Panel Overall Performance for Prospective Arm

 

Sensitivity

 

95% CI

 

Specificity

 

95% CI

 

89.7% (35/39)

 

76.4%-95.9%

 

97.9% (8,347/8,523)

 

97.6%-98.2%

 

 

Table 3b: T2Bacteria Panel Performance as Compared to Blood Culture — Prospective Arm

 

 

 

Sensitivity (PPA)

 

Specificity (NPA)

 

Species

 

Sensitivity

 

95% CI

 

Specificity

 

95% CI

 

A. baumannii

 

— (0/0)

 

 

99.1% (1414/1427)

 

98.4 - 99.5%

 

E. coli

 

90.9% (10/11)

 

62.3 - 98.4%

 

95.0% (1345/1416)

 

93.7 - 96.0%

 

E. faecium

 

100.0% (1/1)

 

20.7 - 100%

 

99.4% (1417/1426)

 

98.8 - 99.7%

 

K. pneumoniae

 

100.0% (6/6)

 

61.0 - 100%

 

98.5% (1399/1421)

 

97.7 - 99.0%

 

P. aeruginosa

 

100.0% (5/5)

 

56.6 - 100%

 

97.7% (1389/1422)

 

96.8 - 98.3%

 

S. aureus

 

81.3% (13/16)

 

57.0 - 93.4%

 

98.0% (1383/1411)

 

97.1 - 98.6%

 

 

Table 4:  Percentage of Positive results with negative paired Blood Cultures that were Found to be Culture Positive +/- 14 Days of Paired T2/Blood Culture Draw

 

Bacteria

 

Percentage of T2(+)/BC(-) results
with other Positive Cultures*

 

A. baumannii

 

0/13

 

E.coli

 

23/70 (33%)

 

E. faecium

 

4/9 (44%)

 

K. pneumoniae

 

8/21 (38%)

 

P. aeruginosa

 

7/32 (22%)

 

S. aureus

 

21/28 (75%)

 

Total

 

63/173 (36%)