A Multi-Center Study of the CF Quantum® Sweat Test System

The primary objective is to evaluate the diagnostic accuracy of a new sweat test method in
both normal individuals and individuals with CF or cystic fibrosis related metabolic syndrome
(CRMS).

Subject participation is for one day and duration of study for each subject is one day. No
follow-up will be required.

Number of subjects; 300 split evenly between subjects with previously diagnosed CF or CRMS
(cystic fibrosis related metabolic syndrome) and subjects referred to the sweat test lab for
clinical reasons.

Number of sites = 6, U of WI-Madison, U of WI-Milwaukee, U of MI-Ann Arbor, Dayton Children's
Hospital (OH), U of MN, and Children's of Alabama.

Primary endpoints:

- Clinical and analytical sensitivity of the new test method

- Clinical and analytical sensitivity of the standard-of-care methods

Statistics Sensitivity and specificity will be calculated and reported along with the
corresponding 95% confidence intervals. Bias assessment will be conducted according to the
Clinical and Laboratory Standards Institute (CLSI) guidelines for method comparison and bias
estimation. Pearson's correlation analysis will be conducted to test for adequate range of
the replicate values for the new test method.

Inclusion Criteria:

1. Patients referred to the sweat test lab on a clinical basis.

2. Infants who require a sweat test as follow-up to an abnormal CF screening test.

3. Patients who have already been diagnosed with CF or CRMS.

4. Written informed consent (and assent when applicable) obtained from subject or
subject's legal representative.

Exclusion Criteria:

1. Patient is receiving oxygen by open delivery.

2. Infants less than 48 hours of age.

3. Diffuse inflammation or rash on the collection site.

4. Patients who have had a reaction to a prior iontophoretic sweat test procedure.

5. Arm is too small for both the new and conventional sweat test.