OraSure Submits Rapid Self-Test Applications for FDA Clearance
OraSure Technologies submitted two separate applications at the end of 2025 to the U.S. Food and Drug Administration for clearance of its rapid molecular self-test for Chlamydia trachomatis and Neisseria gonorrhoeae as well as its Colli-Pee at-home urine collection device for sexually transmitted infections. OTI's rapid self-test for CT/NG is built on the Sherlock molecular diagnostics platform and is designed to provide results in approximately 30 minutes in a disposable, over-the-counter format. The test uses a self-collected swab, and results can be read directly on the hand-held testing device without the need for an electrical connection, enhancing flexibility and convenience. OTI estimates that testing for CT/NG represents a total addressable market of more than $1.5B. Today, the vast majority of CT/NG tests in the U.S. are processed in centralized laboratories, creating an opportunity for meaningful market expansion through the introduction of an affordable rapid self-test. OTI also submitted the Colli-Pee device, which is designed for at-home urine collection and is aligned with patient preferences for private and convenient diagnostic testing. The submission covers multiple STI indications and is being pursued in collaboration with a leading diagnostics platform provider. Receipt of clearance for the Colli-Pee device for these indications would be in addition to the existing Research-use Only product and is expected to expand access to testing and further strengthen OTI's leadership position in novel collection devices and chemistries.
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- Board Nominations: Altai Capital has nominated two candidates, including founder Rishi Bajaj, for election to OraSure's Board, indicating investor interest in corporate governance that may influence shareholder perceptions of the company's future direction.
- Board Refreshment: Since 2022, OraSure's Board has seen the departure of seven directors and the addition of three independent directors, including healthcare investor Steven K. Boyd in October 2025, aimed at enhancing industry perspectives and oversight capabilities.
- Shareholder Meeting Plans: OraSure will review Altai's nominations at its 2026 Annual Meeting and provide recommendations in a proxy statement to be filed with the SEC, ensuring shareholders have comprehensive information and choices during the election process.
- Advisory Support: With Evercore as financial advisor, Goodwin Procter LLP as legal counsel, and Joele Frank as strategic communications advisor, OraSure is bolstering its governance and shareholder communication efforts, enhancing transparency and trust among investors.
- Board Nominations: Altai Capital has nominated Digital Diagnostics CEO John Bertrand and Altai President Rishi Bajaj to OraSure's board, indicating a proactive approach to governance aimed at improving the company's stock performance.
- Shareholder Concerns: Holding a 5.2% stake in OraSure, Altai Capital previously sent a letter to the board expressing concerns about the company's 'significant share price underperformance,' urging the board to consider alternative strategies to enhance shareholder value.
- Stock Price Reaction: Following the nomination announcement, OraSure's stock rose by 1.7%, reflecting market optimism regarding the potential positive changes that the new board candidates may bring, thereby boosting investor confidence in the company's future.
- Growth Outlook: OraSure is signaling a return to growth in 2026 while expanding its diagnostics portfolio through the acquisition of BioMedomics, indicating that the company is taking steps to address market challenges and enhance its competitive position.

- Innovation Milestone: OraSure submitted FDA applications for rapid self-tests for Chlamydia trachomatis and Neisseria gonorrhoeae at the end of 2025, marking significant progress on its innovation roadmap and potentially enhancing its leadership in the rapid diagnostics market.
- Market Opportunity: The rapid self-test, built on the Sherlock molecular diagnostics platform, is designed to deliver results in approximately 30 minutes, targeting a total addressable market exceeding $1.5 billion for CT/NG testing, indicating substantial market expansion potential for OraSure in the rapid testing sector.
- Enhanced Convenience: The new device utilizes a self-collected swab and allows results to be read directly without an electrical connection, which enhances user flexibility and convenience, aligning with patient preferences for private and convenient testing, thereby potentially increasing market acceptance.
- Collaborative Development: OraSure also submitted an application for the Colli-Pee™ at-home urine collection device, aimed at expanding access to testing and developed in collaboration with a leading diagnostics platform provider, further solidifying its leadership position in novel collection devices and chemistries.
- Innovation Milestone: OraSure submitted applications to the FDA for its rapid molecular self-test for Chlamydia trachomatis and Neisseria gonorrhoeae at the end of 2025, marking significant progress in decentralizing diagnostics and enhancing market competitiveness.
- Market Opportunity: OTI's CT/NG self-test, built on the Sherlock molecular diagnostics platform, is designed to deliver results in approximately 30 minutes, targeting a total addressable market exceeding $1.5 billion, which could significantly expand the current centralized laboratory testing market.
- Enhanced Convenience: The submission of the Colli-Pee™ at-home urine collection device aims to meet patient preferences for private and convenient testing, expected to further strengthen OTI's leadership position in novel collection devices.
- Strategic Execution: OraSure's CEO emphasized that the company will continue to drive its innovation strategy in 2026, aiming to create value for all stakeholders, reflecting a proactive positioning in the rapidly evolving healthcare market.
- Board Nomination: Altai Capital has notified OraSure of its intent to nominate two candidates, including founder Rishi Bajaj, for election at the 2026 Annual Meeting, highlighting shareholder governance concerns.
- Board Engagement: OraSure's board has engaged extensively with Altai Capital, demonstrating a commitment to open dialogue with shareholders, despite not reaching a consensus on Mr. Bajaj's appointment, reflecting the company's focus on shareholder value creation.
- Board Refreshment: Over the past three years, OraSure has seen seven directors depart and added three new independent directors, aiming to bring in industry perspectives and executive experience to support growth and value creation.
- Financial Health: As of September 30, 2025, OraSure maintains a healthy cash position of $216 million with no debt, indicating confidence in optimizing cost structure and achieving sustainable profitability.
- Board Nomination: Altai Capital has notified OraSure of its intent to nominate two candidates, including founder Rishi Bajaj, for election at the 2026 Annual Meeting, highlighting shareholder interest in governance that could influence future decisions.
- Board Engagement: OraSure's board has engaged extensively with Altai Capital, indicating the company's commitment to shareholder communication, which aims to enhance shareholder value despite not reaching a consensus on board appointments.
- Board Refreshment: Over the past three years, OraSure has seen seven directors depart and added three new independent directors, reflecting proactive adjustments in governance structure to strengthen oversight as management drives growth.
- Financial Health: As of September 30, 2025, OraSure reported $216 million in cash with no debt, demonstrating financial robustness that supports future growth and investment opportunities.








