Solid Tumors

Cancer Type

Blood

Specimen Requirements

10 Working Days

Turnaround Time ¹

ACTMonitor®+ analyzes 50 forms of circulating tumor DNA in the bloodstream to provide real-time monitoring of drug resistance, early detection of cancer recurrence, and evaluation of treatment response.

Real-Time Monitoring Of Tumor Dynamics

50

Specially Curated Genes

1

Report, All Historical Results Consolidated

Hallmarks

Liquid Biopsy Advantages

  • A non-invasive test, which decreases the risk of infection and enables repeated testing at different time points
  • Variants detected can reflect tumor heterogeneity
  • Highly sensitive and real-time monitoring of tumor dynamics
  • Assessment of treatment response, understanding resistance mechanisms and monitoring cancer recurrence

ACTMonitor®+ Advantages

  • Repeated analyses of liquid biopsies over time enable long-term disease monitoring
  • Provides real-time and comprehensive tumor mutation analyses
  • Monitors treatment outcomes and provides information on the occurrence of mutations that lead to drug resistance
  • Applicable for different types of solid tumors
  • Short turnaround time: 10 working days (starting from the date of receipt of approved samples at our CAP-accredited laboratory)

Summary

Liquid Biopsy to Monitor Tumor Burden and Drug Resistance

ACTMonitor®+ uses circulating tumor DNA (ctDNA) to provide an early detection of cancer recurrence and drug resistance. ctDNA consists of fragments of DNA released from necrotic or apoptotic tumor cells into the blood stream. ctDNA carries important genetic information of the cancer patient, and changes dramatically before changes can be observed by protein markers or in radio images. Therefore, ctDNA provides a strong basis for molecular diagnostic tests. Monitoring ctDNA can detect the occurrence of variants that would lead to drug sensitivity or resistance, which provides assessment on treatment responses and early detection for cancer recurrence.

Reporting

  • Genetic alteration
  • Drug sensitivity/ resistance information for targeted therapy

Who Is Suitable?

  1. Patients unfit for tissue biopsy
  2. Patients with solid tumors and who have developed drug resistance
  3. Patients with solid tumors and at risk of cancer-recurrence resistance
  4. Patients with solid tumors and who wish to monitor treatment response

Technical Specifications

Next Generation Sequencing (NGS)

50 cancer-related genes

Specimen Requirements2

8 mL whole blood x 2 tubes

Sequencing Mean Depth

7000 X

Sensitivity

0.5% Variant Frequency

Documentation

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Gene List Filter

Search
Cancer Type
Tier 1 Actionable Genes:

SNV / Indel

CNA

Fusion

*Genes also provide exon-skipping alteration information.

NTRK1/2/3

Breast

Colorectal

Gastric / GEJ

Biliary Tract

Brain (CNS)

SNV / Indel

ERBB2 (HER2)

Lung (NSCLC)

Breast

Colorectal

Gastric / GEJ

Biliary Tract

CNA

Fusion

RET

Lung (NSCLC)

Colorectal

Gastric / GEJ

Brain (CNS)

Breast

SNV / Indel

MET

Brain (CNS)

Colorectal

GIST

Breast

Lung (NSCLC)

CNA

KRAS

Thyroid

Brain (CNS)

Breast

Colorectal

Biliary Tract

Fusion

BRAF

GIST

Colorectal

Gastric / GEJ

Brain (CNS)

Biliary Tract

SNV / Indel

CNA

ROS1

Colorectal

Brain (CNS)

GIST

Lung (NSCLC)

Breast

SNV / Indel

Fusion

ALK

Breast

Colorectal

GIST

Brain (CNS)

Biliary Tract

CNA

Fusion

EGFR

Lung (NSCLC)

Brain (CNS)

Breast

Gastric / GEJ

SNV / Indel

CNA

Fusion

Other Relevant Genes:

MSH6

Lung (NSCLC)

Brain (CNS)

GIST

Colorectal

Breast

CNA

MSH2

Thyroid

Biliary Tract

Lung (NSCLC)

Brain (CNS)

GIST

SNV / Indel

CNA

Fusion

MLH1

Gastric / GEJ

Thyroid

Breast

Biliary Tract

Colorectal

SNV / Indel

Fusion

VHL

Brain (CNS)

GIST

Gastric / GEJ

Thyroid

Breast

Fusion

NF2

Lung (NSCLC)

Brain (CNS)

GIST

Gastric / GEJ

Thyroid

SNV / Indel

CNA

NF1

Biliary Tract

Colorectal

Lung (NSCLC)

Brain (CNS)

GIST

SNV / Indel

TSC2

Breast

Thyroid

Biliary Tract

Colorectal

Lung (NSCLC)

SNV / Indel

Fusion

TSC1

Breast

Gastric / GEJ

Thyroid

Biliary Tract

Colorectal

CNA

IDH2

Breast

Gastric / GEJ

Thyroid

Biliary Tract

Colorectal

SNV / Indel

IDH1

Lung (NSCLC)

Breast

Gastric / GEJ

Thyroid

Biliary Tract

SNV / Indel

CNA

ARID1A

Lung (NSCLC)

Colorectal

Breast

GIST

Gastric / GEJ

SNV / Indel

CTNNB1

Lung (NSCLC)

Colorectal

Breast

GIST

Gastric / GEJ

CNA

APC

Lung (NSCLC)

Colorectal

Breast

GIST

Gastric / GEJ

SNV / Indel

CNA

SMAD4

Lung (NSCLC)

Colorectal

Breast

GIST

Gastric / GEJ

SNV / Indel

Fusion

RB1

Lung (NSCLC)

Colorectal

Breast

GIST

Gastric / GEJ

CNA

Fusion

CDK6

Lung (NSCLC)

Colorectal

Breast

GIST

Gastric / GEJ

CNA

CDK4

Lung (NSCLC)

Colorectal

Breast

GIST

Gastric / GEJ

SNV / Indel

Fusion

CDKN2A

Brain (CNS)

Biliary Tract

Lung (NSCLC)

Colorectal

Breast

CNA

Fusion

STK11

Brain (CNS)

Biliary Tract

Lung (NSCLC)

Colorectal

Breast

SNV / Indel

PTEN

Brain (CNS)

Thyroid

Biliary Tract

Lung (NSCLC)

Colorectal

SNV / Indel

Fusion

RAD51C

Brain (CNS)

Thyroid

Biliary Tract

Lung (NSCLC)

Colorectal

SNV / Indel

CNA

Fusion

RAD51

Breast

Brain (CNS)

Thyroid

Gastric / GEJ

Biliary Tract

SNV / Indel

PALB2

Breast

Brain (CNS)

Thyroid

Gastric / GEJ

Biliary Tract

SNV / Indel

CNA

CHEK2

Breast

Brain (CNS)

Thyroid

GIST

Colorectal

Fusion

CHEK1

Breast

Gastric / GEJ

Brain (CNS)

Biliary Tract

Thyroid

SNV / Indel

ATR

Breast

Gastric / GEJ

Brain (CNS)

Biliary Tract

Thyroid

CNA

ATM

Colorectal

Breast

Gastric / GEJ

Brain (CNS)

Biliary Tract

SNV / Indel

NTRK1

Lung (NSCLC)

Colorectal

Breast

Gastric / GEJ

Brain (CNS)

SNV / Indel

CNA

PDGFRA

Lung (NSCLC)

Colorectal

Breast

Fusion

KIT

Lung (NSCLC)

Breast

Gastric / GEJ

Colorectal

Thyroid

CNA

FGFR3

Brain (CNS)

Biliary Tract

Lung (NSCLC)

Breast

CNA

FGFR2

Colorectal

GIST

Gastric / GEJ

Brain (CNS)

Biliary Tract

SNV / Indel

CNA

FGFR1

Colorectal

GIST

Gastric / GEJ

Brain (CNS)

Biliary Tract

Fusion

ERBB4

Colorectal

GIST

Lung (NSCLC)

Biliary Tract

Gastric / GEJ

SNV / Indel

CNA

Fusion

ERBB3

Breast

Colorectal

GIST

Lung (NSCLC)

Biliary Tract

Fusion

PIK3CA

Breast

Colorectal

GIST

Lung (NSCLC)

Biliary Tract

SNV / Indel

Fusion

NRAS

Breast

Colorectal

GIST

Brain (CNS)

Thyroid

CNA

EGFR

Breast

Colorectal

GIST

Lung (NSCLC)

Biliary Tract

Fusion

TP53

Breast

Colorectal

GIST

Brain (CNS)

Thyroid

SNV / Indel

Fusion

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Disclaimers / Footnotes

  1. Turnaround time starts from the date of receipt of approved samples at our CAP-accredited laboratory.
  2. Please refer to our specimen instructions.
  3. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm504488.htm
  4. https://molecular.roche.com/news/fda-grants-roche-label-extension-for-the-cobas-egfr-mutation-test-v2-for-use-with-plasma-as-a-companion-diagnostic-for-tagrisso/
  5. Fribbens C, et al., J Clin Oncol. 2016 Sep 1;34(25):2961-8
  6. Chandarlapaty S, et al., JAMA Oncol. 2016 Oct 1;2(10):1310-1315

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