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

View Gene List

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

Search
Cancer Type
FDA-approved & NCCN-guided Genes

ABL1

No items found.

SNV / Indel

AKT1

Breast

SNV / Indel

ALK

Lung

SNV / Indel

APC

No items found.

SNV / Indel

ATM

Prostate

SNV / Indel

BRAF

Brain

Colorectal

Gastric

Lung

Skin

SNV / Indel

CDH1

Breast

SNV / Indel

CDKN2A

Brain

SNV / Indel

CSF1R

No items found.

SNV / Indel

CTNNB1

No items found.

SNV / Indel

EGFR

Brain

Lung

SNV / Indel

ERBB2

Breast

Colorectal

Gastric

Lung

SNV / Indel

ERBB4

No items found.

SNV / Indel

EZH2

No items found.

SNV / Indel

FBXW7

No items found.

SNV / Indel

FGFR1

Brain

SNV / Indel

FGFR2

No items found.

SNV / Indel

FGFR3

Bladder

SNV / Indel

FLT3

No items found.

SNV / Indel

GNA11

No items found.

SNV / Indel

GNAQ

No items found.

SNV / Indel

GNAS

No items found.

SNV / Indel

HNF1A

No items found.

SNV / Indel

HRAS

No items found.

SNV / Indel

IDH1

Brain

Biliary Tract

SNV / Indel

IDH2

Brain

SNV / Indel

JAK2

No items found.

SNV / Indel

JAK3

No items found.

SNV / Indel

KDR

No items found.

SNV / Indel

KIT

No items found.

SNV / Indel

KRAS

Colorectal

Lung

Biliary Tract

SNV / Indel

MET

Lung

SNV / Indel

MLH1

Colorectal

Gastric

SNV / Indel

MPL

No items found.

SNV / Indel

NOTCH1

No items found.

SNV / Indel

NPM1

No items found.

SNV / Indel

NRAS

Colorectal

SNV / Indel

PDGFRA

No items found.

SNV / Indel

PIK3CA

Breast

SNV / Indel

PTEN

Breast

Ovary

Pancreas

Prostate

SNV / Indel

PTPN11

No items found.

SNV / Indel

RB1

No items found.

SNV / Indel

RET

Gastric

Lung

Thyroid

Biliary Tract

Bladder

SNV / Indel

SMAD4

No items found.

SNV / Indel

SMARCB1

No items found.

SNV / Indel

SMO

No items found.

SNV / Indel

SRC

No items found.

SNV / Indel

STK11

No items found.

SNV / Indel

TP53

Brain

SNV / Indel

VHL

No items found.

SNV / Indel

Full Gene List

SNV / Indel

CNA

Fusion

LGR

*Genes also provide exon-skipping alteration information.

ABL1

SNV / Indel

AKT1

SNV / Indel

ALK

SNV / Indel

APC

SNV / Indel

ATM

SNV / Indel

BRAF

SNV / Indel

CDH1

SNV / Indel

CDKN2A

SNV / Indel

CSF1R

SNV / Indel

CTNNB1

SNV / Indel

EGFR

SNV / Indel

ERBB2

SNV / Indel

ERBB4

SNV / Indel

EZH2

SNV / Indel

FBXW7

SNV / Indel

FGFR1

SNV / Indel

FGFR2

SNV / Indel

FGFR3

SNV / Indel

FLT3

SNV / Indel

GNA11

SNV / Indel

GNAQ

SNV / Indel

GNAS

SNV / Indel

HNF1A

SNV / Indel

HRAS

SNV / Indel

IDH1

SNV / Indel

IDH2

SNV / Indel

JAK2

SNV / Indel

JAK3

SNV / Indel

KDR

SNV / Indel

KIT

SNV / Indel

KRAS

SNV / Indel

MET

SNV / Indel

MLH1

SNV / Indel

MPL

SNV / Indel

NOTCH1

SNV / Indel

NPM1

SNV / Indel

NRAS

SNV / Indel

PDGFRA

SNV / Indel

PIK3CA

SNV / Indel

PTEN

SNV / Indel

PTPN11

SNV / Indel

RB1

SNV / Indel

RET

SNV / Indel

SMAD4

SNV / Indel

SMARCB1

SNV / Indel

SMO

SNV / Indel

SRC

SNV / Indel

STK11

SNV / Indel

TP53

SNV / Indel

VHL

SNV / Indel

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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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