European Real-World Assessment of the Clinical Validity of a CE-IVD Panel for Ultra-Fast Next-Generation Sequencing in Solid Tumors

Molecular profiling of solid tumors facilitates personalized, targeted therapeutic interventions. The ability to perform next-generation sequencing (NGS), especially from small tissue samples, in a short turnaround time (TAT) is essential to providing results that enable rapid clinical decisions. Th...

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Main Authors: Nicola Normanno, José Carlos Machado, Edoardo Pescarmona, Simonetta Buglioni, Lara Navarro, Riziero Esposito Abate, Anabela Ferro, Rob Mensink, Matilde Lambiase, Virginie Lespinet-Fabre, Byron Calgua, Philip M. Jermann, Marius Ilié, Paul Hofman
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/24/18/13788
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author Nicola Normanno
José Carlos Machado
Edoardo Pescarmona
Simonetta Buglioni
Lara Navarro
Riziero Esposito Abate
Anabela Ferro
Rob Mensink
Matilde Lambiase
Virginie Lespinet-Fabre
Byron Calgua
Philip M. Jermann
Marius Ilié
Paul Hofman
author_facet Nicola Normanno
José Carlos Machado
Edoardo Pescarmona
Simonetta Buglioni
Lara Navarro
Riziero Esposito Abate
Anabela Ferro
Rob Mensink
Matilde Lambiase
Virginie Lespinet-Fabre
Byron Calgua
Philip M. Jermann
Marius Ilié
Paul Hofman
author_sort Nicola Normanno
collection DOAJ
description Molecular profiling of solid tumors facilitates personalized, targeted therapeutic interventions. The ability to perform next-generation sequencing (NGS), especially from small tissue samples, in a short turnaround time (TAT) is essential to providing results that enable rapid clinical decisions. This multicenter study evaluated the performance of a CE in vitro diagnostic (IVD) assay, the Oncomine Dx Express Test, on the Ion Torrent Genexus System for detecting DNA and RNA variants in solid tumors. Eighty-two archived formalin-fixed paraffin embedded (FFPE) tissue samples from lung, colorectal, central nervous system, melanoma, breast, gastric, thyroid, and soft tissue cancers were used to assess the presence of single nucleotide variants (SNVs), insertions and deletions (indels), copy number variations (CNVs), gene fusions, and splice variants. These clinical samples were previously characterized at the various academic centers using orthogonal methods. The Oncomine Dx Express Test showed high performance with 100% concordance with previous characterization for SNVs, indels, CNVs, gene fusions, and splice variants. SNVs and indels with allele frequencies as low as 5% were correctly identified. The test detected all the expected <i>ALK</i>, <i>RET</i>, <i>NTRK1</i>, and <i>ROS1</i> fusion isoforms and <i>MET</i> exon 14-skipping splice variants. The average TAT from extracted nucleic acids to the final variant report was 18.3 h. The Oncomine Dx Express Test in combination with the Ion Torrent Genexus System is a CE-IVD-compliant, performant, and multicenter reproducible method for NGS detection of actionable biomarkers from a range of tumor samples, providing results in a short TAT that could support timely decision- making for targeted therapeutic interventions.
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spelling doaj.art-bc24236e37804dfa972096fa4a32c7292023-11-19T11:03:09ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-09-0124181378810.3390/ijms241813788European Real-World Assessment of the Clinical Validity of a CE-IVD Panel for Ultra-Fast Next-Generation Sequencing in Solid TumorsNicola Normanno0José Carlos Machado1Edoardo Pescarmona2Simonetta Buglioni3Lara Navarro4Riziero Esposito Abate5Anabela Ferro6Rob Mensink7Matilde Lambiase8Virginie Lespinet-Fabre9Byron Calgua10Philip M. Jermann11Marius Ilié12Paul Hofman13Cell Biology and Biotherapy Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, 80131 Naples, ItalyInstituto de Investigação e Inovação em Saúde (i3S), University of Porto, 4200-135 Porto, PortugalI.R.C.C.S. Regina Elena National Cancer Institute, 00144 Rome, ItalyI.R.C.C.S. Regina Elena National Cancer Institute, 00144 Rome, ItalyConsorcio Hospital General de Valencia, 46014 Valencia, SpainCell Biology and Biotherapy Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, 80131 Naples, ItalyInstituto de Investigação e Inovação em Saúde (i3S), University of Porto, 4200-135 Porto, PortugalInstituto de Investigação e Inovação em Saúde (i3S), University of Porto, 4200-135 Porto, PortugalCell Biology and Biotherapy Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, 80131 Naples, ItalyLaboratory of Clinical and Experimental Pathology, Biobank BB-0033-00025, FHU OncoAge, IHU RespirERA, CHU de Nice, Université Côte d’Azur, 06000 Nice, FranceInstitute of Pathology, University Hospital Basel, 4031 Basel, SwitzerlandInstitute of Pathology, University Hospital Basel, 4031 Basel, SwitzerlandLaboratory of Clinical and Experimental Pathology, Biobank BB-0033-00025, FHU OncoAge, IHU RespirERA, CHU de Nice, Université Côte d’Azur, 06000 Nice, FranceLaboratory of Clinical and Experimental Pathology, Biobank BB-0033-00025, FHU OncoAge, IHU RespirERA, CHU de Nice, Université Côte d’Azur, 06000 Nice, FranceMolecular profiling of solid tumors facilitates personalized, targeted therapeutic interventions. The ability to perform next-generation sequencing (NGS), especially from small tissue samples, in a short turnaround time (TAT) is essential to providing results that enable rapid clinical decisions. This multicenter study evaluated the performance of a CE in vitro diagnostic (IVD) assay, the Oncomine Dx Express Test, on the Ion Torrent Genexus System for detecting DNA and RNA variants in solid tumors. Eighty-two archived formalin-fixed paraffin embedded (FFPE) tissue samples from lung, colorectal, central nervous system, melanoma, breast, gastric, thyroid, and soft tissue cancers were used to assess the presence of single nucleotide variants (SNVs), insertions and deletions (indels), copy number variations (CNVs), gene fusions, and splice variants. These clinical samples were previously characterized at the various academic centers using orthogonal methods. The Oncomine Dx Express Test showed high performance with 100% concordance with previous characterization for SNVs, indels, CNVs, gene fusions, and splice variants. SNVs and indels with allele frequencies as low as 5% were correctly identified. The test detected all the expected <i>ALK</i>, <i>RET</i>, <i>NTRK1</i>, and <i>ROS1</i> fusion isoforms and <i>MET</i> exon 14-skipping splice variants. The average TAT from extracted nucleic acids to the final variant report was 18.3 h. The Oncomine Dx Express Test in combination with the Ion Torrent Genexus System is a CE-IVD-compliant, performant, and multicenter reproducible method for NGS detection of actionable biomarkers from a range of tumor samples, providing results in a short TAT that could support timely decision- making for targeted therapeutic interventions.https://www.mdpi.com/1422-0067/24/18/13788CE-IVDnext-generation sequencingbiomarkersmolecular profilingOncomine Dx Express Test
spellingShingle Nicola Normanno
José Carlos Machado
Edoardo Pescarmona
Simonetta Buglioni
Lara Navarro
Riziero Esposito Abate
Anabela Ferro
Rob Mensink
Matilde Lambiase
Virginie Lespinet-Fabre
Byron Calgua
Philip M. Jermann
Marius Ilié
Paul Hofman
European Real-World Assessment of the Clinical Validity of a CE-IVD Panel for Ultra-Fast Next-Generation Sequencing in Solid Tumors
International Journal of Molecular Sciences
CE-IVD
next-generation sequencing
biomarkers
molecular profiling
Oncomine Dx Express Test
title European Real-World Assessment of the Clinical Validity of a CE-IVD Panel for Ultra-Fast Next-Generation Sequencing in Solid Tumors
title_full European Real-World Assessment of the Clinical Validity of a CE-IVD Panel for Ultra-Fast Next-Generation Sequencing in Solid Tumors
title_fullStr European Real-World Assessment of the Clinical Validity of a CE-IVD Panel for Ultra-Fast Next-Generation Sequencing in Solid Tumors
title_full_unstemmed European Real-World Assessment of the Clinical Validity of a CE-IVD Panel for Ultra-Fast Next-Generation Sequencing in Solid Tumors
title_short European Real-World Assessment of the Clinical Validity of a CE-IVD Panel for Ultra-Fast Next-Generation Sequencing in Solid Tumors
title_sort european real world assessment of the clinical validity of a ce ivd panel for ultra fast next generation sequencing in solid tumors
topic CE-IVD
next-generation sequencing
biomarkers
molecular profiling
Oncomine Dx Express Test
url https://www.mdpi.com/1422-0067/24/18/13788
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