All Major Solid Tumors

Cancer Type

Tumor Tissue (FFPE)

Specimen Requirements

10 Working Days

Turnaround Time ¹

ACTFusion™ is a targeted, multi-biomarker assay that examines 13 druggable fusion genes, and more than 350 known and novel transcripts.

Determine Fusion Status For More Treatment Options

13

Fusion Genes

350

Fusion Transcripts

Hallmarks

Comprehensive Testing for More Treatment Options

A targeted, multi-biomarker assay across solid tumors that examines multiple actionable fusion genes, which have either been included in the NCCN guidelines (e.g. ALK, ROS1, RET, FGFR2/3, NTRK1/2/3,and MET exon 14 skipping) or have been included in global clinical trials (e.g.NRG1).

Report Consultation

Complements every report with a face-to-face consultation with an expert from our medical team.

Pioneering Bioinformatics

Integrates cancer biology, medical informatics, molecular biology, cell biology, immunology, bioinformatics, data science and pharmaceutical biology to provide insightful interpretation of the data analyses.

Short Turnaround Time

Provides professional solutions within 10 working days (starting from the date of receipt of approved samples at our CAP-accredited laboratory).

Summary

Find Biomarkers in More Than 350 Fusion Transcripts

Fusion genes are hybrid genes that form as a result of chromosomal rearrangements or abnormal transcription (Figure 1) and are known to be one of the major drivers behind cancer initiation and progression. Gene fusion can be used in the diagnosis of a variety of cancers. In 2018, the FDA approved the first tumor agnostic treatment for those with TRK fusion based on the clinical benefits observed across numerous tumor types (Figure 2). In some cancer types, fusion genes play particularly important roles, for example, over 10% fusion genes were found in NSCLC and over 15% were found in thyroid cancer2,3. ACTFusion™ is a targeted, multi-biomarker assay that examines 13 actionable fusion genes and more than 350 known and novel fusion transcripts, which are either included in the NCCNguidelines (e.g. ALK, ROS1, RET, FGFR2/3, NTRK1/2/3, and MET exon 14 skipping)or have been included in global clinical trials (e.g. NRG1).

Precise Identification of Known and Novel Fusion Transcripts to Maximize Treatment

Of the various fusion transcripts in cancers, many targeted drugs have been developed to inhibit specific fusion transcripts in certain cancer types. The tissue-agnostic TRK inhibitor is a newly developed targeted drug that can overcome the complexity in fusion genes, and has already been applied widely across cancer types. Patients diagnosed with different cancer types with various fusion transcripts exhibited a 75% response rate in a clinical trial studying the TRK inhibitor.5 Precise identification of fusion transcripts provides solid indications among treatment options to maximize effectiveness.

For All Solid Tumors

Selects the most suitable treatment options based on fusion gene status.

Treatment Types

Targeted therapies approved by USFDA or in global clinical trials.

Technical Specifications

Next Generation Sequencing (NGS)

13 fusion genes (more than 350 known and novel fusion transcripts)

Specimen Requirements6

Tumor tissue (FFPE)

Targeted Therapy Evaluation

Eg. ALK, ROS1, NTRK-related fusion genes

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. Jordan EJ, et al. (2017) Cancer Discov. 7(6):596-609.
  3. Cancer Genome Atlas Research Network. (2014) Cell. 159:676-690.
  4. Zehir A, et al. (2017) Nat Med. 23(6):703-713.
  5. Drilon A, et al. (2018) N Engl J Med. 378(8):731-739.
  6. Please refer to our specimen instructions.

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