Clinical OMICs - Issue 5 - (Page 10)
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lytes and comparing spectra between
patients, "we could do true correlational science," says Dr. Beresford. Biodesix based VeriStrat development on
retrospective study samples and, more
recently, completed a prospective trial
that yielded positive results, demonstrating the test's predictive value
(Lancet 2014; in press).
Protein Biomarkers for
Cancer Diagnostics
Al Luderer, CEO of Integrated Diagnostics (Indi®), describes the power
of proteomics as the ability to deliver
noninvasive, molecular diagnostic
tests that can be used early in the
process of a patient work-up-in cancer that means before and perhaps
instead of a biopsy. According to Luderer, the main limitation in developing proteomic diagnostics based on
validated protein biomarkers at present is the availability of well-annotated clinical repositories of plasma
samples for the clinical indication
being targeted.
"You need the clinical material to
support discovery through validation,"
notes Luderer. "You need to demonstrate the patient work-up path and to
show medical utilization, as that is a
key element for reimbursement."
Indi's first commercial proteomic
test, Xpresys Lung, a blood-based
diagnostic test, came on the market in
October 2013. Designed to help clinicians assess lung nodules 8-30 mm in
size identified on lung CT, the Xpresys
Lung test determines the probability
that a lung nodule is benign. A test
result indicative of a high probability of being benign allows patients
to enter a period of watchful waiting
without the need for more invasive
diagnostic studies or biopsy. Of the
approximately 3 million people in
the United States who present with
a lung nodule on CT each year, about
200,000 will have lung cancer; the rest
will have benign lung nodules.
Xpresys Lung is a multiplexed
protein assay designed with a high
negative predictive value to rule
out cancer. To develop the test, Indi
measured hundreds of proteins in
blood samples from individuals with
benign or cancerous lung nodules
in prospective studies, looking for
Identifying the right subtype
of kidney cancer is key to
determining the right treatment.
UroGenRA™, CGI's Array-CGH test for urogenital cancer, detects
genomic copy number alterations with diagnostic and prognostic value.
The first application of UroGenRA™ Array CGH, UroGenRA™-Kidney,
can predicts benign vs. malignant tumors and is the only CGH array
for the subtyping of renal masses.
Learn more at www.cancergenetics.com
10
Clinical OMICs June 12, 2014
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Table of Contents for the Digital Edition of Clinical OMICs - Issue 5
Contents
Clinical OMICs - Issue 5
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https://www.nxtbook.com/nxtbooks/gen/clinical_omics_vol3iss8
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