High-Throughput Sample ID and QC for Biobanking and other new applications Welcome! – Agenda for today’s talk: • Brief Overview – Sequenom MassARRAY Analyzer 4 platform • Biobanking and use of IPLEX Pro Sample ID panel, for combined sample ID confirmation and DNA copy number quantitation plus analysis algorithm for data reporting • New Exome ID panel • New OncoFocus panel – Contains key “actionable” mutations for EGFR (incl EGFR Exons 19/20), BRAF, Kras, Nras, c-Kit • New UltraSeek panel – Assay enables >1% tumor level detection (down to 0.2%) via new “ultrasensitive” assay • Other new panels available via Assays By Sequenom include: EML4-ALK, Ret, Ros fusions, BCR-ABL, EGFR T790M, AML, Colon, Pancreas, Breast, Ovarian/Uterine, * Growth rate of 30% from 2011-2015 according to www.laboratoryfocus.ca/the-future-of-biobanking 2 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . Sequenom CSPs World-wide v Certified CSP In certification In pipeline 3 January 15, 2014 Confidential . The MassARRAY® System One System – Many Applications • Genotyping • Mutation Detection • DNA Methylation • Gene Expression • Copy Number Variance • Haploid Sequence Variance 4 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . MassARRAY® Analyzer 4: A powerful MALDI-TOF Mass Spectrometer 5 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. MassARRAY ® Assay Workflow Overview 6 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . Genotyping Assay (iPLEX®) Chemistry iPLEX® reagents are for Research Use Only. Not for use in diagnostic procedures. 7 | Improving healthcare through revolutionary genetic analysis solutions . Typical SNP Panel (31-plex) The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. 8 | Improving healthcare through revolutionary genetic analysis solutions The Role of Biobanks in Research • World-wide, biobanking is on the rise*: – Various types of biobanks that serve diverse research needs – Biobanks at government, academic, and private institutions – Ongoing efforts to standardize sample collection, quality, and sharing practices; provide broader access to samples • Today’s biomedical research requires access to large sample numbers: – – – – Biomarker discovery and validation projects Epidemiology and population-based studies Pharmaceutical preclinical research and clinical trials Especially important in translational cancer research * Growth rate of 30% from 2011-2015 according to www.laboratoryfocus.ca/the-future-of-biobanking 9 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . The Importance of Sample Quality in Research Studies • Building sample collections can take years – Criteria for sample inclusion can change – Sample utility and research needs can change – Resulting collections can be diverse in quality • Sample quality standards ensure broad sample utility and longevity • Collection maintenance costs are reduced by eliminating poor quality samples • Uniform sample quality and identity standards enable sharing and collaborations 10 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . The Importance of Accurate Sample Identification in Research Studies Laboratory procedures can lead to mistaken identity Samples can be mislabeled or contaminated Incorrect samples can lead to erroneous data resulting in repeat experiments, time delays, and/or retraction of publications The challenge of the research community is to ensure correct samples are used and reported in research studies “Lab Mistakes Hobble Cancer Studies But Scientists Slow to Take Remedies” Health Industry Blog - Marcus, WSJ 2012 11 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . Available Methods for Sample ID Method Advantage Disadvantage External label barcode Simple, fast, low cost Can be lost or damaged; identifies the tube or well, not the sample STR genotyping Fewer markers required than SNP panels; low-cost STRs can be unstable; low multiplexing and throughput; weak tumor-normal matching InDel genotyping More stable than STRs; lowcost Low multiplexing and throughput; weak tumornormal matching Genotyping by Sequencing May discover novel polymorphisms High cost and low throughput SNP genotyping with standard PCR Simple Low multiplexing; low throughput SNP genotyping with MALDI-TOF Automated; multiplexed; highMS (MassARRAY® System) throughput; low cost; effective tumor-normal matching Cannot assay STRs 13 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . SNP Genotyping as a Choice Method for Sample Identification 14 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . Pharmacogenomics (2013) 15 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . Sample Identification using the MassARRAY® System • Used by top institutions and major research initiatives, including: – – – – – The Broad Institute The Marshfield Clinic Nationwide Children’s Hospital; TCGA Consortium International Genomics Consortium William Beaumont Hospital Research Institute • Researchers can design a custom ID panel or use the Sequenom-designed panel: iPLEX® Pro Sample ID Panel • Takes advantage of the MassARRAY System, a versatile, highthroughput genetic analysis platform for research use only 16 The MassARRAY® System and the iPLEX® Pro Sample ID Panel are for Research Use Only. Not for use in diagnostic procedures. . iPLEX® Pro Sample ID Panel Single-well assay with 44 SNPs, 3 gender markers, and copy number controls Enables sample identification and estimation of amplifiable genomic copies Ideal for sample tracking and identification important for banked clinical trial and research samples Sample DNA qualification prior to PCR-based methods including MassARRAY® panels* and next generation sequencing Runs on the MassARRAY System – MALDI-TOF Mass Spec technology for robust, high-throughput, and low cost analysis 18 The MassARRAY® System and iPLEX® Pro Sample ID Panel are for Research Use Only. Not for use in diagnostic procedures. . Uses for the iPLEX Pro Sample ID Panel • Sample identification with unique “barcode” – Extremely high discrimination; chances for sample mix-up are extremely low • High-confidence sample matching • High-confidence Tumor-Normal pair matching • Sample quality assessment – Is the DNA amplifiable? • Sample quantity assessment – Is there sufficient DNA? • Help determine what assays to use with samples 19 The iPLEX® Pro Sample ID Panel is for Research Use Only. Not for use in diagnostic procedures. . iPLEX Pro Sample ID Panel Paired comparison of all valid samples across a set of 44 SNPs Option for local comparison or historical comparison against a sample database Option for tumor to normal comparisons 3 outcomes include unexpected mismatch, unexpected match, and expected match 20 The iPLEX® Pro Sample ID Panel is for Research Use Only. Not for use in diagnostic procedures. . SNPs, Gender Markers, and Copy Number Controls in the Sample ID Panel Copy number controls Gender markers 21 The iPLEX® Pro Sample ID Panel is for Research Use Only. Not for use in diagnostic procedures. . Quality Control Check for Every Sample Samples with < 30 successful SNP calls will fail Not enough SNPs to make an accurate match or mismatch for identification Samples with < 500 amplifiable copies will fail 500 copies represent ~1 ng DNA Key for identifying samples of unknown copy number such as formalin-fixed paraffin embedded tissue Sample may not be suitable for an OncoCarta™ Panel or next generation sequencing run that require ~10 ng DNA 23 The iPLEX® Pro Sample ID Panel is for Research Use Only. Not for use in diagnostic procedures. . Proposed Workflow & Outcomes using the iPLEX® Pro Sample ID Panel Incoming sample 10 ng DNA iPLEX Pro Sample ID Panel - Genotype with 44 SNPs - Genotype Gender - Assess Copy Number Expected Match Proceed to MA4 or NGS run > 500 copies Incoming sample 10 ng DNA iPLEX Pro Sample ID Panel - Genotype with 44 SNPs - Genotype Gender - Assess Copy Number Unexpected Match or Mismatch Acquire new sample (biological issue) Rerun sample (technical issue) < 500 copies 24 The iPLEX® Pro Sample ID Panel is for Research Use Only. Not for use in diagnostic procedures. . Information Provided by the iPLEX Pro Sample ID Panel Report Type Description Report Summary Local or historical options Number of samples and comparisons Plates used to generate report Number of failed samples Unexpected results Plate Report Results for every well in the plate Number of SNP calls Number of amplifiable copies Gender Pass/Fail quality control Number of matches & mismatches found Match Report Samples with unexpected match or mismatch Comparison of SNP calls Number of matches and mismatches Sample Report SNP calls for sample Number of amplifiable copies for 5 assays Gender identification for 3 assays Why sample failed quality control if relevant 26 The iPLEX® Pro Sample ID Panel is for Research Use Only. Not for use in diagnostic procedures. . iPLEX Pro Sample ID Panel - Unexpected Mismatch Report Two samples unexpectedly mismatch with the same identifier 32 The iPLEX® Pro Sample ID Panel is for Research Use Only. Not for use in diagnostic procedures. . Increasing sample value through additional biomarker profiling • Biobanked samples have higher value when associated with additional disease- or pharmacogenetics- relevant data – Can be included/excluded in research studies using specific criteria relevant to study • A broad variety of genomic biomarker panels can be profiled with the MassARRAY® System – Standard “off the shelf” panels – Custom Assays by Sequenom panels – Independent (user-designed) panels • Examples: cancer mutations, ADME/PGx polymorphisms, disease-associated SNPs, DNA methylation markers 33 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . Ritchie et al. Am.J.Med.Gen. 2010 BioVu at Venderbilt U. EMR – linked DNA Bank Xu et al. J.Med.Inf.Assoc. 2011 Ramirez et al. Pharmacogenomics 2012 34 . BioVu: an EMR-Linked “DNA Data Bank” • Large DNA repository linked to Electronic Medical/Health Records (EMR/HER)* – Actively recruits samples from individuals treated at Vanderbilt Medical Center – ~75,000 samples in bank; will grow to ~250,000 – Patient identity is hidden for privacy • Genotyping for disease and pharmacogenetic markers is carried out with the MassARRAY® System: – Utilizing focused custom genotyping panels – Linked genotypes to phenotypes and EMRs/EHRs – Created an invaluable resource for pharmacogenetics and disease genetics research • Successfully demonstrated the use of a genotyping approach for pharmacogenetics research (warfarin case study) – Xu et al. 2011; Ramirez et al. 2012 *Source: http://www.vanderbilthealth.com/main/25443 35 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures. . Sequenom’s Pre-designed Research Panels Panel Content Intended Use Advantage OncoCarta™ 238 somatic mutations in 19 cancer-related genes Solid tumor somatic mutation profiling Broad coverage; highthroughput, highsensitivity, and low cost LungCarta™ 214 somatic mutations in 26 cancer-related genes Lung cancer somatic Comprehensive, highmutation profiling throughput, highsensitivity, and low cost iPLEX® ADME PGx Panel 192 ADME-relevant SNPs and InDels Pharmacogenetics preclinical and clinical research 32 OncoCarta, LungCarta, and iPLEX ADME panels are for Research Use Only. Not for use in diagnostics procedures. Comprehensive, highthroughput, high call rates, and low cost . Mutation Analysis with the MassARRAY® System Gold standard for somatic mutation screening 37 The MassARRAY® System and panels are for Research Use Only. Not for use in diagnostic procedures. Lung Adenocarcinoma Testing Paradigm Test for other Mutations ?* + Image based on Horn L and Pao W: EML4-ALK: Honing in on a new target in non-smallcell lung cancer. J Clin Oncol 27:4232-4235, 2009 + Test for KRAS Mutations Cytotoxic Chemotherapy (15-30%) 38 | Improving healthcare through revolutionary genetic analysis solutions + Test for EGFR Mutations - Test for EML4-ALK translocation (*) “Other” includes BRAF, MEK1, AKT1, PIK3CA, DDR2……and/or intensive research to identify new driver mutations ALK Kinase Inhibitor (5-10%) EGFR Tyrosine Kinase Inhibitor (10%) Test for acquired resistance (e.g. EGFR_T790M) . EGFR – Complex Efficiency 2236F 2256R EGFR Exon 19 Deletions ------------c.2236_2256del21--------------2253R ----------c.2236_2253del18--------c.2230 -----c.2236_2250del15----- c.2280 2250R ATC AAG GAA TTA AGA GAA GCA ACA TCT CCG AAA GCC AAC AAG GAA ATC CTC I K E L R E A T S P K A N K E I L ----------c.2239_2256del18--------- p.760 p.744 ---------_c.2239_2256>CAA-------2239F ------------c.2236_2256>ATC--------------2236F 39 | Improving healthcare through revolutionary genetic analysis solutions 2256R . EGFR – Complex Efficiency 2248F 2237F 2233F 2235F 2245R 2239F 2250R 2256R 2252F 2254F 2254R 2258F 2277R EGFR Exon 19 Deletions 2249R c.2230 c.2280 ATC AAG GAA TTA AGA GAA GCA ACA TCT CCG AAA GCC AAC AAG GAA ATC CTC I K E L R E A T S P K A N K E I L 2247R p.744 2236F 2251R 2240F 2253R 2257R 2244R 2303F c.2293 2276R 2248R 2253F 2258R 2252R 2316R 2309F 2310R 2312F 2317R 2322F 2238F 2296R 2255R 2326F c.2331 GTG ATG GCC AGC GTG GAC AAC CCC CAC GTG TGC CGC CTG V M A S V D N P H V C R L EGFR Exon 20 Insertions 2308R p.765 2298R 2300R 2307R 2303R 2312R 2311R 2308F 2311F 2315R 40 | Improving healthcare through revolutionary genetic analysis solutions 2320F p.760 2327R p.777 . OncoFOCUS – EGFR, BRAF, KRas, NRas 4 Genes / 200+ Mutations (SNP&INDEL) / 12 Reactions / only 20ng Gene Mutations Detected with the EGFR/KRAS/BRAF/NRAS Panel EGFR (Missense) R108K, T263P, A289V, A289D, G598V, E709K, E709Q/H, E709A, E709G, E709V, E709fs*1, G719S, G719C, G719A, G719D, E746K, E746V, L747P, L747S, T751I, S752P, S752Y, P753Q, P753S, I759N, D761N, D761Y, S768I, S768N, D770N, R776C, R776H, T790M, T854A, L858M/K/R, L858R, L861Q, L861R EGFR Exon 19 K745_E749del, E746_E749del, E746_A750del, E746_T751del, E746_T751>I, E746_A750>IP, E746_T751>IP, E746_S752>I, E746_T751>A, E746del/I744_K745insKIPVAI1, E746_S752del, E746_T751>I, E746_P753>IS, E746_T751>Q, E746_A750>QP, E746_T751>L, E746_P753>LS, E746_T751>S, E746_T752>A, E746_T751>V, E746_T751>VAorVP, E746_P753>VS, E746_S752>V, E746_A750>VP, E746_T751>VA, E746_T751>VP, E746_P753>VQ, E746V/K745_E746insVPVAIK1, E746_S752>D, L747_A750>P, L747_T751>Q, E746_A750>DP, L747_T751>P, L747_S752>Q, L747_S752>QH, L747_E749del, L747_S752del/L747_S752>Q, L747_P753>Q, L747_T751>A, L747_K754del/L747_K754>N1, L747_T751>S,L747_T751del,L747_P753>S, L747S/L747_K754>ST1, T751_I759>N, T751_I759>REA, T751_I759>S1, T751_I759del1, S752_I759del, P753_I759del, T751_I759>S1 EGFR Exon 20 M766_A767insAI, A767_S768insTLA1, S768_V769>IL1, V769_D770insMASVD, D770_P772>ASVDNR, V769_D770insCV1, V769_D770insASV, D770_N771>AGG, V769_D770insASV1, V769_D770insGSV/V769_D770insGVV/D770>GY1, D770_N771insG, D770_N771insAPW, D770_N771insGL, N771>GF, N771>GY, D770_N771insG/D770_N771insGD1, D770_N771insSVD, N771_P772>SVQNR, N771>TH, N771>SH, D770_N771insMATP1, H773_V774insNPH, H773_V774insH, H773_V774insPH, H773_V774insQ1, V774_C775insHV, N771_P772insN1, D770fs*611, N771_P772insRH/P772_H773insTHP1, P772_H773insV1, P772_H773insHV1, H773>NPY1, V774_C775insHV1 BRAF D594G, D594V, G469S, G469E, G469A, G469V, G469R, G469R/S, L597Q, L597V, L597R, L597S, V600E, V600K, V600M, V600L KRAS G12S, G12R, G12T, G12V, G12F, G12P, G12A, G12C, G12W, G12D, G12N, G12I, G12L, G12Y, G12E, G12D/V, G13C, G13S, G13A, G13V/I, G13D/N, G13R, A59T, Q61K, Q61E, Q61L, Q61R, Q61P, Q61H NRAS G12S/N, G12R/P, G12C/Y, G12D/E, G12A, G12V, G13S/N, G13R, G13C/Y, G13D, G13A, G13V, Q61H, Q61L, Q61R, Q61P, Q61K, Q61E, Q61Q/K 1INDELs detected in 1 direction only 41 | Improving healthcare through revolutionary genetic analysis solutions . Applications for Ultra-Sensitive Detection High-sensitivity detection may aide in personalizing therapy based on a patient’s mutational status Heterogeneous tumor samples typically harbor low abundant mutations Mutations may be informative for monitoring minimal residual disease Other sources could potentially serve as a surrogate to tumor samples for mutation profiling 42 January 15, 2014 . Sensitivity Required for Plasma Analysis Noninvasive prenatal diagnostics On average 1,400 molecules of any DNA sequence present per ml 4% fetal DNA is about 60 molecules: hence 4% ± 1.35% detection sensitivity suffices but quantification is impossible without haplotyping Noninvasive cancer diagnostics Assume a comparable number of molecules of any DNA sequence per ml: 1,400 for early stage cancer Hence 0.21% detection sensitivity will detect almost anything with 95% confidence but quantification will require haplotyping 43 . Circulating plasma DNA (cpDNA) concentration elevated in patients with solid tumors 44 January 15, 2014 . Circulating plasma DNA (cpDNA) concentration elevated in patients with solid tumors DNA concentrations classified by tumor types from patient cohort in Phase I clinical trial cpDNA median conc. ~17 ng/ml 3-fold higher cpDNA conc. in advanced cancers vs. normal individuals 45 January 15, 2014 . cpDNA a Promising Source for Biomarker Studies Paired tumor and plasmas evaluated for concordance using the OncoCarta™ Panel v1.0 Considerably less DNA used for cpDNA compared with FFPE (~1-2 ng. vs. 20 ng.) Low cpDNA concentrations can limit detection, but could be resolved with higher starting plasma volumes Biochemistry could be improved as existing method detects ~5-10% mutation frequency Additional research and development of analytically validated assays for cpDNA of high value 46 January 15, 2014 . Concordance between paired FFPE tumors and cpDNA with the OncoCarta™ Panel v1.0 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures 47 January 15, 2014 . Mutation Status May Confer Resistance During Subsequent Therapy … mutations could be present below the detection limit of conventional direct sequencing… The detection has a sensitivity of ~0.5% BCR-ABL mutation frequency compared with 10% for direct sequencing… … In 64 patients, 132 additional mutations were detected by mass spec alone (50 of 132 mutations were resistant … 48 The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures . Clinical Research: Mass Spec MALDI-TOF Identifies more EGFR T790M Mutations than Direct Sequencing In non-treated patients: 25.2% vs. 2.8%; P < .001; In treated patients, before TKI: 31.5% vs. 2.7%; P < .001; After TKI: 83.3% vs. 33.3%; P = .0143 Kang-Yi Su, Hsuan-Yu Chen et al. Pretreatment Epidermal Growth Factor Receptor (EGFR) T790M Mutation Predicts Shorter EGFR Tyrosine Kinase Inhibitor Response Duration in Patients With Non–Small-Cell Lung Cancer . J Clin Oncol 2012 Feb 1; 30(4) :433-40 49 | Improving healthcare through revolutionary genetic analysis solutions . Single Allele Base Extension Reaction T C A T C AT G C AG C T C A T G CC C TT C G G EGFR_T790M_Control#1 H1975 40 35 50 Intensi ty Intensi ty 40 25 20 30 15 20 10 10 5 0 0 5150 5100 5200 5250 Mass 5300 5400 5350 5100 5450 40 Intensi ty Intensi ty 30 30 25 20 10 T C A T C 10 5 0 0 5100 5150 5200 5250 C AG C T C A T G CC C TT CG G Control EXT Mass 5300 5350 5400 5450 5100 Intensi ty Intensi ty 5150 5200 5250 Mass 5300 5350 5150 5250 Mass 5300 5350 5400 5450 T 70 C . . . 0M _ Co nt r ol#1 90 5200 EGFR_T790M_Control#1 T 60 80 gDNA 70 60 DW 50 Intensi ty 40 Intensi ty Intensity 5100 5450 EGFR_T790M_Control#1 G C Intensity 5400 50 30 40 30 20 20 10 10 0 0 5100 50 | Improving healthcare through revolutionary genetic analysis solutions T 0 5100 T790M DNA No peak 5450 5 0 . . . 0M _ Co nt r ol#1 UEP 5400 10 10 UEP 5350 15 20 Control 5300 20 30 WT Mass 0.3% 25 40 Mass spectrometry 5250 C T C . . . 0M _ C on t r ol#1 30 0.6% 50 5200 EGFR_T790M_Control#1 EGFR_T790M_Control#1 60 T790M 5150 . . . 0M _ C on t r ol#1 G T 5450 40 15 X ACG 5400 5350 1.2% 50 35 20 No Extension 5300 T 45 Control EXT 60 9.1% 50 Mass C 70 55 5250 . . . 0M _ C on t r ol#1 60 T 65 C AG C T C A T G CC C TT CG G C T TG G Intensity 5200 EGFR_T790M_Control#1 . . . 0M _ C on t r ol#1 T790M EXT T C A T C A UEP 5150 EGFR_T790M_Control#1 T790M DNA WT DNA 100% 60 30 T 70 45 SABER 80 C 50 . . . 0M _ C on t r ol#1 T 55 C . . . 0M _ Co nt r ol#1 T C A T C ACG C AG C T C A T G CC C TT CG G WT DNA EGFR_T790M_Control#1 5150 5200 5250 Mass 5300 5350 5400 5450 5100 . 5150 5200 5250 Mass 5300 5350 5400 5450 Biochemistry Overview—iPLEX® Pro with modified biotinylated termination and capture steps 1. PCR 2. SBE using ddUTP specific for the mutant allele ddUTP- 3. Capture and wash ddUTPA C ddUTPC C ddUTPC ddUTP- SBE= Single Base Extension The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures 1% 0.25% 0.5% 0.125% 0.25% 0% The MassARRAY® System is for Research Use Only. Not for use in diagnostic procedures Capture Ctrl. 4 Capture Ctrl. 3 EPHA3 DDR2 Albumin Ctrl Capture Ctrl. 2 G-Mix All Spectra Capture Ctrl. 1 Capture Ctrl. 4 Capture Ctrl. 3 EPHA3 DDR2 Albumin Ctrl Capture Ctrl. 1 Capture Ctrl. 2 New Capture Controls to Assess Workflow in Absence of Wild-type Extension Highlights from poster presented at ESHG 2013 A Novel Approach for Multiplex Ultrasensitive Detection of Somatic Mutations in Tumor Samples, June 2013 Anders Nygren, Michael Mosko, Eunice Flores, Aleksey Nakorchevsky, Mathias Ehrich, Christiane Honisch, and Dirk van den Boom 53 | All Sequenom products and assays are for Research Use Only. Not for use in diagnostic procedures. . UltraSEEK Oncogene Panel v1.0 Gene ABL1 AKT1 ALK BRAF EGFR AA T315I E17K F1174L V600E V600K V600R G719S T790M L861Q E746-A750del 4 multiplexes (3C, 1T) 56 | Gene FLT IDH1 IDH2 JAK2 KRAS AA I836del R132H R140Q R172K V617F G12A G12D G12V G12C G12S G13D Gene NRAS PIK3CA EGFR AA Q61K Q61R E545K E542K H1047R L858R EGFR in separate well (1G) CONFIDENTIAL . UltraSEEK Oncogene Panel v1.0 Software Summary View Assay View Mutation View Simplified views Chip View 57 | CONFIDENTIAL . UltraSEEK Road Map Research Use Only UltraSEEK Assays by Sequenom UltraSEEK Oncogene Panel UltraSEEK Assay Design Suite & Reagent Set Mid 2014 Early 2014 Late 2013 . Assays by Sequenom (AbS) Customer Collaborative Panels AbS Tumor Specific Panels AbS Oncogene Panels MelaCarta/Melanoma Tumor 70+ Mutations in 17 genes Ovarian & Uterine Tumor 92+ Mutations in 12 genes Pancreatic Tumor 140+ mutations in 42 genes Colorectal Tumor 32+ mutations in 7 genes Lung Cancer 9 variants in EML4-ALK OncoCarta v2 152+ Mutations in 18 genes OncoCarta v3 105+ Mutations in 22 genes OncoFocus (BRAF/EGFR/KRAS/NRAS) 200+ Mutations in 4 genes 59 | All Sequenom products and assays are for Research Use Only. Not for use in diagnostic procedures. . Summary: iPLEX® Pro Sample ID Panel A high-throughput, low cost SNP genotyping panel for sample identification and tracking Comprehensive coverage with 44 SNPs and 3 Gender ID markers Enables copy number quantification prior to MassARRAY or next gen sequencing runs Enables tumor-normal sample matching Automated summary reports for convenient, rapid samples comparisons within a single plate or against a historical database Designed for the MassARRAY® System, a flexible genetic analysis platform enabling many additional types of assays 62 The MassARRAY® System and iPLEX® Pro Sample ID Panel are for Research Use Only. Not for use in diagnostic procedures. . Conclusions – Biobanks and Sample Quality, Identity, Value • Successful biobanks implement standardized sample quality control and identity tracking systems • Sample value is tied to its quality/quantity, correct identity, and additional data such as EMRs and biomarker profiles • The MassARRAY® System provides an open and flexible solution for sample tracking, quality control, and genetic biomarker profiling: – Sample ID Panel for sample identification; DNA quality and quantity assessment – Pre-designed cancer marker and pharmacogenetic panels – Easy to design custom panels for a variety of genomic markers 64 The MassARRAY® System and iPLEX® Pro Sample ID Panel are for Research Use Only. Not for use in diagnostic procedures. .
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