TruSight Oncology Comprehensive

The first US FDA-approved distributable comprehensive genomic profiling (CGP) IVD with pan-cancer companion diagnostic (CDx) claims.

4-5 days

Assay time

~10.5 hr

Hands-on time

40 ng genomic DNA and 40 ng total RNA 

Input quantity

See full details in the specifications table

The product is only available in the US

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Overview

TruSight Oncology Comprehensive is a US FDA-approved next-generation sequencing (NGS)-based CGP IVD for analyzing solid tumors using minimal tissue.

  • Detect DNA plus RNA variants along with biomarker signature TMB

  • Save time and money by assessing multiple biomarkers in a single test

  • Enable targeted therapies and clinical trials with actionable, easy-to-interpret results

Key biomarkers

Content includes key biomarkers associated with major US clinical guidelines, drug labels, and clinical trials.

Companion diagnostic

TruSight Oncology Comprehensive is intended to be used as a companion diagnostic to identify cancer patients who may benefit from treatment with the targeted therapies listed in the table within the intended use statement below, in accordance with the approved therapeutic product labeling.

In-house CGP

Rely on a distributed sample-to-answer solution that can be implemented in-house. Offer precision oncology locally and keep the data and sample in your institution, reducing the likelihood of quantity not sufficient (QNS) issues.


Intended use

TruSight Oncology Comprehensive is a qualitative in vitro diagnostic test that uses targeted next-generation sequencing to detect variants in 517 genes using nucleic acids extracted from formalin-fixed, paraffin embedded (FFPE) tumor tissue samples from cancer patients with solid malignant neoplasms using the Illumina NextSeq 550Dx instrument. The test can be used to detect single nucleotide variants, multi-nucleotide variants, insertions, and deletions from DNA, and fusions in 24 genes and splice variants in one gene from RNA. The test also reports a Tumor Mutational Burden (TMB) score.

The test is intended to be used as a companion diagnostic to identify cancer patients who may benefit from treatment with the targeted therapies listed in Table 1, in accordance with the approved therapeutic product labeling.

In addition, the test is intended to provide tumor profiling information for use by qualified health care professionals in accordance with professional guidelines in oncology for patients with solid malignant neoplasms. Genomic findings other than those listed in Table 1 of the intended use statement are not conclusive or prescriptive for labeled use of any specific therapeutic product.

Table 1: Companion Diagnostics Indications

Tumor Type Biomarker(s) Detected Therapy
Solid Tumors NTRK 1/2/3 fusions VITRAKVI® (larotrectinib)
Non-Small Cell Lung Cancer RET fusions RETEVMO® (selpercatinib)

Specifications

Required products

  • TruSight Oncology Comprehensive, which includes reagents for 24 DNA and 24 RNA library prep and enrichment reactions
  • A one-time purchase of TruSight Oncology Comprehensive Enablement Services is required for training and workflow instruction
  • DNA and RNA controls for monitoring the analytical performance of the assay
  • NextSeq 550Dx High Output Reagent Kit v2.5 (300 cycles) IVD
  • NextSeq 550Dx Instrument
/ Results

Applications

TruSight Oncology Comprehensive is an in vitro diagnostic test that generates a comprehensive genomic profile of a patient’s tumor, informing therapy decisions according to clinical guidelines.

Example workflow

1
Prep

TruSight Oncology Comprehensive

3
Analyze

Local Run Manager TruSight Oncology Comprehensive Analysis Module (on-instrument software)

Related applications and methods

Figures

Fully automated sequencing and data analysis

Batch up to seven patient samples and two control samples per run. Library prep and enrichment take 2 days, followed by a fully automated workflow on the NextSeq 550Dx Instrument. The entire workflow takes 4–5 days.

Variant types and genomic signatures detected

Results report for TruSight Oncology Comprehensive

Reported cancer mutations categorized as cancer mutations with evidence of clinical significance or potential clinical significant based on an expertly curated knowledge base including clinical guidelines, drug labels, clinical trials, and peer-reviewed literature. Easy-to-read output helps increase confidence in treatment decisions.

Genes with key actionable biomarkers for multiple solid tumor types

Pan-cancer: BRAF, NTRK1, NTRK2, NTRK3, RET, TMB
Genes with biomarkers of clinical significance a Genes with biomarkers of potential clinical significance b
breast cancer
Breast
AKT1 BRCA1 BRCA2 ERBB2c ESR1 PALB2 PIK3CA PTEN     104
colorectal cancer
Colorectal
ERBB2c KRAS NRAS               157
bone cancer
Bone
EGFR ERG ETV1 ETV4 EWSR1 FEV FLI1 FUS IDH1   109
lung cancer
Lung
ALKc EGFR ERBB2c KRAS METc NUTM1c ROS1c       126
melanoma cancer
Melanoma
KIT NRAS ROS1c               116
ovarian cancer
Ovarian
BRCA1 BRCA2 ERBB2c               109
cns cancer
CNS d
ATRX CDKN2A CDKN2B EGFR H3F3A HIST1H3B HIST1H3C IDH1 IDH2 MYCN 69
NF1 PTCH1 TERT TP53            
prostate cancer
Prostate
ATM ATR BARD1 BRCA1 BRCA2 BRIP1 CDK12 CHEK1 CHEK2 FANCA 101
FANCL FGFR3 MLH1 MRE11 NBN PALB2 PTEN RAD51B RAD51C RAD51D
RAD54L TACC3                
thyroid cancer
Thyroid
TERT                   111
uterine cancer
Uterine & cervical
BRCA2 ERBB2c ESR1 FOXO1 GREB1 NCOA2 NCOA3 PAX3 PAX7 POLE 130
SMARCA4 TP53                

Genes listed represent a subset of genes present in the TruSight Oncology Comprehensive panel. Content analysis provided by Velsera based on IVD software Knowledge Base v8.17 (March 2024).  

  1. Genes linked to current drug labels or guidelines.
  2. Based on presence in clinical trials.
  3. Small DNA variants only
  4. CNS, central nervous system.

TruSight Oncology Comprehensive

20032573

TruSight Oncology Comprehensive kit contains library prep reagents, indexes and panel

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TruSight Oncology DNA Control

20065041

Includes a qualitative IVD control for monitoring analytical performance of library prep, sequencing, and analysis.

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TruSight Oncology RNA Control

20065042

Includes a qualitative IVD control for monitoring analytical performance of library prep, sequencing, and analysis.

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NextSeq 550Dx High Output Reagent Kit v2.5 (300 cycles) IVD

20028871

NextSeq 550Dx High Output Reagent Kit v2.5 (300 Cycles) is a set of reagents and consumables intended for sequencing of sample libraries when used with validated assays. The kit is intended for use with the NextSeq 550Dx instrument and analytical software.

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NextSeq™ 550Dx system

20005715

The NextSeq 550Dx instrument is intended for sequencing of DNA libraries when used with in vitro diagnostic assays performed on the instrument. The NextSeq 550Dx instrument is to be used with specific registered, certified or approved in vitro diagnostic reagents and analytical software.The instrument includes a dual boot configuration to enable the use of the instrument in either diagnostic (Dx) or research use only (RUO) mode. In vitro diagnostic sequencing assays, including the Germline and Somatic Variant Modules, are executed in diagnostic mode. Only IVD sequencing reagents can be utilized in diagnostic mode.

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Services (1)

TSO Comprehensive Enablement Services

20066472

One-time required purchase that includes four days of hands-on training and workflow instruction (library prep, enrichment, sequencing, and data analysis) for up to two operators.

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FAQs

The test was validated with more than 1400 unique FFPE samples and over 15 different tumor types. Results were compared to orthogonal methods to ensure accurate, reproducible, and consistent data.

Illumina offers a comprehensive support program that provides onboarding to expedite test verification, lab training, verification protocols, training certification, 24/5 technical support, support from our Medical Affairs team for medical inquiries, and educational and marketing assets to share with your local health care providers. Contact your local Illumina Account Manager for more details about the comprehensive support program.

IVD CGP tumor profiling assays with companion diagnostic (CDx) claims across solid neoplasms are covered for eligible Medicare beneficiaries throughout the US under National Coverage Determination (NCD) 90.2. Commercial coverage for assays with this indication increases by more than a third of US commercially insured lives as compared to assays without CDx claims1. Illumina has established a dedicated Market Access team that is actively working with payers to further expand CGP test reimbursement across the globe. Contact your local Illumina Account Manager with questions about coverage.

Illumina has established multiple partnerships with pharma companies to develop a growing pipeline of CDx indications pending regulatory approvals, that include MSI (Bristol Myers Squibb)2, EGFR (Teligene)4, and TP53 (Kartos)5.

The minimum recommended tissue volume is 1 mm3 with a minimum of 20% tumor cell content by area required to detect somatic driver mutations. A minimum of five biopsy slides is recommended (10 µm sections, 20 mm2 tissue area each).

/ Results

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NextSeq 550Dx Reagents

These sequencing reagent kits offer a simplified workflow and high data quality for in vitro diagnostic testing on the NextSeq550 Dx Instrument.

TruSight Oncology Comprehensive (EU)

The first CE-marked IVD kitted solution for comprehensive genomic profiling (CGP) of DNA and RNA variants, plus MSI and TMB, for multiple solid tumor types.

References

  1. Policy Reporter. Data pulled in 2023.
  2. Illumina announces new and expanded oncology partnerships with Bristol Myers Squibb, Kura Oncology, Myriad Genetics, and Merck to advance comprehensive genomic profiling. https://www.businesswire.com/news/home/20210111005930/en/Illumina-Announces-New-and-Expanded-Oncology-Partnerships-with-Bristol-Myers-Squibb-Kura-Oncology-Myriad-Genetics-and-Merck-to-Advance-Comprehensive-Genomic-Profiling. Accessed July 24, 2023.
  3. Illumina partners with Merck to develop and commercialize companion diagnostic and research tests for use in identifying specific cancer mutations. https://www.prnewswire.com/news-releases/illumina-partners-with-merck-to-develop-and-commercialize-companion-diagnostic-and-research-tests-for-use-in-identifying-specific-cancer-mutations-301369838.html. Accessed July 24, 2023.
  4. Illumina and Taolue Biopharmaceuticals Collaborate to Help Chinese Innovation Go Global. https://www.illumina.com.cn/company/news-center/press-releases/2023/648d0d26-1f0a-4b65-b387-2c272761fbd711111.html
  5. Illumina and Kartos Therapeutics Announce New Oncology Partnership to Develop an NGS-Based TP53 Companion Diagnostic. https://www.illumina.com/company/news-center/press-releases/2021/12b6e4a6-3f52-407e-8200-8fa72712a980.html

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