TruSight Oncology Comprehensive HRD (DRAGEN)

Enables assessment of homologous recombination deficiency (HRD) using DNA extracted from FFPE tissue from ovarian cancer patients.

Overview

TruSight Oncology Comprehensive HRD (DRAGEN) is a CE-marked in vitro diagnostic (IVD) that uses next-generation sequencing (NGS) to enable assessment of homologous recombination deficiency (HRD) using DNA extracted from formalin-fixed, paraffin-embedded (FFPE) tumor tissue from ovarian cancer patients.

This test is intended to be used as a companion diagnostic (CDx) to identify patients with ovarian cancer who may benefit from treatment with the targeted therapy listed below.

  • Detect key BRCA1/BRCA2 variants across multiple alteration types, including SNVs, indels, and large genomic rearrangements 

     

  • Assess genomic instability using a genomic instability score (GIS) derived from loss of heterozygosity (LOH), telomeric allelic imbalance (TAI), and large-scale state transitions (LST).

     

  • Deliver a comprehensive HRD assessment with Illumina NGS technology and the Myriad Genetics GIS algorithm

One easy-to-interpret, actionable results report

TruSight Oncology Comprehensive HRD (DRAGEN) generates BRCA1 and BRCA2 variant data and GIS in a streamlined report. There is no need to search reports from multiple tests to identify significant variants.

Validated solution

TruSight Oncology Comprehensive HRD (DRAGEN) is a validated DNA-to-results test that includes kitted reagents, a sequencing system, and analysis software. The test was developed using a rigorous design control process and validated across 615 unique FFPE ovarian samples to ensure accurate, reproducible, and consistent data generation.

The clinical performance of the TruSight Oncology Comprehensive HRD (DRAGEN) as a CDx for olaparib was evaluated in a bridging study using samples from the PAOLA-1 trial, with the Myriad Genetics MyChoice® Plus test used as the clinical trial assay (CTA). TruSight Oncology Comprehensive HRD (DRAGEN) showed high concordance with the CTA, achieving 95.3% overall agreement, confirming its reliability in identifying HRD-positive patients eligible for olaparib therapy.

TruSight Oncology Comprehensive HRD (DRAGEN) at a glance

The performance characteristics and reliability of TruSight Oncology Comprehensive HRD (DRAGEN) have been extensively tested to meet rigorous CE marking requirements. Evaluations included limit of blank (LoB), limit of detection (LoD), and clinical performance. Other validation studies included reproducibility and accuracy. Qualitative studies across multiple operators, instruments, reagent lots, and days showed high concordance with minimal variance. For detailed information on all validation studies performed, refer to the TruSight Oncology Comprehensive HRD (DRAGEN) package insert.

Intended use

TruSight Oncology Comprehensive HRD (DRAGEN) is a qualitative in vitro diagnostic test that uses targeted next-generation sequencing to enable assessment of HRD using DNA extracted from formalin-fixed, paraffin embedded (FFPE) tumor tissue samples from ovarian cancer patients using the Illumina NextSeq 550Dx Instrument. The test can be used to detect single nucleotide variants, insertions, deletions, and large rearrangements in BRCA1 and BRCA2 genes, and report a Genomic Instability Score (GIS). 

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

Companion diagnostic indication

Tumor type Biomarker(s) detected Therapy

Ovarian cancer, including epithelial ovarian, fallopian tube, and primary peritoneal cancer

Homologous recombination deficiency (HRD) (defined as deleterious or suspected deleterious mutations in BRCA1 and BRCA2 genes and/or positive Genomic Instability Score)

LYNPARZA® (olaparib)

Specifications

Required Products

  • TruSight Oncology Comprehensive (DRAGEN) kit, which includes reagents for 24 DNA library prep reactions, including patient samples and controls. The kit contains the probe set used to detect BRCA mutations.
  • TruSight Oncology Comprehensive HRD (DRAGEN) kit, which includes reagents for 24 DNA library enrichment reactions, including patient samples and controls. The kit includes the probe set used to enable HRD detection.
  • TruSight Oncology DNA Control v2
  • NextSeq 550Dx High Output Reagent Kit v2.5 (300 cycles) IVD
  • NextSeq 550Dx Instrument
  • Illumina DRAGEN Server for NextSeq 550Dx
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Applications

TruSight Oncology Comprehensive HRD (DRAGEN) delivers a CE-marked IVD solution that enables clinical laboratories to identify HRD status in patients with ovarian cancer. The assay, powered by Illumina NGS technology and the Myriad Genetics GIS algorithm, detects single nucleotide variants (SNVs), insertions and deletions, and large rearrangements (exon-level deletions) in BRCA1 and BRCA2. It assesses GIS by combining measures of LOH, TAI, and LST.

Workflow

1
Prep

TruSight Oncology Comprehensive HRD (DRAGEN)

TruSight Oncology Comprehensive (DRAGEN)

TruSight Oncology DNA Control v2

Reagents (4)

TSO Comprehensive HRD (DRAGEN) Kit (24 samples)

20134650

TSO Comprehensive HRD (DRAGEN) (Includes HRD enrichment reagents. Does not include library preparation or sequencing core reagents.) Not available in all countries or regions.

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TruSight™ Oncology Comprehensive (DRAGEN) Kit

20140799

TruSight™ Oncology Comprehensive (DRAGEN) Kit

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TruSight™ Oncology DNA Control v2

20090155

TruSight™ Oncology DNA Control v2

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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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Instrument (1)

NextSeq™ 550Dx Sequencing 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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On-premises server (1)

Illumina DRAGEN Server for NextSeq550Dx

20086130

Optional add-on for NextSeq 550Dx to enable DRAGEN and Illumina Run Manager in Dx mode.

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FAQs

TruSight Oncology Comprehensive HRD (DRAGEN), powered by Illumina NGS technology and the Myriad Genetics GIS algorithm, detects single nucleotide variants (SNVs), insertions and deletions, and large rearrangements (exon-level deletions) in BRCA1 and BRCA2. It assesses GIS by combining measures of loss of heterozygosity (LOH), telomeric-allelic imbalance (TAI), and large-scale state transitions (LST). For more details, see the TruSight Oncology Comprehensive HRD (DRAGEN) package insert.

TruSight Oncology Comprehensive (EU) is an in vitro diagnostic test that uses targeted next-generation sequencing to detect variants in 517 genes using nucleic acids extracted from 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, multinucleotide variants, insertions, deletions, and gene amplifications from DNA, and gene fusions and splice variants from RNA. The test also reports a tumor mutational burden (TMB) score and microsatellite instability (MSI) status. TruSight Oncology Comprehensive (EU) is intended as a companion diagnostic to identify patients with solid tumors for treatment with the targeted therapy listed in the table below, in accordance with the approved therapeutic product labeling. 

 

Tumor type Biomarkers Targeted therapy

Solid Tumors

NTRK1, NTRK2, and NTRK3 gene fusions

VITRAKVI® (larotrectinib)

 

TruSight Oncology Comprehensive HRD (DRAGEN) assesses homologous recombination deficiency (HRD) using DNA extracted from formalin-fixed, paraffin-embedded tumor tissue from ovarian cancer patients. The assay detects mutations in the BRCA1 and BRCA2 genes, including small DNA variants and large gene rearrangements, as well as aberrations that result in structural changes to chromosomes, or "genomic scars," including loss of heterozygosity (LOH), telomeric-allelic imbalance (TAI), and large-scale state transitions (LST), which are indicators of the inability to repair DNA damage. These additional HRD biomarkers can be quantified and summed to generate a genomic instability score (GIS). TruSight Oncology Comprehensive HRD (DRAGEN) is intended to be used as a companion diagnostic to identify cancer patients who may benefit from treatment with the targeted therapy listed in the companion diagnostic indication table, in accordance with the approved therapeutic product labeling.

Further, analysis for TruSight Oncology Comprehensive HRD (DRAGEN) is performed automatically on the NextSeq 550Dx Instrument using the DRAGEN Server and analysis module offering highly optimized algorithms leading to faster turnaround times (TAT) and the ability to analyze more samples per day with the same infrastructure.

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