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Principle of Operation

SOPHiA DDM™ for Liquid Biopsy comprises a set of solutions directly adapted from existing commercial applications for formalin-fixed paraffin-embedded (FFPE) tissue, enabling the analysis of circulating cell-free DNA (cfDNA) in plasma.

SOPHiA DDM for Liquid Biopsy

The incorporation of unique molecular identifiers (UMIs) through CUMIN™ enables the generation of ultra-deep duplex consensus sequences. This process effectively suppresses analytical sequencing noise and corrects errors accumulated during PCR amplification, ensuring reliable detection of variants at extremely low allele frequencies (with a limit of detection of up to 0.5% VAF) using a minimum input of only 20 ng of cfDNA.

This portfolio comprises 3 solutions:

Adapted Solution No. of Genes Cancer Type / Indications Complete List of Interrogated Genes
LBx STS
(Solid Tumor Solution)
42 Lung cancer, melanoma, colorectal cancer, thyroid cancer, GIST and glioma in cfDNA. AKT1, ALK, BRAF, CDK4, CDKN2A, CTNNB1, DDR2, DICER1, EGFR, ERBB2, ERBB4, FBXW7, FGFR1, FGFR2, FGFR3, FOXL2, GNA11, GNAQ, GNAS, H3F3A, H3F3B, HIST1H3B, HRAS, IDH1, IDH2, KIT, KRAS, MAP2K1, MET, MYOD1, NRAS, PDGFRA, PIK3CA, PTPN11, RAC1, RAF1, RET, ROS1, SF3B1, SMAD4, TERT, TP53
LBx HRS
(Homologous Recombination Solution)
16 Ovarian, prostate, breast and other cancers associated with homologous recombination repair (HRR). ATM, BARD1, BRCA1, BRCA2, BRIP1, CDK12, CHEK1, CHEK2, FANCL, PALB2, PPP2R2A, RAD51B, RAD51C, RAD51D, RAD54L, TP53
LBx ExtHRS
(Extended HRS)
28 Expanded profiling of genes involved in the HRR pathway (breast, ovarian and endometrial cancer). AKT1, ATM, BARD1, BRCA1, BRCA2, BRIP1, CCNE1, CDK12, CHEK1, CHEK2, ESR1, FANCA, FANCD2, FANCL, FGFR1, FGFR2, FGFR3, MRE11, NBN, PALB2, PIK3CA, PPP2R2A, PTEN, RAD51B, RAD51C, RAD51D, RAD54L, TP53

Clinical Applications

This tool is intended for the non-invasive molecular profiling of solid tumors using liquid biopsy (cfDNA) in oncology research workflows and longitudinal variant monitoring.

It enables accurate assessment of tumor clonal evolution, early detection of acquired resistance mechanisms and characterization of clinically actionable biomarkers when adequate or representative tumor tissue is not available.

The portfolio specializes in translating SOPHiA GENETICS’ traditional tissue applications to liquid biopsy, providing the flexibility to study the same targeted genomic regions using plasma cfDNA samples instead of difficult-to-access FFPE tissue.

Benefits

Allows laboratories to retain control of their samples and data, as samples are analyzed directly in-house and combined with analysis in SOPHiA DDM™. Enables application customization to focus on the biomarkers of greatest interest to each laboratory. Includes comprehensive support during application development through the SOPHiA DDM™ MaxCare program. Incorporates proprietary CUMIN™ molecular barcoding technology for the analysis of low-frequency variants. Enables existing SOPHiA GENETICS solid tumor applications to be adapted into equivalent liquid biopsy applications.

Intended Users

Molecular genetics and translational oncology laboratories that already perform or wish to implement NGS-based solid tumor analysis and seek to transfer their routine tissue assays to liquid biopsy using an integrated workflow from sample to report on the SOPHiA DDM™ platform.

Key Features

DNA-only NGS workflow, from circulating cell-free DNA to report. Available on the SOPHiA DDM™ platform. Applications can be customized according to biomarkers and laboratory requirements. Combined analysis: in-house laboratory processing and cloud-based analysis. Proprietary CUMIN™ UMI technology. Low-frequency variant detection: 0.5% VAF from 20 ng of circulating cell-free DNA. MSK-ACCESS® powered with SOPHiA DDM™ option with 146 genes. Ability to adapt existing SOPHiA GENETICS solid tumor applications to liquid biopsy. CHIP filtering available or optional depending on the solution. Compatible with Illumina NovaSeq™ 6000 and NextSeq®/NextSeq® 2000 platforms depending on configuration.

Presentation Details

Solution type: Laboratory reagents (Universal Library Prep + specific hybridization and capture probes) + credits for bioinformatics analysis in SOPHiA DDM™. Sample type: DNA and RNA/cDNA from FFPE, fresh or frozen tissue samples. Recommended sequencers: Illumina® MiSeq®, NextSeq® 550/1000/2000 for the DNA+RNA workflow.
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Area:

Digestive System, Endocrine System, Liquid Biopsy, Nervous System, Reproductive System, Respiratory System, Solid tumor, Tumor Types
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