NGS

Disease-Focused Next Generation Sequencing (NGS)

Testing for somatic (acquired) gene mutations can help better understand a range of blood and solid tumor cancers. While insights continue to uncover new gene associations and their impact across the continuum of patient care, especially in treatment selection, siParadigm provides panels that deliver the most actionable and relevant information for clinicians.

SOLID TUMOR PANELS (TISSUE AND LIQUID SAMPLES)

TEST DESCRIPTIONS: (BIOMARKERS ANALYZED BY TUMOR TYPE)

*Gene is also included in the RNA gene-fusion panel.

BLADDER CANCERS

Bladder Multi-Omics™

37 Genes
MSI and TMB

*ALK, AKT1, *AR, ATM, BAP1, *BRAF, BRCA1, BRCA2, CDKN2A, CCND1, CREBBP, *EGFR, ERBB2, ERBB3, ERBB4, FANCA, FBXW7, *FGFR1, *FGFR2, *FGFR3, HRAS, KDM6A, KMT2A, KMT2C, KMT2D, KRAS, MAP2K1, NF1, NRAS, PIK3CA, PTEN, RB1, *RET, SMARCA4, STAG2, TERT, TP53.

IHC Tests: MMR, PD-L1 (22C3).

BRAIN/CNS CANCERS

Brain Multi-Omics™

34 Gene
MSI and TMB

APC, ATRX, BRAF, CDK4, CTNNB1, CDKN2A, CDKN2B, EGFR, ERBB2, ERBB4, FGFR1, FGFR2, FGFR3, H3F3A, HRAS, IDH1, IDH2, NRG1, KIT, KRAS, MET, MTOR, MYCN, MYD88, NRAS, NTRK1, NTRK2, NTRK3, PDGFRA, TP53, TSC1,TSC2.

FISH Tests: 1p36/19q13, PTEN/CEN10
IHC Tests: MMR, PD-L1 (22C3).

BREAST CANCERS

Breast Multi-Omics™

43 Genes
TMB, MSI and HRD for PARPi efficacy

*AR, AKT1, ATM, *BRAF, BRCA1, BRCA2, CCNE1, CDH1, CDK12, CHEK1, CHEK2, *EGFR, ERBB2, ERBB3, ERBB4, *ESR1, FANCA, FANCL, *FGFR1, *FGFR2, *FGFR3, KRAS, MLH1, MRE11A, MSH2, MSH6, MUTYH, MYC, NBN, *NTRK1, *NTRK2, *NTRK3, PALB2, PIK3CA, PMS2, PTEN, RAD50, RAD51, RB1, *RET, STK11, TERT, TP53.

FISH Tests: HER-2/neu.
IHC Tests: ER, HER-2/neu, Ki-67, MMR, PD-L1 (22C3), PR.

COLORECTAL CANCERS

Colorectal Multi-Omics™

38 Genes
MSI and TMB

AKT1, APC, ATM, AXIN2, *BRAF, CHEK1, CHEK2, ERBB2, ERBB3, ERBB4, *EGFR, FANCA, FBXW7, HRAS, KRAS, MAP2K1, *MET, MLH1, MSH2, MSH6, MUTYH, *NTRK1, *NTRK2, *NTRK3, NRAS, PIK3CA, PMS2, POLD1, POLE, PTEN, *RET, SMAD4, STK11, TERT, TP53.

FISH Tests: HER-2/neu.
IHC Tests: BRAF, MMR, PD-L1 (22C3).

ENDOMETRIAL CANCERS

Endometrial Multi-Omics™

39 Genes
MSI and TMB

AKT1, APC, ARID1A, ARID2, ATM, *BRAF, BRCA1, BRCA2, CDK12, CDK4, CHEK2, CTNNB1, EPCAM, ERBB2, *ESR1, FBXW7, KRAS, MDM2, MLH1, MSH2, MSH6, NBN, NRAS, *NTRK1, *NTRK2, *NTRK3, PALB2, PIK3CA, PMS2, POLE, POLD1, PPP2R1A, PTEN, *RET, RNF43, SAMD4, STK11, TP53.

FISH Tests: HER-2/neu.
IHC Tests: BRAF, MMR, PD-L1 (22C3).

ESOPHAGEAL CANCERS

Esophagus Multi-Omics™

34 Genes
MSI and TMB

AKT1, *AR, ARAF, ARID1A, *BRAF, CDK12, CDK6, CCNE1, CCND1, CDKN2A, *EGFR, ERBB2, ERBB3, *FGFR1, *FGFR2, *FGFR3, KIT, KRAS, MCL1, MAP2K1, *MET, MLH1, MSH2, MSH6, MTOR, *NTRK1, *NTRK2, *NTRK3, *NRG1, NRAS, PMS2, PIK3CA, *RET, TP53.

FISH Tests: HER-2/neu.
IHC Tests: HER-2/neu, MMR, PD-L1 (22C3).

GASTRIC/GIST CANCERS

Gastric/GIST Multi-Omics™

40 Genes
MSI and TMB

*AR, APC, ATM, *BRAF, CD274, CDH1, CCNE1, CTNNB1, ERBB2, ERBB4, *EGFR, FBXW7.*FGFR1, *FGFR2, *FGFR3, KRAS, *MET, MDM2, MEN1, MLH1, MSH2, MSH6, NF1, *NRG1, NRAS, *NTRK1, *NTRK2, *NTRK3, PDGFRA, PIK3CA, PMS2, PTEN, *RET, RB1, SAMD4, SDHA, SDHB, SDHC, SDHD, TP53.

FISH Tests: HER-2/neu.
IHC Tests: HER-2/neu, MMR, PD-L1 (22C3).

HEAD AND NECK CANCERS

Head and Neck Multi-Omics™

34 Genes
MSI and TMB

*AR, ATM, ARAF, *BRAF, CD274, CDKN2A, *EGFR, ERBB2, ERBB3, *FGFR1, *FGFR2, *FGFR3, HRAS, IDH1, IDH2, KRAS, *MET, MTOR, MLH1, MSH2, MSH6, NOTCH1, NRAS, *NRG1, *NTRK1, *NTRK2, *NTRK3, PIK3CA, PMS2, PTEN, *RSPO2,*RET, TERT, TP53.

IHC Tests: MMR, PD-L1 (22C3).

HEPATOCELLULAR & BILIARY TRACT CANCERS

Liver Multi-Omics™

43 Genes
MSI and TMB

AKT1, ARAF, ARID1A, ATM, *BRAF, BAP1, BRCA1, BRCA2, CTNNB1, *EGFR, ERBB2, ERBB3, ERBB4, *ESR1, *FGFR1, *FGFR2, *FGFR3, FGFR4, GNA11, IDH1, IDH2, KIT, KRAS, MAP2K1, MAP2K2, *MET, MLH1, MSH2, MSH6, MTOR, NRAS, *NRG1, *NTRK1, *NTRK2, *NTRK3, PALB2, PIK3CA, PMS2, PTEN, *RET, RAD51D, TERT, TP53.

IHC Tests: MMR, PD-L1 (22C3).

LUNG CANCERS

Lung Multi-Omics™

38 Genes
MSI and TMB

AKT1, *ALK, ARAF, ATM, *BRAF, ARID2, CCND1, CD274, CDK4, CDKN2A, CHEK2, ERBB2, ERBB3, *EGFR, *FGFR1, *FGFR2, *FGFR3, HRAS, KEAP1, KRAS, MAP2K1, *MET, MYCL, MTOR, NFE2L2, *NRG1, NRAS, *NTRK1, *NTRK2, *NTRK3, *NUTM1, PIK3CA, *RET, RICTOR, *ROS1, RB1, STK11, TP53.

FISH Tests: ALK, MET/CEN7, RET, ROS1.
IHC Tests: ALK, BRAF, MMR, PD-L1 (22C3), ROS1.

MELANOMA

Melanoma Multi-Omics™

37 Genes
MSI and TMB

APC, ARID2, ATM, *BRAF, BAP1, BRCA2, CCND1, CDK4, CDKN2A, CHEK2, CTNNB1, EIF1AX, FBXW7, GNA11, GNAQ, GNAS, IDH1, KIT, MAP2K1, MAP2K2, NF1, NRAS, *NTRK1, *NTRK2, *NTRK3, PALB2, PDGFRA, PIK3CA, PTEN, RB1, *RET, *ROS1, SF3B1, SMO, SRC, TERT, TP53.

IHC Tests: BRAF,MMR, PD-L1 (22C3).

OVARIAN CANCERS

Ovarian Multi-Omics™

43 Genes
TMB, MSI and HRD for PARPi efficacy

AKT1, ARAF, ATM, ARID1A, BARD1, *BRAF, BRCA1, BRCA2, BRIP1, CCNE1, CDK12, CHEK1, CHEK2, CTNNB1, ERBB2, *ESR1, FANCA, FANCL, *FGFR1, *FGFR2, *FGFR3, FOLR1, KIT, MAP2K1, *MET, MLH1, MSH2, MSH6, MTOR, *NTRK1, *NTRK2, *NTRK3, NF1, *NRG1, PALB2, PIK3CA, PMS2, PPP2R1A, PTEN, RAD51C, RAD51D, RAD54L, RET, TP53.

FISH Tests: HER-2/neu.
IHC Tests: FOLR1, MMR, PD-L1 (22C3).

PANCREATIC CANCERS

Pancreas Multi-Omics™

29 Genes
TMB, MSI and HRD for PARPi efficacy

*ALK, ATM, *BRAF, BRCA1, BRCA2, CDKN2A, ERBB2, *FGFR1, *FGFR2, *FGFR3, FANCL, IDH1, IDH2, KRAS, MLH1, MSH2, MSH6, *NRG1, *NTRK1, *NTRK2, *NTRK3, PALB2, PMS2, PIK3CA, *RET, *ROS1, SMAD4, STK11, TP53.

IHC Tests: MMR, PD-L1 (22C3).

PROSTATE CANCERS

Prostate Multi-Omics™

42 Genes
TMB, MSI and HRD for PARPi efficacy

AKT1, *AR, ARID1A, ATM, ATR, BARD1, *BRAF, BRCA1, BRCA2, BRIP1, CCND1, CDK12, CHEK1, CHEK2, CTNNB1, FANCA, FANCD2, FANCL, HRAS, IDH1, MLH1, MRE11A, MSH2, MSH6, MUTYH, NBN, *NTRK1, *NTRK2, *NTRK3, PALB2, PIK3CA, PMS2, PPP2R2A, PTEN, RAD51B, RAD51C, RAD51D, RB1, *RET, SPOP, TERT, TP53.

FISH Tests: PTEN/CEN10.
IHC Tests: MMR, PD-L1 (22C3).

THYROID CANCERS

Thyroid Multi-Omics™

28 Genes
MSI and TMB

*ALK, AKT1, *BRAF, BRCA1, BRCA2, CDKN2A, CTNNB1, *FGFR1, *FGFR2, *FGFR3, HRAS, IDH1, IDH2, KRAS, MET, *NTRK1, *NTRK2, *NTRK3, NRAS, *RET, MLH1, MSH2, MSH6, PMS2, PALB2, PIK3CA, PTEN, TERT.

IHC Tests: BRAF, MMR, PD-L1 (22C3).

TUMOR OF UNKNOWN ORIGIN AND OTHERS

Unknown Origin Multi-Omics™

48 Genes
MSI and TMB

AKT1, ALK, AR, ARAF, BRAF, CD274, CDK4, CDKN2A, CHEK2, CTNNB1, EGFR, ERBB2, ERBB3, ERBB4, ERG, ESR1, ETV1, FGFR1, FGFR2, FGFR3, FGFR4, FLT3, GNA11, GNAQ, GNAS, HRAS, IDH1, IDH2, KIT, KRAS, MAP2K1, MAP2K2, MET, MTOR, NRAS, NRG1, NTRK1, NTRK2, NTRK3, NUTM1, PDGFRA, PIK3CA, PTEN, RAF1, RET, ROS1, SMO, TP53

IHC Tests: MMR, PD-L1 (22C3).

Hereditary Cancer Specific Gene Panels

BRCA1/BRCA2

BRCA1/BRCA2 full gene sequencing and deletion/duplication analysis

Lynch Syndrome & Hereditary Colon Cancer

18-Gene panel including: APC, AXIN2, BMPR1A, CDH1, CHEK2, EPCAM, MLH1, MSH2, MSH3, MSH6, MUTYH, PMS2, POLD1, POLE, PTEN, SMAD4, STK11, TP53)

Breast and Ovarian Cancer

18-Gene panel including: ATM, BARD1, BRCA1, BRCA2, BRIP1, CDH1, CHEK2, MRE11A, MUTYH, NBN, NF1, PALB2, PTEN, RAD50, RAD51C, RAD51D, STK11, TP53

Pancreatic Cancer

19-Gene panel including: APC, ATM, BRCA1, BRCA2, BMPR1A, CDK4, CDKN2A, EPCAM, MEN1, MLH1, MSH2, MSH6, NF1, PALB2, PMS2 , SMAD4, STK11, TP53, VHL

Prostate Cancer

15-Gene panel including: ATM, BRCA1, BRCA2, BRIP1, CHEK2, EPCAM, MLH1, MSH2, MSH6, NBN, PALB2, PMS2, RAD51C, RAD51D, TP53

Comprehensive panel (Individual Genes Available Upon Request)

45-Gene panel including: APC, ATM, AXIN2, BAP1, BARD1, BLM, BMPR1A, BRIP1, BRCA1, BRCA2, CDH1, CDK4, CDKN2A, CHEK2, EPCAM, ERCC2, KIT, MEN1, MITF, MLH1, MRE11A, MSH2, MSH3, MSH6, MUTYH, NBN, NF1, PALB2, PDGFRA, PMS2, POLD1, POLE, PTEN, RAD50, RAD51C, RAD51D, RET, SDHA, SDHB, SDHC, SDHD, SMAD4, STK11, TP53, VHL

The comprehensive panel is intended for patients with a personal or family history of multiple qualifying cancers. By selecting this panel, the ordering physician attests that testing is medically necessary and that the patient’s personal or family history meets the criteria.

For New York Approved Gene List, Please Visit Our Website: www.neovare.com/en/our-tests

Hematology Panels

Myeloid Focused, DNA

ABL1
* ASXL1
* BCOR
BCORL1
BRAF
* CALR
CBL
* CEBPA
CSF3R
CXCR4
DDX41
DNMT3A
* ETV6
* EZH2
FLT3
GATA1
GATA2
HRAS
IDH1
IDH2
* IKZF1
JAK2
KIT
KRAS
MPL
MYD88
* NF1
NOTCH1
NPM1
NRAS
* PHF6
PIGA
PPM1D
* PRPF8
PTPN11
* RB1
* RUNX1
SETBP1
SF3B1
* SH2B3
SRSF2
* STAG2
STAT3
STAT5B
* TET2
* TP53
U2AF1
WT1
* ZRSR2
* Indicates full genes (17)

Myeloid Comprehensive, DNA

ABL1
ANKRD26
* ASXL1
* BCOR
BCORL1
BRAF
* CALR
CBL
CBLB
CBLC
CDKN2A
* CEBPA
CSF3R
CUX1
CXCR4
DDX41
DNMT3A
ETNK1
* ETV6
* EZH2
FBXW7
FLT3
GATA1
GATA2
GNAS
GNB1
HRAS
IDH1
IDH2
* IKZF1
IL7R
JAK1
JAK2
JAK3
KIT
KRAS
MPL
MYD88
* NF1
NOTCH1
NPM1
NRAS
PAX5
* PHF6
PIGA
PPM1D
* PRPF8
PTEN
PTPN11
* RB1
* RUNX1
SETBP1
SF3A1
SF3B1
* SH2B3
SMARCB1
SMC1A
SMC3
SRSF2
* STAG2
STAT3
STAT5B
* TET2
* TP53
U2AF1
U2AF2
UBA1
WT1
XPO1
* ZRSR2
* Indicates full genes (17)

AML/Eosinophilia, DNA/RNA

* ABL1
* ALK
ANKRD26
ASXL1
* BCL2
BCOR
* BRAF
CALR
CBL
* CCND1
CEBPA
* CREBBP
CSF3R
DDX41
DNMT3A
* EGFR
* ETV6
EZH2
* FGFR1
* FGFR2
FLT3
* FUS
GATA2
* HMGA2
HRAS
IDH1
IDH2
IKZF1
* JAK2
KIT
* KMT2A
(MLL)
KRAS
* MET
* MECOM
* MLLT10
* MLLT3
MPL
* MYBL1
MYD88
* MYH11
NF1
NPM1
NRAS
* NTRK3
* NUP214
* NUP98
* PDGFRA
* PDGFRB
PHF6
PPM1D
PRPF8
PTPN11
* RARA
RB1
* RBM15
* RUNX1
SETBP1
SF3B1
SH2B3
SMC1A
SMC3
SRSF2
STAG2
* TCF3
TET2
* TFE3
TP53
U2AF1
WT1
ZRSR2
* Indicates fusion driver genes (30)

Lymphoid

* ATM
B2M
BCL2
* BCL6
BIRC3
BRAF
BTK
CARD11
CCND1
* CCND3
CD79B
CREBBP
CXCR4
DNMT3A
EP300
* EZH2
ETV6
FAS
FBXW7
FOXO1
GNA13
ID3
* IDH2
* IRF4
* KMT2D
MAP2K1
MYC
MYD88
NFKBIE
NOTCH1
NOTCH2
* PAX5
* PIM1
* PLCG2
PRDM1
* PTEN
* RHOA
RPS15
* SAMHD1
* SF3B1
* SOCS1
STAT3
STAT5B
STAT6
* TENT5C
* TET2
TNFAIP3
TNFRSF14
* TP53
XPO1
* Indicates genes covered full coding sequences (19)

"While we have many laboratories to choose from, we consider siParadigm to be the most reliable. Contact with a hematopatholgist is rapid and informative."

Barry Kaplan, MD, PhD
Oncologist/Hematologist, Queens Medical Assoc.

Discover more.

A Model Experience

With core values rooted in service and integrity, our leadership team sets the bar high.

We consistently strive to set the model for exactly how a reference laboratory should engage with both physicians and patients.

Accredited and Certified

siParadigm is accredited by CLIA (Clinical Laboratory Improvement Amendments) and certified by CAP (College of American Pathologists).

We also hold select state licensure where required.