Uploaded on Sep 27, 2022
Our OncoRx reports are FDA-approved and the only ones available in India to the clinicians. They are simple, easy-to-read, accurate and have a relatively short turnaround time – all of which makes them an excellent choice for healthcare providers. Visit: https://genepowerx.com/oncorx/
No. 1 OncoRx Testing Company In Hyderabad - GenepoweRx
Global Standard Testing in Oncology Now in India
ONCORx helps you better predict response or resistance to
targeted- and immuno- therapies for more advanced cancer
patients as compared to traditional molecular testing.
1. Why ONCORX?
ONCORx is testing solid tumours that uses next-generation sequencing (NGS) to detect the
four alterations known to drive cancer growth:
1. SNP
2. InDels (Insertions and deletions)
3. Copy number Variants (CNVs),
4. Rearrangements or fusions.
2. How is ONCORx different from single-gene or “hot spot” testing?
Single Marker or Hotspot Mutation testing can detect only one alteration where in ONCORx
can provide insights on all four alterations.
In other words, Single gene and hotspot testing do not look as deep or as wide as ONCORx.
3. Why ONCORx is superior to currently existing products?
Compared to Foundation one/Datar/Core/Lal Path labs, ONCORx is validated through
World’s only FDA approved database developed by collecting longitudinal data over 20
years by clinicians/Oncologists from Memorial Sloan Kettering Cancer Centre.
ONCORx also provides partnership opportunity to develop dataset, 24/7 customer care
representative.
4. What if there is no FDA approved targeted therapy for the tumor
sample?
ONCORx will provide best second line options for the patients as per NCCN guidelines. We
will also provide with clinical trial match for the patient to enroll in leading institutions
globally.
BIOMARKERS FDA-APPROVED THERAPY
Non-Small Cell Lung Cancer
EGFR exon 19 deletions & EGFR exon 21 Gilotrif® (afatinib), Iressa® (gefitinib),
L858R alterations Tagrisso® (osimertinib), or Tarceva® (erlotinib)
EGFR exon 20 T790M alterations Tagrisso® (osimertinib)
ALK rearrangements Alecensa® (alectinib), Alunbrig® (brigatinib)
Xalkori® (crizotinib), or Zykadia® (ceritinib)
BRAF V600E Tafinlar® (dabrafenib) in combination with
Mekinist® (trametinib)
MET single nucleotide variants (SNVs) and TabrectaTM (capmatinib)
indels that lead to MET exon 14 skipping
Breast Cancer
ERBB2 (HER2) amplification Herceptin® (trastuzumab), Kadcyla® (ado-
trastuzumab-emtansine), or Perjeta®
(pertuzumab)
PIK3CA C420R, E542K, E545A, E545D Piqray® (alpelisib)
[1635G>T only], E545G, E545K, Q546E, Q546R,
H1047L, H1047R, and H1047Y alterations
Colo Rectal Cancer
KRAS wild-type (absence of mutations in Erbitux® (cetuximab)
codons 12 and 13)
KRAS wild-type (absence of mutations in Vectibix® (panitumumab)
exons 2, 3, and 4) and NRAS wild type
(absence of mutations in exons 2, 3, and 4)
Ovarian Cancer
BRCA1/2 alterations Lynparza® (olaparib) or Rubraca® (rucaparib)
Prostate Cancer
Homologous Recombination Repair (HRR) Lynparza® (olaparib)
gene (BRCA1, BRCA2, ATM, BARD1, BRIP1,
CDK12, CHEK1, CHEK2, FANCL, PALB2,
RAD51B, RAD51C, RAD51D and RAD54L)
alterations
All Solid Tumors
TMB ≥ 10 mutations per megabase Keytruda® (pembrolizumab)
NTRK1/2/3 fusions Vitrakvi® (larotrectinib)
FOUNDATION ONE CDx GENEPOWERX ONCORx
Targeted Genes and 325 Oncogenes NGS 325 Oncogenes NGS sequencing of
Technology sequencing of FFPE samples FFPE samples
SNP/INDEL/CNV YES YES
Gene Fusions and YES YES
Rearrangements
Genomic Signatures YES YES
TMB and MSI
Analytics and Self-developed pipelines, Partnered with MSK's Precision
Reporting FDA recognition for the Oncology Knowledge Base only FDA
process recognised Database for 127 cancer
types and 108 FDA approved drugs.
Specific report for NO YES* Extensive Scientific literature
Indian origin review on Published material specific
population for Indian population.
Research Opportunity NO YES* ONCORx team is partnering with
Institutions, oncologists to build EHR
solutions to develop longitudinal
meaningful DATA.
Guidelines Only FDA Approved Targeted Along with FDA Approved targeted
treatments are reported treatments, NCCN guidelines are
included. (Data proven Best second line
treatments are recommended)
Further Support NO YES* Tumour expression studies
including Whole transcriptome
sequencing, Germline sequencing by
offering counselling for inherited
mutations for family members is
offered as per Oncologist request.
Turn Around time 21 Working days 21 Working days
Sample Requirement/ FFPE sample with minimum Initial quality measure is performed in 3
Quality confirmation 20ng genetic material. days and processed further only if
protocols Minimal refund if quality of sample meets ONCORx standards.
sample is poor
Price INR 2,70,000/- INR 2,20,000/-
Will work with physician hand to hand
EMI Option NO Yes* Bajaj FinServ.
Genes included in ONCORx for the detection of SNV, insertions and deletions (indels),
and copy number alterations (CNAs).
ABL1 BRAF CDKN1A EPHA3 FGFR4 IKZF1 MCL1 NKX2-1 PMS2
RNF43 TET2 ACVR1B BRCA1 CDKN1B EPHB1 FH INPP4B MDM2
NOTCH1 POLD1 ROS1 TGFBR2 AKT1 BRCA2 CDKN2A EPHB4 FLCN
IRF2 MDM4 NOTCH2 POLE RPTOR TIPARP AKT2 BRD4 CDKN2B
ERBB2 FLT1 IRF4 MED12 NOTCH3 PPARG SDHA TNFAIP3 AKT3
BRIP1 CDKN2C ERBB3 FLT3 IRS2 MEF2B NPM1 PPP2R1A SDHB
TNFRSF14 ALK BTG1 CEBPA ERBB4 FOXL2 JAK1 MEN1 NRAS
PPP2R2A SDHC TP53 ALOX12B BTG2 CHEK1 ERCC4 FUBP1 JAK2
MERTK NT5C2 PRDM1 SDHD TSC1 AMER1 BTK CHEK2 ERG
GABRA6 JAK3 MET NTRK1 PRKAR1A SETD2 TSC2 APC C11orf30
CIC ERRFI1 GATA3 JUN MITF NTRK2 PRKCI SF3B1 TYRO3
AR CALR CREBBP ESR1 GATA4 KDM5A MKNK1 NTRK3 PTCH1
SGK1 U2AF1 ARAF CARD11 CRKL EZH2 GATA6 KDM5C MLH1
P2RY8 PTEN SMAD2 VEGFA ARFRP1 CASP8 CSF1R FAM46C GID4
KDM6A MPL PALB2 PTPN11 SMAD4 VHL ARID1A CBFB CSF3R
FANCA GNA11 KDR MRE11A PARK2 PTPRO SMARCA4 WHSC1 ASXL1
CBL CTCF FANCC GNA13 KEAP1 MSH2 PARP1 QKI SMARCB1
WHSC1L1 ATM CCND1 CTNNA1 FANCG GNAQ KEL MSH3 PARP2
RAC1 SMO WT1 ATR CCND2 CTNNB1 FANCL GNAS KIT
MSH6 PARP3 RAD21 SNCAIP XPO1 ATRX CCND3 CUL3 FAS
GRM3 KLHL6 MST1R PAX5 RAD51 SOCS1 XRCC2 AURKA CCNE1
CUL4A FBXW7 GSK3B KMT2A MTAP PBRM1 RAD51B SOX2 ZNF217
AURKB CD22 CXCR4 FGF10 H3F3A KMT2D MTOR PDCD1 RAD51C
SOX9 ZNF703 AXIN1 CD274 CYP17A1 FGF12 HDAC1 KRAS MUTYH
PDCD1LG2 RAD51D SPEN AXL CD70 DAXX FGF14 HGF LTK
MYC PDGFRA RAD52 SPOP BAP1 CD79A DDR1 FGF19 HNF1A
LYN MYCL PDGFRB RAD54L SRC BARD1 CD79B DDR2 FGF23
HRAS MAF MYCN PDK1 RAF1 STAG2 BCL2 CDC73 DIS3
FGF3 HSD3B1 MAP2K1 MYD88 PIK3C2B RARA STAT3 BCL2L1 CDH1
DNMT3A FGF4 ID3 MAP2K2 NBN PIK3C2G RB1 STK11 BCL2L2
CDK12 DOT1L FGF6 IDH1 MAP2K4 NF1 PIK3CA RBM10 SUFU
BCL6 CDK4 EED FGFR1 IDH2 MAP3K1 NF2 PIK3CB REL
SYK BCOR CDK6 EGFR FGFR2 IGF1R MAP3K13 NFE2L2 PIK3R1
RET TBX3 BCORL1 CDK8 EP300 FGFR3 IKBKE MAPK1 NFKBIA
PIM1 RICTOR TEK
Genes for the detection of gene rearrangements:
ALK introns 18, 19 BRCA1 introns 2, 7, 8, 12, 16, 19, 20 ETV4 intron 8 EZR introns 9- 11
KIT intron 16 MYC intron 1 NUTM1 intron 1 RET introns 7-11
SLC34A2 intron 4 BCL2 3’UTR BRCA2 intron 2 ETV5 introns 6,
7FGFR1 intron 1, 5, 17 KMT2A (MLL) introns 6-11 NOTCH2 intron 26 TERC ncRNA
PDGFRA introns 7, 9, 11 ROS1 introns 31-35 BCR introns 8, 13, 14 MSH2 intron
5CD74 introns 6- 8 ETV6* introns 5, 6 FGFR2 intron 1, 17 NTRK1 introns
11RAF1 introns 4-8 RSPO2 intron 1 TERT Promoter BRAF introns 7-10
EWSR7-introns 7-13 FGFR3 intron 17 MYB intron 14 NTRK2 Intron 12
RARA intron 2 SDC4 intron 2 TMPRSS2 introns 1- 3
Features of OncoRx
Intended use: A directional test for tumor profiling and drug decision making of FDA approved therapeutic
molecules for approved biomarkers, hypothesis-driven translational research and biomarker development.
Biomarkers covered conform OncoKB’s
• Level1 (FDA approved drugs for FDA approved biomarkers),
• Level2 (NCCN ratified standard care biomarker response to FDA approved drugs),
• Level3 (Biomarkers with compelling clinical evidence to FDA Approved or investigational drugs)
• R1 (standard care biomarkers with resistance to FDA approved drugs),
• R2 (Biomarkers with compelling clinical evidence predictive of resistance to a oncodrug) evidences
and
Regions required for Tumor mutation burden-TMB, Microsatellite Instability –MSI assessment (FDA-
approved for selection of solid tumors for treatment with checkpoint inhibition).
Purpose: Assists in predicting outcomes of an FDA approved drug response, resistance,
immunotherapy selection and management.
Precision and Reporting : High performance standards, regulatory compliance, and quality control are
ensured with automated protocols and pipelines.
The test results are represented in 5 parts:
Companion
diagnostic Supportive Predisposition
biomarker results evidences with to Resistance to
with associated full proof therapeutic
therapy scientific agents Other standard
indication Other genomic evidences
alterations care biomarkers
profile-TMB,MSI. with associated
therapy
indication
Biomarkers: Screens 353 potential genes - 174 suitable for characterizing cancer biomarkers with proven
clinical utilities and an additional 179 high-confidence cancer genes which have emerging evidence in
ongoing clinical trials.
Coverage: Higher coverage (depth and extent of gene coverage) of 98% of regions of higher complexity.
MSI Markers: MSI (FDA-approved for selection of Fusion coverage: Complete range of fusions with
solid tumors for treatment with checkpoint multiple fusion partners can be identified in all
inhibitors) is assessed by National Cancer solid tumors
Institute recommended Bethesda panel and full
Rearrangements: 16 potential biomarkers are
footprint of other mismatch repair genes such as
evaluated.
MLH1, MSH2, MSH6 and PMS2.
(ALK, BRAF, CD274, EGFR, ERG, ETV6, NTRK1, RAF,
Tumor mutation burden (TMB): To identify an
RET, ROS1, TERT, CD74, FOXA1, NAB2, NRG1,
individual’s response to immunotherapeutic SLC34A2)
agents such as checkpoint inhibitors, TMB is
assessed with high precision, considering the Copy number variants (CNVs): 285 biomarkers
large genome footprint and larger targeted panel screened for CNVs.
size of 3.96 MB with high confidence cancer genes Regulatory regions of MAP2K2, TERT screened.
enclosed.
Higher cost due to large panel size
Features of OncoRx Mini
Intended use: Intended for use as a directional test for oncotherapy decision making.
Biomarkers covered conform OncoKB’s
• Level1 (FDA approved drugs for FDA approved biomarkers),
• Level2 (NCCN ratified standard care biomarker response to FDA approved drugs),
• R1 (standard care biomarkers with resistance to FDA approved drugs) candidate genes and
• MSI (NCI and FDA-approved for selection of solid tumors for treatment with checkpoint inhibition).
Purpose: Assists in predicting outcomes of an FDA approved drug response, resistance,
immunotherapy selection and management.
Precision and Reporting : High performance standards, regulatory compliance, and quality control are
ensured with automated protocols and pipelines.
The test results are represented in 3 parts:
Companion
diagnostic
biomarker results Resistance
with associated profile
therapy
indication MSI
profile
Biomarkers: Screens 71 candidate genes - which have the highest level of evidence in oncotherapy and are
biomarkers for identification of response and resistance to oncotherapeutic agents.
Coverage: Higher coverage of 99% due to targeted candidate gene panel design
MSI Markers: MSI (FDA-approved for treatment of FGFR3- TACC3;
solid tumors with checkpoint inhibitors) is NTRK1- CD74, EPS15, LMNA, MPRIP, TFG, TPR,
assessed by biomarkers recommended by the TPM3;
National Cancer Institute, Bethesda panel.
NTRK2-ETV6;
Tumor mutation burden (TMB): TMB cannot be
assessed considering the targeted and restricted NTRK3- BTBD1, EML4, ETV6, HNRNPA2B1, KANK1,
panel size. UBE2R2;
Fusion coverage: Selective fusions with high PDGFB-COL1A1;
level of evidence and can be identified with higher PDGFRA- KIF5B;
confidence in all solid tumors due to screening of
RET- EML4, TRIM33, KIF5B;
fusion partners as well.
ROS1-CD74, LIMA1.
R e a r r a n g e m e n t s : O n c o K B a p p r o v e d
rearrangements in 10 potential biomarkers Copy number variants (CNVs) : 71 biomarkers are
along with their fusion partners are assessed. assessed.
Rearrangements: Regulatory regions are not covered whereas
complete exonic and splice site regions are
ALK-EML4, NPM, RANBP2; screened.
FGFR2- AHCYL1, BICC1 ,PPHLN1,TACC3;
Lesser cost due to short panel size.
Meet the doctors
Dr. Kalyan Uppaluri is the cofounder Dr. Hima Challa graduated from
and the owner of K&H Personalized Gandhi Medical College and was
Medicine Clinic and Research among the top few in her batch. She
Institute. He did his medical training specialized in Internal Medicine at St.
at the prestigious Gandhi Medical Joseph Mercy Oakland, Michigan in
College. He then moved to the the United States. She graduated in
United States, where he specialized in Medical Genomics from the Ivy
Internal Medicine at the McLaren league institution of Harvard Medical
Hospital, Michigan. He also got a School. She also holds a master’s in
degree in Medical Genomics from Ivy nutrition science from the Texas
league institute, Stanford University Women University and in integrative
and pursued cancer research at medicine from the Arizona University.
Wayne State University, Michigan.
www.genepowerx.com
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