The NETest The Clinical Utility of Multigene Blood Analysis - in the Diagnosis and Management of Neuroendocrine Tumors

被引:105
作者
Modlin, Irvin M. [1 ]
Kidd, Mark [2 ]
Malczewska, Anna [3 ]
Drozdov, Ignat [2 ]
Bodei, Lisa [4 ]
Matar, Sourer [2 ]
Chung, Kyung-Min [2 ]
机构
[1] Yale Univ, Sch Med, Gastroenterol & Endoscop Surg, 310 Cedar St, New Haven, CT 06520 USA
[2] Wren Labs, 35 NE Ind Rd, Branford, CT 06405 USA
[3] Med Univ Silesia, Dept Endocrinol & Neuroendocrine Tumors, Ul Ceglana 35, PL-40514 Katowice, Poland
[4] Mem Sloan Kettering Canc Ctr, 1275 York Ave,Box 77, New York, NY 10065 USA
关键词
NETest; Multigene blood analysis; Neuroendocrine tumors; Peptide receptor radionuclide therapy; Bronchopulomary carcinoid; Transcript; Progression; PCR; Blood; Biomarker; POLYMERASE CHAIN-REACTION; CHROMOGRANIN-A; TRANSCRIPT ANALYSIS; HEPATIC METASTASES; PROGNOSTIC-FACTORS; LIQUID BIOPSIES; LUNG-CANCER; HALLMARKS; EXPRESSION; SURVIVAL;
D O I
10.1016/j.ecl.2018.05.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The neuroendocrine neoplasms test (NETest) is a multianalyte liquid biopsy that measures neuroendocrine tumor gene expression in blood. This unique signature precisely defines the biological activity of an individual tumor in real time. The assay meets the 3 critical requirements of an optimal biomarker: diagnostic accuracy, prognostic value, and predictive therapeutic assessment. NETest performance metrics are sensitivity and specificity and in head-to-head comparison are 4-fold to 10-fold more accurate than chromogranin A. NETest accurately identifies completeness of surgery and response to somatostatin analogs. Clinical registry data demonstrate significant clinical utility in watch/wait programs.
引用
收藏
页码:485 / +
页数:22
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