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Table 1 Approved diagnostic tests for detecting altered genes in cfDNA

From: Circulating tumor nucleic acids: biology, release mechanisms, and clinical relevance

Test

Approval

Cancer type

Analyte

Technology

Target

Cobas® EGFR Mutation Test v2 [6, 185]

FDA, EMA

Non-small cell lung

Blood (cfDNA), tissue DNA (FFPE)

RT-PCR

EGFR gene

FoundationOne® Liquid CDx [10]

FDA

Multiple

Blood (cfDNA)

NGS

Panel (300 genes)

Guardant360 CDx [186]

FDA

Multiple

Blood (cfDNA)

NGS

Panel (55 genes)

Qiagen therascreen PIK3CA RGQ PCR Kit [187]

FDA

Breast (selection of patients eligible for treatment with alpha-selective PIK3-inhibitor alpelisib)

Blood (cfDNA), tissue DNA (FFPE)

RT-PCR

PIK3CA gene

Epi proColon® [188]

FDA

Colorectal

Blood (cfDNA)

RT-PCR

Methylated SEPT9 gene

  1. FDA Food and Drug Administration, EMA European Medicines Agency, RT-PCR real-time PCR, NGS Next generation sequencing