Tempus xR whole transcriptome RNA sequencing for Life Sciences
Overview
Tempus xR is a whole transcriptome RNA-seq panel for solid tumors and hematologic malignancies that reports clinically relevant1 fusions for more than 100 targeted genes,2 as well as altered splicing events for MET exon 14 and EGFRvIII.
Depth of sequencing (average)
50 million reads
Platforms used
Illumina NovaSeq
Accepted sample types
FFPE slides, blocks, frozen samples, extracted RNA (RUO), peripheral blood, bone marrow
Alterations identified
Rearrangements, fusions, altered splicing for MET Exon 14 and EGFRvIII
Tumor type
Heme and solid
Sensitivity
97% for rearrangements/ fusions, 100% for altered splicing (MET Exon 14), 95.5% for altered splicing (EGFRvIII)3
Validation summary
The value of RNA
Powering novel discoveries at every stage of therapeutic development
In addition to fusion detection, RNA-seq offers several advantages to biopharma and researchers—from target discovery and selection through CDx development.
Molecular characterization: Characterizing the prevalence or degree of overexpression in late-stage tumors
Mechanistic studies: Understanding the pharmacokinetics and pharmacodynamics of novel therapies
Predicting drug sensitization and resistance: Identify predictive expression profiles to isolate mechanisms of drug response and resistance
Trial recruitment: Screening patients for overexpression of genes to be used as a surrogate for IHC or screening tool to identify patients likely to be IHC+ for multiple tests
Clinical design: Combining full genomic and transcriptomic characterization of patients entering a trial to identify molecular signatures of response or resistance to refine biomarker strategy in later phases
CDx development: Offers alternatives to traditional CDx biomarkers such as single gene overexpression, transcriptional signatures of pathway activation or immune activity
Indication expansion: Retrospective analyze samples to identify label expansion opportunities by selectively identifying cancer types and post-treatment settings with high expression of genes that are targeted by a therapy
Real-world market analysis: Pair with treatment records and outcomes data, to quantify the uptake of IHC testing and prescription rates to identify areas for growth and monitor real-world efficacy
Our science
Use of clinical RNA-sequencing in the detection of actionable fusions compared to DNA-sequencing alone
In a pan-cancer analysis (n=2,118) of specific gene fusion events, RNA-seq consistently improved the detection of fusions compared to DNA-seq alone across all cancer types, with 1,106 fusions classified as targetable by OncoKB indication-matched therapies, 19% (214) of which were identifiable through RNA-seq alone, 5% (54) by DNA-seq alone, and 76% (838) identifiable through RNA- and DNA-seq.4
NGS suite
Tempus offers broad panels for both DNA- and RNA-based sequencing
Tempus xR can be ordered standalone or in combination with Tempus xT, providing a comprehensive view of genomic profiles.
Tempus xR
Whole transcriptome RNA sequencing panelTempus xT
648 gene DNA sequencing panel, tumor/normal matched
References
- Clinically relevant fusions are defined as alterations that are associated with available therapeutic options, prognostic implications, diagnostic relevance, or clinical trial enrollment opportunities for a specific variant identified in a patient’s tumor or hematologic malignancy.
- Examples of targeted genes include but are not limited to: ALK, RET, ROS1, NTRK1/2/3, FGFR1/2/3, NRG1, BRAF, EWSR1, PML-RARA, BCR-ABL.
- Performance specifications of the Tempus xR assay in Tempus’ Chicago, IL, laboratory. For Durham, NC lab performance specifications, see the xR validation summary.
- Michuda J, Park BH, Cummings AL, et al. Use of clinical RNA-sequencing in the detection of actionable fusions compared to DNA-sequencing alone. J Clin Oncol. 2022;40(16_suppl):3077
The information on this page is intended for life sciences companies and focuses on research and development applications.
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