Lung Cancer Recurrence Risk Assessment
Product introduction
Clinical application
Multigene transcriptomic profiling assesses recurrence risk in patients with lung cancer and helps physicians develop individualized treatment plans.
Four characteristics used to group patients
- Whether patients receive chemotherapy.
- Normal and abnormal expression subtypes of gene clusters for nine driver genes of lung cancer, namely ALK, BRAF, EGFR, MET, NTRK, RAS, RET, ROS1, TP53, and two immunotherapy target genes, PDCD1 and CTLA4;
- Pathological subgroups, including stage I and stages II–IV.
- Age group (65 years or younger, or over 65).
Recurrence risk assessment model
The recurrence model accurately classifies cancer patients into about 33,000 combinations based on 4 features taken from the population. Using big data AI algorithms, corresponding to each feature taken, we developed 30 recurrence risk assessment models for different populations for research, and for each patient, personalized matching 15 recurrence models, resulting in 15 recurrence scores, comprehensive recurrence risk, and finally recommending 1 personalized treatment plan.
Treatment protocol recommendation
-
To determine whether or not to have chemotherapy:
- a. The risk of recurrence is divided into low, medium and high risk groups.
- b. Low-risk groups do not require chemotherapy; medium- to high-risk groups require chemotherapy; and high-risk groups require more aggressive treatment.
-
To guide targeted drug usage (further clinical validation required):
- a. For people at high risk of abnormal expression of the driver gene cluster: try the targeted drug corresponding to that gene.
- b. For people at high risk of abnormal expression of the immune gene cluster: try the immunotherapy corresponding to that gene.
Technical advantages
1. U.S. scientists
The technology leader is a core member of Genomic Health’s "Breast Cancer 21-Gene Recurrence Score", which has achieved significant success in the United States and Europe.
2. Independent patents
Years of research and development, in-house patented genetic screening and modeling algorithms.
3. Based on NGS sequencing
This approach uses next-generation sequencing (NGS). Other products use qPCR or gene chips.
4. 20+ years of industrial research results
Using big data from the latest scientific research in the field of lung cancer molecules over the last 20 years.
Tests and performance
1. Chemotherapy regimen assessment
| Prognosis | Specificity | Sensitivity | AUC | 2-year survival rate of the low risk group | Use | |
|---|---|---|---|---|---|---|
| Chemotherapy population | Recurrence score | 94% | 93% | 0.98 | 90% | Low risk of recurrence, continue chemotherapy; high risk of recurrence requires more aggressive treatment or try other treatment options. |
| Chemotherapy-free population | Recurrence score | 99% | 98% | 0.999 | 100% | Low risk of recurrence avoids chemotherapy; high risk of recurrence requires chemotherapy. |
2. Driver gene, immunotherapy target gene expression
| Model | Expression | Specificity | Sensitivity | AUC | Use | |
|---|---|---|---|---|---|---|
| 9 Driver Genes | Recurrence [ALK gene cluster expression] | Normal | 95% | 96% | 0.99 | For people at high risk of abnormal expression of the driver gene cluster: try the targeted drug corresponding to that gene. |
| Abnormal | 89% | 87% | 0.96 | |||
| Recurrence [BRAF gene cluster expression] | Normal | 91% | 90% | 0.96 | ||
| Abnormal | 89% | 87% | 0.94 | |||
| Recurrence [EGFR gene cluster expression] | Normal | 94% | 97% | 0.99 | ||
| Abnormal | 84% | 90% | 0.94 | |||
| Recurrence [MET gene cluster expression] | Normal | 92% | 93% | 0.98 | ||
| Abnormal | 88% | 85% | 0.93 | |||
| Recurrence [NTRK gene cluster expression] | Normal | 94% | 98% | 0.99 | ||
| Abnormal | 94% | 91% | 0.95 | |||
| Recurrence [RAS gene cluster expression] | Normal | 93% | 93% | 0.98 | ||
| Abnormal | 89% | 94% | 0.96 | |||
| Recurrence [RET gene cluster expression] | Normal | 91% | 93% | 0.98 | ||
| Abnormal | 91% | 90% | 0.97 | |||
| Recurrence [ROS1 gene cluster expression] | Normal | 96% | 97% | 0.99 | ||
| Abnormal | 85% | 93% | 0.95 | |||
| Recurrence [TP53 gene cluster expression] | Normal | 92% | 95% | 0.98 | ||
| Abnormal | 90% | 88% | 0.95 | |||
| Recurrence [Abnormal expression of <=5 driver gene clusters] | 92% | 93% | 0.98 | |||
| Recurrence [Abnormal expression of >5 driver gene clusters] | 92% | 89% | 0.96 | |||
| 2 Immunotherapy-targeted Genes | Recurrence [CTLA4 gene cluster expression] | Normal | 97% | 89% | 0.98 | For people at high risk of abnormal expression of the immune gene cluster: try the immunotherapy corresponding to that gene. |
| Abnormal | 94% | 91% | 0.97 | |||
| Recurrence [PDCD1 gene cluster expression] | Normal | 92% | 91% | 0.97 | ||
| Abnormal | 93% | 94% | 0.98 |
3. Pathological staging population
| Prognosis | Specificity | Sensitivity | AUC | 2-year survival rate of the low risk group | Use | ||
|---|---|---|---|---|---|---|---|
| Stage | I | Recurrence score | 90% | 93% | 0.97 | 99% | Low risk of recurrence avoids chemotherapy; high risk of recurrence requires chemotherapy. |
| II-IV | Recurrence score | 90% | 95% | 0.97 | 97% | ||
4. Different age groups
| Prognosis | Specificity | Sensitivity | AUC | 2-year survival rate of the low risk group | Use | ||
|---|---|---|---|---|---|---|---|
| Age | <=65 | Recurrence score | 81% | 92% | 0.93 | 96% | Low risk of recurrence avoids chemotherapy; high risk of recurrence requires chemotherapy. |
| >65 | Recurrence score | 94% | 91% | 0.98 | 98% | ||