Faster and more comprehensive solid cancer tumour genomic tests now available

Information about new technology which will improve genomic tests for cancer.

We are switching to a new Solid Tumour Panel called OncoDEEP which is supplied by a company called OncoDNA. The OncoDEEP panel is a replacement for the current Illumina TruSight Oncology 523 gene (TSO500) panel. The OncoDEEP panel covers 638 genes, but also includes Homologous Recombination Deficiency (HRD) testing in line with current National Test Directory requirements for high grade serous ovarian cancer. We will begin issuing reports generated from analysis using the OncoDeep panel from July 22nd onwards,
This change will mean a more streamlined service for DNA analysis of solid tumours with HRD testing included in the same panel. The new panel has the capability to improve the detection of copy number variants, particularly copy number losses, and can deliver microsatellite instability (MSI) and tumour mutational burden (TMB) however additional validation work is required with phased implementation in line with the national test directory requirements. Sample preparation time is less than TSO500 which enables a more efficient work-flow, this will reduce turnaround times in the longer term.
This investment demonstrates our continued service improvement as part of our commitment to patients and clinicians.
Please continue to send samples to us via your established pathways and we look forward to showing you the benefits of our new technology. The reports you receive will be familiar and will remain in the usual format; the only change will be to the technical information at the end.
Sarah Cannon will continue to deliver testing of colorectal and endometrial samples on our behalf until further notice.
If you have any questions, or you require support to establish new pathways, don’t hesitate to get in touch on nicola.foot@nhs.net

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With any Whole Genome Sequencing (WGS) test ordered, a Record of Discussion (RoD) form will also need to be submitted. This document is to record the patient’s consent for genomic testing and their choice on taking part in research. Guidance on the patient choice conversation can be found here
 
This RoD form will be available for clinicians to download from this webpage. Once completed with the patient, it can be send to the lab with the corresponding test order form and sample.
Tests available to order will be listed in the National Genomic Test Directory. A test order form will soon be made available for clinicians on this webpage to download and complete. This form will include the address of the laboratory that the appropriate sample and completed form needs to be sent to.
 
Until the new Genomic Laboratory Service goes live, please continue to follow existing test order processes.
 
Later this year, the online test ordering tool for Whole Genome Sequencing will be integrated into the National Genomics Informatics System (NGIS) and clinicians will be able to search or filter to find a clinical indication, confirm eligibility criteria and start the test request process for their patient.