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Oncology
Hematoma
In the field of hematological oncology diagnosis and treament,  Non-Hodgkin Lymphoma (NHL), as the most common malignant tumor of the lymphatic system, accounts for 90% of all lymphomas. Its complex subtypes (over 100) and heterogeneity pose immense challenges to clinical treatment, Minimal Residual Disease (MRD) monitoring has become a core method for evaluating efficacy, predicting relapse risk, and guiding individualized  treatment. Next-Generation Sequencing (NGS) deep sequencing technology based on circulating tumor DNA(ctDNA)-CAPP-Seq-has achieved a paradigm shift from "invasive"to "non-invasive" and from "local" to "systemic". Therefore, for MRD monitoring in NHL patients, especially in aggressive lymphomas or clinical scenarios requiring compreherisive molecular information support, the CAPP-Seq NGS testing solution based on ctDNA has become the most advantageous and promising choice.
The value of ctDNA in NHL Reaearch
Plasma ctDNA analysis provides tumor burden and genotyping information durings disease research, which can support future clincal decision-making and drug development.
Testing Solutions
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  1. Encompasses multiple NHL subtypes, featuring research regions optimized by experts in the field.
  2. Applicable for medication guidance and MRD analysis.
  3. Utilizes hybrid capture to enrich important regions to enhance  detection  sensitivity,  meeting the needs of the POLARIX clinical study which        uses ctDNA for prognostic judgment

Features of Testing Solutions:
Based on the KAPA HyperCap DS NHL Panel technology platform, it covers 383 NHL-related genes with a total capture region of 341 Kb.
Advantages
Workflow
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Cases
Large-scale Global Clinical Study POLARIX:
Risk assessment of previously untreated patients with Diffuse Large B-Cell Lymphoma (DLBCL) by detecting circulating tumor DNA (ctDNA).

POLARIX Study Methodology: ctDNA levels in plasma were measured at baseline and Cycle 2 Day 1(C2D1) using the AVENIO NHL CAPP-Seq assay. (Note: The KAPA HyperCap DS NHL Panel is an upgrade dversion of AVENIO NHL CAPP-Seq. The KAPA HyperCap DS NHL Panel covers the same coding and/oruntranslated regions of 383 genes as the AVENIO NHL Test, plus additional intergenic regions, totaling 341Kb in size). Levels are reported as mutant molecules per mL (MMPM). The change in ctDNA levels is expressed as the log10 ratio of MMPM at baseline to C2D1: log-fold change (LFC).

Key Conclusions: Based on this pre-specified exploratory analysis of the POLARIX study, ctDNA profiling has prognostic value for previously untreated patients with Diffuse Large B-Cell Lymphoma (DLBCL). Baseline ctDNA levels are significantly correlated with clinical outcomes; patients with high baseline ctDNA levels may have shorter Progression-Free Survival (PFS) and Overall Survival (OS). Patients who did not achieve $\ges 2.0 LFC and/or did not have ctDNA clearance had worse outcomes than other patients,making ctDNA clearance an important prognostic indicator. An LFC of 2.5 was identified as the optimal cut-off value for Pola-R-CHP treatment.
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