Myriad Genetics' Precise® MRD test shows promise in detecting ctDNA for oligometastatic clear-cell renal cell carcinoma patients.
Quiver AI Summary
Myriad Genetics, Inc. announced the publication of a study in The Lancet Oncology regarding its Precise® MRD test, which measures circulating tumor DNA (ctDNA) in patients with oligometastatic clear-cell renal cell carcinoma (ccRCC). The study aimed to assess the potential benefits of ultrasensitive MRD testing alongside metastasis-directed radiation therapy (MDT). Findings indicated that patients with low ctDNA levels who underwent MDT could delay the need for systemic therapy, thus avoiding serious side effects. The study reported that 94% of participants had ctDNA levels below 100 ppm at baseline and those testing positive proceeded to systemic therapy sooner than those who tested negative. The research suggests that ctDNA may serve as a valuable biomarker for personalizing treatment in this context. Myriad's Precise MRD test shows promise not only in renal cancer but also in other conditions, highlighting its sensitivity and potential clinical applications.
Potential Positives
- The study published in The Lancet Oncology showcases the effectiveness of Myriad's Precise MRD test in detecting ctDNA levels, which is crucial for managing oligometastatic clear-cell renal cell carcinoma (ccRCC).
- The findings suggest that using the Precise MRD test may allow patients to avoid unnecessary systemic therapies, potentially reducing side effects and supporting a more targeted treatment approach.
- The research indicates that patients tested negative for ctDNA achieved significantly longer systemic therapy-free survival compared to those who tested positive, highlighting the test's potential to inform treatment decisions effectively.
- The performance of Precise MRD in this trial acts as an encouraging indicator for its use in other cancer types, such as breast cancer, which may expand Myriad's market opportunities.
Potential Negatives
- The press release contains forward-looking statements that are subject to known and unknown risks and uncertainties, which can cause actual results to differ materially, potentially undermining investor confidence.
- The study, while promising, highlights that Precise MRD’s ability to detect ctDNA may still present challenges in the context of renal cancer, as indicated by the mention of low tumor fraction affecting detection.
- There is no definitive proof that the promises made regarding the test’s efficacy will translate into broader clinical acceptance or success, leaving future performance uncertain.
FAQ
What is the Precise MRD test?
The Precise MRD test is a tumor-informed, whole genome sequencing-based test that detects tumor-specific variants and monitors ctDNA levels in cancer patients.
How does the Precise MRD test benefit ccRCC patients?
The Precise MRD test helps identify patients who may avoid systemic therapy, allowing for treatment de-escalation and reducing serious side effects.
What were the key findings of the study published in The Lancet Oncology?
The study found ctDNA levels correlated with responses to metastasis-directed therapy, offering insights on treatment timing and systemic therapy initiation.
What was the main goal of the study on oligometastatic ccRCC?
The main goal was to assess if ultrasensitive MRD testing could improve treatment outcomes for patients with oligometastatic clear-cell renal cell carcinoma.
Why is ctDNA considered a promising biomarker?
ctDNA is a promising biomarker as it can indicate which patients may benefit most from metastasis-directed therapy, enhancing personalized treatment plans.
Disclaimer: This is an AI-generated summary of a press release distributed by GlobeNewswire. The model used to summarize this release may make mistakes. See the full release here.
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Full Release
SALT LAKE CITY, Sept. 04, 2025 (GLOBE NEWSWIRE) -- Myriad Genetics, Inc. , (NASDAQ: MYGN), a leader in molecular diagnostic testing and precision medicine, today announced The Lancet Oncology published a study highlighting the performance of Myriad’s molecular residual disease (MRD) test, Precise ® MRD, in patients with oligometastatic clear-cell renal cell carcinoma (ccRCC).
One of the goals of this study was to determine whether patients with oligometastatic ccRCC could benefit from incorporating ultrasensitive MRD testing into their care. The study demonstrated that circulating tumor DNA (ctDNA) levels were associated with patients’ response to metastasis-directed radiation therapy (MDT). Precise MRD was able to detect ctDNA levels in patients with very low tumor burden. This may allow patients who are candidates for metastasis-directed radiotherapy without systemic therapy (MRWS) to delay or avoid systemic treatments, sparing patients from serious side effects and supporting treatment de-escalation.
Key MRD findings from this Phase 2 trial include:
- 94% of patients tested at baseline had ctDNA levels below 100 ppm, which falls in the ultrasensitive testing range.
- Those who tested positive with Precise MRD prior to MRWS progressed to systemic therapy within a median time of 27 months, whereas those who tested negative were maintained on MDT for a median time of 54 months.
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In those who were ctDNA negative and maintained on MDT, overall survival was not compromised, with survival rates of 94% at two years and 87% at three years.
“Our study demonstrated that MDT successfully delayed the initiation of systemic therapy in patients with oligometastatic ccRCC,” said Chad Tang, MD, associate professor in the department of genitourinary radiation oncology at The University of Texas MD Anderson Cancer Center (MDACC), and principal investigator of the study. “Median systemic therapy-free survival was nearly double in those who were ctDNA negative compared to those who were ctDNA positive, suggesting that ctDNA may be a promising biomarker to identify those who will benefit most from MDT.”
“Renal cancer is known to have low tumor fraction, making detection of ctDNA difficult for first-generation MRD assays,” said Dale Muzzey, PhD, chief scientific officer, Myriad Genetics. “Using the ultrasensitive Precise MRD Test, we could detect a wide range of ctDNA levels – from very high to very low – that were associated with response to metastasis-driven therapy. We are excited to continue characterizing the performance of Precise MRD in renal cancer, where biomarkers are urgently needed to inform care. The performance of Precise MRD in this challenging clinical setting is an encouraging indicator of its sensitivity in a range of other indications, such as breast cancer.”
About the Study
The study, “Phase 2 trial of metastasis directed radiotherapy without systemic therapy (MRWS) for oligometastatic clear cell renal cell carcinoma (ccRCC) and investigation of circulating tumor DNA (ctDNA) as a personalized biomarker,” was first
shared
at the 2025 American Association for Cancer Research Annual Meeting. The study was an investigator initiated single-arm trial enrolling patients with ccRCC and up to 5 metastases (NCT03575611). This study is among the largest trials conducted to date in this setting and includes one of the longest follow-up periods evaluating sequential metastasis directed therapy without systemic therapy for ccRCC. The Precise MRD Test was used to evaluate ctDNA levels as part of an exploratory endpoint to determine the association of translational biomarkers with patient outcomes.
About Myriad’s Precise MRD Test
Myriad’s Precise MRD Test is a tumor-informed, whole genome sequencing (WGS) based test that monitors hundreds to thousands of tumor-specific variants, enabling exceptional sensitivity and quantification of ctDNA in the blood of patients with cancer. The Precise MRD test can be used to monitor ctDNA levels throughout a cancer patient’s clinical care, starting immediately after diagnosis and continuing through treatment.
About Myriad Oncology
™
Myriad Oncology provides a portfolio of advanced genetic and tumor genomic testing solutions, including risk assessment, screening, tools to aid treatment guidance, and survivorship. The Myriad Oncology offering is designed to meet the unique needs of oncology specialists and their patients across each step in the patient care continuum.
About Myriad Genetics
Myriad Genetics is a leading molecular diagnostic testing and precision medicine company dedicated to advancing health and well-being for all. Myriad Genetics develops and offers molecular tests that help assess the risk of developing disease or disease progression and guide treatment decisions across medical specialties where molecular insights can significantly improve patient care and lower healthcare costs. For more information, visit
www.myriad.com
.
Safe Harbor Statement
This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including statements relating to how the ability of Precise MRD to detect ctDNA levels in patients with very low tumor burden may allow patients who are candidates for MRWS to delay or avoid systemic treatments, sparing patients from serious side effects and supporting treatment de-escalation; that ctDNA may be a promising biomarker to identify those who will benefit most from MDT; that the performance of Precise MRD in this clinical setting is an encouraging indicator of its sensitivity in a range of other indications, such as breast cancer; and the company’s excitement to continue characterizing the performance of Precise MRD in renal cancer. These “forward-looking statements” are management’s expectations of future events as of the date hereof and are subject to known and unknown risks and uncertainties that could cause actual results, conditions, and events to differ materially and adversely from those anticipated. Such factors include those risks described in the company’s filings with the U.S. Securities and Exchange Commission, including the company’s Annual Report on Form 10-K filed on February 28, 2025, as well as any updates to those risk factors filed from time to time in the company’s Quarterly Reports on Form 10-Q or Current Reports on Form 8-K. Myriad is not under any obligation, and it expressly disclaims any obligation, to update or alter any forward-looking statements, whether as a result of new information, future events or otherwise except as required by law.
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