Non-small cell lung cancer (NSCLC) Gene Panel

NGS panel for NSCLC to guide therapy by detecting mutations like EGFR, BRAF, KRAS.

Test description

Non-small cell lung cancer (NSCLC) is the most common type of lung cancer and is a heterogeneous disease with a range of genomic variants that promote tumour growth. Several biomarkers have emerged as predictive gene alterations that have been identified to impact therapy selection while prognostic markers are indicative of patient survival independent of the treatment.

Predictive molecular biomarkers include EGFR mutations, KRAS mutations, BRAF mutations, METex14 skipping mutations, ALK gene rearrangements, RET gene rearrangements, ROS1 gene rearrangements and NTRK1/2/3 gene fusions. Testing for these alterations is important for identification of potentially efficacious targeted therapies that can be accessed under the Pharmaceutical Benefit Scheme, as well as avoidance of therapies unlikely to provide clinical benefit. The KRAS oncogene is a prognostic biomarker, and its presence indicates poor survival for patients with NSCLC when compared to the patients with absence of KRAS mutations, independent of therapy.

The lung panel offers broad molecular profiling for NSCLC and identifies all of the classic actionable biomarkers described in the clinical algorithm using a single assay.

Test information

Test name

NSCLC Gene Panel

Clinical indication

Testing of non-small cell lung cancer tissue to guide choice of therapy.

Gene(s)

DNA: BRAF, EGFR, ERBB2, KRAS, MET and PIK3CA.

RNA fusion: ALK, MET (exon 14 skipping), NTRK1, NTRK2, NTRK3, RET and ROS1

Method

NGS Oncomine Precision Assay

Turn around time

1 week from receipt of slides

Medicare eligibility

73437 or 73438 or 73439 – criteria apply

Price

Call 1800 822 999 for pricing if not eligible for Medicare

Test request form

Pathologist determinable. Internal request form or standard pathology request form.

Sample type

FFPE Tumour Tissue

Collection type

FFPE

Special instructions

>6 x 5 micron slides plus 1 x H&E stained slide required