EPI-CALL™

Integrated Epigenomic Profiling Test

Supporting Therapy Selection For Cancer Patients

We support clinicians with clinically actionable epigenomics insights

EPI-CALL™ is a second-generation comprehensive molecular profiling test that provides epigenomic analysis on top of genomic information offered by existing service providers. By leveraging bulk RNA Sequencing (RNA-Seq), Whole Transcriptome Sequencing (WTS), EPI-CALL™ is the first epigenomic profiling test that provides clinical insights and supports therapy selection for cancer patients.

Clinically validated as a Lab Development Test (LDT)

Equips clinicians with actionable insights for treatment planning

Reports epigenomic information and analyses with RNA-Seq

Provides complementary insights to genomic information

What we are reporting

  • Identification of genome-wide gene fusion occurrences
  • Provides insights on translocation events that could contribute to oncogenesis
  • Helps clinicians to match fusion genes to targeted cancer treatments

Clinical Case:

A patient has been diagnosed with Chronic Myeloid Leukemia (CML) and the clinician is exploring potential cancer treatment options.

With EPI-CALL™:

The clinician can now refer to fusion genes associated with CML. For example, if the BCR-ABL gene fusion is reported, it indicates the presence of BCR-ABL fusion proteins, which are known to drive the growth and survival of leukemia cells. In response, the clinician may opt to offer the drug Imatinib (Gleevec) as the targeted therapy. Imatinib specifically targets and inhibits BCR-ABL fusion proteins to control the proliferation of cancer cells.

  • Proprietary algorithm that predicts cancer patients’ Immunotherapy (IO) response
  • Utilizes alternate promoters to detect IO responders not captured by current biomarkers
  • Enables clinicians to make informed decisions about IO-related therapy selection

Clinical Case:

A patient has been diagnosed with late-stage gastric cancer and the clinician is exploring potential IO treatment options. However, it is uncertain how the patient might respond to this treatment of choice.

With EPI-CALL™:

The clinician can now refer to APS that predicts the patient’s response to IO. If the APS suggests a high probability of response to IO, the clinician may opt for IO as the primary treatment.

Alternatively, if the APS indicates a low probability of response to IO, the clinicians may consider chemotherapy or a combination of therapies as the treatment plan. In this way, APS can enable the clinician to make well informed treatment plans.

  • Gene expression quantification in tumour samples
  • Could provide insights into onco-related pathways and genes dysregulation
  • Could identify dysregulated genes that are associated with targeted therapies

Clinical Case:

A patient has been diagnosed with breast cancer; the clinician is exploring potential cancer treatment options.

With EPI-CALL™:

The clinician can now refer to the expression levels of genes associated with breast cancer. For example, if the patient is HER2*-negative and yet HER2 gene expression is higher than the cancer-specific median, the clinician may consider trastuzumab, a HER2-specific antibody, as the targeted therapy to inhibit the growth of cancer cells.

*HER2 = Human Epidermal Growth Factor Receptor 2

  • Detection of alternate isoforms (variant proteins) as a result of alternate promoter usage
  • Could identify alternate modes of gene dysregulation beyond mutation and expression level
  • Could identify variant proteins that are associated with potential treatment options

Clinical Case:

A patient has been diagnosed with ovarian cancer and the clinician is exploring potential cancer treatment options.

With EPI-CALL™:

The clinician can now refer to the alternate isoform expression levels of genes associated with ovarian cancer. For example, if the patient is BRCA2-negative and yet the alternate isoform expression level of BRCA2 gene is higher than the normal tissue baseline, it could suggest that the intended function of the gene is impacted, thereby leading to the loss of tumor suppressor functions of BRCA2 proteins. In response, the clinician may consider Lynparza (olaparib), a PARP inhibitor, as a targeted therapy to block the growth and spread of cancer.

Epigenomic reporting and analyses can better support clinician's therapy selection

Genomic changes account for less than 50% of cancer cases; epigenomic profiling provides more information and better characterises cancer molecular profiles.

EPI-CALL™ can potentially identify up to 30% of IO responders by acting independently to existing prognostic biomarkers.

We strive to expand EPI-CALL™ reporting and analyses repertoire

Predicting patient response to other novel cancer treatments

(CAR-T, cellular therapy, etc.)

Matching patients to suitable treatment plans as indicated by concluded trials

(Level 3 Clinical Evidence)

Providing more RNA-Seq based information and other reporting modalities

Ordering of Test

Submit order form

Ship samples to our laboratory

Receive report within 3 to 4 weeks

Discuss treatment plan with patient

  • Gene expression quantification in tumour samples
  • Could provide insights into onco-related pathways and genes dysregulation
  • Could identify dysregulated genes that are associated with targeted therapies

Clinical Case:

A patient has been diagnosed with breast cancer; the clinician is exploring potential cancer treatment options.

With EPI-CALL™:

The clinician can now refer to the expression levels of genes associated with breast cancer. For example, if the patient is HER2*-negative and yet HER2 gene expression is higher than the cancer-specific median, the clinician may consider trastuzumab, a HER2-specific antibody, as the targeted therapy to inhibit the growth of cancer cells.

*HER2 = human epidermal growth factor receptor 2

  • Detection of alternate isoforms (variant proteins) as a result of alternate promoter usage
  • Could identify alternate modes of gene dysregulation beyond mutation and expression level
  • Could identify variant proteins that are associated with potential treatment options

Clinical Case:

A patient has been diagnosed with ovarian cancer and the clinician is exploring potential cancer treatment options.

With EPI-CALL™:

The clinician can now refer to the alternate isoform expression levels of genes associated with ovarian cancer. For example, if the patient is BRCA2-negative and yet the alternate isoform expression level of BRCA2 gene is higher than the normal tissue baseline, it could suggest that the intended function of the gene is impacted, thereby leading to the loss of tumor suppressor functions of BRCA2 proteins. In response, the clinician may consider Lynparza (olaparib), a PARP inhibitor, as a targeted therapy to block the growth and spread of cancer.

  • Identification of genome-wide gene fusion occurrences
  • Provides insights on translocation events that could contribute to oncogenesis
  • Helps clinicians to match fusion genes to targeted cancer treatments

Clinical Case:

A patient has been diagnosed with chronic myeloid leukemia (CML) and the clinician is exploring potential cancer treatment options.

With EPI-CALL™:

The clinician can now refer to fusion genes associated with CML. For example, if the BCR-ABL gene fusion is reported, it indicates the presence of BCR-ABL fusion proteins, which are known to drive the growth and survival of leukemia cells. In response, the clinician may opt to offer the drugimatinib (Gleevec) as the targeted therapy. Imatinib specifically targets and inhibits BCR-ABL fusion proteins to control the proliferation of cancer cells.

  • Proprietary algorithm that predicts cancer patients’ immunotherapy (IO) response
  • Utilizes alternate promoters to detect IO responders not captured by current biomarkers
  • Enables clinicians to make informed decisions about IO-related therapy selection

Clinical Case:

A patient has been diagnosed with late-stage gastric cancer and the clinician is exploring potential immunotherapy (IO) treatment options. However, it is uncertain how the patient might respond to this treatment of choice.

With EPI-CALL™:

The clinician can now refer to Alternate Promoter Score (APS) that predicts the patient’s response to IO. If the APS suggests a high probability of response to IO, the clinician may opt for IO as the primary treatment.

Alternatively, if the APS indicates a low probability of response to IO, the clinicians may consider chemotherapy or a combination of therapies as the treatment plan. In this way, APS can enable the clinician to make well informed treatment plans.

Ordering of Test

Fill In Order Form

Ship samples to our laboratory

Receive report within 3 to 4 weeks

Discuss treatment plan with patient