New Publication Demonstrates Signatera’s Ability to Risk Stratify and Detect Recurrence Early in Resected Stage I-II Lung Cancer
- Signatera MRD test demonstrated the ability to risk stratify and detect recurrence early in patients with resected stage I-II NSCLC
- Clinical management was altered in 100% of patients with a Signatera positive result
- NSCLC accounts for 81% of all lung cancer diagnoses in the U.S.
- None.
Insights
The recent study showcasing the efficacy of Natera's Signatera MRD test in risk stratification and early detection of recurrence in resected stage I-II non-small cell lung cancer (NSCLC) patients represents a significant advancement in oncology. As an Oncology Doctor, the implications of such a diagnostic tool are profound. By enabling early detection of recurrence, which is a critical aspect of cancer management, patient outcomes can be significantly improved. The ability to alter clinical management based on a positive Signatera result suggests that this test could become a pivotal part of the treatment algorithm for NSCLC, potentially leading to more personalized and timely interventions.
From a research perspective, the 100% alteration in clinical management for patients with a positive Signatera result is a remarkable statistic that warrants further investigation. As a Medical Research Analyst, it's important to scrutinize the study's methodology and the reproducibility of these results across diverse populations. Additionally, the economic implications of adopting such a test on a wider scale are significant. While the upfront costs may be higher, the potential for cost savings through early intervention and improved patient outcomes could justify the investment in the long term. Moreover, the integration of this test into standard care protocols could set a new precedent in the management of NSCLC, influencing future research and development in the field of MRD testing.
Considering the market impact, Natera's announcement may influence investor sentiment and the company's stock performance. As a Market Research Analyst, one must assess the potential market size for MRD tests in NSCLC, which is a sizable subset of the lung cancer market. The adoption rate of Signatera will depend on factors such as reimbursement policies, competition from other diagnostic tests and the speed at which oncologists integrate MRD testing into clinical practice. If Signatera can demonstrate cost-effectiveness and improved patient outcomes, it could gain significant market share, potentially affecting Natera's revenue growth and positioning in the precision oncology market. However, it is also crucial to monitor how regulatory bodies respond to these findings and whether they will lead to updated guidelines that could further drive adoption.
Clinical management was altered in
Worldwide, lung cancer is the second most commonly diagnosed cancer. In the
Given the significant risk of recurrence and death in NSCLC, it is critical to accurately risk-stratify patients to identify who may derive benefit from additional treatment after surgery. In addition, there is a need for sensitive and specific biomarkers to support early detection of recurrence before the onset of disease-related symptoms at a time when therapy might provide greater clinical benefit.
This study investigated the association of circulating tumor DNA (ctDNA) status with recurrence-free survival (RFS), as well as changes in clinical practice after a positive ctDNA result in patients with resected stage I-II NSCLC. A total of 378 serial plasma samples from 108 NSCLC patients were analyzed after surgical resection, with a median clinical followup of 16 months.
Key findings include:
- Patients who were ctDNA-positive within 6 months post-resection and prior to adjuvant treatment were 53-times more likely to recur (p<0.0001) as compared to ctDNA-negative patients.
- ctDNA detection demonstrated a median lead time of 5.5 months when compared to confirmation of recurrence by radiographic imaging.
-
Post-operative surveillance strategies were altered in
100% of ctDNA-positive patients (earlier radiographic imaging), and patients with PET scans positive for malignant features received early referrals for treatment.
“This study demonstrates that serial monitoring with Signatera can identify patients who are most likely to benefit from adjuvant systemic therapy and/or more intensified imaging,” said Minetta Liu, MD, chief medical officer of oncology at Natera. “With measurable clinical impact in
The study builds on previous Signatera data across early- and late-stage NSCLC. This includes a 2023 publication in Frontiers in Oncology, demonstrating Signatera’s ability to risk stratify and detect progression early in unresectable NSCLC,7 as well as the EMPower Lung-1 trial presented at the 2023 ASCO annual meeting, which showed Signatera’s ability to monitor response to immunotherapy and predict clinical outcomes in advanced NSCLC patients.8 This recent work also builds upon the 2017 TRACERx Nature publication that first reported Signatera’s ability to detect relapse early with high sensitivity and specificity in patients with resected NSCLC.9
About Signatera
Signatera is a personalized, tumor-informed, molecular residual disease test for patients previously diagnosed with cancer. Custom-built for each individual, Signatera uses circulating tumor DNA to detect and quantify cancer left in the body, identify recurrence earlier than standard of care tools, and help optimize treatment decisions. The test is available for clinical and research use and is covered by Medicare for patients with colorectal cancer, breast cancer (stage IIb and higher) and muscle invasive bladder cancer, as well as for immunotherapy monitoring of any solid tumor. Signatera has been clinically validated across multiple cancer types and indications, with published evidence in more than 50 peer-reviewed papers.
About Natera
Natera™ is a global leader in cell-free DNA testing, dedicated to oncology, women’s health, and organ health. We aim to make personalized genetic testing and diagnostics part of the standard of care to protect health, and inform earlier, more targeted interventions that help lead to longer, healthier lives. Natera’s tests are validated by more than 180 peer-reviewed publications that demonstrate high accuracy. Natera operates ISO 13485-certified and CAP-accredited laboratories certified under the Clinical Laboratory Improvement Amendments (CLIA) in
Forward-Looking Statements
All statements other than statements of historical facts contained in this press release are forward-looking statements and are not a representation that Natera’s plans, estimates, or expectations will be achieved. These forward-looking statements represent Natera’s expectations as of the date of this press release, and Natera disclaims any obligation to update the forward-looking statements. These forward-looking statements are subject to known and unknown risks and uncertainties that may cause actual results to differ materially, including with respect to whether the results of clinical or other studies will support the use of our product offerings, the impact of results of such studies, our expectations of the reliability, accuracy and performance of our tests, or of the benefits of our tests and product offerings to patients, providers and payers. Additional risks and uncertainties are discussed in greater detail in "Risk Factors" in Natera’s recent filings on Forms 10-K and 10-Q and in other filings Natera makes with the SEC from time to time. These documents are available at www.natera.com/investors and www.sec.gov.
References
- Cancer.Net. Lung Cancer (Non-Small Cell) - Statistics. https://www.cancer.net/cancer-types/lung-cancer-non-small-cell/statistics. 2023.
-
Cancer of the Lung and Bronchus (Invasive). In: Howlader N, Noone AM, Krapcho M, et al. editors. SEER Cancer Statistics Review, 1975-2014.
Bethesda, MD : National Cancer Institute, 2017. -
Kocher F, Hilbe W, Seeber A, et al. Longitudinal analysis of 2293 NSCLC patients: A comprehensive study from the
TYROL registry. Lung Cancer. 2015;87(2):193-200. doi:10.1016/j.lungcan.2014.12.006 - Uramoto H, Tanaka F. Recurrence after surgery in patients with NSCLC. Transl Lung Cancer Res. 2014;3(4):242-249. doi:10.3978/j.issn.2218-6751.2013.12.05
- Lou F, Sima CS, Rusch VW, Jones DR, Huang J. Differences in patterns of recurrence in early-stage versus locally advanced non-small cell lung cancer. Annals of Thoracic Surgery. 2014;98(5):1755-1761. doi:10.1016/j.athoracsur.2014.05.070
- Journal of Thoracic Oncology 2016 1139-51DOI: (10.1016/j.jtho.2015.09.009)
- Lebow et al. ctDNA-based detection of molecular residual disease in stage I-III non-small cell lung cancer patients treated with definitive radiotherapy. Front. Oncol. 2023,13:1253629.
-
Vokes N, Gandara D, et al. Circulating Tumor DNA (ctDNA) Dynamics and Survival Outcomes in Patients with Advanced NSCLC and High (>
50% ) PD-L1 Expression, Randomized to Cemiplimab vs Chemotherapy. Presented at ASCO Annual Meeting,Chicago, IL , June 2023. - Abbosh C, Birkbak NJ, Wilson GA, et al. Phylogenetic ctDNA analysis depicts early-stage lung cancer evolution. Nature. 2017;545(7655):446-451.
View source version on businesswire.com: https://www.businesswire.com/news/home/20240130015768/en/
Investor Relations: Mike Brophy, CFO, Natera, Inc., 510-826-2350, investor@natera.com
Media: Lesley Bogdanow, VP of Corporate Communications, Natera, Inc., pr@natera.com
Source: Natera, Inc.
FAQ
What is the significance of Natera's Signatera MRD test study results for NSCLC patients?
How common is NSCLC in the U.S.?
Where can the full study be found?
