New Data Presented at CHEST 2023 Demonstrate the Clinical Utility of Veracyte’s Envisia Genomic Classifier for Patients with Interstitial Lung Disease
- Adding the Envisia Genomic Classifier to the diagnostic process improves the ability to detect UIP in patients with ILDs.
- In an independent study, combining the cryobiopsy procedure with the genomic classifier allowed for a diagnosis in 61% of cases.
- For patients with indeterminate HRCT results, adding the Envisia Genomic Classifier more than doubled the UIP diagnostic yield to 49%.
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Two studies highlight the value of adding Envisia results to standard-of-care procedures for identifying patients at increased risk of progressive disease
ILD is a broad group of disorders that lead to fibrosis, or scarring, of the lungs. People with ILD may find it difficult to breathe, and their condition often worsens over time. Among patients who have ILD, it is essential to identify those with UIP, which is a hallmark of idiopathic pulmonary fibrosis and is also associated with ILDs that are more likely to progress over time. Knowing that UIP is present may help a physician make more-informed treatment recommendations for their patients with ILD. However, UIP can be difficult to diagnose because it is challenging to detect using the standard approach of high-resolution computerized tomography (HRCT) and pathology-based diagnoses from a procedure such as cryobiopsy.
The studies presented at the CHEST Annual Meeting show that adding the Envisia Genomic Classifier to the diagnostic process can improve the ability to detect UIP.
In an independent study, researchers at UCLA Health evaluated electronic medical records for 83 patients to determine whether adding the Envisia Genomic Classifier to transbronchial lung cryobiopsy (TBLC) testing altered the diagnostic yield for UIP. Using just TBLC, a clear diagnosis could be made for only
“We found that incorporating Envisia testing significantly increased the diagnostic yield of cryobiopsy for ILD in our overall cohort, as well as in the patients with indeterminate results on high-resolution CT,” said Augustine Chung, M.D., pulmonary director of the Connective Tissue Disease-Interstitial Lung Disease Clinic at UCLA Health and an author of the study. “A higher diagnostic yield could help physicians recommend the most appropriate treatment for their patients with ILD."
The second study focused on the potentially subjective nature of results found on HRCT that was performed on patients with suspected ILD. Two expert thoracic radiologists independently reviewed and interpreted tomography scans for 74 cases of ILD, using the criteria recommended by current guidelines to look for the presence of UIP. Their conclusions were then compared to better understand variability between readers. The analysis showed that results were concordant in just
“Collectively, these studies underscore the clinical value of the Envisia Genomic Classifier test for helping physicians determine whether UIP is present in patients with ILD,” said Bill Bulman, M.D., Veracyte’s medical director for Pulmonology. “They also support the clinical utility of using the Envisia test as a complement to current diagnostic procedures to improve ILD diagnostic and prognostic confidence.”
About Veracyte
Veracyte (Nasdaq: VCYT) is a global diagnostics company whose vision is to transform cancer care for patients all over the world. We empower clinicians with the high-value insights they need to guide and assure patients at pivotal moments in the race to diagnose and treat cancer. Our high-performing tests enable clinicians to make more confident diagnostic, prognostic, and treatment decisions for some of the most challenging diseases such as thyroid, prostate, breast, bladder and lung cancers, as well as interstitial lung diseases. We help patients avoid unnecessary procedures and speed time to diagnosis and appropriate treatment. In addition to making our tests available in the
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