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MI Tumor Seek Hybrid

MI Tumor Seek Hybrid™ is a high-throughput Next-Generation Sequencing (NGS)-based assay that simultaneously captures both DNA and RNA. Typically, DNA and RNA analysis by NGS requires two separate testing processes, which may require more tissue and more time. By combining Whole Exome Sequencing (WES) and Whole Transcriptome Sequencing (WTS) of 23,000+ genes into one assay, however, MI Tumor Seek Hybrid provides a comprehensive molecular blueprint that saves tissue without compromising results. The results also include AI signatures Caris GPSai (CUP cases) and Caris FOLFIRSTai (mCRC cases) to help confirm diagnosis and improve therapy selection.

This test provides actionable results to guide clinical decisions in easy-to-interpret report:

  • Results with Therapy Associations – Easy to understand biomarker-therapy associations specific to your patient.
  • Therapies with Potential Benefit/Lack of Benefit – Therapies with potential benefit are noted in green while lack of benefit is noted in red.
  • Important Notes – Significant information about drug/biomarker associations and comments from Caris pathologists and molecular geneticists, if applicable.
  • Cancer-Type Relevant Biomarkers – Pre-defined biomarkers whose results will show regardless of presence or absence of an alteration.
  • Clinical Trials – Clinical trial information, including Right-In-Time Clinical Trials, can be found in the report.

Tissue (FFPE) 

NGS + AI + Molecular Signatures

Tissue profiling for therapy selection

Caris MI Tumor Seek Hybrid testing delivers whole exome sequencing (WES – DNA) and whole transcriptome sequencing (WTS – RNA) of 23,000+ genes, as well as predictive AI algorithms. The test is designed to reveal a more complete molecular blueprint that can guide precise and individualized treatment decisions to help improve patient outcomes.

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Caris+Portal

Convenient Access to Caris Profiling

Caris+™Portal provides easy access for users to electronically submit orders, track case progress, view results and review Caris Life Sciences’ profiling information in one convenient location. 

New users will select the Register link at the bottom of the login page and enter their name and their clinic or institution email address to verify the account. 

Technical InfoIHCCISH
Sample Requirements

(see requisition for full details)
1 unstained slide at 4μm thickness from FFPE block, with evaluable tumor present, per IHC test1 unstained slide at 4μm thickness from FFPE block, with at least 100 evaluable tumor cells present, per CISH test
Sensitivity/Specificity>95%>95%
Sample Requirements

(see requisition for full details)
IHC
1 unstained slide at 4μm thickness from FFPE block, with evaluable tumor present, per IHC test

CISH
1 unstained slide at 4μm thickness from FFPE block, with at least 100 evaluable tumor cells present, per CISH test

Sensitivity/Specificity
IHC
>95%

CISH
>95%

Technical InfoNGS (WHOLE EXOME – DNA)NGS (WHOLE TRANSCRIPTOME – RNA)
Sample Requirements≥20% tumor nuclei. Accepted specimen types: FFPE block, unstained slides, core needle biopsy, fine needle aspirate, malignant fluid cell block, bone/bone metastasis. See Tumor Profiling Requisition for complete details.
Tumor Enrichment
(when necessary)
Microdissection to isolate and increase the number of cancer cells to improve test performance and increase the chance for successful testing from small tumor samples
Number of Genes23,000+ genes23,000+ genes
Average Depth of Coverage (DNA)
Average Read Count (RNA)
1,500x for clinical genes17 million reads
Positive Percent Agreement (PPA)>97% for base substitutions at ≥ 5% mutant allele frequency; >97% for InDels at ≥ 5% mutant allele frequency; >95% for copy number alterations (amplifications ≥ 6 copies)>96%
Negative Percent
Agreement (NPA)
>99%>99%
AlterationsSNVs, InDels, CNAs, Karyotyping, VirusesGene Fusions and Variant Transcripts
VirusesHPV 16 & 18 (Head & Neck, Anal, Genital, CUP) 

EBV (Head & Neck, Esophagogastric Junction, Gastric Adenocarcinoma, CUP. If positive result in cancer type not listed here, EBER ISH reflex to confirm EBV result)

MCPyV (Merkel Cell, Neuroendocrine – Poorly Differentiated (High-Grade)/Large or Small Cell Carcinoma, CUP)
Genomic Signatures/OtherGenomic Loss of Heterozygosity (gLOH), 
Homologous Recombination Deficiency (HRD),
Microsatellite Instability (MSI),
Tumor Mutational Burden (TMB),
Human Leukocyte Antigen (HLA), Genotype

Caris FOLFIRSTaiTM
Caris GPSaiTM
Sample Requirements
NGS (WHOLE EXOME – DNA)
NGS (WHOLE TRANSCRIPTOME – RNA)
≥20% tumor nuclei. Accepted specimen types: FFPE block, unstained slides, core needle biopsy, fine needle aspirate, malignant fluid cell block, bone/bone metastasis. See Tumor Profiling Requisition for complete details.

Tumor Enrichment
(when necessary)
NGS (WHOLE EXOME – DNA)
NGS (WHOLE TRANSCRIPTOME – RNA)
Microdissection to isolate and increase the number of cancer cells to improve test performance and increase the chance for successful testing from small tumor samples

Number of Genes
NGS (WHOLE EXOME – DNA)
23,000+ genes

NGS (WHOLE TRANSCRIPTOME – RNA)
23,000+ genes

Average Depth of Coverage (DNA)
Average Read Count (RNA)
NGS (WHOLE EXOME – DNA)
1,500x for clinical genes

NGS (WHOLE TRANSCRIPTOME – RNA)
17 million reads

Positive Percent Agreement (PPA)
NGS (WHOLE EXOME – DNA)
>97% for base substitutions at ≥ 5% mutant allele frequency; >97% for InDels at ≥ 5% mutant allele frequency; >95% for copy number alterations (amplifications ≥ 6 copies)

NGS (WHOLE TRANSCRIPTOME – RNA)
>96%

Negative Percent
Agreement (NPA)
NGS (WHOLE EXOME – DNA)
>99%

NGS (WHOLE TRANSCRIPTOME – RNA)
>99%

Alterations
NGS (WHOLE EXOME – DNA)
SNVs, InDels, CNAs, Karyotyping, Viruses

NGS (WHOLE TRANSCRIPTOME – RNA)
Gene Fusions and Variant Transcripts

Viruses
NGS (WHOLE EXOME – DNA)
NGS (WHOLE TRANSCRIPTOME – RNA)
HPV 16 & 18 (Head & Neck, Anal, Genital, CUP) 

EBV (Head & Neck, Esophagogastric Junction, Gastric Adenocarcinoma, CUP. If positive result in cancer type not listed here, EBER ISH reflex to confirm EBV result)

MCPyV (Merkel Cell, Neuroendocrine – Poorly Differentiated (High-Grade)/Large or Small Cell Carcinoma, CUP)

Genomic Signatures/Other
NGS (WHOLE EXOME – DNA)
NGS (WHOLE TRANSCRIPTOME – RNA)
Genomic Loss of Heterozygosity (gLOH), 
Homologous Recombination Deficiency (HRD),
Microsatellite Instability (MSI),
Tumor Mutational Burden (TMB),
Human Leukocyte Antigen (HLA), Genotype

Caris FOLFIRSTaiTM
Caris GPSaiTM

I wanted to know everything I could about my cancer. Molecular profiling helped create the best, most personalized treatment plan for my survival.”

Patient, Shawna Stengle, Triple Negative Breast Cancer Survivor

Patient, Shawna Stengle, Triple Negative Breast Cancer Survivor

Caris MI Profile™ comprehensive testing delivers whole exome sequencing (WES – DNA) and whole transcriptome sequencing (WTS – RNA) for 23,000+ genes, as well as protein analysis and AI-predictive algorithms.

Caris partners with biopharma to provide multi-omic data that is fueling the next wave of biotherapeutics. Gain actionable insights and build tailored solutions for each phase of development.

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