ORDERI N G I N FO RM ATI O N QuantidexTM DNA Assay* [P/N 0649539] 100 REACTIONS *Research Use Only. Not for use in diagnostic procedures. RE FE RE N C E S 1. Functional DNA quantification guides accurate next-generation sequencing mutation detection in formalin-fixed, paraffin-embedded tumor biopsies. Sah et al. Genome Med 2013;5(8):77 Measure the DNA that Matters. 2500-0495 11/7/14 2150 W O O D WA R D S T. , S U I T E 10 0 AU S T I N , T X 7874 4 T: 1. 877.777.1874 P : 1. 512 . 6 81. 520 0 E : O R D E R S @A S U R AG E N .CO M DISCOVER • DE VELOP • DIAGNOSE Quantidex DNA A ssay TM Measures the DNA that matters: PCR-amplifiable DNA # DETECTED COSMIC VARIANTS A SSAY FE AT U RE S GUIDES DNA INPUT TO IMPROVE THE ACCURACY OF NGS VARIANT CALLS AND RESCUES FALSE POSITIVE AND NEGATIVE CALLS 16 12 10 TRUE POSITIVE 8 6.3 ng 6 12.5 ng 2 50 100 200 # OF AMPLIFIABLE DNA COPIES Figure 2 : The specificity of NGS mutation detection can be dramatically improved by increasing the input of amplifiable DNA from a low-quality FFPE tumor biopsy (QFI Score= 2.6%). Although the expected BRAF V600E mutation is detected at all inputs, the number of false positives is significantly increased at lower copy number inputs. The Quantidex™ DNA Assay informs an input of 200 amplifiable copies, which is associated with detection of a single variant, the expected BRAF V600E mutation. The mass inputs at the top of each bar were measured using spectrophotometry. I D E N T I FI E S P C R I N H I B I TO R S PR E S E N T I N T H E SA M PL E 3 0F 3 INHIBITED INHIBITION (Cq) 40 2 0F 3 INHIBITED 1 0F 3 INHIBITED 38 36 34 32 30 E X T E N S I V E LY VA L I DAT E D I N PE E R - R E V I E W E D PU B L I C AT I O N S QFI TM SCORE 10 1866 RESIDUAL CLINICAL FFPE SPECIMENS FROM 13 COHORTS IM1 8 IM2 5 IM3 3 100 80 60 50 40 30 0 1 2 20 3 4 5 6 7 8 9 10 11 12 13 14 15 Figure 3 : Data from 15 melanoma FFPE DNA samples isolated with three different isolation methods (IM1, IM2, IM3). A high Cq is an indicator of inhibition in a sample. 10 QFI TM SCORE 25.0 ng 25 A 2-in-1 assay: Distinguishes low-quality, unamplifiable DNA from DNA with sample-derived PCR inhibition Simple, high-throughput workflow using a convenient multiplexed design FALSE POSITIVE 1 TRUE POSITIVE NO FALSE POSITIVES 4 0 Provides actionable guidance that rescues low-quality DNA and helps assure the accuracy of NGS calls MELANOMA FFPE DNA 2.6% QFI SCORE 3.1 ng 14 7 6 5 4 3 PR OV I D E S AC T I O N A B L E G U I DA N C E F O R D N A I N PU T S I N TO D O W N S T R E A M N G S E N R I C H M E N T S T E P S 2 1 0.8 0.6 0.5 0.4 0.3 SAMPLE NAME DNA INPUT (ng) INHIBITION AMPLIFIABLE COPY NUMBER PER µl QFI TM SCORE MIN VOLUME TO DETECT 5% VARIANT (µl) SAMPLE A 10 PASS 300 10.0 1.00 SAMPLE B 10 PASS 856 28.5 1.00 SAMPLE C 15 FAIL FAIL FAIL FAIL SAMPLE D 5 AT RISK 56 3.7 3.57 SAMPLE E 20 PASS 8 0.1 FAIL 0.2 0.1 0.07 0.06 0.05 0.04 0.03 0.02 N=92 82 QFI=26% 7% 24 9% 244 6% 96 4% 36 20% 660 4% 35 11% 27 17% 11 2% 462 21% 25 0.9% 72 9% 0.01 Figure 1 : The QuantidexTM DNA assay has been assessed with >2000 FFPE and FNA tumor biopsies across more than a dozen different cohorts. Each sample is represented by its corresponding QFITM Score. Figure 4 : Actionable results generated from the Quantidex DNA assay. The results identify PCR inhibition, reveal the DNA quality score (QFITM Score), and prescribe volume inputs based on sample-specific DNA copy number for theoretical detection of a 5% variant.