Development of Ion AmpliSeq™ Community Panels FALCON Global Consortia Nathalie Bernard, Market Development Manager, Inherited Disease Ion AmpliSeq™ Community Panels FALCON Leadership Consortia Your workflow with your own content BRCA1 and BRCA2 ‘In this consortia we are sharing knowledge, technology, this is the main point’, Dr. Scarpa, University of Verona Colon & lung Clinical Research Verification CFTR panel Enabled by Life through leadership networks Cardio Genes panel Check what is available on the Ion Community Sign in to share your work with your peers BRCA1 and BRCA2 Global Consortium Rosella.Petraroli@lifetech.com Prof. Harriet Feilotter Dr. Nicola Williams Department of Pathology at Queen's University. Ontario Canada Southern General Hospital Glasgow Marjolijn J.L. Ligtenberg, Arjen R. Mensenkamp Radboud University Nijmegen Medical Centre, The Netherlands Prof. Jeffrey N. Weitzel Dr. Arif B. Ekici Division of Clinical Cancer Genetics City of Hope Cancer Center. Los Angeles Institute of Human Genetics Friedrich-Alexander-University of Erlangen-Nürnberg Dr. Alfredo Hidalgo Miranda, National Institute of Genomic Medicine. Mexico City, Mexico Dr. Jose Louis Costa and Dr Jose Carlos Machado IPATIMUP Medical Faculty of Porto. Portugal BRCA1 and BRCA2 Global Consortium Goal: Develop a BRCA1 and BRCA2 NGS panel with Ion AmpliSeq™ technology and Ion PGM™ Sequencer 1. Coverage of targets: – 100% coverage of all coding exons and exon-intron boundaries (-20 to +20) – Amplicons covering exons are overlapping 2. European Molecular Genetics Quality Network Guidelines – Primers do not overlap – No validated SNPs in the last five nucleotides of primer – Max 3 validated SNPs per primer 3. Adoptable by other research labs - accurate, affordable & easy – – – Single day workflow Multiplex at least 6 samples per chip (316) Reliable and easy data analysis – Ion Reporter ™ Software Ion AmpliSeq™ BRCA1 & BRCA2 Panel Resulting design meets requirements – 167 amplicons across 3 primer pools (30 ng of DNA) – 200 bp design (single exception 349 bp) • FFPE samples with lower performance – No SNP in the 3’ end of the primer – EMQN Best Practices Guidelines “Care must be taken when designing PCR primers to avoid sequence variants (e.g. SNPs) in primer binding sites that could result in allelebiased amplification” European Molecular Genetics Quality Network Ion AmpliSeq™ BRCA1 & BRCA2 Panel Project Design Phase 1: Design and test Phase 2: Analytical verification and reproducibility Panel launch Phase 3: Global consortium verification • Design following collaborators’ requirements • First analytical verification on 20 archived samples • 9-mer homopolymer variants and MLPA variants • 30 archived samples with 65 known different variants tested and exchanged across 2 labs: •Homopolymer stretches •Deletions/insertions •Point mutations •Exon deletions ✓ ✓ ✓ ✓ • Multiplex 8 samples per Ion 316™ Chip • Global verification will be performed in 8 labs on additional 200 archived samples with known variant status Ion AmpliSeq™ BRCA1 & BRCA2 Panel 50 archived samples verified at Nijmegen and IPATIMUP ✓ Phase 1: Design and test Phase 2: Analytical verification and reproducibility Panel launch Phase 3: Global consortium verification • Design following collaborators’ requirements • First analytical verification on 20 samples • 9-mer homopolymer variants and MLPA variants • 30 archived samples with 65 known different variants tested and exchanged across 2 labs: •Homopolymer stretches •Deletions/insertions •Point mutations •Exon deletions ✓ ✓ ✓ ✓ • Multiplex 8 samples per Ion 316™ Chip • Global verification will be performed in 8 labs on additional 200 archived samples with known variant status Ion AmpliSeq™ BRCA1 & BRCA2 Panel Metrics – Average coverage uniformity: 98.8% – Average on-target specificity: 97.4% http://ioncommunity.lifetechnologies.com/docs/DOC7184 On-target Specificity 100.00% 50.00% 0.00% Sample 1 Sample 2 Coverage Uniformity 100.00% 50.00% 0.00% Sample 1 Sample 2 Ion AmpliSeq™ BRCA1 & BRCA2 Panel Project Design ✓ ✓ Phase 1: Design and test Phase 2: Analytical verification and reproducibility Panel launch Phase 3: Global consortium verification • Design following collaborators’ requirements • First analytical verification on 20 samples • 9-mer homopolymer variants and MLPA variants • 30 samples with 65 known different variants tested and exchanged across 2 labs: •Homopolymer stretches •Deletions/insertions •Point mutations •Exon deletions ✓ ✓ ✓ ✓ • Multiplex 8 samples per Ion 316™ Chip • Global verification will be performed in 8 labs on additional 200 samples with known variant status • Ion Reporter Analysis workflow Optimization Analyze Filter Bioinformatics pipeline Report Read Generation • • • Trim adapter sequences Remove poor signal reads Split reads per barcode Variant confirmation and Interpretive Report Variant Calling and Variant Annotation Read Mapping • • • Assembly Allignment • • • Coverage Analysis SNP/Indel Detection Annotate Variants Ion Reporter pre-configured workflow Ion Reporter™ Software • • • Identify pathogenic variants Identify known polymorphisms Verify variants found Extract Report Ion Reporter™ Software Review Richly Annotated Variant list Sequence Import > Analyze > BRCA 1 and BRCA2 Global Consortium Preliminary Results from five labs (Phase 3 verification) • Data: Nijmegen – Porto – Erlangen – Glasgow – Canada • Analysis: Ion Reporter™ pre-configured BRCA Workflow • Workflow contains modified parameters for calling homopolymers • Not including in the sensitivity the samples with large exon deletions Type of Mutation Unique Mutations Samples Sensitivity In long homopolymer 11 12/12 100% Indel 61 67/67 100% point mutations 51 55/55 100% 123 134/134 100% Ion Reporter™ Software Example of FP detection rate in one lab TP FP Sensitivity PPV Run1 (10 samples) 109 3 100% 97.32% Run2 (10 samples) 75 5 100% 96.15% Run3 (10 samples) 55 3 100% 94.8% Run4 (10 samples) 67 2 100% 97% Ion Reporter™ Software BRCA1/2 single sample workflow Coverage Analysis per Lab Across Runs 100000 10000 lab1 1000 lab2 lab3 lab4 100 lab5 Amplicon in exon 23 of BRCA2 10 1 Take home message: Minimum coverage 100x. However, amplicon in exon 23 of BRCA2 might exhibit low coverage ( >~60x) in some runs. Even in that case, variants can be detected in this exon in this region with the current workflow in Ion Reporter™ Coverage of Amplicon in Exon 23 - BRCA2 Gene within the labs 100000 10000 lab1 1000 lab2 lab3 100 lab4 lab5 10 Low high-throughput run 1 run1 run2 run3 run4 • Most of the runs in all the labs have coverage over 100x for this amplicon • Low coverage is run-specific. • Even low coverage ( > 60x), variants can be detected in this exon in this region with the current workflow in Ion Reporter™ Ion AmpliSeq™ BRCA1 & BRCA2 Panel 303-bp deletion in IGV • 303-bp deletion beyond scope of panel design and variant caller • Heterozygous deletion initially detected by MLPA • Deletion can be observed from coverage Molecular subsets of lung and colon adenocarcinoma Pao & Hutchinson et al. Nature 2012 OncoNetwork Consortium Rosella.Petraroli@lifetech.com 8 labs experienced in colon & lung cancer research Prof. Ian Cree Warwick Medical School United Kingdom Prof. Orla Sheils Trinity College Dublin, Ireland Dr. Ludovic Lacroix Institut Gustave Roussy Paris, France Prof. Pierre Laurent Puig Université Paris Descartes, France Dr. Marjolijn Ligtenberg & Dr. Bastiaan Tops Radboud University Nijmegen Medical Centre The Netherlands Dr. Cristoph Noppen & Dr. Henriette Kurth VIOLLIER AG Basel, Switzerland Prof. Aldo Scarpa ARC-NET University of Verona, Italy Dr. Nicola Normanno Centro Ricerche Oncologiche Mercogliano, Italy OncoNetwork Consortium Goal: Develop a colon and lung tumor NGS panel with Ion AmpliSeq™ technology and Ion PGM™ Sequencer 22 selective gene content for colon and lung cancer research Markers in the receptor tyrosine kinase (RTK) pathway Include genes that might serve in the near future, AKT1, DDR2 and ERBB2 Selection of the genes regions based on mutation frequencies Use low amount of input DNA Single primer pool requiring only 10 ng of DNA Adoptable by other research labs Verified on archived FFPE samples Single day workflow Easy data analysis – Ion Reporter ™ Software Ion AmpliSeq™ Colon and Lung Cancer Panel Panel design and relevance 22 genes – 90 Amplicons- more than 500 variants Receptor Tyrosine Kinases genes EGFR, ERBB2, ERBB4, MET, FGFR1, FGFR2, FGFR3, DDR2, ALK Receptor tyrosine kinases Pathway Genes KRAS, NRAS ,PIK3CA, BRAF, PTEN, MAP2K1, AKT1 Cancer-related genes TP53, STK11, CTNNB1, SMAD4, FBXW7, NOTCH1 – – – – New genes DDR2 and MEK1 KRAS exon4 to include codons 117 to 146 EGFR exon12 to include codon 492 BRAF exon11 to include codons 466 and 469 Verification Workplan 155 archived FFPE Samples by 7 laboratories Phase 1: Reproducibility Accuracy Phase 2: Concordance Phase 3: Analytical Sensitivity • Same 5 FFPE control samples across 7 labs • 2 KRAS AcroMetrix® cell line controls, 1 lung tumor research sample, 2 xenograft colon tumor research sample • 10 FFPE blind samples, 6 labs, 60 samples total • 10 colon and lung tumor FFPE research samples • Each lab sent in 10 previously tested samples & received back 10 blind samples for sequencing • 15 FFPE samples, 6 labs 90 samples total • Each lab sequences 10 lung & 5 colon tumor research samples • Samples vary greatly in tumor content levels (heterogeneity) Ion AmpliSeq™ Colon and Lung Cancer Panel v1 Amplicon Coverage Sensitivity too low Loss of chip capacity Ion AmpliSeq™ Colon and Lung Cancer Panel v2 Amplicon Coverage Further optimization of primer set More equal coverage, novel verification 8 instead of 5 samples on Ion 316 ™ chip Verification Workplan 89 archived FFPE samples Ion AmpliSeq™ Colon and Lung Cancer Panel v2 Phase 1: Reproducibility and Accuracy • Same 7 control FFPE samples across 7 labs • 2 KRAS AcroMetrix® cell line controls, 2 xenograft colon , 3 lung tumor research samples Phase 2: Concordance • 10 blind FFPE samples across 6 labs, 60 samples total • 10 colon and lung tumor research • Each lab sent in 10 previously tested samples & received back 10 blind samples for sequencing Phase 3: Analytical Sensitivity • 15 FFPE samples in 5 labs, 75 samples total • Each lab sequences 10 lung & 5 colon tumor research samples • Samples vary greatly in tumor content levels (heterogeneity) Phase 1: Ion AmpliSeq™ Colon and Lung Cancer Panel v2 100% Reproducibility - 7 FFPE samples - 7 labs Ion Reporter ™ Software FFPE Sample type Gene Protein lab1 lab2 lab3 lab4 lab5 lab6 lab7 1- Xenograft PIK3CA E542K ✓ ✓ ✓ ✓ ✓ ✓ ✓ 1- Xenograft KRAS G12D ✓ ✓ ✓ ✓ ✓ ✓ ✓ 1- Xenograft TP53 G244D ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2- Xenograft PIK3CA E545K ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2- Xenograft KRAS G12D ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2- Xenograft FBXW7 R465H ✓ ✓ ✓ ✓ ✓ ✓ ✓ 1- Lung KRAS G12C ✓ ✓ ✓ ✓ ✓ ✓ ✓ 1- AcroMetrix® KRAS G13D ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2- AcroMetrix® KRAS G12A ✓ ✓ ✓ ✓ ✓ ✓ ✓ W5 EGFR Deletion 19 ✓ ✓ ✓ ✓ ✓ ✓ ✓ W3 EGFR ✓ ✓ ✓ ✓ ✓ ✓ ✓ L858R Phase 3: Ion AmpliSeq™ Colon and Lung Cancer Panel v2 100% Genotyping Sensitivity - 75 FFPE difficult samples KRAS EGFR BRAF TP53 PTEN Lab 1 LAB 2 LAB 3 LAB 4 LAB 5 3 - - ERBB2 - - 11 FOUND ✓ SNVs 6 Indel - 1 - 1 - - - 2 ✓ SNVs 5 1 - - - - - 6 ✓ indel - 2 - - - - - 2 ✓ SNVs 6 2 3 - - - - 11 ✓ indel - 5 - - - - 1 4 ✓ SNVs 2 2 - - - - - 4 ✓ indel - 2 - - - - - 2 ✓ SNVs 6 1 (dupl) 2 - 1 1 - 11 ✓ indel - - 2 STK11 Expected Variants - - - - - - Detection Rate % 100 100 100 100 100 ✓ ** Lab 3 tested three different samples with the new panel with three different new mutations which were correctly detected The major classes of genomic alterations that give rise to cancer Sequencing, Real Time PCR etc. EGFR ErbB-2 BRAF PIK3CA AKT1 MAP2K1 FISH, Immunohistochemistry EGFR ErbB-2 MET EML4-ALK ROS-1 RET Modified from McConaill - JCO 2010 OncoNetwork Global Consortium Prof. Harriet Feilotter Department of Pathology at Queen's University. Ontario Canada Prof. Ian Cree Warwick Medical School United Kingdom Cecily P. Vaughn ARUP Institute for Clinical and Experimental Pathology Dr. Cristoph Noppen & Dr. Henriette Kurth VIOLLIER AG Basel, Switzerland Prof. Orla Sheils Trinity College Dublin, Ireland Prof. Kazuto Nishio, M.D. Kinki University School of Medicine, Osaka, Japan Prof. Pierre Laurent Puig Université Paris Descartes, France Dr. Ludovic Lacroix Institut Gustave Roussy Paris, France Marjolijn J.L. Ligtenberg, Arjen R. Mensenkamp Radboud University Nijmegen Medical Centre, The Netherlands Prof. Aldo Scarpa ARC-NET University of Verona Italy Dr. Jose Costa IPATIMUP Medical Faculty of Porto. Portugal Dr. Nicola Normanno Centro Ricerche Oncologiche Mercogliano, Italy Ion AmpliSeq™ Colon and Lung Panel – Redesign Rosella.Petraroli@lifetech.com Goal: Redesign the Ion AmpliSeq™ Colon and Lung panel to include new biomarkers and copy number detection Include the same gene targets of the colon and lung panel Add NRAS exon 4 variants ( p.117, p.146) and more ALK variants Add Copy number detection for the genes MET, FGFR1 ,FGFR2, ERBB2, MEK1, EGFR, ALK, KRAS, PTEN . Do not change the primers design of the existing amplicons Use low amount of input DNA Single primer pool requiring only 10 ng of DNA Adoptable by other research labs Verified on archived FFPE samples Single day workflow Easy data analysis – Ion Reporter ™ Software Lung Fusion Panel Goal: Develop a lung tumor fusion panel based on Ion AmpliSeq™ RNA technology 1. Selective gene content related to Lung tumor 2. Covers fusion variants of ALK, ROS and RET genes. Use low amount of input RNA 3. Internal positive control included 4. Use ALK, ROS, RET gene expression targets Panel Verified by the Consortium on FFPE archived samples: 5. Single primer pool requiring only 10 ng of RNA 200+ FFPE archived samples previously tested by FISH, ICH or qPCR for EML/ALK fusions High selection of positive samples from archived samples. Adoptable by other research labs Single day workflow Multiplex at least 8 samples per Ion 316™ chip Reliable and easy data analysis Provide the same level of information as FISH FALCON Global Consortia Process Ion Community™ Panels Develop applications that satisfy customer needs Content and workflow defined by International Consortia Analytical verification part of the development process Panel tested on clinical research samples at collaborator’s lab Complete workflow including software solution Include collaborators need to use the panel in their settings Share experiences of it with other users Be part of a community Ion AmpliSeq™ Portfolio Positioning Design Life Technologies Verification Life Technologies Kits in inventory? Yes, ready-to-use Customer Customer Made-to-order via ampliseq.com Community Community Made-to-order via ampliseq.com Ion AmpliSeq™ Community Panels Design Roadmap Human Genetics and Cancer Research focus Colon and Lung Panel BRCA1 - BRCA2 Panel CFTR Panel TP53 Panel AML Genes Panel Cardio Genes Panel Lung Fusion RNA Panel Colon and lung Panel new design CFTR Global Consortium Nathalie.Bernard@lifetech.com Prof. Peter Ray Sick Kids Hospital, Toronto Ontario Canada Prof. Claude Ferec LGMH – CHU Brest Brest, France Prof. Martin Somerville Alberta Health Services Edmonton, AB, Canada Dr Roland Achmann GenteQ Hamburg, Germany Prof Karsten Tiemann LaborKrone Bad Salzuflen, Germany Prof. Thierry Bienvenu Institut Cochin Paris, France CFTR Ion AmpliSeq™ Community panel Goal: develop an NGS Panel for CFTR analysis 1. Complete coverage of 160 frequent CFTR variants (cftr2.org) – 2. Use low amount of input DNA 3. Works on DNA extracted from archived blood and Dried Blood Spot Panel Verified by the global CFTR network on known samples: 4. Analyzes exons, intron-exon boundaries, and UTRs that contain common variants in the cystic fibrosis transmembrane regulator (CFTR) gene. No mutation in the 3’ end of the primer Covers the common variants of the CFTR Gene as indicated by the CFTR2 database Detect Exon deletion to replace MLPA test – Feature nice to have Inclusive of 23 CFTR mutations recommended by the American College of Medical Genetics (ACMG) • ~85% of Caucasian CF carriers More than 300 archived research samples previously tested by CE sequencing Access to a very large sample database through the network Adoptable by other research labs Reliable and easy data analysis. Ion Reporter ™ Software Preliminary Results (146 samples) • Ion Reporter™ 1.6 analysis • CFTR Workflow with modified parameters for calling HP • A new workflow will be developed for a correct genotype calling of a single difficult variant, not called automatically in IR 1.6 Type Variants Detected Correct Genotype Long HP Indel SNV Sensitivity * 4/4 82/82 313/313 100 % 4/4 82/82 313/313 100 % * Excluding difficult variant. Each position was considered as only one position, regardless of the number of samples at a particular position Coverage Analysis For 2 Labs Preliminary results • Final Panel design 102 amplicons One Lab on Ion 314™ chip and the other lab on Ion 316™ chip Up to 16 samples multiplexing is expected on Ion 314™ chip , 48 on Ion 316™ chip and 96 on Ion 318™ chip Minimum 100x coverage – only one amplicon in one lab with low coverage but this is run specific Amplicon Coverage (log10) • • • 100000 10000 1000 Lab1 Lab2 100 10 Amplicons 1 Evaluation Metrics* 100.00% 90.00% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% Per Base Accuracy Mapped reads on target Coverage Uniformity at 20x * Metrics have been calculated using 9 samples from one lab, GenteQ, ran in Life Tech laboratory in Darmstadt. These are preliminary results. TP53 Ion AmpliSeq™ Community Panel Rosella.Petraroli@lifetech.com Goals 1. Complete coverage of the TP53 Gene Coding regions 2. Analyzes exons, intron-exon boundaries. Use low amount of input DNA 3. Two primer pool requiring only 20 ng of DNA Paraffin Embedded samples compatible 4. Panel Verified on FFPE archived samples Panel Verified by Prof Anne-Lise Borresen-Dale 5. More than 30 archived research samples previously tested by CE sequencing Access to a very large sample database through her network Adoptable by other research labs Single day workflow Multiplex at least 8 samples per chip (Ion 316™ chip) Reliable and easy data analysis using Ion Reporter ™ Software TP53 Ion AmpliSeq ™ Community Panel Final Panel Design • • • • 24 amplicons across 2 pools – 20 ng DNA Compatible with DNA extracted by FFPE samples 100% coverage of CDS Recommended sample number to obtain 95% of amplicons at 500X Coverage: 2 (Ion 314™ chip), 10 (Ion 316™ chip), 20 (Ion 318™ chip) 316 Chip: 10 TP53 Ion AmpliSeq™ Community Panel Ion Reporter ™ Software • • • Panel has been tested on 30 Samples previously genotyped by CE: 1 FN missed consistently due to complex mutation type and assembly New algorithm will further improve sensitivity in the next software release (~late Q3) Type of Mutation indel point mutations Overall sensitivity Unique Positions 9 11 Samples 8/9 11/11 95.00 % Genotyping Sensitivity 88% 100% AML Gene Panel Consortium alexander.sartori@lifetech.com First level: European expert network to develop AML gene panel – – – – To propose list with significant targets To test performance during design process by Ion Torrent‘s specialists To verify panel on archived samples To demonstrate complete workflow – Members: • Prof. Christian Thiede, Dresden • Prof. Rosemary Gale, UCL • Prof. Claude Preudhomme, CHRU, Lille • Prof. Jacqueline Shoumans, CHUV Lausanne Second level: Extend network globally for panel review and feedback; project updates and early access option AML Ion AmpliSeq™ Community panel Goal: Develop an NGS panel for AML genetic analysis Markers in AML Core Panel: ASXL1, BRAF, CBL, CEBPA*, DNMT3A, FLT3, GATA2, IDH1, IDH2, JAK2, KIT, KRAS, NPM1, NRAS, TPN11, RUNX1, TET2, TP53, WT1 Target list confirmed by numerous experts around the world Design requirements/goals Hot spot on key variants and full exon coverage depending on the targets Allele frequency detection 5% Two pool design Panel development status Amplicon Design accepted and ready for synthesis (R&D) *in bold = all exons covered AML Ion AmpliSeq™ Community panel Fast 1-day workflow – Adoptable by other research labs Reliable and easy data analysis using Ion Reporter™ Software Panel Verified by the European AML network on archived samples – Sequencing of 120+ mutated archived research samples (previously tested with other methods), plus 40 controls – Access to a large sample database through the network Phase 1: Performanc and Coverage • Ion lab: overall panel performance Phase 2: Detection Sensitivity • Ion lab: testing on archived clinical samples with selected variants Phase 3: Analytical Sensitivity • 4 network labs: 160 archived samples CARDIO Network Nathalie.Bernard@lifetech.com Dr Zofia Miedzybrodzka NHS Scotland Aberdeen UK Prof Gilles Millat CHU Lyon Lyon, France Dr Nicola Marziliano Ospedale Niguarda Milan, Italy Dr Maria Iascone Ospedali Riuniti Bergamo, Italy Prof. Silvia Priori Foundation Silvio Maugeri Pavia, Italy CARDIO Ion AmpliSeq™ Community Panel Goal: develop a Pan CARDIO Gene Panel and a set of subpanels targeting genes involved in cardiomyopathy research 1. Selective gene content 2. Gene content established by CARDIO Network collaborators. Decision to have one Pan-CARDIO gene panel and 3 smaller, targeted subpanels (focused on main genes involved in cardiomyopathies, ARVC and channelopathies) Pan CARDIO gene panel and subpanels to be validated by the CARDIO Network collaborators: 3. Access to more than 2000 archived samples previously tested by other methods Adoptable by other research labs Single day workflow Multiplex possible (depending on the subpanel) Reliable and easy data analysis . Complete workflow using Ion Reporter ™ Software Transplantation - HLA typing HLA typing is essential to match donor material with recipient for blood, bone marrow stem cell (leukemia) and organ transplantation HLA Global Consortium Frank.Opdam@lifetech.com Goal: Develop NGS HLA high resolution assay on Ion Torrent™ PGM™ system including software solution Network consists of 16 Organizations: • 20 participants from Canada, US, Australia, Germany, Austria, Netherlands, UK, France • registries, clinical research and research labs Alpha test in July 2013 in Darmstadt lab- European participants: British Bone Marrow Registry University of Maastricht University of Vienna; EFI President University of Tuebingen HLA Global Consortium High resolution analysis: 6 classical full HLA genes (class I: HLA-A,B,C and class II HLA-DRB, DQB, DPB) Tiled Multiplex SR-PCR design; 400bp chemistry to minimize ambiguities Software solution: HLA module Plugin software HLA Global Consortium Next Steps: Now: availability HLA module plugin software v32 for Ion Suite - Evaluation and feedback Q4 2013: - Beta testing with consortium members - ASHI Chicago Nov 17th workshop training network meeting New Panel Proposals Melanoma Research Minimal Residual Disease Research Thyroid Cancer Research ? ? ? Circulating Tumor Cell Research Colon Hereditary Research Hearing loss Research NEW!! User-shared panels on Ampliseq.com We’ll be launching soon a new page on the Ampliseq.com website to promote panels developed and validated by Ion users. Submit yours now to nathalie.bernard@lifetech.com ! Alexander Simone Alain Nathalie Frank Astrid Rosella Melanie Chrysanthi Annelore Thank you ! Start sequencing now at lifetechnologies.com/iontorrent For Research Use Only. Not for use in diagnostic procedures. © 2013 Life Technologies Corporation. All rights reserved. The trademarks mentioned herein are the property of Life Technologies Corporation and/or its affiliate(s) or their respective owners. Limitations and Disclaimers For Research Use Only. Not for use in diagnostic procedures. Limitations and Disclaimer: Life Technologies Corporation takes no corporate position on the use of selection methods in IVF and prenatal settings though we acknowledge that people disagree about its appropriate use and it should ALWAYS be provided with full and informed, non-coerced prior informed consent. The PGM™ System and equipment used herein is RUO marked and may not be GMP. The results shown may not represent actual performance in an IVF or any other setting. LTC does not assure or endorse the use of its methods in ANY clinical setting outside of those that have been reviewed by the FDA or similar oversight body. © 2013 Life Technologies Corporation. All rights reserved. The trademarks mentioned herein are the property of Life Technologies Corporation and/or its affiliate(s) or their respective owners