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Colorectal Cancer

Cerba Research conducted many colorectal cancer trials in the past 5 years alone. The laboratory’s expertise extends to the utilization of next-generation sequencing (NGS) broad-panel assays, alongside circulation tumor DNA (ctDNA) panels, 250+ immunohistochemistry (IHC) biomarkers, and more. Get in touch to learn more. 

What Is Colorectal Cancer? 

Colorectal cancer (CRC) is the third most diagnosed cancer, accounting for about 10% of cancers. It’s also the second leading cause of cancer deaths globally (1). As the role of targeted therapy in CRC is evolving, guidelines have expanded their recommendations regarding biomarker testing. Currently, detection of various gene alterations, such as KRAS, NRAS and BRAF mutations, HER2 amplifications, microsatellite instability (MSI), and mismatch repair deficient (MMR) status are recommended (2). As such, Cerba Research can provide a wide range of specialty and safety testing to your existing central laboratory CRC processes. Contact us to learn more.

Colorectal Cancer

Cerba Research Colorectal Cancer Services

Our CRC specialists support a wide range of colorectal studies from preclinical (data not shown) to phase III registration trials and beyond. Most of our projects include specialty testing, such as, but not limited to, NGS broad-panel assays, ctDNA panels, 250+ IHC simplex and multiplex protocols, and more. Get in touch to learn more. 

NanoString® GeoMx CRC FFPE Slide: PanCK (Green), CD45 (Red)

Our Experience In The Colorectal Cancer Landscape

638

NGS broad-panel assay with our OncoSign 600+

50

Genes with our OncoSign ctDNA panel

250+

Histopathology analysis with markers such as HER2, MSI and MMR run in CLIA accredited laboratories

Our Areas Of Expertise In Colorectal Cancer 

Did you know that we can cover for your CRC biomarker needs? Check out our mapping exercise by select CRC biomarkers against our Cerba Research offerings with three techniques (NGS, IHC, FISH). Check out our resources below.

What Are Colorectal Cancer Guidelines Proposing? Aligned With Cerba Research Offerings

CRC Biomarkers Most Commonly Deployed (2, 3) Additional Assay(s) (2) Cerba Research NGS Cerba Research IHC Cerba Research FISH

KRAS

 

NGS

 

PCR (Single Gene), Liquid Biopsy

X

MEK1

NRAS

NGS

PCR (Single Gene), Liquid Biopsy

X

BRAF

NGS

IHC, PCR (Single Gene), Liquid Biopsy

X

HER2

IHC, FISH

NGS, PCR (Single Gene), Liquid Biopsy

 

X

X

X

NTRK

IHC, FISH, NGS

X

X

RET

IHC, FISH, NGS

FISH, PCR (Single Gene)

CEA

IHC

X

TMB

PCR, NGS

X

MSI

PCR, NGS

X

X

MMR

IHC

X

X

CRC Biomarkers
Most Commonly Deployed (2, 3)

NGS

 

Additional Assay(s) (2)

PCR (Single Gene), Liquid Biopsy

Cerba Research NGS

X

Cerba Research IHC

MEK1

Cerba Research FISH
CRC Biomarkers
Most Commonly Deployed (2, 3)

NGS

Additional Assay(s) (2)

PCR (Single Gene), Liquid Biopsy

Cerba Research NGS

X

Cerba Research IHC
Cerba Research FISH
CRC Biomarkers
Most Commonly Deployed (2, 3)

NGS

Additional Assay(s) (2)

IHC, PCR (Single Gene), Liquid Biopsy

Cerba Research NGS

X

Cerba Research IHC
Cerba Research FISH
CRC Biomarkers
Most Commonly Deployed (2, 3)

IHC, FISH

Additional Assay(s) (2)

NGS, PCR (Single Gene), Liquid Biopsy

 

Cerba Research NGS

X

Cerba Research IHC

X

Cerba Research FISH

X

CRC Biomarkers
Most Commonly Deployed (2, 3)

IHC, FISH, NGS

Additional Assay(s) (2)
Cerba Research NGS

X

Cerba Research IHC
Cerba Research FISH

X

CRC Biomarkers
Most Commonly Deployed (2, 3)

IHC, FISH, NGS

Additional Assay(s) (2)

FISH, PCR (Single Gene)

Cerba Research NGS
Cerba Research IHC
Cerba Research FISH
CRC Biomarkers
Most Commonly Deployed (2, 3)

IHC

Additional Assay(s) (2)
Cerba Research NGS
Cerba Research IHC

X

Cerba Research FISH
CRC Biomarkers
Most Commonly Deployed (2, 3)

PCR, NGS

Additional Assay(s) (2)
Cerba Research NGS

X

Cerba Research IHC
Cerba Research FISH
CRC Biomarkers
Most Commonly Deployed (2, 3)

PCR, NGS

Additional Assay(s) (2)
Cerba Research NGS

X

Cerba Research IHC

X

Cerba Research FISH
CRC Biomarkers
Most Commonly Deployed (2, 3)

IHC

Additional Assay(s) (2)
Cerba Research NGS

X

Cerba Research IHC

X

Cerba Research FISH

CEA=carcinoembryonic antigen determination; dMMR= mismatch repair deficient; FISH=fluorescence in situ hybridization; IHC=immunohistochemistry; MSI=microsatellite instability; NGS=next-generation sequencing; TMB=tumor mutation burden.

References

1. World Health Organization: Colorectal cancer. URL [https://www.who.int/news-room/fact-sheets/detail/colorectal-cancer].  

2. National Comprehensive Cancer Network®: NCCN guidelines, treatment by cancer type. URL [Treatment by Cancer Type (nccn.org)].

3. Bebb DG, Banerji S, Blais N, Desmeules P, Gill S, Grin A, Feilotter H, Hansen AR, Hyrcza M, Krzyzanowska M, Melosky B, Noujaim J, Purgina B, Ruether D, Simmons CE, Soulieres D, Torlakovic EE, Tsao MS. Canadian Consensus for Biomarker Testing and Treatment of TRK Fusion Cancer in Adults. Curr Oncol. 2021 Jan 15;28(1):523-548. doi: 10.3390/curroncol28010053. PMID: 33467570; PMCID: PMC7903287.

We recommend starting engagement with our scientific team early, such as at the protocol design phase, for optimal results. Reach out to us here.