FDA Approves Revolutionary DNA Test System for Detecting Cancer Risks

Dr. ADAM TABRIZ
4 min readOct 14, 2023
DNA
Photo by Sangharsh Lohakare on Unsplash

Recently, the FDA has authorized a revolutionary DNA test system, the first to be approved for marketing. The Common Hereditary Cancers Panel, crafted by Invitae Corp., embodies excellent potential as a cutting-edge public health instrument. This test can detect cancer risks by analyzing DNA, but it is essential to note its limitations, as it is not a definitive diagnosis tool.

The FDA approves the Common Hereditary Cancers Panel with a 99% precision rate for detecting 8 different types of cancers

After a vigorous evaluation process by the FDA under the De Novo approach, the Common Hereditary Cancers Panel received approval. This pathway is used for devices that present minimal to moderate risks and are innovative. Validating the test relied on analyzing more than 9000 clinical samples, establishing a noteworthy precision rate of 99% across all checked variations of the 47 genes that raise the prospects of some cancers. The types of cancers this test’s accuracy rate applies to include uterine, breast, ovarian, prostate, gastric, colorectal, pancreatic, and melanoma.

Utilizing cutting-edge sequencing technology, the test system functions by examining the germline genomic DNA from a patient’s blood sample during a visit to a healthcare provider. Afterward, the model is sent to a lab for inspection. Specifically, the system aims to identify certain variations, including substitutions, small deletions and insertions, and copy number changes, in a designated collection of 47 genes.

Director of the FDA’s Center for Devices and Radiological Health, Dr. Jeff Shuren, spoke about the importance of this technology as a tool to improve public health. He emphasized its potential to aid individuals in understanding essential details about their health, including possible predisposition to specific cancers.

As emphasized by the FDA’s press statement, Invitae’s personalized interpretations of test findings rely heavily on several resources such as external databases, predictive software, and published research. Additionally, the company employs information from its proprietary data bank of variants.

The Common Hereditary Cancer Panel has a dual function. On the one hand, it can detect genetic variants that increase the likelihood of developing some cancers. On the other hand, it assists in identifying cancer-related hereditary variants in individuals who have already been diagnosed with cancer. BRCA1 and BRCA2, two genes the test system can remember, are some of the most clinically significant as they are associated with hereditary breast and ovarian cancer. Furthermore, the panel can also detect specific genes linked to Lynch syndrome, such as MSH2, MSH6, EPCAM, MLH1, and PMS2.

One must keep in mind the limitations of this examination. Its purpose is not to locate or appraise every cancer predisposition gene, nor is it fashioned for identifying cancer or prenatal tests. Genetic data is merely one aspect of cancer progression, and an outcome indicating no defects should not be seen as an absolute deficiency of danger.

The FDA recommends patients considering genetic tests for cancer to converse with medical staff, specifically genetic counselors, to deliberate on their own and family medical records. When properly used, this supplementary knowledge can help decipher test outcomes precisely.

For test safety, one must take into account several potential dangers. Both false positive and false adverse outcomes may occur, and patients may misconstrue the results and their implications for their cancer vulnerability. Disregarding suggested surveillance or clinical treatment may result from mistaken reassurance from false negative results. At the same time, false positive outcomes could generate unwelcome effects and misguided decision-making.

The safety and trustworthiness of the test are improved by the FDA’s unique controls, which necessitate accuracy rates of 99% or above for positive and negative results validated through an independent method. It is essential to establish whether or not the test provides analytically compelling and clinically validated results. Proper labeling is another significant factor in mitigating possible risks.

The FDA’s thumbs up to Invitae’s test has made for a groundbreaking shift in regulatory categorization, allowing subsequent devices offering parallel end purposes to skip straight to the 510(k) premarket process. Physicians can exploit insightful takeaways from this exam to supervise and potentially alleviate genetically rooted issues. The public health benefits are noteworthy.

With the advent of the first official DNA cancer risk examination, healthcare has the valuable potential to be transformed by providing insight into a person’s genetic predisposition to certain cancers. However, it is crucial to remember that genetics are only part of the equation for cancer. To guarantee positive patient outcomes and make substantial progress in the ongoing battle against cancer, it is vital to collaborate closely with medical professionals and responsibly utilize this innovation.

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