Genome-based individualised treatment may potentially offer a new therapeutic option (please pay attention to the European Cascade Rule, if applicable).
| Material | 15 smears rich in tumour cells (not covered)Biopsies > 0.5 cm (formalin-fixed)Tumour resections (formalin-fixed)Paraffin blocks with sufficient tumour material (paraffin rolls or decalcified tissue are
not suitable) |
| Parameter | Analysis of approximately 20,000 genes for mutations |
| Method | Next Generation Sequencing (NGS) (VetOmics, Canine CGP®) |
| Species list | Dog |
| Duration | Approx. 3 weeks |
| Remark | Summary of the molecular genetic resultsExplanations and literature references on the biomarkers foundSpecification of the tumour mutation burden to predict response to checkpoint inhibitors (e.g. PD-1, PDL-1 inhibitors, APAVAC)Suitable drugs for individualised tumour treatment are suggested, along with dosages and information on the level of evidence.If required, further advice on the treatment options identified is provided directly by the oncologists in the USA via email (in English). LimitationsA sufficient number of tumour cells and DNA quality are requiredIt is not always possible to isolate DNA in sufficient quantity and qualityIt is not always possible to find mutations that open up therapeutic options.The availability and costs of medication may vary between countries.The drugs may not be approved for dogs in all countries.The efficacy of these medications in dogs is supported by varying degrees of evidenceData on effectiveness and side effects in the respective canine tumours is often incomplete. The decision and responsibility for using the medication listed in the findings lies with the veterinarian in charge! It is recommended to consult a specialised oncologist in such cases. |