Endocrine oncology

Analytical Validation of a Telomerase Reverse Transcriptase (TERT) Promoter Mutation Assay

J Clin Endocrinol MetabPublished Analytical validation study

Authors' conclusion

The analytical robustness and reproducibility of the Afirma TERT test support its routine clinical use among thyroid nodules with indeterminate cytology that are Afirma Genomic Sequencing Classifier suspicious or among Bethesda V/VI nodules.

Study context

Comparison
Afirma TERT test vs reference primer pair
Outcome
Analytical validation of the Afirma TERT promoter mutation assay

Performance

As reported in the abstract

Tolerant to variation in DNA input amount (ng)
7-13
Limit of detection (LOD) of expected positive TERT promoter variants at 7 ng DNA input with >95% sensitivity (variant allele frequency (VAF))
5%
NPA vs reference primer pair
100%
PPA vs reference primer pair
100%
Confirmation rate vs external next-generation sequencing-based reference assay in a non-Veracyte laboratory
100%

Original publication

Analytical Validation of a Telomerase Reverse Transcriptase (TERT) Promoter Mutation Assay. J Clin Endocrinol Metab. Published 5 March 2024. doi:10.1210/clinem/dgae134

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