A test your patients can trust. A company you know and trust. Provide your patients with a precise, non-invasive test that can assess risk for multiple fetal chromosomal aneuploidies from a single blood draw. Simple and safe, informaSeq can be administered as early as 10 weeks, giving you and your patients the information you both need. Intended Use informaSeq is intended for patients with singleton, twin, and donor pregnancies as early as 10 weeks gestation who meet any of the following criteria: Advanced maternal age (≥35 years for singleton and twin pregnancies) Positive serum screen Abnormal ultrasound Increased risk of T21, T18, T13 (or sex chromosome aneuploidy in singleton pregnancy) ] ACOG and Society of Maternal Fetal Medicine (SMFM) Committee recognized the tremendous potential of cell-free DNA (cfDNA) testing and concluded that cfDNA testing can be offered to informed patients at increased risk of aneuploidy.1 Please note: This test does not assess risk for mosaicism, partial trisomies, or translocations. The basic informaSeq test screens for: T21 (Down syndrome) T18 (Edwards syndrome) T13 (Patau syndrome) Optional testing detects: Monosomy X XX X (MX; Turner syndrome) (Triple X) X XY (Klinefelter syndrome) X YY (Jacobs syndrome) Fetal sex (XX or XY) – aids in stratifying the risk for X-linked disorders such as hemophilia Specimen Requirements Whole Blood Use only the black and tan capped blood collection tubes from the informaSeq kit One Streck tube, minimum 7 mL Store samples at room temperature and transport at ambient temperature in the informaSeq kit Turnaround Time 5 -7 business days Reliable results support informed decision making Predictive Values3,4 Test performance2 Sensitivity Specificity 21 >99.9% 99.8% 18 97.4% 99.6% 13 87.5% >99.9% MX 95.0% 99.0% XX 97.6% 99.2% XY 99.1% 98.9% XXX XXY XYY These are more rare aneuploidies with limited data, precluding performance calculations. Sex chromosome mosaicism cannot be distinguished by this method (the occurrence of which is <0.3%). Positive Predictive Value Negative Predictive Value 21 0.994 0.999 18 0.910 0.999 13 0.843 0.999 Test Results DETECTED ANEUPLOIDY SUSPECTED NOT DETECTED With any screening test, false positives and false negatives can occur. However, the informaSeq test provides context by reporting a “highest risk” result as “aneuploidy detected” and a lower risk, more borderline result as “aneuploidy suspected”. You and your patients may use these distinctions to help determine the best next steps. Test # CPT Codes informaSeq Prenatal Test 550746 81479 informaSeq SM Provides only risk assessment for the most common autosomal trisomies. 550757 81479 informaSeq SM With Y analysis Provides risk assessment for the most common autosomal trisomies and fetal gender, but not sex chromosome aneuploidies. 550716 81479 informaSeq With XY analysis Provides risk assessment for the most common autosomal trisomies, sex chromosome aneuploidies, and fetal gender. This test is only available for singleton pregnancies. SM Test Description informaSeq, an advanced and accurate prenatal test Accurate prenatal testing directed by board-certified molecular geneticists as early as 10 weeks’ gestational age Testing performed via deep sequencing, which increases detection, even in samples with a lower fraction of fetal DNA fragments Dual Threshold resulting stratifies risk prediction Quick resulting – 5-7 business days REFERENCES 1.Noninvasive prenatal testing for fetal aneuploidy. Committee Opinion No. 545. American College of Obstetricians and Gynecologists. Obstet Gynecol 2012; 120:1532-4. 2.Verinata Health, Inc. (2012) analytical validation of the verifi® Prenatal Test: Enhanced Test Performance For Detecting Trisomies 21, 18, 13 and the Option for Classification of Sex Chromosome Status. Redwood City, CA. 3.Futch, T, Spinosa J, Bhatt, S, de Feo E, Rava RP, Sehnert AJ. Initial clinical laboratory experience in noninvasive prenatal testing for fetal aneuploidy from maternal plasma DNA samples. Prenat Diagn 2013:33-569-574. 4.Based on internal correlation data. Integrated Genetics Client Services 800-848-4436 informaSeq is a service mark of Laboratory Corporation of America® Holdings. Powered by Illumina® is a trademark of Illumina, Inc. in the U.S. and/or other countries ©2014 Laboratory Corporation of America® Holdings. All rights reserved. rep-922-v1-0814 L13450-0814-1 SM informaSeq SM Prenatal Test is Powered by Illumina ® sequencing technology. www.mytestingoptions.com www.integratedgenetics.com
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