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Gain insights like never before by using ctDNA testing with unparalleled sensitivity

Interested in learning more about using Haystack MRD™?

For clinicians

Haystack MRD™ is the most sensitive minimal residual disease (MRD) test available, so you can have the best information to make treatment management decisions that lead to favorable patient outcomes. Our unmatched test performance delivers the best clinical information when answering patients’ 2 most pressing post-surgery questions:

Did my treatment work?

Go beyond standard risk assessment for adjuvant chemotherapy guidance to ensure the right treatment for the right person at the right time.

Do I need additional therapy?

Track ctDNA levels during adjuvant chemotherapy or second-line therapy to monitor treatment response and acquired resistance.

Why test for ctDNA?

Circulating tumor DNA (ctDNA) detection is a noninvasive method to assess tumor burden with a blood sample. Recent data also correlate ctDNA levels in postsurgical cancer patients with recurrence-free survival (RFS) and risk of recurrence.

ctDNA(-) patient
3-yr RFS*
0 %
ctDNA(+) patient
3-yr RFS*
20 %
ctDNA(+) patients*
more likely to recur
0 X

*Tie J, Wang Y, Tomasetti C, et al. Circulating tumor DNA analysis detects minimal residual disease and predicts recurrence in patients with stage II colon cancer. Sci Transl Med. 2016;8(346):346ra92. doi:10.1126/scitranslmed.aaf6219

Haystack MRD test
Haystack MRD test

Haystack MRD™ is a tumor-informed, liquid biopsy test that begins with tumor whole-exome sequencing (WES) to identify patient-specific somatic mutations. A personalized MRD test is then developed to detect ctDNA, which indicates the presence of residual, recurrent, or resistant disease.

Treatment management
MRD-based treatment management

Haystack MRD is purpose-built for ultra-sensitive ctDNA detection in patients with solid tumors and can be used to detect residual disease to guide adjuvant therapy, to monitor treatment response, and for recurrence surveillance.

Clinical efficacy
Foundational clinical efficacy

DYNAMIC is the first interventional, random-controlled trial to demonstrate a significant clinical benefit to utilizing MRD testing to guide adjuvant therapy in early-stage solid tumor patients. Powered by a highly optimized version of the technology employed in DYNAMIC, Haystack MRD is rooted in demonstrated clinical care.

Proven MRD test superiority

This unique ability delivers unparalleled sensitivity, with successful detection down to 1 part per million (PPM; or, 0.0001% tumor fraction), which translates to fewer false-negatives to ensure patients who need treatment receive it, with greater lead time between molecular and clinical recurrence.

Deeper residual disease
Deeper residual disease detection

With an error rate that is >100x lower than other solid tumor MRD tests, the cutoff for MRD detection can be set much lower, dramatically improving sensitivity.

Earlier recurrent disease detection
Earlier recurrent disease detection

Better sensitivity means molecular recurrence can be detected at lower levels and with greater lead time in advance of clinical recurrence compared to other methods.

Confident mutation detection
More-confident mutation detection

With an error rate that is 100x lower than other solid tumor MRD tests, Haystack MRD delivers greater confidence in ctDNA test results.

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Visit Johns Hopkins School of Medicine to learn more.
Visit Johns Hopkins School of Medicine to learn more.
Visit Johns Hopkins School of Medicine to learn more.