Evidence map›Paper›PMID 41721022›Full record

ArticleScientific reports2026

Implementation of a 1021-gene liquid biopsy assay for real-world tumor genomic profiling in oncology practice.

Chrysiida Florou-Chatzigiannidou, Eirini Papadopoulou, Vasiliki Metaxa-Mariatou, Aikaterini Tsantikidi, Stella Maxouri, Georgios Tsaousis, Dimitris Grigoriadis, Nikolaos Touroutoglou, Dimitrios Ziogas, Eleni Zairi and 13 more

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. The journal of liquid biopsy · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Chrysiida Florou-ChatzigiannidouGenekor Medical SA, Athens, Greece. c.chatzigiannidou@genekor.com.
Eirini PapadopoulouGenekor Medical SA, Athens, Greece.
Vasiliki Metaxa-MariatouGenekor Medical SA, Athens, Greece.
Aikaterini TsantikidiGenekor Medical SA, Athens, Greece.
Stella MaxouriGenekor Medical SA, Athens, Greece.
Georgios TsaousisGenekor Medical SA, Athens, Greece.
Dimitris GrigoriadisGenekor Medical SA, Athens, Greece.
Nikolaos TouroutoglouDepartment of Medical Oncology, Interbalkan Medical Center, Thessaloníki, 55535, Greece.
Dimitrios ZiogasGeneral Hospital of Athens LAIKO, Athens, 11527, Greece.
Eleni ZairiDepartment of Medical Oncology and Clinical Trials Unit, European Interbalkan Medical Center, Thessaloniki, Greece.
Nektarios AlevizopoulosDepartment of Oncology, Evaggelismos General Hospital, Athens, Greece.
Jinga Dan CorneliuCentrul Medical Neolife București, Bucharest, Romania.
Iorga PolixeniaSpitalul Universitar de Urgență București, Bucharest, Romania.
Mustafa OzdoganClinic of Medical Oncology, Memorial Antalya Hospital, Antalya, Turkey.
Cemil BilirClinic of Medical Oncology, VM Medical Park Pendik Hospital, Istanbul, Turkey.
Ilhan HacibekirogluFaculty of Medicine, department of Medical Oncology Adapazarı, Sakarya University, Sakarya, Turkey.
Sahin LacinDepartment of Medical Oncology, Koc University Faculty of Medicine, İstanbul, Turkey.
Ramin AjamiDepartment of Oncology, The Royal Free Hospital, London, NW3 2QG, UK.
Georges El HachemDepartment of Hematology and Medical Oncology, Saint George Hospital University Medical Center, Beirut, Lebanon.
George NasioulasGenekor Medical SA, Athens, Greece.
Konstantinos BramisSurgical Clinic, Aretaieio University Hospital, Athens, Greece.
Manousos KonstadoulakisSurgical Clinic, Aretaieio University Hospital, Athens, Greece.
Christos PapadimitriouDepartment of Medical Oncology, Iaso Hospital, Maroussi, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The application of advanced next-generation sequencing (NGS) technologies in the analysis of circulating tumor DNA (ctDNA) enabled the comprehensive evaluation of tumor-derived alterations in the bloodstream. In this study, we evaluated the analytical performance and clinical utility of a large-scale liquid biopsy assay in patients with metastatic cancer. A total of 1,110 unique patients underwent ctDNA NGS testing using a 1021-gene panel; matched tissue biopsy data were available for 145 cases. In 16.18% of the cases, at least one on-label variant was identified. In addition, off-label, clinical trial–related, and resistance-associated findings collectively increased the proportion of clinically actionable results by 40.65%. Importantly, 8.65% of the total population could also benefit from immune checkpoint inhibitors (ICI) therapy, based on the high tumor mutational burden (TMB-H) and/or high microsatellite instability (MSI-H) status. Simultaneous analysis in plasma and white blood cells enabled clonal hematopoiesis-associated variants detection, hence increasing the specificity value for ctDNA analysis and confirming the presence of pathogenic germline variants for 11.26% patients. Of interest, concordance for actionable on-label candidates using tissue and plasma analysis was 90.34%, thereby confirming the reliability of liquid biopsy results. Notably, the combination of liquid biopsy analysis, and tissue-based profiling, increased the total number of actionable biomarkers, facilitating targeted therapy and immunotherapy selection, resistance monitoring, and faster clinical decision-making. The broad genomic coverage of the liquid biopsy NGS assay used enabled clinically meaningful genomic characterization across multiple tumor histological types, although tumor-specific generalization is limited by the heterogeneity of the tumor types analyzed. Overall, this study shows that large-scale LB profiling may increase the number of actionable findings detected beyond guideline-based targets. In addition, it provides a more accurate understanding of tumor biology and ctDNA shedding in circulation, while offering the advantage of parallel germline analysis.

Indexed as

Biomarkers, TumorCirculating Tumor DNAGenomicsNeoplasmsFemaleHigh-Throughput Nucleotide SequencingHumansLiquid BiopsyMaleMicrosatellite InstabilityMutationBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID41721022
PMCPMC13022098

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.