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OnKommon

Signature · the monitoring-ready baseline

Signature STb O

118 genes from the same simple blood draw. Broad enough for most decisions, and broad enough to serve as your Sentinel monitoring baseline.

01Monitoring-ready baseline

The balanced middle tier

STb O widens the lens to 118 genes from the same simple blood draw. Broad enough to capture most clinically relevant alterations and the immune markers, and broad enough to serve as the baseline for continuous Sentinel monitoring.

118genes for SNVs and InDels
15fusion genes
35PGx genes

02

What it includes

118 genes

SNVs, InDels and fusions across the panel.

Full immune profile

TMB, MSI and MMR, analytically robust at this breadth.

Copy number and signatures

Included from this tier upward.

Pharmacogenomics

The 35-gene panel, plus a tumour-fraction estimate.

03Coverage by tier

The 118-gene panel

118 genes for SNVs and InDels

Complete coding region

71 genes

The whole coding sequence is read for these genes.

  • ABL1
  • AKT1
  • ALK
  • APC
  • AR
  • ARAF
  • ARID1A
  • ARID1B
  • ATM
  • ATRX
  • BARD1
  • BRAF
  • BRCA1
  • BRCA2
  • BRIP1
  • CDH1
  • CDK12
  • CDKN2A
  • CHEK1
  • CHEK2
  • CSF1R
  • CTNNB1
  • EGFR
  • ERBB2
  • ERCC2
  • ESR1
  • FANCL
  • FGFR1
  • FGFR2
  • FGFR3
  • FOXL2
  • HNF1A
  • HRAS
  • IDH1
  • IDH2
  • INPP4B
  • KIT
  • KRAS
  • MET
  • MLH1
  • MSH2
  • MSH6
  • MUTYH
  • NF1
  • NRAS
  • NTRK1
  • NTRK3
  • PALB2
  • PDGFRA
  • PIK3CA
  • PMS2
  • POLD1
  • POLE
  • PPP2R2A
  • PTCH1
  • PTEN
  • RAD51B
  • RAD51C
  • RAD51D
  • RAD54L
  • RB1
  • RET
  • ROS1
  • SMAD4
  • SMARCB1
  • SRC
  • STK11
  • TP53
  • TSC1
  • TSC2
  • VHL

Hotspot regions

45 genes

Known mutation hotspots are read for these genes.

  • ABL2
  • ATR
  • BAP1
  • C11orf65
  • CCND1
  • CDK4
  • CDX2
  • DDR2
  • ERBB3
  • ERBB4
  • EZH2
  • FBXW7
  • FGFR4
  • FLT3
  • FOXA1
  • GATA3
  • GNA11
  • GNAQ
  • GNAS
  • JAK1
  • JAK2
  • JAK3
  • KDM5C
  • KDM6A
  • KEAP1
  • MAP2K2
  • MAPK1
  • MPL
  • MTOR
  • MYC
  • MYCN
  • MYD88
  • NF2
  • NPM1
  • PBRM1
  • PTPN11
  • RAF1
  • RHEB
  • RHOA
  • RIT1
  • SETD2
  • SF3B1
  • SMO
  • SPOP
  • TERT

Also on the panel

2 genes

On the panel, though the source breakdown does not state which coverage tier they sit in.

  • MAP2K1
  • NOTCH1

Validated to include MET exon 14 skipping mutations.

04

Fusions and rearrangements

15 genes for fusions

Fusion and rearrangement genes

15 genes
  • ALK
  • BRAF
  • EGFR
  • ERBB2
  • FGFR1
  • FGFR2
  • FGFR3
  • FGFR4
  • MET
  • NRG1
  • NTRK1
  • NTRK2
  • NTRK3
  • RET
  • ROS1

NRG1 and NTRK2 are assessed for fusions only, and are not on the 118-gene SNV panel.

05

The Sentinel gateway

This is the baseline Sentinel needs.

Continuous monitoring only works if there is a molecular fingerprint to track. STb O establishes that fingerprint, so Sentinel can follow your cancer over time on the same breadth. A 33-gene panel is too narrow to serve as this baseline.

Diagram placeholder

Baseline, then a tracked line over time

What goes here: Line chart illustration: a baseline profile established at diagnosis, then serial Sentinel draws plotted across months, with ctDNA falling on treatment and then a rising line triggering an alert well before an imaging marker. Label the lead time gap clearly, because that gap is the product.

06

Who it is for

Broad without full CGP

You want a wide profile but do not need every gene.

Planning surveillance

You anticipate monitoring and want the baseline now.

Confirmed at consultation

Pricing is confirmed at your free consultation, alongside whether this tier fits your goals.

Being clear about our limits

What we do and do not do

What we DO

  • Profile 118 genes with a full immune and PGx profile
  • Establish the molecular baseline Sentinel needs
  • Feed a complete, tumour-board-signed decision
  • Support copy-number and mutational-signature analysis

What we DON’T do

  • Diagnose or decide treatment on its own
  • Rule out disease from a negative result
  • Cover every gene in the genome
  • Guarantee drug availability, approval, cover or benefit
Plain-language glossary (9 terms)
TermWhat it means
ctDNACirculating tumour DNA, tumour fragments in blood that a liquid biopsy reads.
SNV / InDelA single-letter DNA change, or a small insertion or deletion.
FusionTwo genes joined abnormally, creating a driver that is often highly treatable.
CNVCopy-number variation, extra or missing copies of a gene.
TMBTumour mutational burden, how many mutations a tumour carries.
MSI / MMRSignals of faulty DNA repair that often predict immunotherapy response.
PGxPharmacogenomics, how your genes affect the way you handle specific drugs.
Tumour fractionHow much of the blood DNA came from the tumour.
CCRComplete coding region, meaning the whole gene is read rather than known hotspots.
Important information and regulatory status

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01

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02

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