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Related Experiment Videos

Standards and controls for genetic testing.

Emily S Winn-Deen1

  • 1Business Development, Cepheid, 904 Caribbean Drive, Sunnyvale, CA 94089, USA. Emily.Winn-Deen@roche.com

Cancer Biomarkers : Section a of Disease Markers
|December 29, 2006
PubMed
Summary
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Most genetic tests are developed in-house, with few FDA-approved in vitro diagnostic (IVD) kits available. The laboratory community leads in genetic test standardization, with increasing IVD kit approvals expected as genetic testing becomes mainstream.

Area of Science:

  • Clinical diagnostics
  • Molecular genetics
  • Regulatory affairs

Background:

  • The majority of genetic tests currently performed are laboratory-developed tests (LDTs) or utilize analyte-specific reagents (ASRs).
  • Limited FDA-approved in vitro diagnostic (IVD) kits exist for genetic analysis, primarily for thrombophilia risk, CYP450 polymorphisms, and cystic fibrosis transmembrane conductance regulator (CFTR) gene mutations.

Purpose of the Study:

  • To review the current landscape of genetic testing methodologies.
  • To discuss the role of regulatory approval and standardization in genetic diagnostics.
  • To anticipate future trends in IVD kit development and the involvement of the manufacturing community.

Main Methods:

  • Review of existing FDA-approved genetic IVD kits.
  • Analysis of the current state of genetic test development and standardization.

Related Experiment Videos

  • Discussion of proficiency testing availability and alternative methods.
  • Main Results:

    • A small number of FDA-approved genetic IVD kits are available for specific genetic markers.
    • The laboratory community has pioneered the development of standards and controls for genetic tests.
    • Commercially available proficiency testing is limited to common genetic tests, necessitating alternative approaches like sample swapping for others.

    Conclusions:

    • The development of genetic testing is shifting towards greater regulatory oversight with increasing IVD kit approvals.
    • The IVD manufacturing sector is expected to play a more significant role in providing control materials for genetic assays.
    • Standardization and quality control remain critical challenges as genetic testing becomes more integrated into mainstream clinical practice.