Scientific evidence

Establishing an evidence-based decision point for clinical use of the 31-gene expression profile test in cutaneous melanoma

Jul 2019

Multi center study establishing appropriate use criteria for determining risk of recurrence in patients with tumors >0.3mm in thickness.

Author: Marks E, et al.

Publication: SKIN: Journal of Cutaneous Melanoma

Prospective validation of the prognostic 31-gene expression profiling test in primary cutaneous melanoma

Apr 2019

Independent, prospective study with over 3.5 years of follow-up, showing results consistent with previous validation studies with GEP class score as statistically associated with MSS, DMFS and RFS.

Author: Keller J, et al.

Publication: Cancer Medicine

Early outcome of a 31-gene expression profile test in 86 AJCC stage IB-II melanoma patients

Jan 2019

A prospective multicentre cohort study.  Multicentre evaluation the early prognostic performance of a genetic signature in a multicentre prospectively evaluated cohort.

Author: Podlipnik S, et al.

Publication: Journal of the European Academy of Dermatology and Venereology

Performance of a 31-gene expression profile test in cutaneous melanomas of the head and neck

Jan 2019

Gene expression profile class and node status stratified tumors into significantly different 5-year survival groups by Kaplan-Meier method and both were independent predictors of recurrence in multivariate analysis.

Author: Gastman B, et al.

Publication: Head and Neck

Guidance of sentinel lymph node biopsy decisions in patients with T1–T2 melanoma using gene expression profiling

Jan 2019

Multicenter prospective study in T1-T2 tumors showed combining GEP with Breslow thickness and age can provide a more precise determination of SLN positivity risk.

Author: Vetto J, et al.

Publication: Future Oncology

Identification of patients at risk of metastasis using a prognostic 31-gene expression profile in subpopulations of melanoma patients with favorable outcomes by standard criteria

Jan 2019

Discovery of reduced RFS for patients with thin tumors and Class 2B biology and cumulative validation cohort for DecisionDx-Melanoma. DecisionDx-Melanoma was the strongest independent predictor of RFS, DMFS and MSS.

Author: Gastman B, et al.

Publication: Journal of the American Academy of Dermatology

Estimation of prognosis in invasive cutaneous melanoma: an independent study of the accuracy of a gene expression profile test

Dec 2018

Independent study of the predictive accuracy of the GEP test, to determine what clinical and histopathologic features predict high-risk classification, and to evaluate how intermediate classes (1B & 2A) performed clinically. Patients with GEP Class 2 result were 22 times more likely to metastasize compared to a Class 1 result.

Author: Greenhaw B, et al.

Publication: Dermatologic Surgery

Management decisions made by physician assistants and nurse practitioners in cutaneous malignant melanoma patients: impact of a 31-gene expression profile test

Nov 2018

Survey to determine the impact of 31-GEP test results on management decisions made by dermatology PA/NPs for cutaneous melanoma patients.

Author: Mirsky R, et al.

Publication: Journal of Drugs and Dermatology

Factors affecting dermatologists' use of a 31-gene expression profiling test as an adjunct for predicting metastatic risk in cutaneous melanoma

May 2018

Survey and clinical vingettes to determine the impact of three factors - Breslow thickness, ulceration, and sentinel lymph node biopsy status - on the decision to order the 31-GEP test.

Author: Svoboda R, et al.

Publication: Journal of Drugs and Dermatology

Prospective multicenter clinical impact evaluation of a 31-gene expression profile test for management of melanoma patients

Mar 2018

Initital data from a prospective study assessing the impacy of 31-GEP testing results on clinical management decisions including changes in imaging, laboratory work, and frequency of office visits.

Author: Dillon L, et al.

Publication: SKIN: Journal of Cutaneous Melanoma

Analytic validity of DecisionDx-Melanoma, a gene expression profile test for determining metastatic risk in melanoma patients

Feb 2018

Study was designed to assess the analytical validity of the 31-GEP test.

Author: Cook R, et al.

Publication: Diagnostic Pathology

Performance of a prognostic 31-gene expression profile in an independent cohort of 523 cutaneous melanoma patients

Feb 2018

Multicenter study using GEP was used in combination with SLNB to enhance identification of patients with high-risk melanoma. GEP predicted additional recurrences and distant metastases, improving sensitivity over using SLNB alone.

Author: Zager J, et al.

Publication: BMC Cancer