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About Oncotype DX

Oncotype DX Process
Advantages of RT-PCR
Oncotype DX Development
Oncotype DX Results

The Role of Oncotype DX

Oncotype DX Studies

Oncotype DX Logistics

Clinical Practice Guidelines

Health Insurance Coverage

The TAILORx Clinical Trial

Frequently Asked Questions


Updated NCCN Guidelines

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Advantages of RT-PCR

Oncotype DX® analyzes the expression of a panel of 21 genes from a tumor specimen using a technique called RT-PCR (reverse transcriptase-polymerase chain reaction). A high-throughput, real-time RT-PCR method was developed to analyze the expression of several hundred genes simultaneously. It is sensitive, specific, highly reproducible, and has a wide dynamic range. RT-PCR is a mature technology that is routinely utilized in several clinical applications including viral load testing for HIV.

To quantify gene expression, RNA is extracted from formalin-fixed, paraffin-embedded (FPET) tumor tissue and subjected to DNase I treatment. Total RNA content is measured and the absence of DNA contamination is verified. Reverse transcription is performed and is followed by quantitative TaqMan® RT-PCR reactions in 384-well plates. The expression of each of 16 genes is measured in triplicate and then normalized relative to a set of five reference genes.

The Oncotype DX standardized testing methods have been optimized to minimize variablilty due to:
  • Tissue preparation method: FPET vs. fresh frozen
  • Tumor block age, storage, and variability in preparation
  • Heterogeneity within and between FPET blocks
  • Heterogeneity with respect to enriched tumor and non-tumor areas within an FPET block












What's New?

November 11, 2008
Genomic Health to Present at Stephens Fall Investment Conference

November 10, 2008
Genomic Health Announces Publication of a Study Demonstrating the Oncotype DX(R) Breast Cancer Assay Influences Chemotherapy Treatment Recommendation in 44 Percent of Patients Evaluated


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