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Available tests

Example HRRm commercial
laboratory options

Explore currently available testing options to decide which is most appropriate based on sample type and HRR alteration coverage.* Bookmark and refer back to this page. This page will be updated periodically as new information on tests becomes available.

Tumor tissue

ctDNA (blood plasma)

Blood/saliva/buccal cells

HRR Lab Option Overview

Download the full chart

ctDNA, circulating tumor DNA; HRR, homologous recombination repair; HRRm, homologous recombination repair gene-mutated.

  1. Other tests may be available that could cover HRR genes. These are the tests that are most likely being used to test for prostate cancer.
  2. Risk-conferring germline mutations in tumor tests are incidental findings and should be evaluated in a germline setting.32

*Not FDA-approved tests. These are Laboratory Developed Tests (LDTs), which are in vitro diagnostic products (IVDs) that are intended for clinical use and are designed, manufactured, and used within a single clinical laboratory which meets certain laboratory requirements. Although LDTs must be certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) and meet the regulatory requirements under CLIA to perform high-complexity testing, these tests are not individually FDA-approved.

The diagnostic tests listed are generally commercially available HRR alteration gene panels. List is current as of July 2025. Tests listed may include analysis of genes outside of HRR pathways.

This information is intended as educational only and is not intended as a complete list of available testing options. While diagnostic testing may assist providers in identifying appropriate treatment for patients, the decision and action should be decided by a provider in consultation with the patient. Pfizer is not responsible for any test provider and does not endorse or recommend any particular diagnostic test. The accuracy and results of diagnostic tests vary, and Pfizer shall have no liability arising from such testing. The information provided herein should in no way be considered a guarantee of coverage, reimbursement, availability, or patient assistance. Providers should contact third-party laboratories for information.

GenPath Diagnostics. OnkoSight Advanced™. Accessed August 28, 2025. https://www.genpathdiagnostics.com/hcp/onkosight-advanced-tm-next-generation-sequencing/#toggle-id-11
GenPath Diagnostics. OnkoSight™. Accessed August 28, 2025. https://www.genpathdiagnostics.com/hcp/oncology/onkosight-next-generation-sequencing/onkosight-advanced-specimen-requirements/
Caris Life Sciences. MI Cancer Seek™. Accessed August 28, 2025. https://d35ibn74wp9llh.cloudfront.net/000d31fd-e04b-4936-be1c-11acbe19e1ec/b8abe627-f449-4ce7-93f2-bd54f87b050d/b8abe627-f449-4ce7-93f2-bd54f87b050d_source__v.pdf
Exact Sciences. OncoExTra® for Advanced Prostate Cancer. Accessed August 28, 2025. https://precisiononcology.exactsciences.com/-/media/project/precisiononcology/precisiononcology/files/oncoextra/oncoextra-prostate-overview-1-pager.pdf?rev=b456d46e5a904982b629681b33067a6d&hash=66C593E1AE6040AF63C79E7E3525226C
Exact Sciences. OncoExTra® for Advanced Prostate Cancer. Accessed August 28, 2025. https://precisiononcology.exactsciences.com/-/media/project/precisiononcology/precisiononcology/files/oncoextra/oncoextra-specimen-requirements-and-shipping-guidelines-solid-tumor-final.pdf?rev=6de85c782b0b41a0abeb5055954c2c05&hash=C87460574453376001D9FE874696DCC6
Foundation Medicine. FoundationOne® CDx. Accessed August 28, 2025. https://www.foundationmedicine.com/sites/default/files/media/documents/2025-04/RAL-0003_v31%20F1CDx%20Tech%20Label_P170019S054_clean_final.docx.pdf
GoPath Diagnostics. OncoTarget500®. Accessed August 28, 2025. https://oncotargetdx.com/oncotarget500/
Labcorp. OmniSeq® INSIGHT. Accessed August 28, 2025. https://oncology.labcorp.com/tests/831177/omniseq-insight-solid-tumor-ngs-panel-dna-and-rna
Labcorp. OmniSeq® INSIGHT. Accessed August 28, 2025. https://www.labcorp.com/assets-media/2667
Myriad Genetics. Precise Tumor® – HCP Detailed Aid. Accessed August 28, 2025. https://myriad-library.s3.amazonaws.com/Precise/Precise+Tumor+Detailed+Sales+Aid.pdf
NeoGenomics. NeoTYPE® HRR Profile. Accessed August 28, 2025. https://neogenomics.com/test-menu/neotyper-hrr-profile/
Quest Diagnostics. Solid Tumor Expanded Panel. Accessed August 28, 2025. https://testdirectory.questdiagnostics.com/test/test-guides/TS_SolidTumorEx/solid-tumor-expanded-panel?gf=y
Quest Diagnostics. Solid Tumor Expanded Panel. Accessed August 28, 2025. https://www.questdiagnostics.com/healthcare-professionals/clinical-education-center/faq/faq273/
Tempus. Tempus xT Validation. Accessed August 28, 2025. https://www.tempus.com/wp-content/uploads/2024/10/Tempus-xT-CDx_Technical-Information.pdf?srsltid=AfmBOoob9TEHx-B1AVjxOQvPy2ed_CC_nP2Kyr1DqBbnRtjdzqZUQdZx/
Caris Life Sciences. Caris Assure™ Technical Specifications. Accessed August 28, 2025. https://d35ibn74wp9llh.cloudfront.net/000d31fd-e04b-4936-be1c-11acbe19e1ec/f55d2c47-6ce2-4429-ac40-14e89e5e7b10/f55d2c47-6ce2-4429-ac40-14e89e5e7b10_source__v.pdf
Foundation Medicine. FoundationOne® Liquid CDx. Accessed August 28, 2025. https://www.foundationmedicine.com/sites/default/files/media/documents/2025-04/v16_RAL-0035_P190032_S024_F1LCDx_Technical_Clean%20Label_10DEC2024.pdf
Guardant Health. Guardant360® CDx. Accessed August 28, 2025. https://www.guardantcomplete.com/assets/pdf/Guardant360-CDx-Technical-Information-US.pdf
Guardant Health. Guardant 360® Liquid. Accessed August 28, 2025. https://www.guardantcomplete.com/assets/pdf/Guardant360-Liquid-Specification-Sheet.pdf
Tempus. Tempus xF Validation. Accessed August 28, 2025. https://www.tempus.com/wp-content/uploads/2024/03/Tempus-xF_Validation.pdf?srsltid=AfmBOorzxZMTKs27_PZrxLFd0FZi34cNH7e0Ez8-ceY46OfvjTIF0rPi
Tempus. Tempus xF+ Validation. Accessed August 28, 2025. https://www.tempus.com/wp-content/uploads/2025/04/Tempus-xFPlus_Validation.pdf?srsltid=AfmBOooARxy7Xjpj31UCbSIbYXm9SCpd-m2T8l8ejcePvDmUQQdOFLXP
Ambry Genetics. Ambry CancerNext Expanded®. Accessed August 28, 2025. https://www.ncbi.nlm.nih.gov/gtr/tests/560508/
GenPath Diagnostics. OnkoRisk™ Test Options. Accessed August 28, 2025. https://www.genpathdiagnostics.com/hcp/oncology/hereditary-cancer-testing/hereditary-cancer-testing-options/#toggle-id-6
GenPath Diagnostics. OnkoRisk™ Specimen Requirements. Accessed August 28, 2025. https://www.genpathdiagnostics.com/hcp/oncology/hereditary-cancer-testing/specimen-requirements/
Exact Sciences. Riskguard®. Accessed August 28, 2025. https://www.exactsciences.com/-/media/project/exactcore/documents/riskguard/hct-gene-chart.pdf?rev=6744870aeb694537a2e17b6002a35083&hash=904346088D825A2F71D82BCBE57A6EED
Exact Sciences. Riskguard® Hereditary Cancer Risk Test. Accessed August 28, 2025. https://www.exactsciences.com/cancer-testing/riskguard-providers
GoPath Diagnostics. ProstateNOW. Accessed August 28, 2025. https://geneticsnow.com/prostatenow
GoPath Diagnostics. ProstateNOW Gene List. Accessed August 28, 2025. https://gopathdx.com/test-menu/tproduct/542994917-775344969181-prostatenow
Invitae. Multi-Cancer Panel. Accessed August 28, 2025. https://www.invitae.com/us/providers/test-catalog/test-01101
Labcorp. VistaSeq® Hereditary Cancer Panels. Accessed August 28, 2025. https://www.labcorp.com/assets-media/2278
Myriad Genetics. Myriad BRACAnalysis®, COLARIS®, COLARIS® AP, and MyRisk® Hereditary Cancer Technical Specifications. Accessed August 28, 2025. https://s3.amazonaws.com/myriad-library/technical-specifications/myRisk+Hereditary+Cancer+Tech+Specs.pdf
Quest Diagnostics. Comprehensive Hereditary Cancer Panel. Accessed August 28, 2025. https://testdirectory.questdiagnostics.com/test/test-detail/38600/comprehensive-hereditary-cancer-panel?cc=MASTER
Yap TA, Stadler ZK, Stout LA, Schneider BP. Aligning germline cancer predisposition with tumor-based next-generation sequencing for modern oncology diagnosis, interception, and therapeutic development. Am Soc Clin Oncol Educ Book 2023;43:e390738.