MSK-ACCESS® powered with SOPHiA DDM™

Rise above the noise to see what truly matters

Elevate your precision oncology program

Push the boundaries of your in-house liquid biopsy research capabilities with MSK-ACCESS® powered with SOPHiA DDM™, a decentralized version of the rigorously validated cell-free DNA (cfDNA) assay developed and used in clinical routine by Memorial Sloan Kettering Cancer Center (MSK)1,2.

Discover an innovative solution that combines MSK’s expertise in cancer genomics with the robust analytics of the SOPHiA DDM™ Platform for paradigm-shifting liquid biopsy insights.
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Expert knowledge-driven design
Focus on what matters with a comprehensive 147 gene panel curated by MSK experts.
Robust analytical performance
Trust your results with demonstrated 99.4% positive percent agreement (≥0.5% VAF) to MSK-ACCESS® used at MSK³.
End-to-end application
Save time with a streamlined workflow, taking you from cfDNA sample to report in ∼5 days.
Insights over time
Maximize insights with variant calling across sequential tests, facilitating longitudinal monitoring.
Detection of true somatic variants
Increase confidence in your variant calling by filtering out clonal hematopoietic and germline variants with a matched tumor-normal approach
Enhanced interpretation support
Leverage user-friendly interpretation features, including access to MSK’s Precision Oncology Knowledge Base, OncoKB™.

Save time with a streamlined end-to-end workflow

Equip your laboratory with a true sample-to-report workflow that combines in-house hybrid capture and cloud-based analytics, allowing you to to retain ownership of your samples and data.
Easy library preparation and capture
  • 147 gene panel, curated by MSK experts and selected from MSK’s cancer genomic profiling assay, MSK-IMPACT®
  • Hybridization-based capture with deep sequencing (~20,000x)
  • Tailored probes for high on-target rate and coverage uniformity
  • Minimal input amount of only 20 ng cfDNA
  • Ready-to-sequence libraries in just 1.5 days
  • Optimized multiplexing of paired tumor-normal samples for a cost-effective process
  • Incorporation of matched normal sample requires only 10% of sequencing space
  • Compatible with NovaSeq™ 6000 and NextSeq® 2000 sequencers
Advanced analysis with the SOPHiA DDM™ Platform
  • Algorithm-powered detection of SNVs, Indels, CNV, and fusions
  • Proprietary molecular barcoding technology, CUMIN™, for sensitive variant detection down to 0.5% VAF
  • Tertiary analysis based on the latest scientific evidence on relevant variants with OncoPortal™ Knowledge Base​
  • Access to MSK’s Precision Oncology Knowledge Base, OncoKB™, for enhanced interpretation support
  • Knowledge-sharing within SOPHiA GENETICS Community, a unique network of connected healthcare institutions
Somatic mutations accumulate in cells with a hematopoietic lineage (e.g. stem cells in the bone marrow) as we age or in response to environmental influences. These mutations are known as CHIP. CHIP mutations can be detected in the plasma and wrongly attributed to solid tumor origins4,5.
Learn more about CHIP

Increase confidence in your variant calling with a matched tumor-normal approach

Clonal hematopoiesis of indeterminate potential (CHIP) is a common cause of biological false positives in cfDNA analysis⁴. MSK-ACCESS® powered with SOPHiA DDM™ leverages a matched tumor-normal approach that enables CHIP filtering and eliminates the risk of:

  • Biological false positives at low allele frequencies (e.g. in BRCA1).
  • Removing true positives, if using only database-driven approaches to annotate CHIP2.

By sequencing tumor-derived cfDNA and normal white blood cell DNA in parallel, you can effectively reduce noise in your data analysis and focus on tumor-specific somatic variants.

Trust your data

Exceptional analytical performance3

In an end-to-end comparison of 48 cfDNA + matched white blood cell DNA samples, MSK-ACCESS® powered with SOPHiA DDM™ achieved 99.4% positive percent agreement (≥0.5% VAF) with the centralized version used at MSK.
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VAF, variant allele frequency. a) Based on end-to-end concordance analysis between MSK-ACCESS® powered with SOPHiA DDM™ and centralized version of MSK-ACCESS® at MSK, using 48 cfDNA + matched WBC DNA samples; b) Correlation of variant allele fraction to reference method.

Searching for robust insights? Let SOPHiA DDM™ search for you

The trusted analytics and advanced features of the SOPHiA DDM™ Platform enable the accurate detection and characterization of complex genomic variants, while adhering to the most up-to-date international guidelines.

OncoPortal™ Knowledge Base further supports decision-making and reporting by matching tumor molecular profiles with clinical associations and available clinical trials. In addition, the application offers access to MSK’s Precision Oncology Knowledge Base, OncoKB™, via a link in SOPHiA DDM™ for comprehensive genomic insights.

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Addressing global inequalities in comprehensive cancer care

AstraZeneca and MSK have joined forces with SOPHiA GENETICS to revolutionize cancer research. Together, we are creating a decentralized global network for liquid biopsy testing, including underserved regions where access remains scarce.
Generating an unparalleled and comprehensive dataset sourced from diverse populations holds the potential for invaluable insights that could shape the future of global healthcare.
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Specifications

Content 147 genes
Diseases Covered Multi-cancer (any solid tumor)
Detected Variants

• SNVs and Indels in 146 genes
• CNVs in 71 genes
• Fusions (DNA-based via intronic targets) in 10 genes
• TERT promoter
• MET exon 14 skipping

Sample Type Paired samples of cell-free DNA extracted from peripheral blood and white blood cell gDNA
Starting Material 20 ng cell-free DNA (minimum); 50 ng white blood cell (WBC) gDNA (minimum)
Recommended Read Length 150 bp, paired end
Coverage Depth Approx. 20,000x
Multiplexing (samples per run)

Illumina NovaSeq™ 6000:
• SP flow cell: 8 (tumor + normal) pairs
• S1 flow cell: 16 (tumor + normal) pairs
• S2 flow cell: 40 (tumor + normal) pairs
• S4 flow cell: 96 (tumor + normal) pairs

Illumina NextSeq® 2000 (P3 flow cell):
• 8 (tumor + normal) pairs, with 33% sequencing space left

Illumina NextSeq® 2000 (P4 flow cell):
• 16 (tumor + normal) pairs

Library Preparation Time 1.5 days

References

  1. MSK. MSK-ACCESS®. Available at: https://www.mskcc.org/departments/division-solid-tumor-oncology/early-drug-development-service-phase-clinical-trials/precision-medicine-approach/msk-access (Accessed January 2025).
  2. Brannon AR, et al. Nat Commun. 2021;12(1):3770.
  3. Klemm F, Mohammad F, De Martino F, et al. Analytical Validation of the Decentralized MSK-ACCESS® powered with SOPHiA DDM™ Solution. Poster ST027. Presented at Association For Molecular Pathology (AMP) Annual Meeting 2024, Vancouver, Canada.
  4. Pascual J, et al. Ann Oncol. 2022;33(8):750-768.
  5. Lockwood CM, et al. J Mol Diagn. 2023;25(12):876-897.

SOPHiA GENETICS products are for Research Use Only and not for use in diagnostic procedures unless specified otherwise.

SOPHiA DDM™ Dx Hereditary Cancer Solution, SOPHiA DDM™ Dx RNAtarget Oncology Solution and SOPHiA DDM™ Dx Homologous Recombination Deficiency Solution are available as CE-IVD products for In Vitro Diagnostic Use in the European Economic Area (EEA), the United Kingdom and Switzerland. SOPHiA DDM™ Dx Myeloid Solution and SOPHiA DDM™ Dx Solid Tumor Solution are available as CE-IVD products for In Vitro Diagnostic Use in the EEA, the United Kingdom, Switzerland, and Israel. Information about products that may or may not be available in different countries and if applicable, may or may not have received approval or market clearance by a governmental regulatory body for different indications for use. Please contact us at support@sophiagenetics.com to obtain the appropriate product information for your country of residence.

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