Example 3
This is what your Certificate of Analysis can look like after applying Next Generation Sequencing
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Example of a CoA Report Chart for Characterization of a peripheral blood leukemic sample
All Products and Services are For Preclinical Research Purposes ONLY!
Customer:…………………………………………… Donor Sample#: Deidentified ………………………………………
Address Line 1:…………………………………… Age:……years
Address Line 2:…………………………………… SEX:…………………….
Lab Director:……………………………………… Sample Collection Date: …..-…..-…………
Somatic testing result:
Indication: Lung cancer
Test Amplification Result Mutant fraction%
CDK4 Amplification Detected 5.75 (copies)
CHEK2 c.1245_1246delCAinsTG p.k416E Detected (1.56%)
GNAS c.1398_1399delTGinsCT p.A467S Detected (6.11%)
POLE c.3264delTinsCC p.V1089fs*35 Detected (7.91%)
SMARCA4 c.59delC p.P20fs*23 Detected (28%)
STK11 c.291-2A>T Detected (30.0%)
TP53 c.880G>T p.E294 Detected (40.0%)
PD-L1* Positive (>50%)
ALK fusion* Not Detected
ROS1 fusion Not Detected
NTRK1, NTRK2, NTRK3 fusion* Pending
MSI** Not Detected
Tested by NGS
* Tested by RT-PCT
** Tested by fragments analysis
These results have been reviewed and approved by (name, function)……………………………………………………
Signature:
