Sema4|GeneDx Commends New Evidence-Based Guidelines from the National Society of Genetic Counselors Recommending Exome Sequencing as a First-Tier Genetic Test for Unexplained Epilepsies
31 10월 2022 - 10:00PM
Sema4 (Nasdaq: SMFR), a health insights company, supports the new
National Society of Genetic Counselors guidelines recommending
exome sequencing as a first-tier test, to be prioritized over
multi-gene panels for all individuals with unexplained epilepsy,
and applauds the American Epilepsy Society for endorsing these
guidelines. This is the first evidence-based guideline for genetic
testing for individuals with unexplained epilepsy, and the
implications are vast, as a significant amount of unexplained
epilepsy has a genetic cause1. In many cases, identifying a
molecular genetic cause of epilepsy can have implications for
treatment and management, including avoiding, stopping, or
initiating specific medication or diet recommendations and clinical
trial eligibility.
These recommendations mirror guidelines for other
neurodevelopmental disorders such as intellectual disabilities and
developmental delays in that they recommend genome and exome
sequencing as first-tier tests. A child with neurodevelopmental
disorders is likely to wait2 more than six years on average for a
genetic diagnosis; accrue more than $10,000 in additional health
costs; and undergo more than five uninformative tests. These new
guidelines demonstrate the importance and advantage of ordering
exome sequencing first rather than chromosomal microarray analysis
panel testing; in which diagnostic rates are highest3 for whole
genome sequencing (48%), followed by whole exome sequencing (24%).
Chromosomal microarray analysis has the lowest diagnostic rate
(9%).
Leveraging one of the world’s largest data sets of more than
400,000 clinical exomes, we have seen first-hand the power of
genomic sequencing for improving diagnostic certainty and believe
these new guidelines will unlock insights and improve patient
care.
About Sema4|GeneDxSema4|GeneDx is a
patient-centered health intelligence company dedicated to advancing
healthcare through data-driven insights. Sema4 is transforming
healthcare by applying AI and machine learning to multidimensional,
longitudinal clinical and genomic data to build dynamic models of
human health and defining optimal, individualized health
trajectories. Centrellis™, our innovative health intelligence
platform, is enabling us to generate a more complete understanding
of disease and wellness and to provide science-driven solutions to
the most pressing medical needs. Sema4 believes that patients
should be treated as partners, and that data should be shared for
the benefit of all. For more information, please visit sema4.com
and connect with us on LinkedIn, Twitter, Facebook, and
Instagram.
Media ContactRadley
Mossradley.moss@sema4.com
_________________________
1 Source: Smith, L., Malinowski, J., et al. (2022). Genetic
testing and counseling for the unexplained epilepsies: An
evidence-based practice guideline of the National Society of
Genetic Counselors. Journal of genetic counseling,
10.1002/jgc4.1646. Advance online publication.
https://doi.org/10.1002/jgc4.1646
2 Source: Soden, S. E., Saunders, C. J., et al. (2014).
Effectiveness of exome and genome sequencing guided by acuity of
illness for diagnosis of neurodevelopmental disorders. Science
translational medicine, 6(265), 265ra168.
https://doi.org/10.1126/scitranslmed.3010076
3 Source: Sheidley, B. R., Malinowski, J., et al. (2022).
Genetic testing for the epilepsies: A systematic review. Epilepsia,
63(2), 375–387. https://doi.org/10.1111/epi.17141
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