SOPHiA MSK-IMPACT
Comprehensive tumor genomic profiling via tissue biopsy — powered by SOPHiA DDM™ analytics
What is this test?
SOPHiA MSK-IMPACT is our most comprehensive tissue-based tumor profiling test, powered by the SOPHiA DDM™ (Data-Driven Medicine) bioinformatics platform. It analyzes hundreds of cancer-related genes from a biopsy specimen to create a complete molecular profile of your tumor. By combining deep sequencing with SOPHiA's AI-driven variant analysis, your oncologist receives the most accurate and clinically actionable insights for targeted therapies, immunotherapy eligibility, and clinical trial matching.
Key Benefits
Broader gene coverage than standard panels, providing the most complete molecular characterization of your tumor.
Each actionable finding is linked to FDA-approved therapies, clinical guidelines, and relevant clinical trials.
TMB and MSI assessment determine whether your tumor is likely to respond to checkpoint inhibitor immunotherapy.
Replaces the need for multiple single-gene tests, saving time and preserving precious tissue.
How It Works
Tumor tissue is obtained from a fresh biopsy or retrieved from your hospital's pathology archive (FFPE blocks). Pathology review confirms adequate tumor content.
Both DNA and RNA are extracted from tumor tissue using protocols optimized for FFPE specimens.
Targeted next-generation sequencing covers hundreds of cancer-relevant genes, detecting point mutations, insertions/deletions, copy number changes, and gene fusions.
Tumor mutational burden (TMB) and microsatellite instability (MSI) status are calculated as part of the standard analysis to inform immunotherapy decisions.
A tiered report categorizes actionable findings by evidence level (FDA-approved companion diagnostics, guideline-recommended biomarkers, clinical trial options) per AMP/ASCO/CAP standards.
Who should consider this test?
- Cancer patients seeking the most comprehensive tumor genomic analysis available
- Those with advanced or metastatic solid tumors
- Patients whose tumors have not responded to standard first-line treatment
- Oncologists seeking comprehensive molecular characterization for treatment planning
- Patients being evaluated for immunotherapy (TMB and MSI assessment)
Accuracy & Clinical Evidence
Validated for detection of somatic mutations, copy number alterations, and gene fusions with >99% sensitivity for targetable variants at ≥5% allele frequency in adequate tumor specimens.
Comprehensive genomic profiling has been demonstrated to identify actionable targets in 30-50% of solid tumors across multiple cancer types, leading to improved outcomes when patients receive biomarker-matched therapy.
For Healthcare Providers
Tissue-based comprehensive genomic profiling using targeted amplicon-based NGS on the Ion Torrent platform. Panel covers >500 genes for SNVs, indels, CNVs, and fusions using paired DNA/RNA analysis. TMB is estimated from coding region mutation density. MSI is assessed from microsatellite loci coverage. Minimum tumor content 20%, minimum input 10 ng. Reporting follows AMP/ASCO/CAP tiered classification with OncoKB and CIViC annotations.
Important Limitations
- Requires adequate tumor tissue — specimens with <20% tumor content may yield unreliable results.
- This is a somatic (tumor-only) test and does not assess inherited cancer risk. Germline testing may be recommended separately.
- 21-day turnaround reflects the comprehensive nature of the analysis but may not be suitable for urgent treatment decisions.
- Not all identified mutations have corresponding approved therapies — some represent research-stage findings.
- Tumor heterogeneity means a single biopsy may not capture all molecular features of the cancer.
Frequently Asked Questions
Related Tests
Focused 52-gene hotspot panel targeting the most common actionable oncogene mutations
Targeted somatic mutation profiling for solid tumors
Blood-based tumor genomic profiling via circulating tumor DNA — powered by SOPHiA DDM™ analytics
Multi-cancer syndrome genetic screening covering 80+ genes
Test Details
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Speak with our team to learn more about ordering this test or to get a consultation.
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