Publication
A verified genomic reference sample for assessing performance of cancer panels detecting small variants of low allele frequency
Publisher:
Springer Science and Business Media LLC
Date:
16-04-2021
DOI:
10.1186/S13059-021-02316-Z
Abstract: Oncopanel genomic testing, which identifies important somatic variants, is increasingly common in medical practice and especially in clinical trials. Currently, there is a paucity of reliable genomic reference s les having a suitably large number of pre-identified variants for properly assessing oncopanel assay analytical quality and performance. The FDA-led Sequencing and Quality Control Phase 2 (SEQC2) consortium analyze ten erse cancer cell lines in idually and their pool, termed S le A, to develop a reference s le with suitably large numbers of coding positions with known (variant) positives and negatives for properly evaluating oncopanel analytical performance. In reference S le A, we identify more than 40,000 variants down to 1% allele frequency with more than 25,000 variants having less than 20% allele frequency with 1653 variants in COSMIC-related genes. This is 5–100× more than existing commercially available s les. We also identify an unprecedented number of negative positions in coding regions, allowing statistical rigor in assessing limit-of-detection, sensitivity, and precision. Over 300 loci are randomly selected and independently verified via droplet digital PCR with 100% concordance. Agilent normal reference S le B can be admixed with S le A to create new s les with a similar number of known variants at much lower allele frequency than what exists in S le A natively, including known variants having allele frequency of 0.02%, a range suitable for assessing liquid biopsy panels. These new reference s les and their admixtures provide superior capability for performing oncopanel quality control, analytical accuracy, and validation for small to large oncopanels and liquid biopsy assays.