Guardant360 TissueNext™

A Medicare-covered tissue comprehensive genomic profiling (CGP) test with an AI-powered scoring algorithm that improves PD-L1 detection by >20% in non-small cell lung cancer (NSCLC), if ordered.1,2

Guardant360 TissueNext™ has the
CGP panel you need in a tissue test.1*

  • Medicare-covered tissue
    CGP test covering all guideline-recommended biomarkers.1

  • Guides treatment
    decisions in patients with advanced-stage cancer.3

  • Results in
    2 to 3 weeks.1

This tissue CGP panel includes coverage of tumor mutation burden (TMB), microsatellite instability status (MSI), and PD-L1 IHC, if ordered.1

NSCLC guideline-recommended genes are shown in bold.

Single Nucleotide Variants (SNVs) and Insertions and Deletions (Indels) (84 genes) Single Nucleotide Variants (SNVs) and Insertions and Deletions (Indels)
(84 genes)
AKT1EGFRKRASPALB2
ALKERBB2MAP2K1PDGFRA
APCESR1MAP2K2PIK3CA
AREZH2MAPK1PMS2
ARAFFANCAMAPK3PTEN
ARID1AFBXW7METPTPN11
ATMFGFR1MLH1RAD51D
BRAFFGFR2MPLRAF1
BRCA1FGFR3MSH6RB1
BRCA2GATA3MSH2RET
CCND1GNA11MTORRHEB
CCND2GNAQMYCRHOA
CCNE1GNASMYCNRIT1
CDH1HNF1ANF1ROS1
CDK4HRASNFE2L2SMAD4
CDK6IDH1NOTCH1SMO
CDK12IDH2NPM1STK11
CDKN2AJAK2NRASTERT
CHEK2JAK3NTRK1TP53
CTNNB1KEAP1NTRK2TSC1
DDR2KITNTRK3VHL
AKT1CCND2ERBB2GNASMAP2K2NF1PMS2SMAD4
ALKCCNE1ESR1HNF1AMAPK1NFE2L2PTENSMO
APCCDH1EZH2HRASMAPK3NOTCH1PTPN11STK11
ARCDK4FANCAIDH1METNPM1RAD51DTERT
ARAFCDK6FBXW7IDH2MLH1NRASRAF1TP53
ARID1ACDK12FGFR1JAK2MPLNTRK1RB1TSC1
ATMCDKN2AFGFR2JAK3MSH6NTRK2RETVHL
BRAFCHEK2FGFR3KEAP1MSH2NTRK3RHEB
BRCA1CTNNB1GATA3KITMTORPALB2RHOA
BRCA2DDR2GNA11KRASMYCPDGFRARIT1
CCND1EGFRGNAQMAP2K1MYCNPIK3CAROS1
Copy Number Amplifications (CNAs)
(20 genes)
AR BRAF
CCND1 CCND2
CCNE1 CDK4
CDK6 EGFR
ERBB2 ESR1
FGFR1 FGFR2
KIT KRAS
MET MYC
MYCN PDGFRA
PIK3CA RAF1
Fusions
(12 genes)
ALK MET
BRAF NTRK1
EGFR NTRK2
FGFR1 NTRK3
FGFR2 RET
FGFR3 ROS1
MSI Status
Qualitative result
TMB
Mutations per megabase

NEW

PD-L1 Status
(if ordered)
AI-powered PD-L1 for NSCLC from Guardant Galaxy. All other tumor types are evaluated using conventional methods.1,2
Guardant Galaxy™ PD-L1

Submit samples for processing with as low as 10% tumor fraction.

Testing specifications for Guardant360 TissueNext:

FFPE tissue block or
unstained slides

  • 11 slides for tissue CGP only
  • 15 slides for tissue CGP + PD-L1

Guardant360 TissueNext™

Use the same form as a liquid biopsy with results in 2 to 3 weeks.1

Comprehensive support across the cancer continuum.

Important Note: The Guardant360 TissueNext test was developed, and its performance characteristics determined, by the Guardant Health Clinical Laboratory in Redwood City, CA, USA, which is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) as qualified to perform high-complexity clinical testing. Guardant360 TissueNext refers to Guardant360 TissueNext Laboratory Developed Test (LDT). This test has not been cleared or approved by the US FDA.

*Non-small cell lung cancer patients who are negative from a plasma specimen for EGFR exon 19 deletions, L858R, T790M, EGFR exon 20 insertions, ERBB2/HER2 activating mutations, and KRAS G12C should be reflexed to tissue biopsy testing using an FDA approved tumor tissue test, if feasible.4 Note that “tissue CGP,” known as Guardant360 TissueNext, and “liquid CGP test," known as Guardant360, have not been cleared or approved by the FDA. For the complete intended use statement including companion diagnostic indications, please see Guardant360 CDx Technical Information.

Includes TERT promoter region.

For a full list of diagnoses, download the Controlled Language for Diagnosis page.

For a full list of medical articles and drugs' Prescribing Information,
download the Gene Pocket Guide Reference List.

References: 1. Guardant360 TissueNext™ Assay Specifications. Guardant Health, Inc. Palo Alto, CA. 2. Guardant Galaxy Flyer. Guardant Health, Inc. Palo Alto, CA. 3. Guardant360 TissueNext. National Library of Medicine. Bethesda, MD. 4. Guardant360 CDx Technical Information. Guardant Health, Inc. Palo Alto, CA. July 2021.