Tempus AI, a leader in AI-driven precision medicine, announced the publication of a study in *JAMA Network Open* demonstrating the benefits of concurrent RNA and DNA next-generation sequencing (NGS) for patients with advanced non-small cell lung cancer (NSCLC). The study, which analyzed data from over 5,500 patients, found that using both RNA- and DNA-based NGS significantly increased the detection of actionable structural variants, which are genetic alterations with potential therapeutic implications.
In this study, Tempus reported that 8.8% of patients had at least one actionable variant, including ALK, RET, ROS1, or NTRK1/2/3 fusions, or MET exon 14 skipping alterations, identified by one or both assays. Importantly, the combined approach of RNA and DNA sequencing increased the identification of patients with actionable variants by 15.3% and more than doubled the detection of rare structural variants compared to DNA sequencing alone.
These findings support a broader adoption of combined RNA and DNA sequencing in clinical settings for more comprehensive genomic profiling in advanced NSCLC. “This study highlights the critical role of dual RNA- and DNA-based testing in identifying a wider range of actionable alterations, many of which might be missed with DNA testing alone," stated Halla Nimeiri, MD, Chief Development Officer at Tempus. "The integration of RNA and DNA sequencing offers clinicians better tools to personalize treatment plans and improve patient outcomes."
The study suggests that this dual-sequencing approach could enhance precision treatment in NSCLC and other solid tumors by identifying more diverse actionable genetic alterations.