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Maximize identification of patients eligible for LYNPARZA + bevacizumab

Use an FDA-approved HRD* test that measures both BRCA mutations and genomic instability1,2

Nearly half of the patients in the PAOLA-1 trial were HRD positive3

48% of Patients were HRD-positive and 52% of Patients were HRD-negative 48% of Patients were HRD-positive and 52% of Patients were HRD-negative

All PAOLA-1 trial participants were retrospectively evaluated for HRD using the Myriad MyChoice® CDx1‡

Prevalence of HRD in the PAOLA-1 overall study population was consistent with HRD prevalence in the general ovarian cancer population.3,5

In a prespecified exploratory analysis of HRD-negative and HRD-unknown patients, there was insufficient evidence to suggest differential efficacy between the combination of LYNPARZA + bevacizumab and bevacizumab + placebo

*Select patients for this indication based on an FDA-approved companion diagnostic for LYNPARZA.1

HRD positive was defined as either a tBRCA mutation and/or an HRD score ≥42 by Myriad MyChoice® CDx; HRD negative was defined as non–tBRCA-mutated and an HRD score <42 by Myriad MyChoice® CDx. 4.2% of the test results were missing, 2.1% failed, and 11.3% were inconclusive, yielding approximately 18% of the total PAOLA-1 population with an unknown HRD status.6,7

May include markers of genomic instability (eg, LOH, TAI, LST).2

Choose the only FDA-approved test for LYNPARZA + bevacizumab. Myriad MyChoice® CDx identified up to 8% more HRD-positive tumors than an LOH-based assay.1,8§

Biomarker Myriad MyChoice® CDx
(HRD, which includes genomic instability§||)
gBRCA
sBRCA
Loss of heterozygosity (LOH)
Telomeric allelic imbalance (TAI)
Large-scale state transitions (LST)

§Does not distinguish between somatic and germline on reports.2

||In a study of 148 tumor samples from patients with non-gBRCAm aOC following response to platinum-based chemotherapy, an LOH-based assay identified 40% as HRD positive compared with 48% using the Myriad MyChoice® CDx.8

If found to have a BRCA mutation, germline testing may inform genetic risk for patients and their families.9

Gene panels without measures of genomic instability do not capture all HRD statuses and are not FDA-approved companion diagnostics for LYNPARZA.1,2,10

Guidelines recommend collection of sufficient tumor tissue early for HRD testing11,12:

  • At first tissue collection or surgical biopsy prior to initiating chemotherapy 
  • If patient is being considered for neoadjuvant chemotherapy, collect tissue prior to treatment initiation 

Test for HRD* prior to making your induction treatment decision

  • Partner with your pathologist for specimen handling and shipment
  • Visit MyriadMyChoice.com for more information about ordering the Myriad MyChoice® CDx

*HRD positive is defined as either a tBRCA mutation and/or an HRD score ≥42 by Myriad MyChoice® CDx; HRD negative is defined as either non–tBRCA-mutated and/or HRD score <42 by Myriad MyChoice® CDx. HRD unknown is defined in accordance with a test that fails, is inconclusive, or missing.6,7 Test determines HRD status by detecting BRCA1 and BRCA2 variants and assessing genomic instability.2

Test for HRD at diagnosis to help identify patients that may be eligible for LYNPARZA + bevacizumab1,2†

LYNPARZA combination therapy is a first-line maintenance therapy option for women with HRD detected by an FDA-approved test who received bevacizumab at induction.1

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