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Covered by Medicare for monitoring immunotherapy response in patients with any solid tumor

Signatera™ for Head & Neck Cancers

Personalized, tumor-informed ctDNA molecular residual disease (MRD) testing to inform head and neck cancer patient care

Detect and Monitor ctDNA to Inform Treatment Strategy in HPV-negative and HPV-positive Head and Neck Cancer

Test

Identify
High Risk Patients

ctDNA-positive patients after definitive therapy achieved just

4.3% PFS

Vs 100% for ctDNA-negative patients1

Know

Detect
Recurrence Earlier

Signatera™ detected recurrence

>4 months

Before standard of care imaging2,3

Decide

Monitor Immunotherapy
Treatment Response

ctDNA-positive patients had a

>25x

Higher risk of progression vs ctDNA-negative patients4

Better Biomarkers are Needed to Help Inform Head and Neck Cancer Patient Management

Signatera™ helps inform critical decisions along the continuum of care

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Get Started

Identify high risk patients with both HPV-negative and HPV-positive disease

Patients testing Signatera™-positive after therapy experienced a PFS of just 4.3% vs. 100% for Signatera™-negative patients1

  • Every HPV-negative patient who tested Signatera™-positive had confirmed persistent or recurrent disease, while every Signatera™-negative patient remained disease free at time of analysis

ctDNA-positive patients had a >25x higher risk of death2,3

  • HPV-negative and HPV-positive patients testing ctDNA-positive in the MRD window had a >25x higher risk of death, with ctDNA-positive patients experiencing 56% 24-month OS vs 98% for Signatera™-negative patients

Detect recurrence early

Signatera™ identified head and neck recurrence earlier and more accurately than standard of care imaging2,3

  • Signatera™-positivity preceded imaging-confirmed progression by a median of 4.44 months2,3
  • Signatera™ outperformed PET-CT in detecting recurrence, showing superior specificity and predictive value7

Predict recurrent/metastatic ICI treatment response

Signatera™ predicted benefit from immune checkpoint inhibitor treatment early, with or without chemotherapy4

  • A decrease in Signatera™ ctDNA of ≥20% from baseline to week 6-10 of ICI treatment was associated with clinical benefit
  • Every patient who cleared ctDNA achieved a complete or partial response and significantly improved PFS and OS
  • ctDNA dynamics were the strongest prognostic factor for PFS in multivariate analysis

Ready to try Signatera™ for your Head and Neck cancer patients?

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References

1Hanna G, et al. Clinical Cancer Research, 2024. DOI: 10.1158/1078-0432.CCR-24-0590.

2Peddada R, et al. Post-treatment head & neck cancer surveillance with ctDNA. Pennington Cancer Institute presentation, 2025.

3Natera. Data on file.

4Honore N, et al. Clinical Cancer Research, 2025. DOI: 10.1158/1078-0432.CCR-25-1309.

5Ionna F, et al. Cancers. 2021 May 14;13(10):2371. DOI: 10.3390/cancers13102371.

6Calandri M, et al. Journal of Thoracic Disease, 2018. DOI: 10.21037/jtd.2018.05.130.

7Lele S, et al. C.-A.O. (2024). Otolaryngology–Head and Neck Surgery, 171:439–444. DOI: 10.1002/ohn.760.

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