ClonoMRD

What is ClonoMRD?

ClonoMRD is an advanced next-generation sequencing (NGS) based assay that analyzes immunoglobulin (IG) gene rearrangements to identify and characterize clonal B-cell populations with high analytical precision. By defining dominant clonal sequences at diagnosis, ClonoMRD enables highly sensitive, sequence-specific minimal residual disease (MRD) tracking across treatment and follow-up, supporting evidence-based clinical decision-making in B-cell malignancies.
Accurate assessment of B-cell clonality and minimal residual disease (MRD) is critical for the diagnosis, risk stratification, and long-term monitoring of B-cell malignancies. Conventional methods such as flow cytometry and PCR may have limitations in sensitivity for very low-level disease or track clonal evolution over time.

Key Features of ClonoMRD

Feature Description
NGS-based clonality analysis Evaluates the B-cell repertoire to distinguish polyclonal (reactive) from clonal (mono, bi-, or oligoclonal) populations.
High-sensitivity MRD detection Detects residual disease down to 10⁻⁶ sensitivity.
Comprehensive IG coverage Targets IGH (FR1, FR2, FR3) and IGK rearrangements.
SHM assessment Provides somatic hypermutation status for prognostic insights.
Longitudinal monitoring Enables serial MRD tracking using the baseline dominant clone signature.
Objective quantification Quantifies MRD burden using sequence-based cell equivalents (% reads).

Clinical Applications of ClonoMRD

  • Detects low-level residual clonality post-therapy
  • Enables serial MRD monitoring and early molecular relapse detection
  • Quantifies MRD using sequence-based cell equivalents
  • Identifies dominant clone (CDR3) and somatic hypermutation burden
  • Supports longitudinal disease surveillance and treatment decisions
  • Integrates clonality, SHM, and quantitative cell burden (% reads) in one assay

Specifications

  • Indications: Chronic Lymphocytic Leukaemia (CLL), Multiple Myeloma (MM), B-cell Acute Lymphoblastic Leukaemia (B-ALL), B-cell Lymphomas (DLBCL, FL, MCL, MZL), Post-treatment & post-transplant MRD assessment
  • Methodology: Next-generation sequencing (NGS)
  • Sample Type: Peripheral blood or bone marrow
  • Coverage: Comprehensive IGH/IGK clonality (~100% with reflex), with SHM profiling and dominant clone–based MRD monitoring
  • Accuracy: Validated on controls and clinical samples with MRD sensitivity up to 10⁻⁶; shows strong concordance with flow cytometry and ASO-PCR, and enables earlier relapse detection.

ClonoMRD Tests Offered by MedGenome

Key Highlights of MedGenome’s ClonoMRD

High-Sensitivity MRD Detection

Enables detection of minimal residual disease with sensitivity up to 10⁻⁶, supporting early identification of molecular relapse.

Comprehensive Clonality Coverage

Analyses IGH (FR1, FR2, FR3) and IGK rearrangements to ensure broad detection of B-cell clonal populations.

Baseline-to-Follow-up Tracking

Identifies dominant clone sequences at diagnosis and uses the same molecular signature for accurate longitudinal MRD monitoring.

What is the ClonoMRD Test?

ClonoMRD is a specialised genetic test that helps doctors detect and monitor certain blood cancers that arise from B-cells. These cancers carry unique genetic signatures created when B-cells rearrange their DNA to produce antibodies.
By analysing these genetic patterns using advanced sequencing technology, ClonoMRD can identify whether cancerous B-cells are present and track even very small amounts of disease that may remain after treatment.

How is the ClonoMRD Test Performed?

Steps Description
Sample collection Blood or bone marrow sample is collected
DNA analysis Genetic material is examined for B-cell–specific rearrangements
Clone Identification Genetic material is examined for B-cell–specific rearrangements
MRD Monitoring Follow-up samples are compared to detect residual or recurring disease
MedGenome scientist conducting genetic testing and DNA test services in India

Why is ClonoMRD Important?

After treatment, cancer cells may remain in very small amounts that cannot be detected by routine tests. This is known as minimal residual disease (MRD). Even tiny amounts of residual disease can be clinically important.

ClonoMRD helps by:

  • Detecting extremely low levels of remaining cancer cells
  • Monitoring how well treatment is working
  • Identifying early signs of disease recurrence
  • Supporting timely medical decisions during follow-up care
  • Reducing uncertainty after treatment completion

How is the ClonoMRD Test Performed?

Who May Benefit from the ClonoMRD Test?

MedGenome clinician reviewing patient records to support genetic testing and DNA test in India

What Does an MRD Result Mean?

  • MRD-negative result: No detectable cancer-related genetic pattern was found within the test’s sensitivity limits.
  • MRD-positive result: Small amounts of the cancer-related genetic pattern were detected, indicating residual or recurring disease.

Your doctor will interpret the result in combination with other clinical findings.

How Does ClonoMRD Help in Long-Term Care?

How is the Sample Collected?

Is ClonoMRD a Replacement for Other Tests?

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