ClonoTrack

What is ClonoTrack?

ClonoTrack 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, ClonoTrack 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 ClonoTrack

FeatureDescription
NGS-based clonality analysisEvaluates the B-cell repertoire to distinguish polyclonal (reactive) from clonal (mono, bi-, or oligoclonal) populations.
High-sensitivity MRD detectionDetects residual disease down to 10⁻⁶ sensitivity.
Comprehensive IG coverageTargets IGH (FR1, FR2, FR3) and IGK rearrangements.
SHM assessmentProvides somatic hypermutation status for prognostic insights.
Longitudinal monitoringEnables serial MRD tracking using the baseline dominant clone signature.
Objective quantificationQuantifies MRD burden using sequence-based cell equivalents (% reads).

Clinical Applications of ClonoTrack

  • 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.

ClonoTrack Tests Offered by MedGenome

Key Highlights of MedGenome’s ClonoTrack

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 ClonoTrack Test?

ClonoTrack 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, ClonoTrack can identify whether cancerous B-cells are present and track even very small amounts of disease that may remain after treatment.

How is the ClonoTrack Test Performed?

StepsDescription
Sample collectionBlood or bone marrow sample is collected
DNA analysisGenetic 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
Laboratory specialist analyzing blood samples, supporting maternal blood group assessment through Rhesus D Track

Why is ClonoTrack 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.

ClonoTrack 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 ClonoTrack Test Performed?

Who May Benefit from the ClonoTrack Test?

Medical professional verifying clinical details for Rhesus D Track testing

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 ClonoTrack Help in Long-Term Care?

How is the Sample Collected?

Is ClonoTrack a Replacement for Other Tests?

Get Genetic Counselling by Our Experts

Connect with Our Experts

    MedGenome Patient Stories

    MedGenome in the News

    September 12, 2023 5 mins read

    NIPT for Twins: What You Should Know?

    December 30, 2021 5 mins read

    Unlocking Insights: Genetic Tests Every Woman Should Consider

    August 21, 2019 5 mins read

    A new technology for eradicating TB – MedGenome Labs – Mathrubhumi

    Please share your details to get
    in touch with our experts.