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ADVANCING PRECISION IN <span style="color: #F06B30;">CANCER</span> <span style="color: #047491;">CARE</span>

ADVANCING PRECISION IN CANCER CARE

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Featuring

PRECISE Onco⁺

PRECISE Onco⁺ is a germline pharmacogenomic test that supports cancer treatment with lifelong genetic insights. Unlike somatic testing, which focuses on tumor-specific mutations, PRECISE Onco⁺ analyzes your inherited DNA to guide treatment decisions from the start and throughout every stage of the cancer journey.

What Is Germline Pharmacogenomics (PGx)?

A germline pharmacogenomic (PGx) test looks at the DNA you were born with, also known as your inherited genetic makeup, to understand how your body is likely to respond to certain medications.

In the context of cancer care, this test helps doctors know in advance:

  • Which drugs might work best for you
  • What dosage is safest and most effective
  • Whether you’re at risk of side effects from certain treatments

Because your germline DNA doesn’t change over time, this test provides lifelong insights that can guide cancer treatment decisions not just once, but at every stage of your cancer journey and even beyond, for other health conditions.

What's the difference?

Germline vs. Somatic Pharmacogenomics Test

CHARACTERISTICS GERMLINE PHARMACOGENOMICS TEST SOMATIC PHARMACOGENOMICS TEST
FOCUS
Inherited genes, stable across life
Tumor-specific mutations, varies as cancer evolves
PURPOSE
Guides systemic treatment, predict drug response
and adverse drug reactions (ADRs)
Identifies mutations for targeted therapy
VALUE
Long-term insight for lifelong treatment planning
Snapshot of current tumor biology

WHY GERMLINE PGx

Why Germline Pharmacogenomics Matters In Cancer Care?

Adverse drug reactions (ADRs) are a serious yet often underestimated complication in cancer treatment. Many of these reactions stem from inherited genetic variations that affect how a patient metabolizes or transports medications, which is not detectable through somatic (tumor) testing alone. In fact, 

Benefits of PRECISE ONCO⁺

The Role Of PRECISE Onco⁺ In Safer, Smarter Cancer Care

Guidelines from the Clinical Pharmacogenetics Implementation Consortium (CPIC) and Dutch Pharmacogenetics Working Group (DPWG) now support pre-treatment germline testing for several commonly used cancer drugs ⁵.

Applicable for who

Who Is It For?

Whether newly diagnosed or undergoing ongoing treatment, PRECISE Onco⁺ is for patients and oncologists seeking greater precision, safety, and personalization in cancer care. It’s especially valuable for individuals with:

Complex medication plans

Multimorbid conditions

Risks of adverse drug reactions (ADRs)

Long-term treatment strategies

Why Choose PRECISE Onco⁺?

PRECISE ONCO⁺

Book An Appointment Today!

Personalize your medication, minimize side effects, and optimize treatment with
PRECISE Onco⁺.

Real Stories, Real Impact

How PRECISE Onco⁺ Is Changing Lives

Click any of the following to find out more about how PRECISE Onco⁺ is making a difference.

Case Study A - Avoiding Chemotherapy Toxicity Before It Starts

A 62-year-old woman was recently diagnosed with Stage II colon cancer and scheduled to begin a chemotherapy regimen that included 5-fluorouracil (5-FU). Before starting treatment, her oncologist recommended PRECISE Onco⁺ germline PGx testing to evaluate her risk for drug toxicity.

The test revealed that she had a DPYD gene variant, which meant her body would likely struggle to break down 5-FU, putting her at high risk for severe, potentially life-threatening side effects.

Thanks to this early insight, her treatment plan was adjusted:

> Her 5-FU dosage was significantly reduced based on CPIC guidelines

> She was closely monitored during the first cycle

As a result, she experienced mild and manageable side effects, completed her full chemotherapy course, and remained recurrence-free at her 12-month follow-up

Case Study B - Managing Mental Health Safely During Cancer Treatment

A 50-year-old breast cancer patient was struggling with anxiety, depression, and insomnia during her treatment journey. Her oncologist prescribed amitriptyline, a tricyclic antidepressant, to help her sleep and manage symptoms—but she quickly experienced extreme fatigue and dizziness.

Using the PRECISE Onco⁺ germline PGx panel, her care team discovered that she was a poor CYP2D6 metabolizer, meaning her body processed amitriptyline too slowly, leading to excessive drug levels in her system.

Her doctors:

> Discontinued amitriptyline

> Switched her to sertraline, which was more compatible with her genetic profile

> Adjusted her antiemetic dose (ondansetron) and pain medication accordingly

With the new medications, her symptoms improved significantly without side effects, and she was able to complete her radiation therapy with minimal disruptions.

Note: Please click on this image to view the case study details.

How to start?

How To Get Started with Your
PRECISE Onco⁺ Test

Get Your Test Kit

Contact Precision Diagnostics or visit your nearest PRECISE Pharmacogenomics panel to obtain your test.

Collect Your Sample

Choose the collection method between a buccal swab (self-administered) or a blood draw (requires an appointment) at a designated facility.

Lab Analysis

Your sample is sent to the Precision Diagnostics’ laboratory for processing.

Receive Your Report

Your results will be ready in 4 to 6 weeks. You’ll receive an email and SMS notification once your report is available in our app, PreciseEHR.

Consult with an Expert

Book your complimentary one-on-one consultation with a healthcare professional to review your results.

available now

Go Paperless With PreciseEHR

Take charge of your health with PreciseEHR, your secure electronic health record (EHR) platform. Access your Pharmacogenomics report, track your health data, and stay informed—all in one place.

one-to-one personalized consultation

PRECISE Pharmacogenomics
Doctor Panel

Get a personalized one-to-one consultation with our expert doctors to help you understand your pharmacogenomic report

Dr. Nada Syazana Zulkufli

MBBS (Monash), MRCPI (Ireland), MPATH (Chemical)(UM), AM (Mal)

Hoo Fan Kee

Assoc. Prof. Dr. Hoo Fan Kee

MD (Mal), MRCP (UK), MRCPS (Glasgow)

Frequently Asked Questions

How is PRECISE Onco⁺ different from tumor (somatic) testing?

Somatic testing looks for mutations within the tumor itself to guide targeted therapies. PRECISE Onco⁺ analyzes your inherited DNA, which doesn’t change over time, to predict how your body responds to over 500 medications, including chemotherapy, supportive care drugs, and treatments for coexisting conditions.

Who should consider taking this test?

PRECISE Onco⁺ is suitable for:

  • Patients newly diagnosed with cancer
  • Patients currently undergoing cancer treatment
  • Cancer survivors who may need long-term medication management
  • Individuals with a family history of cancer and medication sensitivities
What kind of drugs does PRECISE Onco⁺ cover?

The test covers 1,000+ genes linked to how the body processes over 500 commonly prescribed medications, including:

  • Chemotherapy (e.g. 5-FU, irinotecan)
  • Hormonal therapies (e.g. tamoxifen)
  • Pain relief, anti-nausea, psychiatric meds
  • Drugs for heart disease, diabetes, and other comorbidities
Is this test clinically validated?

Yes. PRECISE Onco⁺ is:

  • Accredited by Singapore Health Sciences Authority (HAS) for clinical decision-making
  • Quality-assured under ISO 13485:2016 by National Quality Assurance (NQA) & United Kingdom Accreditation Service (UKAS)
  • Regularly validated under College of American Pathologists (CAP)’s External Quality Assessment (EQA) program
Do I need to retake the test in the future?

No. Germline genetic variants do not change over time, so PRECISE Onco⁺ is a once-in-a-lifetime test that provides lifelong value.

Is the test covered by insurance?

Coverage varies by provider. Please consult your insurance company or speak to our customer care team for billing options and reimbursement assistance.

PRECISE ONCO⁺

Book An Appointment Today!

Personalize your medication, minimize side effects, and optimize treatment with
PRECISE Onco⁺.

References:

  1. Iwuchukwu, O. F., & Smith, L. H. (2022). “Pharmacogenomics of Cancer Therapy: Drug–Gene Interactions That Influence Treatment Toxicity and Efficacy.” Pharmacogenomics and Personalized Medicine, 15, 93–108.
  2. Dunnenberger, H. M. et al. (2015). “Preemptive clinical pharmacogenetics implementation: current programs in five US medical centers.” Annual Review of Pharmacology and Toxicology, 55, 89–106.
  3. Relling, M. V., & Klein, T. E. (2011). “CPIC: Clinical Pharmacogenetics Implementation Consortium of the Pharmacogenomics Research Network.” Clinical Pharmacology & Therapeutics, 89(3), 464–467.
  4. U.S. Food & Drug Administration (FDA). “Table of Pharmacogenomic Biomarkers in Drug Labeling.
  5. Bank PCD, Caudle KE, Swen JJ, Gammal RS, Whirl-Carrillo M, Klein TE, Relling MV, Guchelaar HJ. Comparison of the Guidelines of the Clinical Pharmacogenetics Implementation Consortium and the Dutch Pharmacogenetics Working Group. Clin Pharmacol Ther. 2018 Apr;103(4):599-618. doi: 10.1002/cpt.762. Epub 2017 Oct 10. PMID: 28994452; PMCID: PMC5723247.