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‹ Wed · 22 Apr 2026
Near-term implementable finding

EXaCT-2: an augmented and customizable oncology-focused whole exome sequencing platform

A new DNA sequencing tool catches more hidden cancer mutations than standard tests, particularly in hard-to-read regions, helping doctors find genetic drivers they might otherwise miss.

EXaCT-2 is a validated whole-exome sequencing platform that combines comprehensive genomic breadth with targeted-panel depth for 1,400+ cancer genes, enabling simultaneous detection of SNVs, indels, SCNAs, fusions, TMB, MSI, oncogenic viruses, and BCR clonotypes. In 244 matched tumor/normal pairs, EXaCT-2 demonstrated superior sensitivity for sub-clonal mutations versus standard exome assays, with particular benefit for GC-rich drivers like KRAS.

What the study was

Study design
Benchmarking and validation study
Population
Cancer patients (solid tumor cohort)
Sample size
244
Category
Genomics/Precision Medicine
Maturity
Validated
Journal
NPJ Precision Oncology

Why it surfaced

Weill Cornell comprehensive WES platform with clinical validation in 244 pairs; enables unified genomic profiling replacing need for multiple assays; near-term implementable for cancer centers.

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