OncoDiscover liquid biopsy enables CTC detection for cancer diagnosis and monitoring. Expert Insights 11 August 2020 OncoDiscover Liquid Biopsy Technology | Clinical Significance of Circulating Tumor Cell Detection Highlights the clinical value of circulating tumor cell detection using OncoDiscover liquid biopsy technology for cancer diagnosis and patient monitoring. Know more Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

CTCs and PD-L1 profiling support MRD detection and therapy decisions in ovarian cancer. Publications 3 June 2024 ASCO 2024: Effect of circulating tumor cells (CTC) and CTC clusters with PD-L1 dynamic biomarker on cellular burden in patients with ovarian cancer. CTCs with PD-L1 expression in ovarian cancer reveal minimal residual disease and may guide immunotherapy and early metastasis monitoring. Background In the precision oncology era, monitoring treatment response using circulating blood-based biomarkers such as circulating tumor DNA (ctDNA) and circulating tumor cells (CTCs) is rapidly being evaluated and established. The leading cause of mortality in ovarian cancer patients is delayed diagnosis and the inability to effectively select patients for targeted therapies, including immune checkpoint blockade (ICB) agents. Treatment for ovarian cancer usually involves a combination of surgery and chemotherapy. However, postoperative resection and therapy with curative intent often fail to account for minimal cellular disease (MCD). The dissemination of circulating tumor cells (CTCs) represents minimal residual disease (MRD), which may diffuse and cause micro-metastasis through epithelial-to-mesenchymal transition (EMT) and bio-mechanistic activation in blood circulation. Simultaneous detection of overexpression of programmed death-ligand 1 (PD-L1) on CTCs as a dynamic biomarker may be useful for assessing patients for immune checkpoint inhibitor (ICI) therapy. Methods In a retrospective analysis of real-world data, peripheral blood samples from 75 ovarian cancer patients were analyzed for the presence of CTCs, with and without PD-L1 expression, and for the presence of CTC clusters. CTCs were detected using the CDSCO-approved OncoDiscover platform from 1.5 ml of peripheral blood. The platform is a multifunctional magneto-nanosystem mediated by anti-epithelial cellular adhesion molecule (EpCAM) antibodies. CTCs were identified as positive when EpCAM+, CK+, PD-L1+, DAPI+, and CD45- markers were present. PD-L1 expression on CTCs was analyzed based on the linear intensity gradients of fluorescence signals using image acquisition on an automated Zeiss microscope. Results Baseline sample analysis showed that 86% (n = 65) of patients had at least one CTC per 1.5 ml of blood. The CTC distribution ranged from 1 to 9 CTCs. Among the patients with CTCs, 46.15% (n = 30) showed PD-L1 expression. Notably, the highest number of CTCs (~26.7%, n = 23) was observed in the 41–50 age group. Additionally, 8% (n = 6) of the total patients showed the presence of CTC clusters. The presence of CTCs with PD-L1 expression and CTC clusters did not show a correlation with factors such as staging, follow-ups, metastasis, or disease-free survival (DFS) status. Conclusions We observed the presence of minimal cellular disease (MCD) and minimal residual disease (MRD) in ovarian cancer patients despite treatment with curative intent. Detection of CTCs, CTC clusters, and PD-L1 overexpression as real-time dynamic biomarkers may help assess early metastasis, disease progression, and regression. These biomarkers may also support the selection of patients suitable for immune checkpoint inhibitor (ICI) therapy when tissue samples are inadequate or unavailable, potentially improving clinical outcomes. Know more Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

Ayurveda therapy reduces CTC counts and improves quality of life in cancer patients. Publications 7 June 2022 ASCO 2022: Correlation of circulating tumor cells as a positive interventional biomarker in cancer patients Ayurveda therapy significantly reduced CTC counts and improved quality of life in a study of 72 patients across 17 cancer types. Background Circulating tumor cells (CTCs) are a predictive biomarker for accounting for disease progression and for minimal residual disease (MRD). The effect of conventional anticancer therapy on CTC count is well documented; however, there is a paucity of data related to the effect of CAM-based modalities on CTC count in cancer patients. This study provides a preliminary observation about the effect of Ayurveda therapy on CTC count. Methods The retrospective study involved the stratification of 72 cancer patients undergoing cancer and maintenance treatment in a non-conventional, Ayurveda cancer treatment center in India. For monitoring of prognosis in cancer patients, CTC count was assessed in patients attending the Rasayu Cancer Clinic. Seventeen cancer types were included, namely, breast cancer, cervix and ovarian cancer, bladder, lung, head and neck squamous carcinoma, follicular thyroid, diffuse B-cell lymphoma, Hodgkin’s and non-Hodgkin’s, colorectal, hepatocellular, stomach with abdominal metastasis, metastatic prostate cancer, SCC with lung and skeletal metastasis, etc. A total of 33 (46%) male and 39 (54.1%) female patients of various types and stages were analyzed for the presence of CTCs retrospectively. CTCs were isolated and enumerated from 1.5 ml of the patient’s blood sample using the OncoDiscover Liquid Biopsy Technology platform enriched with an anti-EpCAM antibody immunomagnetic kit, approved by the Drug Controller General of India (DCGI). CTCs were confirmed for cytokeratin 18+ (CK18), DAPI+, and CD45-. Subsequently, CTCs were imaged using a Zeiss Axio Observer 7 fluorescence microscope. In 28 patients (50%), CTCs were accounted for at both pre- and post-treatment over a duration of 3-6 months. Twenty-eight patients were assessed for quality of life measured by the FACT-G questionnaire. The outcome was quantified for clinicopathological parameters: age/gender, cancer types, and CTC distribution. Results The mean and median CTC distribution was observed to be 15.34 and 12.5, respectively. Eight percent of patients showed the absence of any CTCs (6 subjects: 1 male and 5 females), while 32 males (96%) and 34 females (87%) showed the presence of CTCs. The correlation coefficient of CTC presence in males and females was significant at 0.4799 (p < 0.05). The Ayurveda Rasayana therapy showed a significant reduction in post-interventional CTC count (-3.94 ± 1.2) (p = 0.02). In addition, this group of patients also showed significant improvement in health-related quality of life as measured by the FACT-G questionnaire (p < 0.05). Conclusions CTCs are a validated predictive biomarker for accounting for minimal residual disease, both in pre- and post-cancer treatments. The enumeration of CTCs represents an effective prognostic biomarker in assessing disease progression. A reduction in CTC count was seen to be associated with an improvement in health-related quality of life (QoL), which needs to be investigated further to establish a firm correlation. Know more Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

PD-L1 expressing CTCs help monitor pancreatic cancer progression and MRD. Publications 25 November 2024 ISLB 2024: Expression of Programmed Death - Ligand 1 as a dynamic biomarker on circulating tumor cells in pancreatic cancer patients CTC detection with PD-L1 overexpression reveals aggressive pancreatic cancer and potential biomarker value for monitoring metastasis and disease progression. Introduction Pancreatic cancer shows a high mortality rate due to difficulties in early diagnosis and the absence of standardized guidelines for assessing suspicious pancreatic masses. Biomarkers such as carcinoembryonic antigen (CEA) and CA19-9 lack sufficient sensitivity and specificity for pancreatic cancer detection. While tissue biopsy provides a static signature of target protein expressions, including PD-L1, the enumeration and profiling of circulating tumor cells (CTCs) with cell surface markers can offer actionable targets for treatment. We present findings in pancreatic cancer where CTCs are associated with overexpression of PD-L1 as a dynamic marker for monitoring minimal residual disease (MRD) and disease progression, highlighting its role in the metastatic cascade. Methods Retrospectively, 50 pancreatic cancer patients were investigated for the presence of CTCs. Among them, 12 patients (24%) were in the early stage of disease, with ages ranging from 35 to 75 years. Sixty percent of patients were male (n = 30) and 40% were female (n = 20), while 76% (n = 38) were classified as late-stage cases. PD-L1 expression was evaluated using the approved OncoDiscover platform, which utilizes multi-component systems conjugated with anti-EpCAM antibodies on magnetic nanoparticles. CTC enumeration was performed using CD45–, EpCAM+, DAPI+, and CK18+ markers in 1.5 ml of peripheral blood. Functional assays assessed PD-L1 overexpression on CTCs using automated motorized Zeiss fluorescence microscopy. The sensitivity of the CTC and PD-L1 assay had been previously evaluated in other solid cancers. Results Out of 50 pancreatic cancer patients, 74% (n = 37) had at least one detectable CTC. Among these patients, 51% (n = 19) had one CTC, 30% (n = 11) had two CTCs, 14% (n = 5) had three CTCs, and 5% (n = 2) had four CTCs. The mean number of CTCs and clusters was 1.28 and 0.16, respectively. Additionally, 92% (n = 34) of patients demonstrated PD-L1 expression on CTCs. CTC clusters were observed in 19% of patients (n = 7). The mean PD-L1 expression on CTCs was 1.14. Conclusions CTCs with PD-L1 overexpression strongly suggest poor prognosis, potentially linked to activation of the metastatic cascade through immune system evasion. Larger studies are required to validate whether PD-L1-positive CTCs can serve as a reliable biomarker for the diagnosis and management of pancreatic cancer. View Publication Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

Antibody-coated cotton substrate for CTC enumeration and chemotherapy response. Publications 18 February 2022 Manuscript: Antibody mediated cotton-archetypal substrate for enumeration of circulating tumor cells and chemotherapy outcome in 3D tumors Cotton microfluidic substrate enables efficient CTC isolation, 3D tumor growth, and drug response testing for improved cancer diagnostics and therapy research. Circulating tumor cells (CTCs) are distinct cancer biomarkers established in clinical settings for early cancer detection, metastasis progression, and minimal residual disease (MRD) monitoring. Despite numerous advances, comprehensive molecular characterization of CTCs remains extremely challenging due to their rarity and heterogeneity. Here, we present a novel cotton microfluidic substrate (CMS) as an innovative biomedical matrix that efficiently isolates CTCs while facilitating in vitro CTC expansion, enabling further downstream analysis of these rare cells. CMS enabled both static and dynamic isolation of cells from the MCF-7 cancer cell line, as well as from the blood of head and neck squamous cell carcinoma (HNSCC) patients. The cell capture efficiencies were further compared with the clinically regulated OncoDiscover® Liquid Biopsy Test. Furthermore, CMS served as a matrix on which the captured cancer cells were grown into 3D tumor models to study anti-cancer drug efficacy and multi-drug resistance (MDR) mechanisms. The design of the CMS employed two different surface chemistries—flattened and nanostructured surfaces—each conjugated with anti-EpCAM antibodies to evaluate CTC capture efficiency and 3D tumor growth dynamics. The nanostructured surface was highly efficient in capturing CTCs and promoted 3D tumor spheroid formation, showing a five-fold increase in size from day 3 to day 10 of culture. Moreover, when treated with the anti-cancer drug cisplatin, an almost half reduction in tumor size was achieved within 24 hours, followed by a cytostatic threshold and the eventual acquisition of drug resistance within three days. Conclusively, the CMS matrix exhibits potential for the further development of “tissue-on-chip” and “point-of-care” medical devices in cancer diagnostics, as well as for evaluating chemotherapeutic efficacy in drug discovery and development. View Manuscript Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

Making cancer detection more accessible and affordable to people Press Release 24 August 2019 Startup Mantra: Making cancer detection more accessible and affordable to people Launching ‘OncoDiscover Liquid Biopsy Test’, a minimally invasive test which can be performed multiple times requiring 1.5ml blood volume... Actorius Innovations and Research Pvt. Ltd. Read full release Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

Micropatterned surfaces enable selective cancer cell capture and real-time monitoring. Publications 17 January 2018 Manuscript: Selective Cell Isolation by Transferrin Functionalized Silane– Carbon Soot Mediated Superhydrophobic Micropatterns Transferrin-functionalized wettability micropatterns enable selective cancer cell capture and real-time monitoring for diagnostics and recurrence detection. Surfaces that facilitate selective cell adhesion using specific targeting moieties have significant implications in diagnostics, tissue engineering, and high-throughput screening. However, designing robust and spatially confined micropatterns for selective cell isolation on portable platforms remains highly challenging. Here, wettable silane (Si) micropatterns with covalently attached transferrin (Tf) for targeting Tf-overexpressing cancer cells are reported. These micropatterns are separated by carbon soot–based superhydrophobic regions, which transform the targeting sites into surface tension–confined “microwells.” These microwells facilitate the capture of human colorectal carcinoma cells (HCT116) and human cervical adenocarcinoma cells (HeLa) by confining their attachment to the wettable regions, thereby making the isolation and spotting of targeted cells more efficient. In addition, owing to its transparent nature, the Tf-conjugated wettability-based patterned chip enables real-time optical monitoring of cell adhesion, cell growth, and cell behavior. The specific cell isolation enabled by such surfaces has potential applications in developing cancer recurrence monitoring tests. Advanced Material Interfaces View Manuscript Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

CTC and PD-L1 profiling supports therapy stratification and monitoring in cancers. Publications 16 September 2025 PD-L1 overexpression on circulating tumor cells and CTC clusters: A potential biomarker across solid carcinomas Correlation of CTC detection, PD-L1 expression, and CTC clusters highlights biomarkers for minimal residual disease and cancer progression monitoring. Abstract Background Overexpression of the dynamic protein PD-L1 on circulating tumor cells (CTCs) is a highly implicative biomarker that represents post–curative intent status, minimal residual disease (MRD), disease aggressiveness, therapeutic response, and metastatic progression. We evaluated the correlation among CTC detection, PD-L1 expression, and CTC clusters present in solid tumors, namely lung, breast, colorectal, ovarian, and prostate carcinomas. Longitudinal monitoring of CTCs remains a major focus after treatments, including surgical intervention with curative intent. Methods Retrospectively, we analyzed 328 cancer patients (male 163, female 165) across stages, consisting of a total of 383 samples with baseline and follow-ups (n = 55). Cancer types included lung (27.13%), colorectal cancer (21.95%), breast (9.75%), ovary (4.2%), prostate (3.9%), and others. CTCs and clusters were detected from 1.5 ml peripheral blood using the OncoDiscover platform approved by the Central Drugs Standard Control Organization of India. The platform contains a multifunctional magneto-nanosystem mediated by anti-epithelial cell adhesion molecule (EpCAM) antibody. CTCs were confirmed as EpCAM+ve, CK18+ve, DAPI+ve, and CD45–ve. PD-L1 expression on CTCs was detected based on the linear intensity gradients of fluorescence signals using image acquisition on an automated fluorescence microscope. Results Among the 383 samples with baseline and follow-ups, 69.45% of patients had CTCs ranging from 1–11. Approximately 77% of patients were above the age of 50. The total number of CTCs observed was ~649 with a mean distribution of ~1.69. CTCs with PD-L1 overexpression were observed in 55.35% of patients (n = 266). Higher CTC prevalence was observed in lung cancer (24.75%), followed by colorectal cancer (21.57%) and breast cancer (5.89%). CTC clusters were observed in 10.18% of patient samples. Notably, concurrent positivity for both CTCs and PD-L1 expression was most prevalent in lung cancer patients, suggesting a potential aggressive disease phenotype and therapeutic vulnerability. Conclusions The findings support the integrated use of CTCs and their PD-L1 expression as a composite biomarker strategy to stratify patients for targeted therapies, immunotherapeutic interventions, and longitudinal monitoring. View Publication Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

Actorius featured on BBC News Click Kannada with expert and patient insights. Press Release 22 March 2019 Actorius Innovations Featured on BBC News Click Kannada Actorius Innovations and Research was showcased on BBC News Click (Kannada edition), featuring an interview with Dr. Jayant Khandare and testimonials from leading oncologists including Dr. Kumar Prabhash and Dr. Pankaj Chaturvedi, along with patient experiences. In this special feature on BBC News Click Kannada, Actorius Innovations and Research highlights its advancements in cancer diagnostics and liquid biopsy technology. Dr. Jayant Khandare shares insights into the science and vision behind the innovation, while renowned experts Dr. Kumar Prabhash and Dr. Pankaj Chaturvedi provide clinical perspectives on its impact. The segment also includes powerful patient testimonials, underscoring the real-world significance of early and minimally invasive cancer detection. Watch the video Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

Actorius at ESMO 2025 Events 17 October 2025 ESMO 2025 | 17–21 October 2025 Actorius at ESMO 2025 Some Glimpses from ESMO Know more Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

Actorius and ACTREC Partner to Advance Clinical Cancer Research. Press Release 5 February 2026 Actorius and ACTREC Partner to Advance Clinical Cancer Research. A collaborative research initiative to study the practical utility of Circulating Tumor Cells and their capture and depletion from patient's blood as possible aid to adjunct therapeutics. Big step forward for Actorius Innovations and Research 🙌 Actorius recently signed an MOU with Advanced Centre for Treatment, Research and Education in Cancer(ACTREC) to collaborate on clinical studies and research spanning - practical utility of Circulating Tumor Cells and their capture and depletion from patient’s blood as possible aid to adjunct therapeutics. Slowing down or blocking metastasis cascade in early stage patients. Extremely bold and breakthrough innovation hypothesis. This partnership is about taking science closer to patients—generating meaningful real-world evidence, strengthening translational research, and asking the right clinical questions where it truly matters. The MOU was signed by Dr. Pankaj Chaturvedi , Director, ACTREC, and Dr. Jayant Khandare , Co-Founder & CSO, Actorius Innovations and Research. Excited about what lies ahead and the impact this collaboration can create together. Aravindan Vasudevan Rick Kamble Know more Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe

TSG mutations predict early relapse in mEGFR lung adenocarcinoma. Publications 14 March 2025 Manuscript: The impact of co-occurring tumor suppressor mutations with mEGFR as early indicators of relapse in lung cancer A set of 17 co-occurring TSG mutations has been identified as key biomarkers for early relapse in mEGFR lung adenocarcinoma. Longitudinal genomic monitoring, with a focus on clonal evolution, offers valuable insights that can inform personalized treatment strategies and potentially improve patient outcomes. Background: Lung adenocarcinoma frequently presents with EGFR mutations, often progressing on EGFR tyrosine kinase inhibitors (TKls) despite an initial response. Progression is frequently driven by additional genetic changes, including mutations in tumor suppressor genes (TSGs). Understanding the role of these concurrent TSG mutations can help elucidate resistance mechanisms and guide the development of more effective treatment approaches. Materials and methods: We examined survival outcomes in 483 EGFR-mutant (mEGFR) patients from the GENIE BPC non-small-cell lung cancer (SCLC) dataset. To understand the mutational landscape and clonal dynamics, whole exome sequencing (WES) was carried out on 48 tumor samples from 16 mEGFR patients at both baseline and post-relapse. A comprehensive gene panel was applied to 200 liquid biopsy samples obtained longitudinally from 25 patients to track clonal evolution. Results: mEGFR patients with co-occurring TSG mutations exhibited significantly worse outcomes. In the GENIE dataset, overall survival (OS) was shorter [51.11 versus 99.3 months; hazard ratio (HR) 1.8, confidence interval (CI) 1.22-2.75, P = 0.003] and progression-free survival (PFS) was reduced (9.83 versus 11.48 months; HR 1.4, CI 1.03-1.91, P=0.026). WES analysis revealed 17 TSG mutations that were retained and showed clonal enrichment, particularly in early relapse (progression within 10 months of TKI initiation) or intermediate-stage relapse (relapse occurred between 10 and 20 months), indicated by increased variant allele frequency and their presence was strongly linked to early relapse. Longitudinal clonal studies further confirmed that TSG mutations co-occurring with mEGFR were often truncal, predominantly in early relapsers. Survival analysis using this subset of 17 TSGs showed significantly shorter OS (55.26 versus 99.3 months; HR 1.7, CI 1.12-2.65, P = 0.011) and PFS (9.67 versus 13.12 months; HR 1.5, CI 1.08-2.10, P = 0.013). Conclusions: A set of 17 co-occurring TSG mutations has been identified as key biomarkers for early relapse in mEGFR lung adenocarcinoma. Longitudinal genomic monitoring, with a focus on clonal evolution, offers valuable insights that can inform personalized treatment strategies and potentially improve patient outcomes. Key words: lung adenocarcinoma, tyrosine kinase inhibitor, whole exome sequencing, comprehensive gene panel, tumor suppressor genes View Manuscript Stay One Step Ahead of Cancer. Get the latest news and innovations from Actorius delivered straight to your inbox. Subscribe for regular updates Email* Yes, subscribe me for regular updates. * Subscribe