OnKommon - Global Header
Signature STb O+ – Comprehensive (CGP) · OnKommon
Signature · Comprehensive (CGP)

Signature STb O+ — The flagship liquid-biopsy profile.

Comprehensive genomic profiling from blood. The fullest picture OnKommon offers.

Signature STb O+ is our comprehensive genomic profile from blood — the fullest liquid-biopsy picture OnKommon offers. It is designed to leave no clinically-relevant stone unturned: broad driver coverage, fusions, copy-number, the complete immune & PGx profile, mutational signatures, and the widest reach for clinical-trial matching.

Explore What's Included Includes Blueprint Care
Comprehensive Liquid Biopsy Full Immune Profile

The fullest liquid-biopsy CGP

Every intelligence layer populated — clonal architecture, synergy, subtype, immune readiness, trial matching, and access.

  • Comprehensive gene coverage: SNVs, InDels, fusions, CNVs
  • Full immune profile: TMB, MSI, MMR
  • Mutational signatures: COSMIC-style analysis
  • PGx panel: 35-gene pharmacogenomics profile
  • Complete Blueprint Care report: Every intelligence layer populated
What Comprehensive Genomic Profiling Means

CGP means reading a large, curated set of cancer genes in depth.

Combining several kinds of signal — point mutations, insertions and deletions, gene fusions, copy-number changes, and genome-wide markers — in a single test.

It is the difference between finding the obvious drivers and understanding the whole tumour. CGP gives your oncologist the complete picture — not just what's driving the cancer, but how it might respond, what it might resist, and what options exist beyond the obvious.

What It Includes

Complete. Comprehensive. Unmatched.

Everything you need for the fullest liquid-biopsy picture — all in one test.

Comprehensive Gene Coverage

SNVs, InDels, fusions and copy-number variation across a large curated set of cancer genes.

Full Immune Profile

TMB, MSI, MMR — the complete set, analytically robust for immunotherapy decision-making.

Mutational Signatures

COSMIC-style signatures — what has been driving the mutations in your cancer.

Pharmacogenomics (PGx)

The 35-gene Pharmacogenomics & Drug-Response Panel — how you metabolise key drugs.

All Six Intelligence Layers

Clonal architecture, synergy, subtype, immune readiness, trial matching, and access — fully populated.

Decoder · TMB, MSI & MMR (immune-related genomic markers)
TMB Tumour Mutational Burden — counts how many mutations a tumour carries. A high count often means the immune system can recognise it — a signal that immunotherapy may help. A reliable TMB needs a broad panel of genes to measure accurately.
MSI / MMR Microsatellite Instability and Mismatch-Repair status — describe whether the tumour's DNA-proofreading machinery is broken. When it is (MSI-high / deficient MMR), the tumour accumulates mutations and frequently responds well to immunotherapy.
When to Choose CGP

Three reasons to choose the comprehensive profile.

CGP is the right choice when you need the fullest picture and the widest options.

Immunotherapy Eligibility

TMB and MSI are central to your decision. CGP gives you the complete immune profile with analytical confidence.

Limited Standard Options

Standard options are limited and you want the widest trial-matching reach — including early-phase targeted trials.

Deepest Analysis

You want the deepest computational analysis behind your plan — every intelligence layer fully populated.

The Full Blueprint Care Report

CGP unlocks the most complete Blueprint Care report.

Every intelligence layer populated, the fullest therapy matrix, immune-readiness index, resistance forecast, and the broadest set of matched trials.

Fullest Therapy Matrix

Every actionable alteration matched to drugs, biosimilars, and trials — with the widest reach for off-label and cross-tumor options.

Immune-Readiness Index

Complete immune profile with ImmunoLens™ — a clear readout of whether the immune system can recognise your tumour.

Resistance Forecast

CloneTrace™ maps clonal architecture — distinguishing trunk from branches — so your doctor knows what to target and what might escape.

Broadest Trial Matching

TrialGraph™ matches your exact profile to recruiting studies — including early-phase targeted trials and combination opportunities.

This is precision oncology at its most complete. Still authored and signed by KPCIRC's molecular tumour board — so a qualified human team, not software, stands behind the report.

Trials & Combinations

Beyond standard options.

At CGP breadth, TrialGraph™ matches your exact profile to recruiting studies — including early-phase targeted trials — and SynerGx™ evaluates rational drug combinations for future enrolment if standard therapies are exhausted.

Pricing

Confirmed at consultation.

Confirmed at consultation, with clear guidance on whether CGP is the right investment for your case.

Research & Evidence

The science behind this

Comprehensive genomic profiling from blood is validated and increasingly guideline-endorsed for advanced cancer.

Study 1 · Validated blood CGP across many cancers
A cfDNA-based comprehensive genomic profiling assay was validated across more than 7,500 tests and 30,000+ variants spanning 300+ genes and 30+ cancer types.

Woodhouse R, et al. PLoS ONE, 2020.

Study 2 · Guideline-endorsed when tissue is limited
NCCN and ESMO recommend ctDNA profiling as an alternative or complement to tissue; ASCO recommends blood cfDNA as the specimen of choice for comprehensive profiling in advanced breast cancer.

Review, Cancers, 2022.

Study 3 · Broader testing, more matched therapy
Adding plasma genotyping to tissue in advanced lung cancer increased detection of targetable alterations and the number of patients who received matched therapy.

Aggarwal C, et al. JAMA Oncology, 2019.
These independent, peer-reviewed studies describe the class of technology OnKommon uses. They are shared for education; they are not results for any individual and are not a promise of benefit.
Terminology & Transparency

The words you will see, in plain language.

Decoder · The words you will see, in plain language
ctDNA Circulating tumour DNA — tumour DNA fragments in the blood that a liquid biopsy reads.
SNV / InDel A single-letter DNA change, or a small insertion/deletion — the commonest driver mutations.
Fusion Two genes joined abnormally, creating a driver that is often highly treatable.
CNV Copy-number variation — extra or missing copies of a gene.
TMB Tumour mutational burden — how many mutations a tumour carries; can point toward immunotherapy.
MSI / MMR Signals of faulty DNA repair; often predict immunotherapy response.
PGx Pharmacogenomics — how your genes affect the way you handle specific drugs.
Tumour fraction How much of the blood DNA came from the tumour — the context a result is read in.

What we DO

  • Deliver the fullest liquid-biopsy CGP with immune & PGx profile
  • Populate every intelligence layer and the widest trial match
  • Report mutational signatures and copy-number changes
  • Feed the most complete, MTB-signed Blueprint Care report

What we DON'T do

  • Diagnose or decide treatment on its own
  • Rule out disease from a negative result
  • Guarantee a matched trial will have a place
  • Guarantee drug availability, approval, cover, or benefit
Important information about this test

Signature STb O+ is a genomic (DNA-based) test offered for use by qualified healthcare professionals. It is intended to support — not replace — clinical judgement, and must be interpreted alongside your full clinical history, other investigations, and applicable guidelines.

  • • A result is not a diagnosis and does not by itself decide treatment.
  • • A "not detected" or normal result does not rule out cancer or a genetic change.
  • • Not all cancers release enough DNA into blood to be detected.
  • • The test does not guarantee access to any medicine, its regulatory approval, insurance cover, or that a therapy will work.
  • • Sample-collection kits are for use by qualified phlebotomists only — not for self-testing or self-sampling.
  • • Confirmatory testing may be required.

Regulatory status (India). OnKommon's registration of its genomic tests as in-vitro diagnostic (IVD) medical devices with the Central Drugs Standard Control Organisation (CDSCO) is in progress (IVD class pending). Sequencing and variant calling are performed by an accredited laboratory partner (College of American Pathologists — CAP-accredited; ISO 15189) following international guidelines (ACMG/AMP/ASCO/CAP) using a CE-IVD certified variant database. The OnKommon interpretation engine is provided for research and decision-support use. Marketing follows the Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954 and applicable Indian advertising standards.

Take the next step

Every OnKommon page offers three ways forward. Choose the one that fits where you are today.

Book a free Blueprint Consultation

A no-obligation conversation with our care team, arranged through KPCIRC, to map your situation and the right starting point.

Book now →

Begin Blueprint Care

Commission your decision report and dedicated clinical team.

Get started →

Free WhatsApp guidance (Signal)

A 4-hour triage reply to your first question, at no cost.

Start WhatsApp triage →
Scroll to Top