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Newly diagnosedReports arriving, no plan yetAlready tested elsewhereYou have results you cannot readOn treatment nowYou want to know it is workingOr
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Blueprint CareThe flagship decision report and a dedicated clinical teamSignalOne free question answered on WhatsApp within four hoursNavigationRecords you already have, turned into a clarity timelineDecipherInterpretation of sequencing already done elsewhereTest: solid tumour
All Signature testsEvery panel compared, side by sideSignature STb33 genes from a blood drawSignature STb O118 genes from blood, including fusionsSignature STb O+523 genes, with TMB, MSI and pharmacogenomicsSignature STt OComprehensive profiling from a tissue blockTest: blood cancer
Signature BML+Myeloid, 600+ genes, with MDS and MPN overlapSignature BLL+Lymphoid, 600+ genes, with Philadelphia-like detectionSignature CustomDesigned around one question when neither family fitsMonitor
SentinelSerial monitoring while treatment is runningSentinel SolidctDNA monitoring for solid tumoursClearMolecular residual disease surveillanceClear SolidTumour-informed surveillance for solid tumoursClear BloodResidual disease surveillance after blood cancer treatmentProtect
HeritageInherited risk, assessed properlyHeritage CoreA broad inherited-risk assessmentHeritage AdhocFocused testing for named relativesCancer DictionaryWhat is discussed in your specific cancerReference
Cancer DictionaryOne structured entry per cancer typeBiomarker LibraryOne page per marker, in plain languagePatient ResourcesGlossary, guides and how to use themWatch, read and ask
Video LibraryShort explainers, captioned and translatedJourneysFour composites showing how a decision gets madeCase studiesNine situations and the test that fits eachFAQThe questions we are asked mostSignature · profiling from a tumour block
Comprehensive genomic profiling performed directly on tumour tissue, for a rich and direct read of the cancer’s biology.
Tissue, FFPE
When tissue is available it can offer high tumour content and a rich, direct read of the cancer’s biology. STt O profiles a formalin-fixed, paraffin-embedded block or slides comprehensively.

SNVs, InDels, fusions and copy number.
TMB, MSI and MMR, plus mutational signatures.
The 35-gene drug-response panel.
Feeding the complete Blueprint Care report.
| Tissue (STt O) | Blood (STb tiers) | |
|---|---|---|
| Sample | Existing FFPE block or slides | A simple blood draw |
| Invasiveness | Uses tissue already taken | Non-invasive and repeatable |
| Tumour content | Often high | Depends on DNA shedding |
| Repeat testing | Needs a new sample | Easy to repeat over time |
| Best when | A good block exists | Surgery is difficult, or monitoring is planned |
An adequate, representative block with sufficient tumour content is required. Our team advises on suitability before you commit.
Tissue results reflect the sampled region of a tumour, which can be heterogeneous. That is one reason blood-based monitoring is a valuable complement.
Being clear about our limits
| Term | What it means |
|---|---|
| ctDNA | Circulating tumour DNA, tumour fragments in blood that a liquid biopsy reads. |
| SNV / InDel | A single-letter DNA change, or a small insertion or deletion. |
| 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. |
| MSI / MMR | Signals of faulty DNA repair that 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. |
| CCR | Complete coding region, meaning the whole gene is read rather than known hotspots. |
Signature STt O is a genomic (DNA-based) test for use by qualified healthcare professionals. It supports clinical judgement, it does not replace it, and it must be read alongside your full clinical history and applicable guidelines.
Regulatory status (India). Registration of our genomic tests as in-vitro diagnostic (IVD) medical devices with CDSCO is in progress, with the IVD class pending. Sequencing and variant calling are done by an accredited laboratory partner holding NABL (ISO 15189), CAP and CLIA accreditation, following ACMG/AMP/ASCO/CAP guidelines and 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.
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