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GDSP cfDNA Panela

Available through the California Prenatal Screening Program

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Important prenatal screening for all pregnant Californians

  • An adapted version of our QNatal® Advanced offering
  • A noninvasive prenatal cell-free DNA (cfDNA) screen
  • Can be ordered as early as 10 weeks gestation
  • Utilizes next-generation sequencing (NGS) technology and advanced bioinformatics for high sensitivity and specificity*
  • Low no-call rate1

The California Prenatal Screening (PNS) Program is a comprehensive public health service that makes prenatal screening available to all pregnant individuals in the state who want it. The GDSP cfDNA Panel is available as part of this program.

The GDSP cfDNA Panel provides the biological sex (male or female) and screens for:

Trisomies
Trisomy 21
Down syndrome
Trisomy 18
Edwards syndrome
Trisomy 13
Patau syndrome
Sex chromosome aneuploidiesb
45,X
Turner syndrome
47,XXY
Klinefelter syndrome
47,XXX
Triple X syndrome
47,XYY
XYY syndrome
Fetal sexc
a 

The GDSP (Genetic Disease Screening Program) cfDNA Panel is a cell-free DNA test that screens for increased risk of certain fetal chromosomal abnormalities that may cause birth defects, including trisomy 21 (Down Syndrome), trisomy 18, trisomy 13, and certain sex chromosomal abnormalities (i.e., 45,X, 47,XXY, 47,XXX, and 47,XYY). It can also screen for fetal sex, if elected. The GDSP cfDNA Panel is a screening test, not a diagnostic test, and therefore all positive (i.e., increased risk) results should be followed by genetic counseling and further diagnostic testing and procedures, when clinically indicated. This test does not assess the risk of fetal anomalies such as neural tube defects or ventral wall defects. The GDSP cfDNA Panel is not recommended before 10 weeks gestation due to a significantly increased risk of a failed result. Pregnancy management decisions should not be based on the results of a cfDNA test alone. As with any test, there may be false positives or false negatives. The positive predictive value of the screening test varies by genetic marker, and may be lower for rare conditions. Performance data for the GDSP cfDNA Panel may be obtained by contacting Quest Diagnostics at 1.866.GENE.INFO (1.866.436.3463). The GDSP cfDNA Panel is a laboratory-developed test that has been developed and validated pursuant to the Clinical Laboratory Improvements Amendments of 1988 (CLIA), and as such, has not been reviewed by FDA.

b 

Will be reported as additional finding when detected.

c 

Can opt out of receiving results for fetal sex.

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Comprehensive insights from Quest Diagnostics®a leader in genetic testing

Quest Diagnostics has over 30 years of experience in providing prenatal screening and diagnostic testing to help you manage your patients’ care more effectively. We offer more than 900 genetic tests using some of the newest technologies available today.

GDSP cfDNA Panel - Strong performance

High sensitivity and specificity during verification/validation testing and in the real world*

Verification/validation study

Prior to launch, the GDSP cDNA Panel technology was verified and validated in a study of 2,752 pregnant women, showing high sensitivity and specificity.2

Screen
Sensitivity
Specificity
Singletons (n=2,637)
90 of 90 trisomy 21
90 of 90 trisomy 21

Sensitivity

›99.9%

Specificity

›99.9%

30 of 30 trisomy 18
30 of 30 trisomy 18

Sensitivity

›99.9%

Specificity

›99.9%

21 of 21 trisomy 13
21 of 21 trisomy 13

Sensitivity

›99.9%

Specificity

›99.9%

1 of 1 sex aneuploidies
1 of 1 sex aneuploidies

Sensitivity

›99.9%

Specificity

›99.9%

371 of 372 fetal sex
371 of 372 fetal sex

Sensitivity

›99.7% accuracy

Twins (n=115)
10 of 10 trisomy 21
10 of 10 trisomy 21

Sensitivity

›99.9%

Specificity

›99.9%

4 of 4 trisomy 18
4 of 4 trisomy 18

Sensitivity

›99.9%

Specificity

›99.9%

1 of 1 trisomy 13
1 of 1 trisomy 13

Sensitivity

›99.9%

Specificity

›99.9%

Real world data

Study shows strong positive predictive value (PPV) in real world ~70,000 unique pregnancies1

Chromosome abnormality
Trisomy 21 GDSP cfDNA Panel PPV
98.1%
Trisomy 18 GDSP cfDNA Panel PPV
88.2%
Trisomy 13 GDSP cfDNA Panel PPV
59.3%
Sex chromosome aneuploidy GDSP cfDNA Panel PPV
69%
GDSP cfDNA Panel PPV
98.1%
88.2%
59.3%
69%
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Easily order the GDSP cfDNA Panel through the CalGenetic Portal

 
2
Select "Quest Dx (GDSP cfDNA Panel) CL: 94804005"
3
Instructions will be provided for printing the California PNS Program Consent and cfDNA Order Confirmation
4
Obtain the patient’s signature and date on the consent form
5
Copy the patient’s insurance card, affixing patient-specific barcodes
6
Draw the sample and send to Quest Diagnostics using Quest courier pickup
 
Please note, steps 5 and 6 only apply if the specimen is drawn on-site rather than utilizing a Quest Diagnostics Patient Service Center.
Test name
Specimen requirements
Test name
Quest Dx GDSP cfDNA Panel
Specimen requirements
  • 10mL whole blood collected in 1 Streck tube at 10 weeks of gestation or later
  • Store specimens at room temperature; do not refrigerate or freeze

Screening test results will be provided through the CalGenetic Portal.

Results are typically available in 7-10 days. If you have any questions about the status of your order, please reach out to the California Department of Public Health Clinical Care Coordinators.

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For more information on the California PNS Program, visit https://www.cdph.ca.gov/​Programs/​CFH/​DGDS/​Pages/pns/​healthcareprovider.aspx

Quest supports your patients and your practice throughout the pregnancy journey

Additional screening and diagnostic tests including for cystic fibrosis, spinal muscular atrophy, fragile X, and more, can be ordered directly from Quest Diagnostics via your Quanum account, interfaced EHR, or Quest Diagnostics paper requisition. For a full list of tests, please visit our Test Directory.

Convenient blood draws

Quest Diagnostics has more than 400 Patient Service Centers (PSCs) in California, giving your patients the accessibility they need.

Access to genetic counselors

Quest has a team of genetic counselors ready to answer your questions. To reach a genetic counselor, call 1.866.GENE.INFO (1.866.436.3463) Monday through Friday from 5:30 AM to 5:30 PM PT.

A full-service genetics laboratory

We offer a broad range of testing options that includes cytogenetic testing on amniocentesis and CVS specimens. If your patients need follow-up diagnostic testing, you can feel comfortable knowing the results will be analyzed by the same laboratory.

A focus on innovation

With peer-reviewed publications and research studies, Quest continues to innovate and help shape women’s healthcare.

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For more information, contact your Quest Diagnostics sales representative, or call 1.866.GENE.INFO (1.866.436.3463)

1  

Guy C, Haji-Sheikhi F, Rowland CM, et al. Prenatal cell-free DNA screening for fetal aneuploidy in pregnant women at average or high risk: Results from a large US clinical laboratory. Mol Genet Genomic Med. 2019;7(3):e545. doi:10.1002/mgg3.545 (finding a no-call rate of 3.5%; several authors affiliated with Quest Diagnostics); “No call rate” refers to the percentage of samples for which results could not be reported.

2  

Anderson B et al. An automated, non-invasive prenatal screening assay (NIPS) for trisomy 21,18,13 in singleton and twin gestations [FIGO abstract FCS79.3.]. Int J Gynaecol Obstet. 2015;131(Suppl 5):E264. The study summarized in this abstract was used to validate QNatal Advanced prior to launch, and QNatal Advanced uses the same technology as the GDSP cfDNA Panel to screen for trisomies. Subsequent validation data is available upon request at 1.866.GENE.INFO (1.866.436.3463) Monday-Friday from 8:30 AM to 8:00 PM ET.