{"id":155324,"date":"2020-11-25T08:17:44","date_gmt":"2020-11-25T06:17:44","guid":{"rendered":"https:\/\/www.tehnopol.ee\/antegenes-risk-score-based-genetic-tests-are-essential-for-everyone\/"},"modified":"2024-03-13T11:12:00","modified_gmt":"2024-03-13T09:12:00","slug":"antegenes-risk-score-based-genetic-tests-are-essential-for-everyone","status":"publish","type":"post","link":"https:\/\/www.tehnopol.ee\/en\/antegenes-risk-score-based-genetic-tests-are-essential-for-everyone\/","title":{"rendered":"Antegenes: risk score based genetic tests are essential for everyone"},"content":{"rendered":"<p><span class=\"lead\">Oncologist and founder of <a href=\"http:\/\/www.antegenes.com\/\">Antegenes<\/a> Dr Peeter Padrik states that the best cancer cases are those that can be prevented or detected as early as possible. The company has developed and put into practice innovative genetic tests based on polygenic risk score technology, which are the basis for personalised cancer prevention.<\/span><\/p>\n<p>\u201cDuring my career as an oncologist, I have seen and treated many cancer patients alongside my colleagues,\u201d says Dr Padrik. \u201cWe have implemented many new effective cancer therapies and improved the quality of cancer care. However, I have always known that the best cancer cases are those we could avoid. Or if it is impossible to prevent, we could detect as early as possible, in order to implement the most effective therapy.\u201d<\/p>\n<p>Dr Padrik has previously been actively involved in the clinical application of genetic information of cancers in both the treatment and prevention of tumours \u2013 what is known as precision medicine. \u201cI was one of the founding members of the Estonian Genome Center,\u201d he says, \u201cI participated in a preliminary study on personalized medicine organised by the Ministry of Social Affairs and have led several clinical projects in the field of personalized medicine.\u201d<\/p>\n<p>Since cancer is a genetic disease, advances in basic research have opened up new opportunities for the use of genetic information in the prevention and early detection of cancer. According to Dr Padrik, considering those developments, we must use genetic information in cancer prevention as efficiently as possible. \u201cOne of these developments is the technology of polygenic risk scores, which is used to assess risks for certain diseases. Polygenic risk score (PRS) is a calculation that characterises a person\u2019s genetic predisposition to a particular disease. This way, it is possible to identify people at increased risk of cancer so that they can get timely examinations and personal follow-up plans regardless of their age. In addition, we understood that according to the regulations of the European Union, genetic tests must be <em>in vitro<\/em> medical devices and they must have an official manufacturer with producer liability,\u201d Dr Padrik describes the birth of the company.<\/p>\n<p>Antegenes aims to introduce genetic tests based on polygenic risk score technology into healthcare in accordance with all requirements and regulations. \u201cWe are currently one of the leaders in the world. In the future, the genetic prevention of risks for most common diseases should be evaluated in all people \u2013 but we have these opportunities today,\u201d Dr Padrik points out.<\/p>\n<p>Antegenes is also an official <em>spin-off<\/em> of the University of Tartu \u2013 a research-intensive company that grew out of the university.<\/p>\n<h3>Antegenes tests are for everyone<\/h3>\n<p>According to Dr Padrik, Antegenes genetic tests are meant for all adults who want to specify their level of cancer risks and use it to knowingly manage their health behaviour. \u201cWe recently introduced our tests to Prof Gareth Evans from the University of Manchester, one of the world\u2019s best-known specialists in cancer genetics and polygenic risk scores, who approved their implementation and made a good comparison: when the currently widely used tests showing changes in individual genes that affect cancer risks have an effect on perhaps 3% of the population, genetic tests based on polygenic risk scores are useful for everyone,\u201d says Dr Padrik.<\/p>\n<p>\u201cIn addition to people to ordering tests from our website, we also offer healthcare providers the opportunity to implement cancer precision prevention. Using our tests, it is possible to assess the genetic predisposition of common cancers in your patients (healthy people) and implement prevention programmes based on the results. I am convinced that it will save lives,\u201d he adds.<\/p>\n<p>Scientific progress has enabled Antegenes to develop tests and precision prevention programmes for four common cancers: breast, prostate and colorectal cancer and skin melanoma.<\/p>\n<h3>The first CE-marked <em>in vitro<\/em> medical device level polygenic risk score tests in Europe<\/h3>\n<p>\u201cOur aim has been to implement innovative genetic information in the form of polygenic risk scores as a healthcare service, while providing very specific and science-based recommendations for clinical use. We have therefore registered our genetic tests as <em>in vitro<\/em> medical devices,\u201d emphasises Dr Padrik.<\/p>\n<p>He said that, so far, the field of genetic testing has been somewhat like the \u2018wild west\u2019, where genetic information is provided relatively uncontrollably. \u201cThe European Union has taken strong steps in this field and the use of genetic information will be regulated based on the <em>in vitro <\/em>diagnostic medical devices Regulation of the European Parliament and of the Council of the EU. The regulation is mandatory for all member countries and will be fully implemented in 2022, stating very clearly: \u201cIt should be made clear that all tests which provide information on the predisposition to a medical condition or a disease (e.g. genetic tests) are <em>in vitro<\/em> diagnostic medical devices.\u201d Therefore, genetic risk assessments for diabetes or obesity, for example, may no longer be provided without the tests being registered as medical devices. To our knowledge, Antegenes tests are the first CE-marked <em>in vitro<\/em> medical device level tests for polygenic risk scores in Europe,\u201d he explains.<\/p>\n<p>Antegenes currently sees Europe as its target market as well as North and South America. \u201cEstonia is certainly very important as well \u2013 it is our homeland and we want all Estonian people to have accurate cancer prevention in the future,\u201d says Dr Padrik. \u201cThe current status of the timely detection of cancer in Estonia is not good, for example, more than half of breast cancer cases at the time of detection have spread from the primary site to other parts of the body. The situation is even worse with colorectal cancer. Cancer precision prevention would certainly improve this. We now see that for most patients who have ordered our three tests, at least one test gives clinically important personal recommendations compared with normal practice, meaning they should start participating in cancer screening earlier than is recommended by the government,\u201d says Dr Padrik.<\/p>\n<p>Antegenes is currently working on creating a network of partners in Europe, negotiations are also ongoing in Russia and Brazil. In addition, a genetic data interpretation service is being developed, which allows to analyse and use existing genetic data without performing a new genetic analysis. Furthermore, we are planning on developing new tests for other common complex diseases (cardiovascular disease and diabetes, other malignancies).<\/p>\n<h3>We have entered the era of using genetic information<\/h3>\n<p>The founder of Antegenes Dr Peeter Padrik has worked as a medical oncologist for many years. In addition to Antegenes, he continues to work part-time as a senior clinician and lecturer at Tartu University Hospital, but according to him, a doctor\u2019s task is not only treatment, but prevention as well. \u201cSince cancer is a genetic disease, I have always believed that genes are the keys to solving cancer problem in both treatment and prevention. These keys are increasingly available, but they also need to be implemented practically. As mentioned earlier, European Union regulations require genetic tests to be <em>in vitro<\/em> medical devices and they must have a manufacturer with a producer liability. This cannot be done in another way than in the field of entrepreneurship,\u201d he states.<\/p>\n<p>\u201cThe use of genetic information in disease prevention has up till now been clearly underused and, as mentioned earlier, it is possible to reduce the impact of major diseases with new conceptual models and options. At the same time, the use of genetic information in the treatment of tumours has become widespread and I believe that in the future, genetic testing for treatment options will be routinely applied to all patients,\u201d he adds.<\/p>\n<p>\u201cThe previous decades have introduced radiological examinations like ultrasound, computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET) for the diagnosis of tumours, and the developments in pathology have certainly been crucial as well. Now, however, we have reached the era where genetic information is used in a variety of ways in the diagnosis and treatment for the vast majority of cancer patients \u2013 in the form of both accurate prevention and accurate treatment,\u201d says Dr Padrik.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Oncologist and founder of Antegenes Dr Peeter Padrik states that the best cancer cases are those that can be prevented or detected as early as possible. The company has developed and put into practice innovative genetic tests based on polygenic risk score technology, which are the basis for personalised cancer prevention. \u201cDuring my career as [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":155325,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_s2mail":"","footnotes":""},"categories":[42],"tags":[],"class_list":["post-155324","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-success-story"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/posts\/155324","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/users\/26"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/comments?post=155324"}],"version-history":[{"count":1,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/posts\/155324\/revisions"}],"predecessor-version":[{"id":155457,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/posts\/155324\/revisions\/155457"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/media\/155325"}],"wp:attachment":[{"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/media?parent=155324"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/categories?post=155324"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/tags?post=155324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}