On October 12, 2025 Natera, Inc. (NASDAQ: NTRA), a global leader in cell-free DNA and precision medicine, reported that 14 studies featuring its technology will be presented at the European Society for Medical Oncology (ESMO) (Free ESMO Whitepaper) Congress, taking place October 17–21 in Berlin, Germany (Press release, Natera, OCT 12, 2025, View Source [SID1234656565]). The slate includes six oral presentations, reinforcing Natera’s position as a leader in molecular residual disease (MRD) testing across multiple cancer types.
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Bladder Cancer Highlights
The IMvigor011 trial, sponsored by Genentech, a member of the Roche Group, has been selected for a Presidential Symposium on October 20. With positive topline results announced in August, this oral presentation will include additional data on Signatera’s ability to predict disease-free survival (DFS) and overall survival (OS) benefit from adjuvant Tecentriq (atezolizumab) in muscle-invasive bladder cancer (MIBC). IMvigor011 is the first prospective, phase III study in MIBC to be read out that uses a bespoke MRD-guided approach.
MRD analysis from the Phase 3 CheckMate 274 trial will also be shared in an oral presentation on October 17. CheckMate 274 randomized high-risk MIBC patients 1:1 to Opdivo (nivolumab) or placebo for ≤ 1 year of adjuvant treatment. The results showed that DFS for Signatera-positive patients treated with nivolumab more than doubled compared to placebo (7.4 months vs 2.8 months; HR: 0.35). In contrast, no significant improvement in DFS was observed with the use of nivolumab among Signatera-negative patients.
Additional ESMO (Free ESMO Whitepaper) Data
Additional oral presentations include results from the SunRISe-4 trial in MIBC, the INTERCEPT trial in colorectal cancer, and Natera’s early cancer detection program.
"Across multiple different Phase 3 trials, we’ve now shown how Signatera MRD can help identify patients with bladder cancer who are most likely to benefit from adjuvant immunotherapy," said Matthew Galsky, M.D., Lillian and Howard Stratton Professor of Medicine at the Icahn School of Medicine at Mount Sinai and Associate Director for Translational Research at the Tisch Cancer Center. "These key studies are building a powerful foundation for bespoke MRD to guide different forms of treatment, improve outcomes for patients with bladder cancer and change medical practice."
"We are proud to showcase the breadth of research using Signatera at this year’s ESMO (Free ESMO Whitepaper) Congress, including oral presentations across bladder, colorectal, breast, and other cancers," said Minetta Liu, M.D., chief medical officer of oncology at Natera. "The diversity of these datasets underscores the growing impact of bespoke MRD assessment in reshaping how we detect and monitor cancer, providing tools to personalize treatment recommendations in oncology–with the ultimate goal of improving outcomes for patients."
Full list of presentations featuring Natera’s technology at ESMO (Free ESMO Whitepaper) includes:
October 17, 2:50 PM CEST | 3068O (Oral Presentation)
Presenter: Matthew D. Galsky, M.D.
Adjuvant nivolumab vs placebo for high-risk muscle-invasive urothelial carcinoma: 5-year efficacy and ctDNA results from CheckMate 274
October 17, 4:40 PM CEST | LBA 112 (Mini Oral Presentation)
Presenter: Andrea Necchi, M.D.
Neoadjuvant gemcitabine intravesical system (TAR-200) + cetrelimab (CET) or CET alone in patients (pts) with muscle-invasive bladder cancer (MIBC): SunRISe-4 (SR-4) primary analysis and biomarker results
October 18, 9:00 AM CEST | 185eP
Presenter: Michael Galo
Treatment response using a tumor-informed circulating DNA test (TIctDNA) comparing with radiologic outcomes in non-small cell lung cancer (NSCLC)
October 18, 12:00 PM CEST | 1132P
Presenter: Floortje Backes, M.D.
Utility of circulating tumor DNA (ctDNA) dynamics for evaluating early treatment response in patients with recurrent/metastatic endometrial (rEC) and recurrent/platinum-resistant ovarian cancer (rPROC)
October 18, 12:00 PM CEST | 2609P
Presenter: Arnab Basu, MBBS, MPH, FACP, M.D.
Clinical Performance of a Tumor-Informed Whole Genome-Based (WGS) ctDNA Assay for Recurrence Detection and Treatment Response Monitoring in Localized and Advanced/Metastatic Renal Cell Carcinoma (RCC)
October 19, 12:00 PM CEST | 764P
Presenter: Masaaki Miyo, M.D., Ph.D.
Association of ultrasensitive whole genome sequencing (WGS)-based tumor-informed molecular residual disease (MRD) detection with lymph node metastasis (LNM) after local excision of pathological T1 colorectal cancer: Results from DENEB, a CIRCULATE-Japan GALAXY substudy
October 19, 2:45 PM CEST | 734MO (Mini Oral Presentation)
Presenter: Yoshiaki Nakamura, M.D., Ph.D.
Performance of a blood-based, early cancer detection (ECD) screening test for colorectal cancer (CRC) in cell-free (cf)DNA
October 19, 2:50 PM CEST | 732MO (Mini Oral Presentation)
Presenter: Emerick Osterlund, M.D., Ph.D.
Circulating tumor DNA (ctDNA) clearance and correlation with outcome in the INTERCEPT colorectal cancer (CRC) study
October 19, 12:00 PM CEST | 823P
Presenter: Kozo Kataoka, M.D.
A Phase II Study of mFOLFOXIRI Following Metastasectomy in Oligometastatic Colorectal Cancer: (FANTASTIC)
October 19, 3:40 PM CEST | LBA 31 (Oral Presentation)
Presenter: Yara L. Verschoor
Neoadjuvant immunotherapy induces immune activation and responses in MMR-proficient colon cancers
October 20, 12:00 PM CEST | 620TiP
Presenter: Benjamin Verret, M.D.
HEROES: De-escalation of anti-HER2 therapies in HER2-positive metastatic breast cancer with long-term persistent response and undetectable minimal residual disease in circulating tumor DNA
October 20, 12:00 PM CEST | 354P
Presenter: Adrian Lee, Ph.D.
Hormonal and immune mediators of resistance to primary endocrine therapy
October 20, 12:00 PM CEST | 336P
Presenter: Arielle J. Medford, M.D.
Circulating tumor DNA detection in stage 1 HER2 positive and triple negative breast cancer (SAFE-DE)
October 20, 4:30 PM CEST | LBA 8 (Oral Presentation)
Presenter: Thomas B. Powles, MBBS, MRCP, M.D.
IMvigor011: a Phase 3 trial of circulating tumour (ct)DNA-guided adjuvant atezolizumab vs placebo in muscle-invasive bladder cancer
Notes
Tecentriq (atezolizumab) is a registered trademark of Genentech, a member of the Roche Group.