On June 23, 2026 Myriad Genetics, Inc., (NASDAQ: MYGN), a leader in molecular diagnostic testing and precision medicine, reported expanded availability of Precise MRD, broadening availability to patients undergoing treatment and surveillance for breast, colorectal and renal cancers. More than 6 million individuals are living with these cancers in the U.S., representing a significant expansion in access to Myriad’s ultrasensitive Precise MRD test1.
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Precise MRD is a next-generation, ultrasensitive, whole-genome sequencing-based assay that generates a personalized panel for each patient by tracking up to 1,000 variants. The test provides clinicians with a dynamic and quantitative molecular view of their patient’s disease status across the cancer care continuum, from neoadjuvant therapy through post-surgical assessment and long-term surveillance. Its ultrasensitive design enables robust detection of circulating tumor DNA (ctDNA) even in low-shedding tumors, delivering consistent performance across a range of disease settings2.
"Expanding Precise MRD into breast, colorectal and renal cancers marks a significant step forward in our broader precision oncology strategy," said Brian Donnelly, Chief Commercial Officer, Myriad Genetics. "In a single, easy-to-read report, Precise MRD delivers ultrasensitive ctDNA detection and longitudinal insights, along with the clinical interpretation support clinicians need to help guide treatment and surveillance decisions. As we continue to expand across tumor types and build clinical evidence, we believe Precise MRD will play an increasingly central role in managing cancer care."
MONITOR-Breast publication adds to growing evidence for Precise MRD
Myriad Genetics also announces the publication of results from the prospective, multi-center MONITOR-Breast study in Future Oncology, further supporting the clinical validity of Precise MRD in breast cancer. The study demonstrates that ultrasensitive ctDNA monitoring during neoadjuvant therapy provided real-time insight into treatment response and helped identify patients at increased risk for residual disease.
"MONITOR-Breast highlights the strength of a whole-genome, tumor-informed approach to MRD detection," said Dale Muzzey, Chief Scientific Officer, Myriad Genetics. "Precise MRD enables ultrasensitive ctDNA detection and longitudinal disease monitoring that captures dynamic treatment response. The ability to identify additional at-risk patients through frequent sampling, beyond a single timepoint assessment, demonstrates the importance of molecular monitoring in improving risk stratification and guiding clinical decision-making."
The study evaluated 154 patients with Stage I–III breast cancer across all molecular subtypes, analyzing 949 plasma samples collected longitudinally throughout treatment using Precise MRD to assess ctDNA status. Key findings include:
High baseline detection rates: ctDNA was detected in 93% of patients at baseline, including 20% at ultrasensitive levels below 100 parts per million (PPM).
Strong prediction of treatment response: Precise MRD predicted pathological complete response (pCR) with 100% specificity.
Post-treatment prognostic value: Patients who were ctDNA positive at the end of neoadjuvant therapy (NAT) were 47 times more likely to remain ctDNA positive after surgery.
Distinct response patterns through longitudinal testing:
78% of patients demonstrated sustained ctDNA clearance and were significantly more likely to achieve pCR.
22% showed persistent or intermittent positivity, identifying a population at elevated risk of worse outcomes. Longitudinal testing identified 44% more patients who were at risk for residual disease than testing at the post-NAT timepoint alone.
These findings add to the growing body of evidence supporting serial ctDNA monitoring throughout treatment to help clinicians personalize care decisions.
Supporting care across the cancer continuum
Precise MRD is designed for use across key points in patient cancer care, including neoadjuvant monitoring, post-surgical assessment and surveillance. It integrates into existing oncology workflows across academic and community settings and interested healthcare providers can learn more here.
About Precise MRD
The Precise MRD Test is an ultrasensitive assay that quantifies tumor levels as the patient traverses the care continuum. Built on whole-genome sequencing of tumor tissue, the test creates a unique panel of up to 1,000 patient-specific variants to measure ctDNA at ultrasensitive levels, while minimizing false positives. Precise MRD results can identify residual disease to provide prognostic information that can be used for risk stratification, track response to therapy and monitor for early signs of disease recurrence. Learn more at myriad.com/oncology/precise-mrd-test/.
(Press release, Myriad Genetics, JUN 23, 2026, View Source [SID1234668923])