VitaGuard MRD

One blood test can reveal a signal
while a series can show how it changes

VitaGuard is a functioning tumour-naive MRD workflow with commercial operating experience. Fidelion is developing international laboratory implementation around that foundation.

Starting pointColorectal cancer MRD

Designed for molecular monitoring after treatment.

Tumour-naive by designBegin from blood

A fixed targeted panel avoids patient-specific assay development before testing can begin.

Built for timeRepeat sampling

Plasma cell-free DNA enables a series of molecular snapshots.

Begin with blood
and remove the tissue-dependent first step

Some MRD approaches first sequence a patient’s tumour and use what they find to develop a patient-specific assay. VitaGuard instead uses a fixed targeted panel designed to begin from a blood sample.

This removes a tissue-dependent first step, supports a consistent repeat workflow and may make testing more practical when tumour tissue is unavailable, insufficient or difficult to access. Tumour-naive and tumour-informed approaches have different strengths; performance and intended use must be established for each setting.

The same clinical question
with a different starting point

Tissue-informed MRD

Tumour tissue sequence tumour develop a patient-specific assay monitor blood

VitaGuard tumour-naive MRD

Blood sample apply a fixed panel classify and follow the signal

Designed for a consistent repeat workflow

Presence and quantity matter
Direction adds the story

PresenceWhether ctDNA is detected under defined reporting rules.

QuantityMeasures used to describe the reported molecular signal.

DirectionWhether the signal appears, clears, persists, rises or falls across repeat samples.

The signal can be lost
long before the result

Finding low levels of tumour-derived DNA depends on every step—from collection and recovery to molecular tagging, sequencing, error suppression and interpretation.

01

Collect

Begin with blood and separate plasma under controlled conditions.

02

Protect

Recover scarce cell-free DNA and prepare selected target regions.

03

Read

Sequence targeted regions and apply the defined analytical workflow.

04

Follow

Report ctDNA status, quantity and change across available time points.

Built to protect
a scarce signal

VitaGuard brings sample handling, molecular identity, targeted sequencing and interpretation into one connected workflow.

Starting approachTumour-naive

A fixed panel without the need to create a patient-specific assay from each patient’s tumour.

Connected workflowPre-analytics matter

Collection, separation, extraction and library preparation all influence a scarce signal.

ReadoutTargeted sequencing

The defined workflow is designed to identify and follow low-abundance candidate signals.

New marketsMarket by market

Fidelion is building the evidence, quality and regulatory pathways required for responsible expansion.

Every timepoint can add another layer of context

With appropriate consent, data rights and clinical annotation, repeat testing may support better reporting, research and future analytical tools.

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Commercial experience provides the foundation for trust in new markets

VitaGuard originated as a commercially used laboratory-developed test (LDT) workflow. International rights outside Greater China have been assigned to Fidelion; operational implementation remains in progress. Fidelion’s model is laboratory-delivered testing, not direct-to-consumer or general product sales. Availability in any new market remains subject to laboratory validation, quality requirements and applicable regulatory pathways.

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