EV Diagnostics · Precision Oncology

The tumor signal
no other diagnostic can see.

ONCO Diagnostics owns, licenses, and provides specialty laboratory services around extracellular-vesicle–based diagnostic technology — generating quantitative, cell-specific tumor data at the point of biopsy to inform therapy selection for breast cancer patients without disrupting standard histopathology.

Why this matters
IP Origin: George Mason University
Field: Breast cancer therapy selection
Pathway: FDA 510(k) equivalence
Standards: CAP / CLIA compliant
Why it matters

Therapy decisions are made on incomplete information.

Breast cancer is the most commonly diagnosed cancer worldwide. When a patient is diagnosed, the first consequential decision — which therapy to pursue — is made using static biomarkers measured after tissue is preserved. These tests capture what the tumor looks like. They miss what it's actually doing.

Today's reality

Therapy choices made from static, post-fixation biomarkers.

What's possible

Therapy choices informed by functional, in-vivo tumor signal.

The consequence is real: a meaningful share of patients receive first-line therapies that produce limited benefit — delaying access to interventions that might work, exposing patients to side effects, and consuming clinical time before the right therapy is identified. Functional tumor data, captured at the moment of biopsy, is built specifically to close that gap.

Read the full science

A new class of diagnostic data, sampled at the source.

Conventional breast cancer diagnostics rely on static biomarkers measured after tissue fixation. ONCO's platform captures extracellular vesicles directly from living tumor tissue — preserving functional, in-vivo molecular signal that survives no other workflow.

Interstitial-fluid EVs carry information that survives no other test.

During standard biopsy, fine needle aspiration, or lumpectomy, ONCO's assay isolates extracellular vesicles from the tissue interstitial fluid before formalin fixation. Because the EVs originate from live tumor cells in their native microenvironment, they carry functional protein and RNA signatures lost during conventional pathology workflows.

The result: a quantitative readout designed to support therapy-selection decisions equivalent to standard-of-care HER2 testing, with the potential to surface predictive signal that IHC and ISH cannot.

< 10 min
Bench extraction time, point-of-care compatible
CV < 10%
Reproducibility across replicate samples
0 tissue loss
Histopathology workflow fully preserved

Why this platform is different.

Six properties that distinguish ONCO's diagnostic from incumbent pathology assays and liquid-biopsy approaches — and that make it suitable for both clinical adoption and pharma companion-diagnostic partnerships.

Functional, not static

Captures live-cell molecular activity — protein, RNA, lipid, glycan — rather than fixed-tissue biomarkers alone.

Quantitative output

High/low scored values reported into hospital LIS for clinician decision-making, not qualitative interpretation.

Pre-fixation capture

Conducted on living excised tissue before formalin — accessing biology that downstream pathology destroys.

Workflow-native

Integrates into existing biopsy and surgical pathology protocols — no new equipment, no patient-side disruption.

Multi-omics ready

Compatible with mass spec proteomics, NGS, qPCR, lipidomics — flexible downstream analytical pathway.

Companion-Dx aligned

Designed for pharma partnerships — pairing the test with therapeutic candidates to qualify responders.

From biopsy to therapy decision.

ONCO's diagnostic slots into the moment a patient already produces tissue — biopsy, FNA, or stage-1 surgery — and returns therapy-selection data without delaying the standard pathology pipeline.

STEP 01

Tissue collection

Standard diagnostic biopsy, FNA, or surgical lumpectomy — no change to the clinician's protocol.

STEP 02

EV isolation

Live-tissue interstitial fluid extraction with the ONCO kit. ~10 minutes, benchtop, pre-fixation.

STEP 03

Quantitative assay

CAP/CLIA-compliant analysis at the hospital pathology lab or via centralized reference partner.

STEP 04

Therapy guidance

Scored, quantitative result delivered through hospital LIS to the treating physician.

Where the technology applies.

The licensed field of use is breast cancer therapy selection, with adjacent applications in treatment monitoring and pharma companion diagnostics. Expansion into other oncology indications is governed by ONCO Diagnostics on a case-by-case basis.

Adjacent Use

Treatment monitoring

Serial sampling at follow-up biopsy or FNA can track functional tumor response to systemic therapy in real biological time.

Pharma Partnership

Companion diagnostics

Pair the assay with a pharma sponsor's targeted therapy to qualify responders and accelerate regulatory pathway under co-development.

Research Use

Translational discovery

Academic and reference laboratories may access the technology for biomarker discovery, in qualified non-commercial settings.

Future Expansion

Other solid tumors

The underlying platform is tissue-agnostic. New indications are evaluated for licensing on a field-by-field basis with ONCO consent.

Specialty services for EV-based diagnostics.

As a Contract Diagnostic Organization (CDO), ONCO Diagnostics provides EV-focused diagnostic development, clinical program support, regulatory filings, and kit manufacturing — delivered through our credentialed laboratory partnership at George Mason University. With all diagnostic services housed under a single roof, sponsors maintain one point of contact across the full development arc.

Service offerings

01

Research & Development

  • EV biomarker discovery and validation (protein, RNA, microRNA, lipid cargo)
  • EV-based assay and kit development
  • Platform evaluation and workflow optimization
  • LDT and custom assay development
  • Clinical validation studies
02

Clinical Trial Services

  • End-to-end clinical trial assay services
  • Strategic consulting for EV-based clinical programs
  • Reference trial testing
  • Clinical primary site testing
  • Analytical and clinical sample testing
  • Complete data management program support
03

Regulatory & Quality

  • Regulatory strategy and pathway determination for EV-based IVDs
  • FDA interactions and pre-submission guidance
  • IVD filings: Pre-Sub, 510(k), De Novo, PMA
  • International regulatory submissions
  • Compliance auditing and consulting
  • Compliant labeling and software documentation
  • Third-party review by Accredited Persons (AP)
04

Laboratory Services

  • CAP-credentialed clinical laboratory at George Mason University
  • Support for clinical trial assays (CTA), laboratory-developed tests (LDT), and GLP-validated assays
  • High-complexity molecular and proteomic specialty testing
  • Verification and validation of candidate biomarkers under clinical guidelines
  • Preclinical, clinical trial, and GLP testing services
05

Dedicated Project Resources

  • Dedicated project management
  • Scientific and medical expertise across EV-based diagnostic development
  • Single point of contact across all services
  • Direct access to a credentialed high-complexity clinical laboratory
06

Kit Manufacturing & Assembly

  • EV isolation kit assembly inside the CAP/CLIA clinical laboratory
  • Sample collection kits for clinical protocols
  • Quality control under CAP/CLIA standards
  • Certificates of Analysis (COA)
  • Custom kit configurations for sponsor-specific protocols
  • OEM kit and reagent development

CAP/CLIA Clinical Proteomics Laboratory at George Mason University.

A credentialed clinical laboratory purpose-built to assess and evaluate new proteomic technologies under rigorous clinical guidelines, accelerate the verification and validation of promising candidate biomarkers in a clinical diagnostic setting, and implement unique clinical trials and diagnostic tests.

View the laboratory at GMU's Institute for Biohealth Innovation

Key instrumentation

Protein arraying
Aushon 2470 Automated Protein Arrayer

High-throughput protein array generation for biomarker discovery and validation across tissue and cellular samples.

Immunohistochemistry
Dako Robotic Autostainer

Automated IHC processing of tissue and cellular samples for biomarker analysis under clinical-grade quality control.

Immunoassay
Immulite 1000 Immunoassay

Protein analyte measurement and clinical immunoassay testing for diagnostic validation and clinical trial sample analysis.

Two paths to the platform

Services path

"We need EV capability for our specific program — not the underlying IP."

Fee-for-service · Program-based · No long-term IP commitment
Licensing path

"We're building our own program on this IP — and need rights."

Exclusive or non-exclusive · Field- and territory-defined · Long-term rights

An IP-first holding structure.

ONCO Diagnostics LLC is the controller of the underlying patent portfolio and know-how, sourced from George Mason University and exclusively licensed forward to commercial partners under field-and-territory terms.

Core IP
Provisional Patent Application

U.S. 63/417,485

  • OriginGeorge Mason University Research Foundation
  • FieldEV-based diagnostic assays — breast cancer therapy selection
  • TerritoryUnited States & Canada (expansion via option)
  • StructureExclusive license to ONCO Diagnostics LLC
  • OnwardExclusive sublicense to Oncogenix Diagnostic Corp.

A clean chain of title, built for commercialization.

The technology originated in academic research at George Mason University and was exclusively licensed to ONCO Diagnostics LLC under terms that preserve U.S. manufacturing requirements, milestone diligence, and downstream income participation by the originating institution.

ONCO Diagnostics retains limited rights for internal non-commercial research and the ability to license the underlying technology outside the breast-cancer therapy selection field. Within the licensed field, exclusivity flows to the commercial partner along with sublicensing rights into affiliates and channel partners.

Improvements, derivative works, and any new IP arising from licensee activity are governed by the definitive license agreement, with allocation between ONCO and licensee set at the time of grant.

Beyond breast cancer — the platform is tissue-agnostic.

The current exclusive license to Oncogenix covers breast cancer therapy selection in the United States and Canada only. Every other indication, every other geography, and every adjacent use of the technology remains available for licensing — and the underlying EV-isolation science applies across virtually any solid tumor.

01
Tissue-agnostic platform

The EV isolation method works on any solid-tumor biopsy or surgical specimen. The biology that makes it valuable in breast cancer — functional, pre-fixation tumor signal — extends to nearly every tumor type where biopsy is standard.

02
Open fields, open geographies

ONCO Diagnostics is actively pursuing partners for indications and territories outside the current Oncogenix grant — and for adjacent use cases such as therapy monitoring and pharma companion-diagnostic co-development.

Indications · Status snapshot

Licensed
Breast cancer

Therapy selection · U.S. & Canada exclusively granted to Oncogenix Diagnostic Corp.

Available
Prostate cancer

Therapy selection, treatment monitoring, and companion diagnostic co-development.

Available
Lung cancer

NSCLC and SCLC therapy selection, immunotherapy response prediction, companion Dx.

Available
Colorectal cancer

Adjuvant therapy selection, MSI/MSS profiling support, treatment monitoring.

Available
Pancreatic cancer

Neoadjuvant therapy selection, surgical resection planning support.

Available
Ovarian & gynecologic

Therapy selection, PARP inhibitor response prediction, recurrence monitoring.

Available
Hepatocellular carcinoma

Therapy selection, systemic therapy response, surveillance applications.

Available
Head & neck cancers

Therapy selection, HPV-associated subtyping, treatment response.

Available
Melanoma

Targeted-therapy and immunotherapy selection, treatment response monitoring.

Available
Renal cell carcinoma

Therapy selection across emerging targeted and immune-based treatment regimens.

Available
Bladder cancer

Muscle-invasive therapy selection and treatment monitoring applications.

Available
Other solid tumors

Sarcoma, gastric, esophageal, brain, and additional indications — open to discussion.

License structures available

Field-of-use license

Exclusive or non-exclusive rights for a defined cancer indication. Sublicensing optional. Royalty and milestone structure aligned with development stage.

Geographic expansion

Territory grants outside the United States and Canada — Europe, MENA, APAC, LATAM. Right-of-first-offer mechanics governed by existing agreements.

Companion-Dx co-development

Pharma-sponsored arrangements pairing the assay with a therapeutic candidate. Suited to accelerated regulatory paths and patient-stratification trials.

Research-use-only

Non-commercial access for academic translational research and biomarker discovery. Publication-friendly with limited royalty structure.

Platform option agreement

Time-bound exclusive evaluation period with right to convert to a full license — appropriate where licensee diligence requires technical evaluation.

Custom & strategic

Joint ventures, equity-linked arrangements, and bespoke structures considered for strategic partners with broader development commitments.

The operating chain.

ONCO Diagnostics does not commercialize the technology directly. Development, manufacturing, and clinical commercialization sit with the licensee. Academic origin and exclusive commercial partner are shown below.

Originating Institution

George Mason University

The underlying invention was developed within George Mason University laboratories. The GMU Research Foundation holds the original patent rights and licenses them exclusively to ONCO Diagnostics under continuing milestone and royalty obligations.

Academic Origin Licensor of record Royalty interest
Exclusive Commercial Licensee · Breast Cancer

Oncogenix Diagnostic Corp.

A British Columbia–based diagnostics company holding the exclusive license to the platform for breast cancer therapy selection across the United States and Canada. Developing the EV-based assay toward FDA 510(k) clearance and Canadian regulatory approval. Sublicensing into affiliates and commercial partners is contemplated.

Breast cancer · exclusive Vancouver, BC U.S. & Canada 510(k) pathway

The science behind EV-based diagnostics.

A deeper look at the platform, the unmet need in breast cancer therapy selection, and the broader context for extracellular vesicle diagnostics in precision oncology.

What are extracellular vesicles and why do they matter in cancer diagnostics?

Extracellular vesicles (EVs) are small, lipid-bilayer-enclosed particles released by virtually every cell in the human body. Typically 30 to 150 nanometers in diameter, EVs carry a cargo of proteins, messenger RNA, microRNA, lipids, and metabolites that reflects the molecular state of the cell that produced them. In oncology, the EVs released by tumor cells offer a window into tumor biology that is otherwise difficult to access — a real-time biochemical signature of how a cancer is actually behaving, not just what it looks like under a microscope.

EV-based diagnostics use the molecular content of these vesicles to make clinical inferences: what a tumor is, how it is likely to respond to a given therapy, and how it is evolving over time. Most commercial efforts to date have focused on isolating EVs from peripheral blood — the so-called liquid biopsy approach. ONCO Diagnostics' platform takes a different and complementary path: isolating EVs directly from the tissue interstitial fluid at the time of biopsy, before any preservation or fixation step degrades the signal.

The ONCO Diagnostics platform, step by step.

At the time of standard-of-care diagnostic biopsy, fine needle aspiration, or surgical lumpectomy, the excised tissue is placed in ONCO's interstitial fluid collection device. Through a brief, low-force separation step, the device extracts the fluid that surrounds living cells within the tumor — interstitial fluid that is rich in extracellular vesicles released by tumor cells in their native microenvironment. The entire extraction takes under ten minutes on a standard benchtop centrifuge, and crucially, leaves the tissue fully intact for the histopathology workflow that follows.

The extracted EVs are then analyzed using established molecular assays — mass spectrometry, qPCR, next-generation sequencing, immunoassays, or combinations thereof — to produce a quantitative readout of the markers relevant to therapy selection. Results are reported as numerical scores with high and low thresholds, integrating into the hospital laboratory information system the same way HER2 or estrogen-receptor results currently do.

The platform's reproducibility, demonstrated in early validation work with coefficients of variation under 10 percent across replicate samples, and its compatibility with standard CAP and CLIA accredited laboratory environments make it suitable for both centralized reference-laboratory deployment and decentralized point-of-care clinical use.

The unmet need in breast cancer therapy selection.

Breast cancer is the most commonly diagnosed cancer worldwide and the leading cause of cancer mortality among women in many regions. Treatment decisions today rely on a standard set of biomarkers — estrogen receptor, progesterone receptor, HER2, and Ki-67 — measured by immunohistochemistry or in-situ hybridization on fixed tissue. These tests are validated, reimbursed, and effective, but they tell clinicians only part of the story.

Static biomarker measurements taken after tissue fixation cannot capture the functional state of tumor cells: which signaling pathways are active, how cells are responding to their microenvironment, and which therapies the tumor is biologically primed to respond to. As a result, a significant proportion of patients receive therapies that produce limited benefit, delaying access to interventions that might actually work and exposing them to unnecessary side effects.

A diagnostic that captures functional, pre-fixation tumor signal — in a workflow that adds no patient burden and integrates seamlessly with existing biopsy procedures — has the potential to meaningfully improve first-line therapy decisions, particularly in the neoadjuvant setting where therapy choice is most consequential.

Companion diagnostics and the pharma partnership opportunity.

A companion diagnostic is a test used to identify patients most likely to benefit from a particular therapeutic product. Companion diagnostics are increasingly central to modern oncology drug development — and to drug commercialization, where payers increasingly require evidence of biomarker-defined patient selection.

ONCO Diagnostics' platform is well-suited to companion diagnostic development because it produces quantitative, reproducible signal directly from tumor tissue at the decision point. Pharmaceutical partners pursuing targeted therapies, immunotherapies, or combination regimens can pair the assay with their therapeutic candidate to qualify responders, support biomarker-driven clinical trials, and potentially accelerate regulatory pathways under FDA companion-diagnostic frameworks.

Co-development arrangements typically combine upfront payments, development milestones tied to regulatory progress, and royalty interests on the resulting test or paired therapeutic. ONCO Diagnostics welcomes inquiries from pharma BD teams pursuing patient-stratification opportunities in any solid tumor indication.

Why ONCO Diagnostics operates as an IP licensing entity.

ONCO Diagnostics LLC was structured specifically as a holding and licensing entity rather than a vertically integrated operating company. This structure exists because the underlying platform technology has applicability far broader than any single commercial program could pursue alone.

By concentrating IP ownership in ONCO Diagnostics and licensing forward to specialized commercial partners on a field-and-territory basis, the platform can be developed in parallel across multiple cancer indications and geographic markets — with each licensee deploying the focus, capital, and regulatory expertise appropriate to its specific commercial scope. The structure also provides a clean chain of title for potential investors, partners, and acquirers, with clear delineation of which rights sit where.

Inquiries about field-of-use licenses, geographic expansion, companion-diagnostic co-development, research-use access, or strategic arrangements should be directed to licensing@oncodiagnostics.com.

Frequently asked questions.

Answers to the questions most often raised by pharmaceutical business development teams, reference laboratories, academic researchers, and prospective licensing partners.

What is ONCO Diagnostics LLC?
ONCO Diagnostics LLC is an intellectual property holding and licensing company that owns extracellular-vesicle (EV) based diagnostic technology originally developed at George Mason University. ONCO licenses the technology to commercial partners for diagnostic product development, including a current exclusive license to Oncogenix Diagnostic Corp. for breast cancer therapy selection in the United States and Canada.
What is an extracellular-vesicle–based diagnostic?
Extracellular vesicles (EVs) are small lipid-bound particles, typically 30 to 150 nanometers in diameter, released by cells into the surrounding tissue microenvironment. EV-based diagnostics analyze the protein, RNA, and lipid cargo of these vesicles to infer the functional state of the cells of origin. ONCO Diagnostics' platform isolates EVs from tissue interstitial fluid at the time of biopsy, before formalin fixation, capturing molecular information that conventional pathology workflows destroy.
How is the technology different from a liquid biopsy?
Liquid biopsy typically samples circulating tumor DNA, exosomes, or rare tumor cells from peripheral blood. ONCO's platform samples extracellular vesicles directly from the tumor tissue microenvironment via interstitial fluid extracted from a biopsy or surgical specimen. This produces a higher-concentration, tumor-localized signal with reduced background interference while preserving the tissue for standard downstream histopathology.
Is the diagnostic FDA approved?
The diagnostic product based on this technology has not yet received FDA clearance. The exclusive U.S. and Canada licensee intends to pursue FDA 510(k) equivalence pathway clearance and CAP/CLIA-compliant laboratory deployment. Commercial launch in the United States is contingent on successful regulatory clearance and reimbursement coverage.
What licensing opportunities are available beyond breast cancer?
ONCO Diagnostics retains rights to license the platform outside the breast cancer therapy selection field that has been exclusively granted to Oncogenix in the U.S. and Canada. Available opportunities include licensing for other solid tumor indications such as prostate, lung, colorectal, pancreatic, ovarian, hepatocellular, head-and-neck, melanoma, renal, and bladder cancers; geographic expansion territories outside North America; research-use-only access for academic groups; and companion diagnostic co-development arrangements with pharmaceutical partners.
Where did the technology originate?
The technology was developed in research laboratories at George Mason University. The George Mason University Research Foundation holds the original patent rights, including U.S. Provisional Patent Application 63/417,485, and licenses them exclusively to ONCO Diagnostics LLC under terms that preserve royalty interests, milestone diligence requirements, and U.S. manufacturing obligations.
What is the difference between ONCO Diagnostics and Oncogenix?
ONCO Diagnostics LLC is the intellectual property holding company that owns and controls the licensed patent rights. Oncogenix Diagnostic Corp. is a separate British Columbia–based diagnostics company that holds an exclusive commercial license from ONCO Diagnostics to develop, manufacture, and commercialize the breast cancer therapy selection assay in the United States and Canada.
Does ONCO Diagnostics provide laboratory services, or only license IP?
Both. ONCO Diagnostics offers two engagement models. Sponsors who want to deploy EV-based diagnostic capability for a specific program can engage us directly through our CAP-credentialed laboratory at George Mason University on a fee-for-service or program basis. Sponsors who want to build their own EV-based products on the underlying IP can take a field- and territory-defined license. Many partner engagements combine both — initial scoping and validation through services, transitioning to a license once program direction is confirmed.
What CRO and CDO services do you offer?
Our specialty laboratory services include EV-based assay development and analytical validation, companion diagnostic co-development, clinical trial assay services with high-throughput sample processing, EV characterization across size, concentration and cargo, custom method development for sponsor-specific indications, and regulatory quality support across FDA 510(k), De Novo, and PMA pathways. All work is performed in our CAP-credentialed laboratory at George Mason University.
How does a prospective licensee initiate a conversation?
Prospective licensees, pharmaceutical business development teams, reference laboratories, and academic groups should email licensing@oncodiagnostics.com with a brief description of the intended use, the indication and territory of interest, and the type of license structure being considered. ONCO Diagnostics responds to all serious inquiries within five business days.

For licensing, partnership, and technology inquiries.

ONCO Diagnostics welcomes inquiries from pharmaceutical companies, reference laboratories, and academic groups interested in the platform — within or outside the currently licensed field. We respond to all serious inquiries within five business days.

Corporate Information
Entity ONCO Diagnostics LLC
Type IP licensing & specialty laboratory services
Field of Use Breast cancer therapy selection
Territory U.S. & Canada

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