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BCR-ABL1 Quantitative (p210,p190,p230) Test

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BCR-ABL1 Quantitative (p210,p190,p230) Test

Short Name: BCR-ABL1 Quantitative

Also known as: BCR-ABL1 by ddPCR, BCR-ABL1 fusion gene quantification, p210/p190/p230 BCR-ABL1

BCR-ABL1 Quantitative (p210,p190,p230) Test test available at DNA Labs India for ₹9,000. Uses Droplet Digital PCR (ddPCR) on Peripheral Blood samples. Results in Reports are typically available within 2-3 days after sample collection. You will receive a notification when your report is ready.. Free home collection in 300+ cities across India.

Molecular🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of the BCR-ABL1 Quantitative test is twofold: 1) To aid in the diagnosis of CML by detecting the presence of the BCR-ABL1 fusion gene, and 2) To monitor the molecular response to treatment in patients already diagnosed with CML. Quantification of BCR-ABL1 transcript levels over time helps determine whether the patient is responding to therapy, achieving major molecular response (MMR), or experiencing resistance or relapse. This information is essential for adjusting treatment plans and making informed clinical decisions.

Test Code
6051
CPT Code
83891
ICD Code
C92.1
Price
₹9,000
Sample Type
Peripheral Blood
Result Time
Reports are typically available within 2-3 days after sample collection. You will receive a notification when your report is ready.
Fasting Required
No
Method
Droplet Digital PCR (ddPCR)
Step 1

Sample Collection

No special preparation is required. However, a doctor's prescription is mandatory for this test. Inform your healthcare provider about any medications you are taking, especially tyrosine kinase inhibitors, as they may affect test results.

Method: Venipuncture

Step 2

Laboratory Analysis

A blood sample will be collected from a vein in your arm by a trained phlebotomist. The procedure is quick and causes minimal discomfort.

Step 3

Report Delivery

You may resume normal activities immediately after sample collection. There are no restrictions post-test.

Timeline: Reports are typically available within 2-3 days after sample collection. You will receive a notification when your report is ready.

Patient Instructions

1
Before the Test:No special preparation is required. However, a doctor's prescription is mandatory. Inform your doctor about all medications you are taking.
2
During the Test:A blood sample is drawn from a vein in your arm. The procedure takes a few minutes and is generally painless.
3
After the Test:You can resume normal activities immediately. No restrictions apply.

About This Test

Who Should Get This Test

The primary purpose of the BCR-ABL1 Quantitative test is twofold: 1) To aid in the diagnosis of CML by detecting the presence of the BCR-ABL1 fusion gene, and 2) To monitor the molecular response to treatment in patients already diagnosed with CML. Quantification of BCR-ABL1 transcript levels over time helps determine whether the patient is responding to therapy, achieving major molecular response (MMR), or experiencing resistance or relapse. This information is essential for adjusting treatment plans and making informed clinical decisions.

How to Prepare

  • Sample must be collected in a Streck tube (EDTA) provided by the lab
  • Ensure the tube is properly labeled with patient details
  • Sample should be transported to the laboratory at ambient temperature (15-25°C) within 24 hours
  • Avoid freezing the sample

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"BCR-ABL1 quantification by ddPCR is essential for CML diagnosis and monitoring. Early detection and regular monitoring can significantly improve patient outcomes. This test provides high sensitivity for detecting minimal residual disease."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypePeripheral Blood
Sample Volume5 mL
ContainerStreck Tube (EDTA)
Collection MethodVenipuncture

Sample Stability

Whole blood in Streck tube: stable for 72 hours at room temperature
Extracted RNA: stable for 1 week at -20°C, longer at -80°C
Sample Rejection Criteria:
  • Clotted or hemolyzed sample
  • Incorrect tube type (e.g., heparin tube)
  • Sample received after 72 hours of collection
  • Inadequate sample volume (< 2 mL)
  • Unlabeled or mislabeled sample

Understanding Your Results

The BCR-ABL1 Quantitative test results are reported as the ratio of BCR-ABL1 transcript to ABL1 control gene, expressed as a percentage on the International Scale (IS). The interpretation is based on the level of BCR-ABL1 transcripts and the trend over time.
📊

BCR-ABL1 not detected

No evidence of BCR-ABL1 fusion gene. This may indicate successful treatment response (deep molecular response) or absence of disease. However, very low levels may be below the detection limit.

📊

BCR-ABL1 ≤ 0.1% IS

Major Molecular Response (MMR) achieved. Indicates good response to TKI therapy. Continue current treatment and monitor regularly.

📊

BCR-ABL1 > 0.1% IS but < 1% IS

Molecular response not optimal. May indicate suboptimal response or emerging resistance. Clinician may consider dose adjustment or alternative therapy.

📊

BCR-ABL1 ≥ 1% IS

Poor molecular response. High levels suggest inadequate response or relapse. Further evaluation and treatment modification are required.

📊

Rising BCR-ABL1 levels over consecutive tests

Indicates loss of response or disease progression. Prompt clinical intervention is necessary.

⚠️ When to Consult a Doctor:

Consult your oncologist or hematologist if you experience symptoms such as persistent fatigue, unexplained weight loss, night sweats, abdominal fullness, or easy bruising. Also, if you are undergoing CML treatment and your BCR-ABL1 levels are not decreasing as expected, or if you have any concerns about your test results.

Limitations

  • Test detects only the common BCR-ABL1 fusion transcripts (p210, p190, p230); rare breakpoints may not be detected
  • Results should be interpreted in conjunction with clinical findings and other diagnostic tests
  • Quantification is relative to the ABL1 control gene; variations in control gene expression may affect results
  • Not a standalone diagnostic test for CML; bone marrow biopsy may be required for confirmation
  • Test is not intended for screening the general population

Risks & Considerations

  • Minimal risk of bruising or bleeding at the puncture site
  • Rare risk of infection or hematoma
  • Fainting or dizziness during blood draw

Interfering Factors

  • Sample degradation due to improper storage or transport
  • Hemolysis or clotting of blood sample
  • Presence of PCR inhibitors in the sample
  • Inadequate sample volume
  • Recent blood transfusion (may dilute leukemic cells)
  • Concurrent infections or inflammation may affect white blood cell counts

Compare With Similar Tests

TestBCR-ABL1 Quantitative (p210,p190,p230)
ComparisonBCR-ABL1 Quantitative (p210,p190,p230)

Frequently Asked Questions

What is the BCR-ABL1 Quantitative test?
The BCR-ABL1 Quantitative test is a molecular diagnostic test that detects and measures the amount of BCR-ABL1 fusion gene transcripts in the blood. It is used primarily for diagnosing and monitoring Chronic Myeloid Leukemia (CML).
What is the cost of the BCR-ABL1 Quantitative test at DNA Labs India?
The test costs INR 9000, which includes home sample collection and report delivery. This is a discounted price available for online bookings.
What is the difference between p210, p190, and p230 BCR-ABL1?
These are different breakpoint variants of the BCR-ABL1 fusion gene. p210 is most common in CML, p190 is often associated with acute lymphoblastic leukemia (ALL), and p230 is rare and linked to chronic neutrophilic leukemia. This test quantifies all three variants.
Do I need to fast before the test?
No, fasting is not required for this test. You can eat and drink normally before sample collection.
How is the sample collected?
A peripheral blood sample is collected from a vein in your arm using a Streck tube (EDTA). The procedure is quick and minimally invasive.
How long does it take to get the results?
Reports are typically available within 2-3 days after the sample is received by the laboratory.
Is a doctor's prescription required for this test?
Yes, a doctor's prescription is mandatory for this test. However, it is not required for surgery or pregnancy cases or for individuals planning to travel abroad.
What is the significance of BCR-ABL1 quantification in CML treatment?
Quantification helps monitor the molecular response to therapy. Decreasing levels indicate effective treatment, while rising levels may signal resistance or relapse, prompting treatment adjustments.
Can this test detect minimal residual disease (MRD)?
Yes, ddPCR is highly sensitive and can detect very low levels of BCR-ABL1 transcripts, making it suitable for MRD monitoring.
Are there any risks associated with the blood draw?
The risks are minimal and include slight bruising, bleeding, or infection at the puncture site. Rarely, some individuals may feel dizzy.
Is home sample collection available?
Yes, DNA Labs India offers free home sample collection for online bookings across many cities in India, including Mumbai, Delhi, Bangalore, Hyderabad, and more.
What should I do if my BCR-ABL1 levels are high?
If your BCR-ABL1 levels are high or rising, consult your oncologist immediately. They may recommend a change in medication or further testing to check for resistance mutations.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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