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OncoPro PD-L1 Circulating Tumor Cells Test

DNA Labs India | ISO 9001:2015 Certified

OncoPro PD-L1 Circulating Tumor Cells Test

Short Name: OncoPro PD-L1 CTC Test

Also known as: PD-L1 Liquid Biopsy Test, Circulating Tumor Cells PD-L1 Expression Test, OncoPro Liquid Biopsy PD-L1 Test, CTC PD-L1 Immunotherapy Eligibility Test

OncoPro PD-L1 Circulating Tumor Cells Test test available at DNA Labs India for ₹52,650. Uses Cell Enrichment and Extraction, Immunocytochemical Staining, Fluorescence Microscopy, PD-L1 Expression Analysis on CTCs on Whole Blood samples. Results in 21 Working Days from the date of sample receipt at the laboratory. Free home collection in 300+ cities across India.

Oncologist OrderedAdults🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of the OncoPro PD-L1 Circulating Tumor Cells Test is to detect and quantify circulating tumor cells in the blood and assess PD-L1 protein expression on these cells. This information is used by oncologists to guide immunotherapy treatment decisions. High PD-L1 expression on CTCs may indicate that a patient is more likely to respond to immune checkpoint inhibitor therapy. The test also serves as a non-invasive method to monitor disease progression, assess treatment response, and detect changes in PD-L1 status over time without the need for repeated tissue biopsies.

Test Code
43
CPT Code
81479
ICD Code
D49.9
Price
₹52,650
Sample Type
Whole Blood
Result Time
21 Working Days from the date of sample receipt at the laboratory
Fasting Required
No
Method
Cell Enrichment and Extraction, Immunocytochemical Staining, Fluorescence Microscopy, PD-L1 Expression Analysis on CTCs
Step 1

Sample Collection

Ensure the OncoPro Liquid Biopsy Clinical Information Form (Form 32) is duly filled with all required clinical details. No fasting is required. Obtain the OncoPro sample collection kit from LPL in advance. Verify that the preservative supplied in the kit is available and not expired.

Method: Venipuncture

Step 2

Laboratory Analysis

Collect 8 mL of whole blood via standard venipuncture into the Lavender Top (EDTA) tube provided in the OncoPro sample collection kit. Immediately after collection, add the preservative supplied in the kit to the EDTA tube using a sterile syringe and needle as directed in the kit instructions. Gently invert the tube several times to ensure adequate mixing.

Step 3

Report Delivery

Label the tube with the patient's details and ship the sample immediately at 18–22 °C (room temperature). Do NOT refrigerate or freeze the sample. The sample is stable at room temperature for up to 72 hours. Ensure Form 32 accompanies the sample during shipment.

Timeline: 21 Working Days from the date of sample receipt at the laboratory

Patient Instructions

1
Before the Test:No fasting is required before the OncoPro PD-L1 Circulating Tumor Cells Test. The patient or the treating physician must ensure that the OncoPro Liquid Biopsy Clinical Information Form (Form 32) is fully completed prior to sample collection. The OncoPro sample collection kit from LPL must be obtained in advance and verified for the presence of the preservative solution and the Lavender Top (EDTA) tube.
2
During the Test:The test involves a standard blood draw (venipuncture). Approximately 8 mL of blood is collected into the Lavender Top (EDTA) tube provided in the OncoPro kit. Immediately after collection, the preservative from the kit is added to the tube using a syringe and needle. The tube is gently inverted several times to ensure mixing. The procedure typically takes less than 10 minutes.
3
After the Test:After the blood draw, pressure is applied to the puncture site with a cotton ball or gauze for a few minutes. The sample is labeled, placed in the kit packaging, and shipped immediately at room temperature (18–22 °C). No restrictions on normal activities are required after the blood draw. Results are typically available within 21 working days.

About This Test

Who Should Get This Test

The primary purpose of the OncoPro PD-L1 Circulating Tumor Cells Test is to detect and quantify circulating tumor cells in the blood and assess PD-L1 protein expression on these cells. This information is used by oncologists to guide immunotherapy treatment decisions. High PD-L1 expression on CTCs may indicate that a patient is more likely to respond to immune checkpoint inhibitor therapy. The test also serves as a non-invasive method to monitor disease progression, assess treatment response, and detect changes in PD-L1 status over time without the need for repeated tissue biopsies.

How to Prepare

  • Use only the Lavender Top (EDTA) tube provided in the OncoPro sample collection kit from LPL
  • Collect 8 mL of whole blood by venipuncture
  • Immediately add the preservative from the kit into the EDTA tube using a syringe and needle
  • Invert the tube gently 8–10 times to mix
  • Do NOT refrigerate or freeze the sample at any point
  • Ship the sample immediately at 18–22 °C (room temperature)
  • Ensure the sample reaches the laboratory within 72 hours of collection
  • Attach the completed OncoPro Liquid Biopsy Clinical Information Form (Form 32) with the sample

Doctor's Notes

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

"The OncoPro PD-L1 CTC test is a valuable adjunct in our immunotherapy decision-making workflow. For patients who are not candidates for tissue biopsy or where repeated tissue sampling is impractical, this liquid biopsy approach allows us to assess PD-L1 status in real time from a simple blood draw. It is particularly useful for monitoring changes in PD-L1 expression during the course of treatment, which can guide therapy modifications. However, this test should always be interpreted alongside clinical findings, imaging studies, and other laboratory results. It does not replace tissue biopsy where one can be safely performed, but it offers important complementary information."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole Blood
Sample Volume8 mL
ContainerLavender Top (EDTA) tube in OncoPro sample collection kit from LPL
Collection MethodVenipuncture

Sample Stability

Room Temperature (18–22 °C)72 Hours
Refrigerated (2–8 °C)Not Applicable
Frozen (Below 0 °C)Not Applicable
Sample Rejection Criteria:
  • Sample received without the mandatory OncoPro Liquid Biopsy Clinical Information Form (Form 32)
  • Sample received refrigerated or frozen
  • Sample collected in an incorrect tube or container not from the OncoPro kit
  • Sample received more than 72 hours after collection
  • Sample with visible clotting or hemolysis
  • Insufficient sample volume (less than 8 mL)
  • Missing or illegible patient identification on the tube

Understanding Your Results

The OncoPro PD-L1 Circulating Tumor Cells Test results provide information on the presence and quantity of circulating tumor cells (CTCs) in the blood, as well as the level of PD-L1 protein expression on those cells. These results are interpreted by the treating oncologist in conjunction with the patient's clinical history, cancer type, disease stage, imaging findings, and other laboratory investigations. The following is a general guide to understanding the results.
📊

Low circulating tumor cell burden with no detectable PD-L1 expression. This may suggest lower tumor activity and is generally considered a more favorable prognostic indicator. Immunotherapy may not be indicated based on PD-L1 status alone; clinical correlation is essential.

📊

Low circulating tumor cell burden with detectable PD-L1 expression. The presence of PD-L1, even at low CTC counts, may suggest potential eligibility for immune checkpoint inhibitor therapy. Consult your oncologist for a comprehensive treatment evaluation.

📊

Elevated circulating tumor cell burden without detectable PD-L1 expression. A higher CTC count is associated with advanced disease and poorer prognosis. Absence of PD-L1 may suggest limited benefit from anti-PD-1/PD-L1 monotherapy, though combination strategies may be considered. Urgent oncological consultation is advised.

📊

Elevated circulating tumor cell burden with detectable PD-L1 expression. This indicates active disease with immune checkpoint marker expression. The patient may be a candidate for immune checkpoint inhibitor therapy. Close monitoring and oncological consultation are essential.

⚠️ When to Consult a Doctor:

You should consult your oncologist if your test results show any detectable circulating tumor cells or positive PD-L1 expression. Additionally, consult your doctor if you are experiencing symptoms such as unexplained weight loss, persistent fatigue, unexplained pain, unusual bleeding or discharge, difficulty swallowing, changes in bowel or bladder habits, chronic cough, or hoarseness. This test should always be ordered by and discussed with a qualified oncologist who can integrate the findings with your complete clinical picture.

Limitations

  • This test is intended as an adjunct to clinical evaluation and does not replace tissue biopsy where it can be safely performed
  • A negative PD-L1 result on CTCs does not definitively exclude the possibility of response to immunotherapy
  • A positive PD-L1 result does not guarantee a response to immune checkpoint inhibitor therapy
  • CTC detection rates may vary depending on cancer type, stage, and tumor biology
  • This test is not validated for all cancer types and should be ordered and interpreted by a qualified oncologist
  • Results should be interpreted alongside clinical findings, imaging, and other laboratory investigations

Risks & Considerations

  • Mild discomfort or bruising at the venipuncture site
  • Rare risk of minor bleeding or infection at the needle puncture point
  • Fainting or lightheadedness in individuals sensitive to blood draws
  • No significant medical risks beyond those associated with a routine blood draw

Interfering Factors

  • Delay in sample processing or shipping beyond the 72-hour room temperature stability window may compromise cell integrity and result accuracy
  • Failure to add the preservative supplied in the OncoPro kit to the EDTA tube prior to sample collection
  • Refrigeration or freezing of the sample, which is explicitly contraindicated
  • Incomplete clinical information on the mandatory Form 32 may delay processing
  • Certain benign conditions or recent invasive procedures may rarely result in the presence of non-malignant epithelial cells in the blood

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Frequently Asked Questions

What is the OncoPro PD-L1 Circulating Tumor Cells Test?
The OncoPro PD-L1 Circulating Tumor Cells Test is a liquid biopsy blood test that detects circulating tumor cells (CTCs) in the bloodstream and evaluates PD-L1 protein expression on those cells. This information helps oncologists determine whether a patient may respond to immunotherapy (immune checkpoint inhibitor therapy). It is a non-invasive alternative or complement to tissue biopsy.
What are circulating tumor cells (CTCs)?
Circulating tumor cells (CTCs) are cancer cells that have detached from the primary tumor or metastatic sites and entered the bloodstream. Detecting and analyzing these cells provides valuable information about the tumor's biology, including its ability to spread, its molecular characteristics, and its susceptibility to certain treatments, without the need for an invasive tissue biopsy.
What does PD-L1 expression mean?
PD-L1 (Programmed Death-Ligand 1) is a protein found on the surface of some cancer cells. It helps tumors evade the immune system by binding to PD-1 receptors on T-cells, effectively switching off the immune response against cancer. High PD-L1 expression may indicate that a patient is more likely to benefit from immune checkpoint inhibitor drugs that block this interaction.
Who should take this test?
This test is recommended for patients with a confirmed or suspected cancer diagnosis who are being evaluated for immunotherapy eligibility. It is also useful when tissue biopsy is not feasible, for monitoring treatment response, or for assessing changes in PD-L1 status over time. The test must be ordered by a qualified oncologist.
How is the blood sample collected for this test?
A standard venipuncture blood draw is performed to collect 8 mL of whole blood into the Lavender Top (EDTA) tube provided in the OncoPro sample collection kit from LPL. After collection, a preservative from the kit is added to the tube using a syringe and needle, and the tube is gently inverted to mix. The sample is then shipped at room temperature (18–22 °C) without refrigeration or freezing.
Is fasting required before this test?
No, fasting is not required before the OncoPro PD-L1 Circulating Tumor Cells Test. However, the OncoPro Liquid Biopsy Clinical Information Form (Form 32) must be duly completed and submitted along with the sample.
How long does it take to get the results?
Results of the OncoPro PD-L1 Circulating Tumor Cells Test are typically available within 21 working days from the date the sample is received at the laboratory. Reports can be accessed via the online portal, email, or WhatsApp.
What is the cost of the OncoPro PD-L1 Circulating Tumor Cells Test?
The cost of the OncoPro PD-L1 Circulating Tumor Cells Test at DNA Labs India is Rs 52650.0. This includes free home sample collection for online bookings across India. Please contact DNA Labs India or your healthcare provider for the most current pricing information.
Can this test replace a tissue biopsy?
The OncoPro PD-L1 CTC test is designed as a complementary tool and is not intended to replace tissue biopsy where it can be safely performed. Tissue biopsy remains the gold standard for cancer diagnosis and PD-L1 assessment. However, this liquid biopsy test is valuable when tissue biopsy is not feasible, when repeated monitoring is needed, or for additional information beyond what the tissue biopsy provides.
What does it mean if my PD-L1 result is positive?
A positive PD-L1 result means that PD-L1 protein expression was detected on your circulating tumor cells. This may suggest that you could potentially benefit from immune checkpoint inhibitor therapy. However, a positive result does not guarantee a response to treatment, and the decision to proceed with immunotherapy will be made by your oncologist based on your complete clinical picture, cancer type, and other factors.
What does it mean if my PD-L1 result is negative?
A negative PD-L1 result means that no significant PD-L1 protein expression was detected on your circulating tumor cells. This may suggest lower likelihood of response to anti-PD-1/PD-L1 monotherapy, although it does not absolutely exclude the possibility. Your oncologist will consider all available clinical information to determine the most appropriate treatment plan.
Is the OncoPro PD-L1 CTC Test painful or risky?
The test involves a routine blood draw, which is generally well tolerated. You may experience mild discomfort, slight bruising, or lightheadedness at the time of venipuncture, but these effects are temporary. There are no significant risks beyond those associated with any standard blood collection procedure. No special precautions or recovery time are needed after the test.
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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