Define cancer,
one molecule at a time.

Liquid biopsies for advanced cancers with unmatched sensitivity and single-molecule precision.

The most sensitive liquid biopsy for therapy selection.1

Don't miss an opportunity for treatment.

Northstar Select® is the most sensitive liquid biopsy CGP proven to uncover 50%+ more clinically actionable alterations1.

  • 2 to 5x lower LOD (limit of detection) than comparator assays2

  • Covers 84 genes: SNVs, CNAs, and fusions

  • Reduces false-negative reports by 50%1

  • Appropriate for all late-stage solid tumor cancers

  • Fast, comprehensive results3

Stay ahead of cancer with real-time molecular insights.

Northstar Response® is the only tissue-free treatment monitoring test that achieves single-molecule precision.

  • LOD (limit of detection) down to 0.01% tumor fraction4

  • Tracks tumor burden with high precision using QCT technology

  • Measures >2200 cancer-specific methylation loci

  • Real-time insights before imaging5

  • Simple workflow with rapid turnaround time

Clarity at every step,
from therapy selection
to response monitoring.

Unprecedented sensitivity, single-molecule quantification, and cancer-specific methylation insights that drive more confident clinical decisions.

**Alt Text:**

Chart showing cancer patient monitoring over time using two tests: Comprehensive Genomic Profile (top line labeled “SELECT”) and Tumor Methylation Score (bottom line labeled “RESPONSE”). The timeline includes points A (Baseline), B, C, and D. At A, a patient is diagnosed with advanced cancer and a blood sample is collected for both tests. Tumor Methylation Score declines through points B and C, then rises sharply at D, where a warning icon appears. A note at D recommends reconsidering “Northstar Select” to evaluate new treatment options.

Together, Northstar Select and Response bring precision and clarity to the full continuum of care:

Northstar Select

Profile

Uncover clinically actionable genomic alterations. This guides personalized therapy decisions from the outset, all without the need for tissue.

Northstar Response

Monitor

Track tumor burden dynamically and assess treatment effectiveness earlier than traditional imaging, enabling timely adjustments.

Northstar Select + Response

Adapt

Leverage both solutions throughout the treatment journey to make informed, confident decisions — from diagnosis through disease monitoring.

Technology that sees what others miss.

Grounded in rigorous science, with peer-reviewed publications, ongoing clinical research, and a commitment to real-world utility.

Why oncologists trust Northstar:

Quantitative Counting Technology™ (QCT™)

Enables precise, single-molecule measurement of methylated ctDNA molecules. Not just detection, but exact quantification.

Cancer-specific methylation signal

Measures >2200 genomic loci uniquely methylated in cancer cells to assess tumor burden with unmatched sensitivity.

Ultra-sensitive mutation detection

Identifies even low-frequency alterations that may be missed by other tests — expanding the window for action.

Tissue-free, workflow-friendly

All insights come from a simple blood draw. No biopsy required. No added complexity to your practice.

Proven with real-world head-to-head studies and clinical data.

Northstar’s technology is grounded in rigorous science: peer-reviewed publications, ongoing clinical research, and a commitment to real-world utility. While our evidence base is still expanding, our early data speaks volumes.

Powered by BillionToOne

Northstar is part of BillionToOne, a precision diagnostics company unlocking molecular-level insights to improve care for everyone — from prenatal testing to oncology. Together, we’re advancing a new era of accessible, impactful diagnostics.

  • Based on a head-to-head clinical study [Bower, X., et al., JCO 42, 3072-3072(2024)]

  • LOD 95% (Limit of Detection 95%) is defined as the lowest concentration of an analyte in a sample that can be consistently detected with ≥95% probability. Comparator assays have a LOD 95% that ranges from 0.20% -0.40%.

  • Turnaround time is typically within 10 days, from sample receipt to results, internal data on file.

  • Analytical validation data on file

  • Based on real-world clinical case studies

Treat. Monitor. Adapt. with Northstar Select® & Northstar Response®

Liquid Biopsy with More Treatment Options, More Often & Precise, Tissue-Free Treatment Response Monitoring

Ultra-sensitive Liquid Biopsy & Precise Monitoring

SELECT

Therapy Selection

Northstar Select® is a liquid biopsy test that evaluates 84 genes (82 genes for single nucleotide variants (SNVs) / indels, 19 genes for copy number amplification, 5 genes for copy number loss and 9 genes for fusions) using next generation sequencing (NGS). This test can provide insight into what therapies may be appropriate for a patient with stage III or IV cancer.

RESPONSE

Therapy Response Monitoring

Northstar Response® is a tissue-free, NGS-based test that evaluates >500 genomic loci uniquely methylated in cancer cells. The test precisely measures the number of methylated, circulating tumor DNA (ctDNA) molecules in each blood sample, reflecting the patient’s tumor burden. Charting the patient’s methylated ctDNA values over time is indicative of response, progression or stable disease.

Certification

Accreditation and Licensure

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