The LRNAdx Liquid Biopsy detects cancer earlier than any other test – with 20,813 gene and transcribed RNA panel.
One simple blood test is all you need.
The LRNAdx Liquid Biopsy detects cancer earlier than any other test – even before solid tumors form.

One of the most accurate and non-invasive exosome-based RNA expression tests in the world.
Liquid Biopsy Labs' LRNAdx Liquid Biopsy is one of the most thorough and accurate liquid biopsies, using blood, for cancer detection and monitoring, using Exosomal RNA expression, in the world today.
Tests for cancer-related molecular markers, including the latest genetic and epigenetic markers, with 95% accuracy.
Can detect cancer in the body before actual tumors have formed, using a 20,813 gene and transcribed RNA panel.
Validated across all types of solid and hematological malignancies (data not validated in Central Nervous System malignancies), with more being identified through current studies, making it the most effective early cancer detection and treatment monitoring test across multiple cancers.
Used for three distinct purposes:
Early detection of cancer and cancer recurrence
Screening for cancer in asymptomatic cases or when there is a family history of cancer
Cancer treatment efficacy monitoring
The world's only exosomal-based expression test for early cancer detection.
Non-Invasive Sampling: Using blood sample (plasma).
Real-Time Monitoring: Enables frequent sampling to track disease evolution and therapeutic response.
Reflects Tumor Heterogeneity: Captures cargo from different tumor clones, including metastatic and therapy-resistant cells.
High Stability: Exosomes are shed from normal and cancer cells into biological fluids, where their membranes protect RNA from degradation and enable efficient recovery.
Early Molecular Signatures: Detects cancer-specific changes before they manifest through imaging or clinical symptoms.
Potential for Personalized Medicine: Guides treatment selection and adjustment based on molecular feedback.








Liquid Biopsy Labs' LRNAdx Liquid Biopsy (using blood) only tests for active cancer cells.
Other cancer-related liquid biopsies use circulating tumor-DNA (ct-DNA).
None of the other ctDNA tests can differentiate between dead cells and active cancer cells.
This is why the accuracy rate of ct-DNA-based tests is so low.
This is also why you have to wait months after treatment and surgeries to use their tests: They can’t differentiate cells that are dead from treatment and cells that are live and still indicative of active disease.
Please note: This test is not a replacement for diagnostic imaging and is not to be used for diagnosing diseases. All results must be confirmed with certified diagnostic imaging.
This is a adjunctive test to be used in conjunction with available imaging tests and other cancer related biomarker tests, along with clinical correlation. This is not a standalone test and is not a replacement of existing standard diagnostic/monitoring tests or blood tests or any other acceptable regulatory cleared tests.
In this educational video, you'll see Precision Cancer Medicine Educator & Advocate, Michelle Morand, explain why wait times in Canada are currently out of control and creating harmful consequences for patients across the country.
One of our primary aims at CTOAM and Liquid Biopsy Labs is to provide patients in Canada with better options for detecting cancer early and getting an accurate diagnosis as soon as possible – because this is truly the very best thing you can do to increase your chances of treatment success and long-term remission.
When it comes to cancer, time is critical. Early detection greatly increases the chances of successful treatment and long-term remission.
One LRNAdx Liquid Biopsy is all it takes to know whether cancer is present – with 95% accuracy – and if so, what the molecular profile of your cancer is.
Standard diagnostics like CT scans are too slow and often produce faulty results. They require at least two separate scans for comparison, often spaced months apart, plus additional waiting time for results – and often produce a false positive or false negative.
"Early diagnosis leads to higher survival and less morbidity; delays mean lower survival, more treatment problems, and higher costs."
Imaging only sees down to 0.5 cm and lack sufficient detail. This leads many imaging tools result in a “watch and wait” protocol for the patient – in part due to insufficient detail and precision in the image itself, and in part because many imaging tools (including CT scans) rely on comparison to determine results, meaning months of waiting between scans.
The LRNAdx liquid biopsy helps to clarify unclear imaging results, nearly immediately, with exceptional precision.
The following chart shows the survival rates from a Canadian study on national stage-specific 5-year net survival rates (2010–2017, Canada excl. QC).

This study shows that early detection makes a dramatic difference in outcomes. Across cancers, 5-year survival is generally over 92% when found early, but falls steeply with advancing stage.
Canada is facing a nationwide shortage of doctors and nurses, creating significant delays in diagnosis.

Canada is facing a nationwide shortage of doctors and nurses, creating significant delays in diagnosis.
Patients across the country are often forced to wait many months – sometimes years – for an accurate cancer diagnosis.
Long diagnostic wait times can mean weeks or months of uncertainty, which is both stressful and dangerous if cancer is present.
Delayed diagnosis increases the risk of more advanced disease and fewer treatment options.

In standard care, it can take up to 18 months from the start of testing to beginning treatment – and, even then, diagnoses are often inaccurate or (at the very least) incomplete, lacking the detail needed to identify all possible treatment options.
With our approach, the entire process takes just 2 months. In that time, you’ll receive
LRNAdx liquid biopsy to confirm whether cancer is present
PET-CT scan for precise detection and staging
Tumor DNA sequencing (550+ gene panel) to fully understand your cancer’s molecular profile
Personalized treatment recommendations – proven, leading options from around the world matched to your cancer’s unique features
This faster, more detailed process often detects cancer at an earlier stage (likely Stage 1), dramatically improving treatment success – instead of allowing the disease time to progress to a more advanced stage.
1. Anyone who wants to know if they have active cancer, anywhere in the body, within 3 weeks – even before actual solid tumours have formed, and with uAccuracy 91.7% (95% CI: 84.7% – 98.7%), uSensitivity = 96.10% (95% CI: 90.4% – 100%), and uSpecificity = 72.7% (95% CI: 46.4% – 99.0%).
2. Cancer patients and their doctors who want the most thorough and highly accurate treatment monitoring.
3. Patients who are in remission and want to ensure they are still cancer free.

The LRNAdx Blood Test
Including a detailed and easy-to-understand results report and delivery consultation
You receive:
- Onboarding call from our team
- LRNAdx Blood Test
- Test Kit and blood draw
- Phase 1: Preparing the RNA for Next-Generation-Sequencing (performed by our lab team of molecular scientists and genetics specialists)
- Phase 2: NGS process looking at 20,813 genes (performed by our lab team of molecular scientists and genetics specialists)
- Written results report that you can show your doctor
- Delivery consultation
Fee: $3,500.00 CAD + GST

Within four weeks.
From the time we initiate testing to your final LRNAdx Test results report and delivery consultation, the entire process takes approximately four weeks.
Timeline breakdown
- Week 1: Coordination of your blood draw (LRNAdx Test Kit shipment and coordination of blood draw – subject to your availability and location)
- Weeks 2, 3, 4: From the time your sample arrives at our Vancouver NGS Lab, this is the time that is required for our team to process your sample and analyze your results.
- Week 4: Your results report and delivery consult for next steps

For best results, patients should not be on treatment when the blood is drawn; a 2-3 week window is ideal.
This is usually not a concern for most patients, because most standard-of-care protocols provide a 2-3 week break between treatment rounds.
However, if you are not able to have a short treatment break, we can still provide an accurate and thorough result for you if you notify us about the treatment you are on.

What You Can Expect
1. After you complete your intake form, our team will call you
Our team will contact you within 24 business hours (M-F) after you submit your intake form. There is an additional short form for you to fill out further details. We will ensure that any questions you have are answered and that the process is clear.
2. You receive an LRNAdx Test Kit by mail
Our team will arrange for an LRNAdx Test Kit to be shipped to you via mail.
3. A lab tech visits you at home for your blood draw
We will arrange for a laboratory technician to visit you to collect two vials of blood for testing. The laboratory technician will contact you directly to schedule the blood draw appointment at your place of residence.
4. Your blood sample is shipped to our Vancouver lab
Following your blood draw, your sample will be shipped to our next-generation sequencing lab in Vancouver, BC, Canada. This is where the first part of the process happens – including exosome separation and RNA isolation, purification, and conversion to cDNA for sequencing.
5. We analyze your LRNAdx Test results through our NGS technology
Our lab team then uses our state-of-the-art genetic sequencing technology to identify:
a) If molecular features involved in active cancer processes (i.e. metastasis) are present in your body
b) And, if so, to what extent and which markers are driving your cancer.
6. You receive your LRNAdx Test results
Within three weeks of our lab receiving your sample, your results will be presented to you in a detailed and easy-to-understand report from our team.
7. Further support and consultation is available, as needed
If your results indicate cancer activity that you were not aware of, and/or you would like to discuss treatment options based on the molecular features that we have identified through your LRNAdx Liquid Biopsy, our team of oncogenomic experts is standing by to help. They can provided you with a Complete Treatment Options Review – please note that additional fees apply for this.

If your results indicate cancer activity that you were not aware of, and/or you would like to discuss treatment options based on the molecular features that we have identified through your LRNAdx Liquid Biopsy, our team of oncogenomic experts is standing by to help. They can provided you with a Precision Second Opinion: Complete Treatment Options Review – please note that additional fees apply for this. See below.
Additional support: Precision Second Opinion
If you would like to optimize the use of your LRNAdx Test results, we offer a Precision Second Opinion.
You receive:
- Collection and organization of your medical records
- Full medical records review
- Personalized research by our team of molecular scientists and genetics specialists
- Complete treatment options review (treatment recommendations proven to be more effective than your current treatment, based on the LRNAdx results of your cancer's molecular features)
Additional fee: $1497.00 + GST
You can add this to your test program and arrange to receive your Precision Second Opinion & Complete Treatment Options Review to coincide with your LRNAdx Test results.
Further support and consultation is available, as needed.

When it comes to cancer testing, the difference between tests can be literally life-changing.
Most liquid biopsies on the market today are DNA-based, looking only at a small slice of cancer-related genes.
In contrast, LRNAdx is the first oncology test that uses epigenetic regulation to detect early cancer activity.
This means it doesn’t just capture static DNA mutations – it reveals real-time cancer activity across cancer-related molecular markers, including the latest genetic and epigenetic markers.
That’s why LRNAdx liquid biopsy analyzes an unprecedented 20,813 genes, compared to just 744 for the next closest test. And, unlike other tests, the LRNAdx does not just detect the presence or absence of a marker but it also determines the level it is expressed relative to all human tissues.
For patients, this translates into earlier detection, faster clarity, and the most comprehensive insight available into what’s really happening in the body.

When it comes to cancer testing, the difference between tests can be literally life-changing.
Cancer doesn’t wait – and neither should you.
With LRNAdx, you can know in just three weeks whether active cancer is present, without the delays and stress of waiting months for traditional diagnostics. Because it’s the most advanced and comprehensive liquid biopsy in existence, LRNAdx gives you and your medical team the information needed to act quickly and confidently.
Request your LRNAdx test today and move forward with answers and clarity.
In Canada’s standard healthcare system, the genetic testing offered to cancer patients is extremely limited.
Currently, there are over 3,500 known cancer-related molecular markers and mutations – and for many of them, there are already FDA-approved treatments available or promising therapies in development.
The problem? Standard genetic testing typically checks for only 10 to 20 mutations. That’s 10 or 20 out of a possible 3,500+...as in, far too few to give most patients the complete picture they need.
By contrast, the LRNAdx Liquid Biopsy tests for 20,813 genes and transcribed RNA sequences – almost every known molecular feature in the human body – and looks at the latest genetic and epigenetic markers for cancer.
Too small to be useful for most cancer patients
Do not provide a thorough or accurate diagnosis
Miss potential treatment options
Ignore VUSs (Variants of Unknown Significance)
Fail to account for how mutations interact with each other or influence treatment sensitivity
Often rely on tumor biopsy samples that are mishandled or degraded, leading to faulty results
The takeaway is clear: With standard genetic testing, cancer patients and their doctors do not receive the full picture (not even close!) And without that information, treatment decisions are made largely in the dark.
The LRNAdx Liquid Biopsy removes these blind spots by delivering a thorough genetic profile from the start – and, when paired with a comprehensive tumor DNA sequencing panel (550+ genes), these two tests give you and your medical team the complete knowledge needed to choose the most effective, targeted treatments as quickly as possible.

We know that tumours release exosomes which carry the DNA/RNA and proteins the cancer needs to metastasize, and we know that these exosomes can also convert normal cells into tumour cells, so we need to know if they are present to ensure you get the treatment you need before cancer has a chance to progress.
This test looks to see which of those genes are over-expressed in the exosomes, meaning which genes in your blood are showing up in your blood in higher percentages than they should be when we compare your sample to normal / non-cancerous samples.
With the information this test provides we can zero in on the over-expressed genes that are highly involved in your cancer NOW and identify the level of active cancer in your body, as well as start to point towards the treatments that exist to target the most highly expressed genes.
The LRNAdx Test ensures that patients and doctors have more confidence in which treatment is going to be the most effective; no time wasted and no unnecessary side-effects.
It looks at 20,813 genes found in the exosomes released by tumour cells – all those identified in the widely publicized ‘human genome project’, plus a few thousand genes that have been since identified since.
Given the massive amounts of information and numerous targeted treatment options this testing identifies for each patient, it will not be long before this test is standard-of-care.
In the meantime, we are here to ensure you have the most comprehensive and accurate information from which to make your treatment decisions.
Our team has 60+ combined years in cancer care

About a year after finishing treatment for colorectal cancer, Elena was finally beginning to feel like herself again. Her routine follow-ups had all come back clear, and her doctor reassured her that everything looked good. She was incredibly relieved and back to her usual daily life.
But when a close friend of hers experienced a cancer recurrence, Elena’s peace of mind was shaken.
She started to wonder: Could the same thing happen to me? What if it is, and I just don’t know it?
She brought her concerns to her doctor, but was told additional testing wasn’t needed. The scans and bloodwork showed no signs of trouble.
Still, Elena wanted to be sure. She didn’t like the feeling of concern that kept lingering in the back of her mind each day.
That’s when Elena reached out to our team. We recommended LRNA testing – an advanced molecular test that can detect signals of active cancer at the cellular level (before a tumor even forms!), long before conventional imaging picks it up.
The results were clear: residual cancer activity was still present. Something her routine follow-ups had completely missed.
With this new information, Elena decided to move forward with CTOAM’s Complete Treatment Options Review. Our scientific team used her LRNA results, along with her full medical and genetic profile, to identify the most precise, evidence-based treatment plan available – customized just for her.
We coordinated everything, so she could begin the right targeted therapy immediately. That quick action made all the difference.
Today, Elena is in remission – confident that she made the right choice to go beyond standard care.
Her story is a powerful reminder: even when routine tests say you're fine, molecular insight can reveal the truth – and save lives.

About a year after her second surgery for sarcoma, Rachel was starting to feel like life was getting back to normal. Her mid-2024 scan had come back clear, and her doctors were confident that things were on track.
But during a follow-up CT scan months later, something concerning appeared: new lesions on her shoulder and rib. A bone scan confirmed the spots, but they were dismissed as likely arthritis. She was referred to a neurosurgeon, but after a brief consultation, there was no real follow-up or plan – just a suggestion to watch and wait.
Rachel wasn’t comfortable with that – so she contacted our team.
Because sarcomas are often hard to detect with standard imaging, especially if they’re slow-growing or not PET-avid, we took a different approach. While Michelle pushed for a PET-CT scan, she also arranged an LRNA test – an advanced molecular test designed to detect signs of active cancer at the cellular level, even when scans appear normal.
The results confirmed what imaging hadn’t clearly shown: there was significant cancer activity still present in Rachel’s body.
With this new information in hand, and with the PET-CT now showing clearer signs as well, her doctor referred her to a sarcoma specialist. Within just a few days, she was scheduled for urgent, life-saving surgery to remove a spinal lesion that could have led to paralysis if left untreated.
And the impact of the LRNA test didn’t stop there.
After surgery, our team used Rachel’s molecular profile to develop a personalized, targeted treatment plan, based on the most current scientific evidence – giving her the best possible chance at a full recovery.
Today, Rachel is healing well and continuing treatment tailored to the unique biology of her cancer. She is grateful for the advancements in molecular testing and for listening to her intuition to reach out to our team.

STEP 1
Fill Out the Intake Form
You can order the LRNAdx Liquid Biopsy directly from CTOAM or Liquid Biopsy Labs.
Just fill out the intake form, and our team will get things started.
You do not need a doctor to order this test.

STEP 2
Your Test Kit is Shipped to You
We will arrange for a test kit to be shipped to you and for a laboratory technician to visit you for the blood draw.
The laboratory technician will contact you directly to schedule the blood draw appointment at your home.

STEP 3
Your Blood Draw Happens
You will be visited by the lab tech at the time of your appointment.
They will follow the instructions on the LRNAdx Test Kit and draw two vials of blood. They will prepare the Test Kit for shipping.

STEP 4
Your Sample is Sent to our Lab
Your sample will be shipped to our next-generation sequencing lab in Vancouver, BC, Canada.
This is where the first part of the process for sequencing happens: exosome separation and RNA isolation, purification, and conversion to cDNA.

STEP 5
We Conduct the Test and Analysis
Our lab team will use our genetic sequencing technology to identify if active cancer is present.
And, if so, to what extent it is present and which genetic mutations (out of a possible 20,813 genes) are driving your cancer.

STEP 6
What Happens After Your Results
You will receive your results in a detailed report, within 3 weeks of our lab receiving your sample.
If your results show active cancer, and/or you would like to discuss treatment options, our team of oncogenomic experts is standing by to help. (Additional fees apply.)
Liquid Biopsy Labs and Cancer Treatment Options and Management have been leaders in the world of precision cancer medicine diagnostics, personalized research, molecular targeted treatment plan design, and cancer care advocacy for over 15 years.
That trend continues with the development of Liquid Biopsy Labs' LRNAdx Liquid Biopsy – most thorough and accurate tool for blood-based cancer diagnostics and treatment monitoring, as well as early detection of cancer recurrence, using RNA expression, in the world.
Liquid Biopsy Labs is the only company in the world providing this comprehensive, blood-based RNA over-expression testing of tumor-derived exosomes.
We have helped thousands of patients in Canada and around the world have a more beneficial outcome from their cancer care and live longer, healthier lives





Our team has 60+ combined years in cancer care

Annette F.
Stage 4 survivor, now cancer-free for 8+ years
“We have only good things to say about CTOAM. Alex was just so positive and we enjoyed our phone calls with him because after we talked to him, we were like, okay we can do this! You know, I want the person who knows the most about cancer to be managing my case. And Alex is that person. In 2015 I was diagnosed with stage 4 cancer and I didn't know if I'd be able to see my first daughter graduate highschool. Now it's 8 years later and I was able to do that! And I'm still in long-term remission."

Elke D.
Stage 3 survivor, cancer-free for 4+ years
“I’m thankful to CTOAM for all I’ve learned about cancer and have recommended you to many friends. I had a couple phone consults with Alex two years ago. As a result of his suggestions I asked for a biopsy and genetic analysis and targeted treatment. Fortunately I met the criteria for immunotherapy which has been very effective in treating my lung cancer for the past couple years. My latest scan shows no tumours and I’m off treatment now. I wish I had discovered and trusted CTOAM sooner."

Korey H.
Stage 4 survivor, now living an excellent quality of life for 5+ years
"For a lot of people, I think the route with Alex is sort of a must. I trusted him wholly right away. He shows you the science behind everything and then it’s up to you to decide what you want to do. He goes along with your choices, never forces anything on you. I wished I’d known about CTOAM a lot sooner and talked to you years ago. But thankfully it all worked out. Without Alex, I wouldn't have gotten the immunotherapy and then I'd still be on chemo. Or worse."
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Office: We serve patients worldwide. Our headquarters is in Vancouver, BC, Canada.
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Email: admin@ctoam.com
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