To ensure that a patient’s test is billed to their 2024 health benefits, testing must be started before the end of the year. For exome, genome, or Xpanded testing, if you do not expect parental samples to be received before the end of the year, please contact us at support@genedx.com to determine how to proceed.

The current state

Newborn screening in the United States varies from state to state, with Federal guidelines recommending testing for 37 conditions. Implemented over 30 years ago, this testing looks for biomarkers—measurable changes in the baby’s blood that indicate the baby may have a disorder.  

Yet there are hundreds of disorders that lack biomarkers. Newborns with these conditions are routinely missed by today’s newborn screening, leading to months or years of unexplained symptoms and, in some cases, irreversible harm.

Ensuring all children have the best chance of a healthy life from birth

By diagnosing children at birth through genome sequencing instead, it’s possible to start treatment before their symptoms appear. Before the disease progresses or causes irreversible damage. Before they need to undergo invasive test after test. Before their family spends days and weeks in the hospital, not knowing why—or what the future might hold.

Bringing comprehensive and equitable screening to all newborns

Bringing comprehensive and equitable screening to all newborns: GUARDIAN (Genomic Uniform-screening Against Rare Diseases In All Newborns) study. Using GeneDx genome sequencing, the study is screening 100,000 newborns for more than 400 genetic conditions not currently included in standard newborn screening. It is sponsored by Columbia University Irving Medical Center in partnership with New York-Presbyterian, the New York State Department of Health and Illumina.

The Journal of the American Medical Association spotlights the initial results

GUARDIAN results are already showing a significant gap in today’s standard newborn screening, showcasing strong evidence to support the expansion of newborn screening with genomic sequencing.

Key findings:
• Of the 4,000 newborns screened using GeneDx genome sequencing, 3.7% had positive screenings. The majority of those would not have been picked up by traditional newborn screening today.

• Early diagnosis for conditions like long QT syndrome and Wilson disease which are not included in today’s standard newborn screening, resulted in life-saving treatments.

• 72% of families approached for the study consented to participate, showing wide acceptance for more advanced and modernized newborn screening. What’s more, the majority (90.6%) of families also requested inclusion of screening for optional neurodevelopmental disorders, suggesting most parents are interested in screening for diseases beyond the traditional newborn screening definition of actionability.

Watch our on-demand webinar: A modern approach to newborn screening

The lead investigators from the GUARDIAN study discuss the critical role newborn screening plays in early diagnosis and intervention, plus the latest on genome-based newborn screening.

Featured speakers:

  • Wendy Chung, M.D., Ph.D., GUARDIAN’s principal investigator
  • Paul Kruszka, MD, FACMG, Chief Medical Officer at GeneDx​
  • Moderated by Nicki Berry SVP & Head of the Americas Region at Illumina

Additional data shows earlier diagnosis for patients—by as much as 8 years

A study presented at the 2024 International Consortium on Newborn Sequencing analyzed how many GeneDx patients could have had a diagnosis at birth had they received genomic newborn screening, rather than getting exome or genome sequencing later in childhood.

The results were staggering: More than 21% of patients would have received a diagnosis right away—in many cases before they even experienced symptoms—with genomic newborn screening. On average, patients would have had answers a full 8 years sooner.

Paving the way for genome sequencing in conjunction with newborn screening

Thanks to GeneDx, more than 15,000 newborns have received genomic newborn screening. That’s more than any other commercial laboratory. This experience gives GeneDx a deep understanding of how to offer this new testing at scale for babies born at hospitals across the United States.

At GeneDx, we’re building a world where any genetic disorder is diagnosed quickly to prevent disease progression and ensure long and healthy lives for all.

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