RE: Genedrive® MT-RNR1 ID should be selling like hot cakes.6 Aug 2025 22:37
Sorry posting again in one go so it’s easier to read…
All HASU's will need to use the Genedrive POC, plus other units whose lab can't reliable meet the less than 24hr TAT.
Lab CYP2C19 genotyping takes 1–14 days (average 6 days)—far longer than the therapeutic timelines in the 2023 National Stroke Guideline, which calls for dual antiplatelet therapy within 24 h of symptom onset.
Who needs point‑of‑care (POC):
• Hyper‑acute stroke units (HASUs): work to a door‑to‑needle goal of less than 1 h, so only a bedside test such as Genedrive’s ~70 min cartridge can influence the first dose.
• Acute Stroke Units (ASUs) and network “spoke” hospitals: must still start clopidogrel less than 24 h; if their regional lab cannot guarantee that turnaround they will also need POC to avoid treatment delays or repeat admissions.
• Integrated Stroke Delivery Networks (ISDNs): commissioners are expected to mandate POC at any site whose lab pathway fails audit against the 24‑hour KPI.
With DG59 now moving through NHS England’s national‑commissioning gateway, centrally funded cartridges will make POC clinically necessary and budget‑neutral. Early adopters will hit quality metrics first, while centres sticking with slow lab workflows face retesting costs and potential KPI penalties.