Project funded by France 2030

A ctDNA bioinformatics pipeline for precision oncology

Sycomia runs applied research on liquid biopsy: a multi-platform pipeline that analyzes circulating tumor DNA (ctDNA), at the intersection of genomics and artificial intelligence.

Liquid biopsy: a blood sample is taken from a patient, then circulating tumor DNA is analyzed

Why liquid biopsy?

Cancer remains one of the most pressing public health challenges of our time. While therapies keep improving, diagnosis and therapeutic monitoring still fall short: too invasive, too late and not informative enough at the molecular level. Conventional methods such as tumor biopsy or medical imaging cannot identify minimal residual disease, the small population of surviving tumor cells that signals an impending relapse.

Liquid biopsy changes the equation. By analyzing circulating tumor DNA from a simple blood draw, it becomes possible to:

  • Detect cancer earlier

    Spot tumor signals in the blood at an earlier stage.

  • Monitor treatment response

    Follow the response to treatment in real time, without a new tissue biopsy.

  • Anticipate relapse

    Identify a relapse before it becomes clinically apparent.

Our ctDNA bioinformatics pipeline

A modular, containerized pipeline that natively integrates the three major sequencing technologies and an artificial intelligence layer, to turn raw data into clinically actionable results.

  1. Blood sample

    Plasma from a simple blood draw

  2. Sequencing

    Short reads and long reads

  3. AI analysis

    Multimodal signal fusion

  4. Clinical report

    Structured, actionable results

Three complementary sequencing technologies

  • Short reads + UMI

    Illumina

    Unique Molecular Identifiers for ultra-sensitive detection of point mutations.

  • Long reads

    Oxford Nanopore

    Direct detection of structural variants, gene fusions and chromosomal rearrangements, with native reading of DNA methylation.

  • Long reads

    PacBio HiFi

    Highly accurate long reads for structural variants and epigenetic modifications, read directly on the same molecules.

Artificial intelligence at every step

Long reads provide genomic and epigenomic information from the same molecules, a capability out of reach for single-technology approaches. Our AI models build on this to deliver:

  • Multimodal signal fusion
  • Better signal-to-noise discrimination in complex genomic regions
  • Cancer classification with enhanced sensitivity
  • Tissue-of-origin prediction
  • Treatment efficacy assessment

What sets our approach apart

Current ctDNA solutions rely on a single technology and closed gene panels. Sycomia takes a fundamentally different approach: platform-agnostic, multi-technology and open.

Current solutionsOur pipeline
Sequencing Short reads (Illumina) only Illumina, Oxford Nanopore and PacBio HiFi
Targets Proprietary panels limited to a few dozen genes Open to any sequencing data, whatever its origin
Information Genomic Genomic and epigenomic, from the same molecules

Where the project stands

The pipeline is in active development, in three stages:

  1. Proof of concept

    Technical validation on public reference datasets.

  2. Pilot validation

    Validation on 20 to 30 pilot samples.

  3. AI integration

    AI models for multimodal analysis and automated report generation.

Performance targets

0.01 %variant allele frequency (VAF) detection sensitivity

< 0.1 %false positive rate

Let's build it together

Because our pipeline is open to any sequencing data, we work alongside sequencing laboratories rather than competing with them. We are looking for partners across the whole ecosystem:

  • Hospitals
  • Academic research centers
  • CROs
  • Biotech companies
  • Sequencing laboratories

France 2030 logo This project is funded by the French government as part of France 2030.

Interested in ctDNA analysis?

Clinical team, laboratory or biotech: tell us about your project and let's see how we can work together.