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SSAT1 Liquid Biopsy Assay

Legacy Platform

A validated, non-invasive urine test measuring elevated SSAT enzyme activity — now focused on glioblastoma treatment monitoring and multi-cancer surveillance.

BioMark's Founding Metabolomics Platform

The SSAT1 assay was BioMark’s original liquid biopsy technology and established the metabolomic science later scaled into the company’s flagship Comprehensive Metabolomics Panel. Patients take a simple, safe oral dose of the FDA-approved drug amantadine, which SSAT converts into N-acetylamantadine — measured in urine by LC-MS/MS. Elevated levels provide an amplified, objective signal of SSAT activity.

Now repositioned: The assay’s primary clinical focus has shifted to glioblastoma (GBM) treatment response assessment and pseudoprogression differentiation, alongside its established role as a multi-cancer surveillance tool.

4-step diagram of BioMark SSAT1 assay showing oral amantadine dose, SSAT enzyme acetylation to N-acetylamantadine, urine sample collection, and LC-MS/MS quantification
How the assay works: SSAT enzyme activity is read out as N-acetylamantadine in urine.

GBM Treatment Response & Pseudoprogression

Up to 20–30% of glioblastoma patients undergoing chemoradiotherapy develop pseudoprogression — a treatment-related inflammatory change on MRI that closely mimics true tumor growth. Conventional imaging alone often cannot reliably distinguish the two within the critical early follow-up window, risking premature treatment changes.

The legacy SSAT1 assay offers an objective, urine-based biochemical signal that tracks real metabolic tumor activity rather than relying on structural imaging alone — helping clinicians differentiate genuine progression from pseudoprogression and monitor how well treatment is working over time.

Illustrative schematic. Similar-looking MRI lesions, different metabolic signals.

Diagram comparing glioblastoma MRI scans with urine SSAT biomarker levels: low SSAT signal indicates treatment pseudoprogression, while elevated SSAT signal indicates true tumor progression.

A Broad Multi-Cancer Surveillance Tool

SSAT enzyme elevation has been documented across numerous cancer types — including lung, breast, prostate, gastrointestinal, and head and neck cancers — supporting its use as a broad surveillance biomarker rather than a single-cancer diagnostic. This makes the assay well suited for monitoring high-risk or previously treated patients over time.

GBM treatment monitoring:

Helps distinguish true tumor progression from pseudoprogression during and after chemoradiotherapy.

Multi-cancer surveillance:

SSAT elevation is documented in lung, breast, prostate, GI, and head and neck cancers.

Recurrence monitoring:

Detects rising SSAT activity that may signal disease return in previously treated patients.

Foundational platform:

Established the metabolomic science later scaled into BioMark's flagship Comprehensive Metabolomics Panel.

Line graph illustrating serial monitoring of relative urinary SSAT signal over 33 months after cancer treatment, showing a rising signal crossing the follow-up threshold.

The flagship Comprehensive Metabolomics Panel (CMP), a liquid biopsy-based test with AI-driven analysis, is on track for commercial launch following ISO 15189 accreditation.

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