IP Library Granted Patent US 12,391,978
Granted Patent B2
US 12,391,978 · App. 18/045,927 · Granted Aug 19, 2025

Real time cleavage assay

Inventors: Rebecca Oldham-Haltom (Marshall, WI); Hongzhi Zou (Middleton, WI); Graham P. Lidgard (Madison, WI); Michael J. Domanico (Middleton, WI); Hatim Allawi (Middleton, WI)
Assignee: Exact Sciences Corporation
C12Q1/6827C12Q1/6818C12Q1/686C12Q1/6886C12Q2600/156C12Q2600/158
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Quick Facts
Patent No.
US 12,391,978
App. No.
18/045,927
Granted
Aug 19, 2025
Kind
B2
Abstract

A cleavage-based real-time PCR assay method is provided. In general terms, the assay method includes subjecting a reaction mixture comprising a) PCR reagents for amplifying a nucleic acid target, and b) flap cleavage reagents for performing a flap cleavage assay on the amplified nucleic acid target to two sets of thermocycling conditions. No additional reagents are added to the reaction between said first and second sets of cycles and, in each cycle of the second set of cycles, cleavage of a flap probe is measured.

Claims (38)

1. A method for detecting a plurality of target nucleic acids in a sample, the method comprising:

(a) subjecting a PCR reaction mixture comprising a flap endonuclease activity to thermocycling conditions that comprise:

i) a first set of 5 to 15 cycles each comprising a denaturation step followed by one or more steps in which all temperatures are in the range of 60° C. to 75° C.; followed by:

ii) a second set of 20 to 50 cycles each comprising a denaturation step followed by one or more steps comprising a temperature that is in the range of 50° C. to 57° C.;

wherein the PCR reaction mixture comprises at least:

a first set of PCR primers, wherein a first target nucleic acid of the plurality of target nucleic acids is amplified by the first set of PCR primers and not by any other primers present in the PCR reaction mixture;

a second set of PCR primers, wherein a second target nucleic acid of the plurality of target nucleic acids is amplified by the second set of PCR primers and not by any other primers present in the PCR reaction mixture; and

(b) detecting a first fluorescent signal in at least some cycles of ii), wherein the first fluorescent signal is generated by cleavage of a first probe by the flap endonuclease activity and indicates the presence of the first target nucleic acid; and

detecting a second fluorescent signal in at least some cycles of ii), wherein the second fluorescent signal is generated by cleavage of a second probe by the flap endonuclease activity and indicates the presence of the second target nucleic acid,

wherein no additional reagents are added to the PCR reaction mixture between said first and second sets of cycles.

2. The method of claim 1 , wherein the cycles of the second set of cycles of ii) each comprises a temperature that is in the range of 50° C. to 55° C.

3. The method of claim 1 , wherein the detecting step of (b) comprises measuring cleavage of a first fluorophore from an oligonucleotide in each of the second set of cycles of ii).

4. The method of claim 1 , wherein step (a) comprises an initial pre-incubation step that activates a thermostable polymerase.

5. The method of claim 1 , wherein the method further comprises graphing the amount of first and second fluorescent signals that are detected in each of the cycles of ii), thereby providing an estimate of the abundance of the first and second target nucleic acids in the reaction mix.

6. The method of claim 1 , wherein the first fluorescent signal of (b) indicates a mutation and the second fluorescent signal of (b) indicates a control.

7. The method of claim 6 , wherein the cycles of the second set of cycles of ii) each comprises a temperature that is in the range of 50° C. to 55° C.

8. The method of claim 6 , wherein the detecting step of (b) comprises measuring cleavage of a first fluorophore from a first oligonucleotide in a plurality of the second set of cycles of ii) and measuring cleavage of a second fluorophore from a second oligonucleotide in a plurality of the second set of cycles of ii).

9. The method of claim 6 , wherein step (a) comprises an initial pre-incubation step that activates a thermostable polymerase.

10. The method of claim 6 , wherein the method further comprises graphing the amount of first and second fluorescent signals that are detected in a plurality of the cycles of ii), thereby providing an estimate of the abundance of the first and second target nucleic acids in the reaction mix.

11. A method for detecting a target nucleic acid comprising:

(a) subjecting a PCR reaction mixture comprising a flap endonuclease activity to thermocycling conditions that comprise:

i) a first set of 5 to 15 cycles each comprising a denaturation step followed by one or more steps in which all temperatures are in the range of 65° C. to 75° C.; followed by

ii) a second set of 20 to 50 cycles each comprising a denaturation step followed by one or more steps comprising a temperature that is in the range of 50° C. to 65° C.,

wherein the PCR reaction mixture comprises:

a first set of PCR primers, wherein a first target nucleic acid of the plurality of target nucleic acids is amplified by the first set of PCR primers and not by any other primers present in the PCR reaction mixture;

a second set of PCR primers, wherein a second target nucleic acid of the plurality of target nucleic acids is amplified by the second set of PCR primers and not by any other primers present in the PCR reaction mixture; and

(b) detecting a first fluorescent signal in at least some cycles of ii), wherein the first fluorescent signal is generated by cleavage of a first probe by the flap endonuclease activity and indicates the presence of the first target nucleic acid; and

detecting a second fluorescent signal in at least some cycles of ii), wherein the second fluorescent signal is generated by cleavage of a second probe by the flap endonuclease activity and indicates the presence of the second target nucleic acid,

wherein no additional reagents are added to the PCR reaction mixture between said first and second sets of cycles.

12. The method of claim 11 , wherein the cycles of the second set of cycles of ii) each comprises a temperature that is in the range of 50° C. to 55° C.

13. The method of claim 11 , wherein the detecting step of (b) comprises measuring cleavage of a first fluorophore from an oligonucleotide in each of the second set of cycles of ii).

14. The method of claim 11 , wherein step (a) comprises an initial pre-incubation step that activates a thermostable polymerase.

15. The method of claim 11 , wherein the method further comprises graphing the amount of first and second fluorescent signals that are detected in a plurality of the cycles of ii), thereby providing an estimate of the abundance of the first and second target nucleic acids in the reaction mix.

16. The method of claim 11 , wherein the first fluorescent signal of (b) indicates a mutation and the second fluorescent signal of (b) indicates a control.

17. The method of claim 16 , wherein the cycles of the second set of cycles of ii) each comprises a temperature that is in the range of 50° C. to 55° C.

18. The method of claim 16 , wherein the detecting step of (b) comprises measuring cleavage of a first fluorophore from an oligonucleotide in a plurality of the second set of cycles of ii) and measuring cleavage of a second fluorophore from a second oligonucleotide in a plurality of the second set of cycles of ii).

19. The method of claim 16 , wherein step (a) comprises an initial pre-incubation step that activates a thermostable polymerase.

20. The method of claim 16 , wherein the method further comprises graphing the amount of first and second fluorescent signals that are detected in each of the cycles of ii), thereby providing an estimate of the abundance of the first and second target nucleic acids in the reaction mix.

Assignments (6)
TERMINATION AND RELEASE OF SECURITY INTEREST IN PATENT RIGHTS (REEL/FRAME 73470/0608) Recorded Mar 27, 2026
From: JPMORGAN CHASE BANK, N.A.
To: EXACT SCIENCES CORPORATION
Reel/Frame 075288/0506 →
PATENT SECURITY AGREEMENT Recorded Nov 5, 2025
From: EXACT SCIENCES CORPORATION
To: JPMORGAN CHASE BANK, N.A.
Reel/Frame 073470/0608 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 13, 2025
From: EXACT SCIENCES CORPORATION
To: EXACT SCIENCES DEVELOPMENT COMPANY, LLC
Reel/Frame 069845/0890 →
MERGER Recorded Jan 13, 2025
From: EXACT SCIENCES DEVELOPMENT COMPANY, LLC
To: EXACT SCIENCES CORPORATION
Reel/Frame 069845/0952 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 13, 2025
From: OLDHAM-HALTOM, REBECCA; ZOU, HONGZHI; LIDGARD, GRAHAM P.; DOMANICO, MICHAEL J.; ALLAWI, HATIM
To: EXACT SCIENCES CORPORATION
Reel/Frame 069890/0824 →
MERGER Recorded Nov 8, 2022
From: EXACT SCIENCES DEVELOPMENT COMPANY, LLC
To: EXACT SCIENCES CORPORATION
Reel/Frame 061692/0163 →