Help identify patients with the greatest need by adding the miR Sentinel™ Prostate Cancer Test to your detection and risk-classification toolbox.
• Granted FDA Designated Breakthrough Device†
• One-step, non-DRE, first-void urine sample is all that is required.

97% Sensitivity for any prostate cancer
In the 432-patient independent test set, 97% (231/238) of patients with biopsy-confirmed prostate cancer were correctly identified by miR Sentinel as having Molecular Evidence of Prostate Cancer.¹


91% Sensitivity for clinically significant disease (Grade Group ≥2)
91% (126/139) of patients with biopsy-confirmed Grade Group ≥2 prostate cancer were identified by miR Sentinel as having Molecular Evidence of Elevated-Risk for Aggressive Prostate Cancer.¹
Identification of cases missed by one of two biopsy modalities.
In a dual-biopsy subset, 22 patients were diagnosed with Grade Group ≥2 prostate cancer by one biopsy method (TRUS-guided systematic or MRI-targeted) but with either no prostate cancer or Grade Group 1 disease by the other. miR Sentinel correctly identified 20 of those 22 patients (91%) as having Molecular Evidence of Elevated-Risk for Aggressive Prostate Cancer.¹
Among 7 patients in the same subset with Grade Group ≥3 disease confirmed by one biopsy modality but missed by the other, miR Sentinel correctly identified 7 of 7 (100%) as Elevated-Risk.¹

Apparent specificity in the v0.5.2.2 architecture, evaluated against single-biopsy reference, was 18% for any prostate cancer and 26% for clinically significant disease. The peer-reviewed 2020 J Urol publication (Wang et al.), based on the prior three-test architecture, reported 92% specificity. Estimated true specificity adjusted for documented biopsy-discordance is in the range of 85–95%; a Bayesian Latent Class Analysis to formally elucidate true specificity is in progress and will be published when complete.
miR Sentinel™ supports comprehensive molecular analysis of prostate cancer risk using a panel of small non-coding RNAs (sncRNAs) extracted from urinary exosomes. We capture and lyse exosomes from the patient's urine sample, then interrogate the extracted sncRNAs in a high-throughput OpenArray™ system. Proprietary algorithms calculate patient results and provide molecular risk classification in one of three categories: No Molecular Evidence of Prostate Cancer; Low Risk for Aggressive Prostate Cancer; or Elevated Risk for Aggressive Prostate Cancer.
Order test
To order, download and complete the Test Requistion Form. Return completed form to MiRNA Scientific by:
Secure Fax: +1 (844) 333-0681
Secure Email: testorder@mirnascientific.com
Mail: 685 US-1 South STE 110, North Brunswick, NJ 08902
Have Questions?
Call the miR Sentinel™ expert support line at 1-940-MIR-SENTINEL (1-940-647-7368).

1. Wang WW, Sorokin I, Aleksic I, et al. "Expression of small noncoding RNAs in urinary exosomes classifies prostate cancer into indolent and aggressive disease." J Urol. 2020;204(3):466–475. Updated multicenter validation (1,379 patients, NCT04100811 / NCT04661176): manuscript in preparation; performance metrics referenced reflect the pre-specified independent test-set analysis (n=432).
The miR Sentinel™ Prostate Cancer Test v2.0 is a Laboratory Developed Procedure (LDP) that utilizes a novel method to assess a patient’s risk of harboring aggressive prostate cancer; the test interrogates small noncoding RNAs (sncRNA) that are isolated from urinary exosomes. These sncRNAs are independent of other clinical markers such as prostate specific antigen (PSA). The results of the miR Sentinel™ Prostate Cancer Test submitted here classify patients into one of three categories: No molecular evidence of prostate cancer (NMEPC), Low Risk, and Elevated Risk. For a more complete explanation of the methodology, please visit: https://www.mirnascientific.com
This report does not constitute medical advice specifically directed at a patient concerning that patient's condition. Only a physician or other qualified healthcare professional may advise a patient on the use of information in this report. This test is not the only way to detect the presence of prostate cancer. The test is limited to determining the molecular signatures of small noncoding RNAs associated by the test for risk of aggressive prostate cancer. This test does not measure a patient's inherited risk for prostate cancer and does not provide information on the anatomy or focality of a tumor. These results cannot be interpreted as absolute evidence of the presence or absence of malignant disease and physicians should utilize this result only in conjunction with other standard of care information to determine whether to proceed with diagnostic workup (e.g. tissue biopsy), surveillance or treatment. The physiological effect of any given classification depends on the individual’s clinical profile. A number of factors are typically examined when considering a patient for prostate cancer workup including, but not limited to, age, medications, lifestyle, comorbidities etc. Impact of medications for Benign Prostatic Hyperplasia treatment, including 5α-reductase inhibitors, was not evaluated in the Training or Verification cohort and results should be interpreted with caution. It is important for the physician or qualified healthcare professional to interpret test results in the context of an individual's profile. It remains the responsibility of the healthcare provider to determine appropriate next steps for a patient. The patient's test results should not be disclosed to a third party unless related to the patient's treatment or payment for treatment, without the patient's express written authorization. The classification and interpretation of all sncRNAs identified in this test reflects the current state of scientific understanding at the time this report was issued and may change as new scientific information becomes available. This test has not been cleared or approved by the US Food and Drug Administration (the "FDA"). The FDA does not require this test to go through premarket FDA review. This test is used for clinical purposes. It should not be regarded as investigational or for research. This test was developed, and its performance characteristics (summary available upon request) determined by MiRNA Scientific, Inc.

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Download BrochureThe report will be securely delivered to the provider who ordered the test, either via secure fax or secure email.
The miR Sentinel™ Prostate Cancer Test is commercially available in most U.S. states as well as Puerto Rico. The test is not currently available in New York.
miR Sentinel has CPT PLA code 0424U and is listed on the 2026 Medicare Clinical Laboratory Fee Schedule. Broad coverage policies with private payers remain in build. MiRNA Scientific submits claims and pursues appeals on the patient's behalf. For Medicare beneficiaries: if a Medicare claim is denied, MiRNA Scientific does not bill the patient for any remaining balance. For other patients with out-of-pocket exposure, the miR Access patient-assistance program caps household out-of-pocket cost on a sliding scale based on income, with payment-over-time available. Almost all patients pay no more than approximately $250 for the test.
miR's Sentinel™ Prostate Cancer Test is currently only available through a healthcare provider. Please speak with your physician about possible testing options.
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