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Molecular Diagnostics Services (MolDx) Sets TruGraf® Reimbursement

Transplant Genomics, Inc. ("TGI"), a molecular diagnostics company committed to improving organ transplant outcomes with non-invasive serial monitoring guided by genomics, today received notice that the Molecular Diagnostics Services (MolDX) Program developed by Palmetto GBA has set TruGraf reimbursement at $2,840.75, per test performed.

Based on today's announcement, TruGraf will be reimbursed for kidney transplant patients covered by Medicare across the United States starting November 25, 2019, the effective date of the local coverage determination. More than 60% of U.S. Kidney transplant recipients are covered by Medicare.

TruGraf is the first and only non-invasive test validated and reimbursed for ruling out the presence of "silent" sub-clinical acute rejection in kidney transplant patients – the vast majority of whom have stable renal function at any given time. Approximately 25% of stable kidney transplant recipients harbor silent rejection, which previously could only be ruled out by performing invasive, costly and risky surveillance biopsies. TruGraf now provides a non-invasive alternative to surveillance biopsy for improved patient care.

Medicare reimbursement for TruGraf follows a rigorous technical assessment by the MolDX Program. Evidence in support of the TruGraf test included a clinical trial in 7 leading transplant centers. The TruGraf test is based on technology covered in US Patent No. 10,443,100, entitled "Gene expression profiles associated with sub-clinical kidney transplant rejection," which issued on October 15, 2019 and is licensed exclusively to TGI.

There are approximately 220,000 transplant recipients living with a functioning kidney in the US, and approximately 19,000 to 21,000 new kidney transplants being performed annually, growing at about 4.3% per year. "Based upon our research and knowledge of transplant programs, we estimate that more than 40% of kidney transplant centers in the U.S. conduct surveillance or protocol biopsies. Given the significantly lower complexity of a blood draw as compared to a kidney biopsy, transplant programs that do not currently conduct surveillance or protocol biopsies due to logistics or other complicating factors could become candidates for TruGraf testing to aid their patient management as well," stated Dr. Stan Rose, President & CEO of Transplant Genomics.

While there are no available non-invasive tests that directly compare to TruGraf for ruling out sub-clinical acute kidney rejection, there are tests that assess clinical suspicion of rejection ("active rejection"). We are encouraged that publicly available information would indicate that approximately 3% of living kidney transplant patients are benefitting from these recently introduced diagnostics associated with active rejection within the first two years of being available. We believe that the compelling data from our dozen early adoption partners that contributed to MolDX's local coverage decision supporting TruGraf, coupled with data from our ongoing studies at leading research and academic institutions, will help drive similar or higher adoption across the US and other international transplant programs across the world.

Darren Lee, Vice President Transplant Marketing
Eurofins U.S. Clinical Diagnostics
508-337-6200 or

About Transplant Genomics, Inc.
Transplant Genomics, Inc. ("TGI") is a molecular diagnostics company committed to improving organ transplant outcomes, with an initial focus on kidney transplant recipients. Working with the transplant community, TGI is commercializing a suite of tests enabling diagnosis and prediction of transplant recipient immune status. Test results will support clinicians with information to optimize immune-suppressive therapy, enhance patient care and improve graft survival. Test services are offered through TGI's CLIA laboratory in Pleasanton, CA. TGI was acquired by Eurofins in 2019.

Eurofins – a global leader in bio-analysis
Eurofins Scientific through its subsidiaries (hereinafter sometimes "Eurofins" or "the Group") believes it is a scientific leader in food, environment, pharmaceutical and cosmetics products testing and in agroscience CRO services. It is also one of the global independent market leaders in certain testing and laboratory services for genomics, discovery pharmacology, forensics, CDMO, advanced material sciences and for supporting clinical studies. In addition, Eurofins is one of the leading global emerging players in specialty clinical diagnostic testing. With about 45,000 staff in more than 800 laboratories across 47 countries, Eurofins offers a portfolio of over 200,000 analytical methods for evaluating the safety, identity, composition, authenticity, origin and purity of biological substances and products, as well as for innovative clinical diagnostic. The Group objective is to provide its customers with high-quality services, accurate results on time and expert advice by its highly qualified staff.

Eurofins is committed to pursuing its dynamic growth strategy by expanding both its technology portfolio and its geographic reach. Through R&D and acquisitions, the Group draws on the latest developments in the field of biotechnology and analytical chemistry to offer its clients unique analytical solutions and the most comprehensive range of testing methods.

As one of the most innovative and quality oriented international players in its industry, Eurofins is ideally positioned to support its clients' increasingly stringent quality and safety standards and the expanding demands of regulatory authorities around the world.

The shares of Eurofins Scientific are listed on the Euronext Paris Stock Exchange (ISIN FR0000038259, Reuters EUFI.PA, Bloomberg ERF FP).

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