For Clinicians

Immune Profiling That Changes Treatment Decisions

Deep B-cell receptor repertoire analysis for your most complex autoimmune, Long COVID, and post-viral patients. From a standard blood draw to an actionable clinical report — results in 2–3 weeks.

Workflow

Simple to Order. Clear to Interpret.

1

Order the Test

Place an order through our portal. We ship a collection kit to your clinic or patient's home.

2

Collect & Ship

Standard blood draw (10 mL EDTA tube). Pre-paid return shipping included in the kit.

3

Analysis

BCR heavy chain sequencing + AI-powered repertoire profiling at our CLIA-compliant partner lab.

4

Clinical Report

Structured report delivered via secure portal within 2–3 weeks. Clinician-facing, actionable format.

Sample Report

What You'll Receive

A structured, clinician-facing report designed to inform treatment decisions — not a raw data dump.

Clono BCR Immune ProfileReport ID: CLN-2026-0847
SAMPLE REPORT — ILLUSTRATIVE DATA

Patient Summary

Age / Sex
38 / Female
Primary Dx
Post-COVID syndrome (U09.9)
Symptoms
Fatigue, POTS, arthralgia, brain fog
ANA
1:160 speckled (nonspecific)
B-Cell Activity Score
0.76
HIGH — B-cell mechanism likely

Key Findings

Clonal expansionFLAG
Elevated
Top 5 clones = 34% of repertoire
Class-switch ratioFLAG
0.68 IgG
Predominantly IgG1 class-switched
SHM load
High
Mean 8.2% in expanded clones
Autoreactive signaturesFLAG
3 matches
Anti-autonomic receptor, anti-ganglioside patterns

Clinical Implications

  • BCR profile suggests active B-cell-driven autoimmunity with anti-autonomic receptor signatures, consistent with immune-mediated POTS.
  • May support discussion of targeted immunotherapy options with the patient; treatment decisions remain with the clinician based on the full clinical picture.
  • Longitudinal re-testing recommended at 3–6 months to monitor clonal dynamics post-treatment.

Important

What This Test Does Not Replace

Clono supplements standard autoimmune workup. It does not replace ANA, anti-dsDNA, or disease-specific antibody panels — it reveals immune dynamics those tests cannot detect. Use Clono alongside, not instead of, established diagnostic workflows.

Clinical Scenarios

When Standard Tests Don't Tell the Full Story

Post-COVID / Long COVID

Presentation

Patient presents with persistent fatigue, POTS, and cognitive dysfunction 14 months post-infection. Standard workup unremarkable.

BCR Finding

BCR profiling reveals expanded IgG1 clones with anti-autonomic receptor and anti-ganglioside signature matches.

Clinical Action

Supports trial of IVIG or low-dose rituximab targeting pathogenic B-cell clones.

Seronegative Autoimmune

Presentation

Inflammatory arthritis with negative RF, anti-CCP, and ANA. Empiric DMARD therapy underway.

BCR Finding

High clonal expansion with IGHV4-34-enriched repertoire and elevated SHM — consistent with B-cell-driven mechanism despite seronegativity.

Clinical Action

Rationale for adding B-cell-targeted therapy. Baseline for monitoring treatment response.

Treatment Selection

Presentation

Lupus patient eligible for either belimumab or rituximab. Both approved, no clear selection criteria.

BCR Finding

Low B-cell activity score suggests disease maintained by long-lived plasma cells, not active B-cell clones.

Clinical Action

Anti-BAFF (belimumab) may be more appropriate than anti-CD20. Avoids non-response to rituximab.

Early Access

Join the Clinician Waitlist

We're onboarding clinicians for early access. Receive a sample report and priority ordering when we launch.