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Elevated PSA creates uncertainty.
Exo mdx provides clarity.

How it Works

A simple, non-invasive test that goes beyond PSA

Exo mdx provides an independent risk score to support informed clinical decision making — ordered online, through your EHR, or via your local representative, with flexible collection options for your patients.

Urine-based, no DRE required

First-catch urine collection — non-invasive and straightforward for patients.

Guideline-supported

Included in NCCN and AUA/SUO guidelines with Level 1 evidence.

New Clinical Insight

An independent measure of risk to complement standard clinical findings.

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At-Home or In-Office

Patients collect where it’s convenient. At-home kits ship directly to them.

Guiding decisions after an elevated PSA

When PSA is elevated, the next step is not always clear. Exo mdx helps bring greater clarity to risk assessment, supporting informed decisions about monitoring, MRI, and biopsy.

Why exosomes reveal what other tests may miss

Exosomes are natural messengers released by living cells, carrying biological information directly from the prostate to provide insights beyond traditional clinical measures.

Guiding decisions after an elevated PSA

When PSA is elevated, the next step is not always clear. Exo mdx helps bring greater clarity to risk assessment, supporting informed decisions about monitoring, MRI, and biopsy.

Why exosomes reveal what other tests may miss

Exosomes are natural messengers released by living cells, carrying biological information directly from the prostate to provide insights beyond traditional clinical measures.

Evidence

Exo mdx’s Level 1 evidence comes from real-world clinical utility studies of its intended use population — patients with PSA in the grey zone.

91.3%

Negative predictive value for clinically significant prostate cancer at the 15.6 cut point

30%

More cases of clinically significant prostate cancer detected vs. standard of care

92%

Of patients agreed with a physician’s recommendation to defer biopsy when the result was low risk

Higher score. Higher risk.

Across prospective clinical studies of the intended use population, higher Exo mdx scores were associated with a greater likelihood of clinically significant prostate cancer (csPCa) on biopsy.

  1. McKiernan J, Donovan MJ, Margolis E, et al. A novel urine exosome gene expression assay to predict high‑grade prostate cancer at initial biopsy. JAMA Oncol. 2016;2(7):882‑889.
  2. McKiernan J, Donovan MJ, O’Neill V, et al. A prospective adaptive utility trial to validate performance of a novel urine exosome gene expression assay to predict high‑grade prostate cancer in patients with prostate‑specific antigen 2–10 ng/mL at initial biopsy. Eur Urol. 2018;74(6):731‑738.

Patient Experience

Designed Around Patients. Built for Practice Efficiency.

From at-home collection to insurance support, Exo mdx makes testing easier for patients and more efficient for your practice.

See how simple at-home collection can be:
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>80%
At-Home Kit Completion Rate

Patients routinely return completed kits after shipment. Our dedicated outreach, reminders, and support program help drive successful kit returns and timely results.

92%
Shared Decision-Making

92% of patients and physicians aligned on a decision to defer biopsy when Exo mdx results were low risk.

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At-Home Collection

No office visit required. Patients collect the sample in the comfort of home using the provided collection kit.

$0-$150
Patient Affordability

The vast majority of patients pay $0-$150. Exo mdx is covered by Medicare, many private insurers, and the GSA award for veterans. Mdxhealth works directly with insurance providers to coordinate coverage.

How To Order

Order Exo mdx your way. Getting started takes just a few minutes.

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At-Home Collection Kits

Order an at-home collection kit through a simple online requisition process.

Secure. Fast. Available 24/7.
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In-Office Collection Kits

Contact your local representative to request in-office collection kits for your practice.

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Physician Portal

Existing users can place orders and manage results securely through our online portal.

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Need a more integrated workflow?

Connect Exo mdx to your existing EHR for seamless ordering and results reporting.