Three ways to work with MITOTICS®

Where do things stand, and what's missing?

Case Review

$1,000

For patients and families with a stack of records and no clear picture, or who want an expert read before deciding how deep to go. The full $1,000 is credited toward a Clarity Report or Molecular Strategy purchased within 30 days.

What you receive

• Independent review of pathology, imaging, labs, treatment history, and any genomic or ctDNA reports
• Written case summary (2 to 3 pages) in plain language
• Testing gap check (biomarker panels, germline testing, MSI/MMR, HER2, and others)
• Prioritized list of questions for your oncologist
• 45-minute video consultation
• Recommendation on whether a Clarity Report or Molecular Strategy would add value

Common questions this answers

• What has been done so far, and where do things actually stand?
• Is any testing missing or incomplete in my records?
• What should I ask my oncologist at the next visit?
• Do I need a deeper analysis, or is my current plan sound?

What do my results actually mean?

Clarity Report

$2,000

For patients with NGS, ctDNA, or complex pathology results who need them interpreted, not just summarized. Everything in Case Review, plus:

What you receive

• Variant-by-variant interpretation of your NGS or ctDNA report, with germline and clonal hematopoiesis flags
• Interpretation of TMB, MSI, HRD, fusions, and co-mutations
• Mapping to standard-of-care and guideline-supported options
• Additional testing recommendations with rationale
• Written Clarity Report (typically 8 to 12 pages) with a one-page executive summary
• Physician discussion guide
• 60-minute review call
• One round of written follow-up questions within 14 days

Common questions this answers

• What does each variant on my NGS or ctDNA report mean?
• Could any of these findings be inherited, or come from clonal hematopoiesis?
• What do my TMB, MSI, and HRD results mean for me?
• Which guideline-supported treatments match my biomarker profile?

What are my options, and what's the plan?

Molecular Strategy

$3,000

For patients facing a treatment decision, progression, or limited standard options, where clinical trials and treatment sequencing matter. Everything in the Clarity Report, plus:

What you receive

• Clinical trial shortlist (typically 5 to 10 trials) screened against your biomarkers, prior treatments, and eligibility criteria
• Treatment sequencing map
• Monitoring strategy for ctDNA/MRD, imaging, and re-biopsy triggers
• Physician-facing summary letter
• 90-minute strategy session
• 30 days of email follow-up

Common questions this answers

• Which clinical trials could I realistically qualify for?
• What comes next if my current treatment stops working?
• What should be tested at progression, and when?
• How often should ctDNA and imaging be repeated?

Who owns my case between appointments?

Active Case Management

Starting at $7,500 per month

Ongoing ownership of your case between appointments. Flat, all-inclusive monthly fee, month to month, no minimum commitment.

What you receive

• Continuous case ownership
• Every new scan, lab, and molecular result analyzed as it comes in
• Full clinical trial search and placement included
• Direct correspondence with your oncology team
• Scheduled calls and direct phone and email access

Common questions this answers

• Can someone own my case between appointments?
• Can someone correspond directly with my oncology team?

You are finishing Active Case Management, or you are in remission or on watch-and-wait and want the case watched closely.

Surveillance Program

Surveillance membership, from $1,000 per month, paid annually ($12,000), with 6-month, quarterly, and monthly terms

Ongoing interpretation of serial ctDNA/MRD results (Signatera, Guardant Reveal), scan and lab review, a standing check-in, and priority access if something changes. Built as the step-down from Active Case Management, and equally suited to patients in remission or on watch-and-wait who want a maintained baseline watched over time. This tier pairs with the Survivorship and Surveillance approach on /survivorship.

What you receive

• Ongoing interpretation of serial ctDNA/MRD results, including Signatera and Guardant Reveal
• Scan and lab review as results arrive, read against your own baseline rather than one report at a time
• A standing check-in each quarter, with threshold and trend flagging between
• A written quarterly surveillance summary with questions for your next appointment
• Brief questions answered between quarters by text or email
• Priority access if something changes, with immediate step-up into Active Case Management and the remainder of the quarter credited

Common questions this answers

• What does my latest Signatera or Guardant Reveal result mean compared with my previous ones?
• Is my ctDNA trend changing, and when does a change warrant action?
• I am in remission or on watch-and-wait. Who keeps watching between appointments?
• If something changes, how quickly can I get more support?

Built as the step-down from Active Case Management, and equally a fit for patients in remission or on watch-and-wait, such as SMZL and follicular lymphoma, where the point is catching a change against your own baseline early. A Clarity Report or Molecular Strategy alone does not establish that baseline; surveillance enrollment follows the free consultation. Memberships renew on the same term; cancel with notice before your renewal date.

You want one accountable scientist across the entire case, at the speed the disease moves, with the logistics handled alongside the science.

Private Client Advisory

Starting at $10,000 per month

The concierge tier. Everything in Active Case Management, plus priority response, family briefings, second-opinion and records coordination, and full clinical trial search and placement included. Limited to a small number of clients at a time so response time never slips. Details on /concierge-oncology-advisory.

What you receive

• Everything in Active Case Management: continuous case ownership, analysis of every new result, and direct correspondence with your oncology team
• Full clinical trial search and placement included, with a ranked records-screened shortlist, open sites, coordinator contacts, and a walkthrough call
• Priority response: results read the day they arrive, with direct phone, text, and email access
• Family briefings for spouses, adult children, or caregivers in plain language
• Second-opinion coordination: identifying the right outside institution, approaching it, and preparing the records package
• Records gathering and organization across institutions, handled for you
• Flat monthly fee, no hourly billing, month to month with no contract term

Common questions this answers

• Can someone handle the logistics, not just the science: records, second opinions, family updates?
• Can my family get their own briefings in language they can use?
• Can trial placement be handled end to end, not just a list of possibilities?
• How quickly will new results be read when something changes?

What a Clarity Report contains

Every Clarity Report follows the same structure and contains:

• A plain-language summary of your diagnosis, stage, and current position
• Each biomarker in your records named, explained, and rated for treatment relevance
• How your pathology, imaging, labs, and genomic results fit together as one picture
• Questions worth raising with your oncologist, specific to your results
• Clear next steps you can act on at your next appointment

Not sure which one you need?

A free fifteen minute consultation. Tell me what you are facing and what records you have. I will tell you plainly which engagement fits, or whether one is warranted at all. No obligation and no pressure.

Free 15-minute consultation

What this is and what it is not

MITOTICS® provides independent scientific interpretation and decision support. Kim Lockheimer is a PhD-trained clinical scientist, not a physician. MITOTICS does not diagnose, prescribe, order testing, or direct care. Everything produced is built to be brought to the treating oncologist.

Frequently asked questions

Can I talk to you before I commit to anything?

Yes. Book the free fifteen minute consultation. It exists so you can decide with information rather than on faith.