“…However, this finding should not be viewed as an indictment of the CTG assay as a whole and should be viewed in light of the large body of existing work in which the assay has successfully been used for drug susceptibility testing. As others have described previously (Niepel et al, 2019), even simple experiments, such as measuring the response of cells to in vitro drug exposure, can be affected by factors such as cell-counting protocols, micro-titer plate selection, and cell-seeding density; all of which result in significant inter-center variability. We ran the CTG assay using one particular assay format (i.e., plate type, cell-seeding density, feeding schedule, drug dose, and time-point selection), and although our selection was a reasonable choice, it is entirely possible that, under different conditions, the assay could be more predictive.…”