Global Companion Diagnostic Tests in Oncology Market Growth, Share, Size, Trends and Forecast (2025 - 2031)
By Detection Technique;
Protein Detection - Immunohistochemistry, DNA Detection - Polymerase Chain Reaction, Next Gen Sequencing, In-Situ Hybridization, and Others.By Bio-Markers;
EGFR , KRAS , BRAF V600E, HER2, and Others.By Cancer Type;
Breast Cancer, Liver Cancer, Lung Cancer, Colorectal Cancer, Melanoma, and Others.By End User;
Hospitals , Specialty Clinics, Diagnostic Labs, and Others.By Geography;
North America, Europe, Asia Pacific, Middle East & Africa and Latin America - Report Timeline (2021 - 2031).Introduction
Global Companion Diagnostic Tests in Oncology Market (USD Million), 2021 - 2031
In the year 2024, the Global Companion Diagnostic Tests in Oncology Market was valued at USD 4,719.77 million. The size of this market is expected to increase to USD 8,632.91 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 9.0%.
A significant factor contributing to market growth is the regulatory approvals of new combinations and single-agent regimens paired with specific companion diagnostic assays. For instance, since January 2020, the FDA has approved ten new combinations and single-agent regimens that utilize companion diagnostic assays. Notably, in November 2022, the FDA approved the VENTANA FOLR1 (FOLR1-2.1) RxDx Assay developed by Roche, an IHC-based companion diagnostic for detecting ovarian cancer patients eligible for ELAHERE therapy. Similarly, the FDA approval of the Ventana HER2 Dual ISH DNA Probe Cocktail assay in July 2020 facilitated quick detection of the HER2 biomarker for breast cancer and served as a companion diagnostic for Herceptin therapy.
The advancements in diagnostic technologies have led to the FDA approvals of innovative assays, such as the Guardant360 CDx assay and FoundationOne Liquid CDx, in August 2020. These assays leverage circulating cell-free DNA and liquid biopsy techniques, respectively, to provide comprehensive genomic profiling across various tumor types.
The economic benefits offered by oncology companion diagnostics, including reduced clinical trial timelines and enhanced treatment effects, have led to increased adoption by pharmaceutical manufacturers. Companion diagnostics provide clinicians with clear clinical grounds for diagnosis and treatment decisions, optimizing patient management and resource allocation while aligning with national insurance policies.
Key players in the pharmaceutical and diagnostic sectors have forged strategic partnerships to co-develop drugs and companion diagnostic assays. For example, ThermoFisher Scientific and Agios Pharmaceuticals expanded their collaboration in June 2020 to co-develop a companion diagnostic for vorasidenib, an investigational drug for low-grade glioma. Similarly, Burning Rock Biotech Limited and CStone Pharmaceuticals partnered in June 2020 to commercialize and co-develop a companion diagnostic for pralsetinib in China.
The growing emphasis on personalized medicine, coupled with regulatory support and collaborative efforts between pharmaceutical and diagnostic companies, is driving the evolution and expansion of the oncology companion diagnostic market.
Global Companion Diagnostic Tests in Oncology Market Recent Developments
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In November 2022, Roche revealed the approval of the VENTANA FOLR1 (FOLR1-2.1) RxDx Assay by the US Food and Drug Administration (FDA). This marks a significant milestone as it is the inaugural immunohistochemistry (IHC) companion diagnostic test designed to assist in the identification of eligible epithelial ovarian cancer (EOC) patients who can benefit from targeted ELAHERE treatment.
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In July 2021, Labcorp introduced the therascreen KRAS PCR Mutation Analysis, a companion diagnostic designed to identify individuals with non-small cell lung cancer (NSCLC) who qualify for treatment with LUMAKRAS (sotorasib), a therapeutic solution developed by Amgen.
Segment Analysis
In the dynamic landscape of the Global Companion Diagnostic Tests in Oncology Market, growth opportunities abound, particularly in the realm of protein detection, DNA detection, and advanced molecular techniques. Immunohistochemistry, a widely employed protein detection method, continues to gain traction due to its ability to visualize protein expression patterns within tissue samples, aiding in cancer diagnosis and classification. Similarly,
DNA detection techniques such as Polymerase Chain Reaction (PCR) offer high sensitivity and specificity in detecting genetic mutations associated with cancer, facilitating targeted therapy selection and treatment monitoring. Next-generation sequencing (NGS), a powerful genomic tool, enables comprehensive analysis of tumor DNA, RNA, and epigenetic alterations, driving precision oncology initiatives and personalized treatment strategies. Additionally, In-Situ Hybridization (ISH) techniques provide valuable insights into gene expression and chromosomal abnormalities within tumor cells, enhancing diagnostic accuracy and prognostic evaluation. Beyond these established methods, emerging technologies and novel biomarkers hold promise for further advancements in companion diagnostic testing, presenting opportunities for innovation and market expansion. As the oncology landscape continues to evolve, leveraging these diverse detection techniques and molecular platforms will be pivotal in enhancing cancer patient care and optimizing treatment outcomes.
Global Companion Diagnostic Tests in Oncology Market Analysis
In this report, the Global Companion Diagnostic Tests in Oncology Market has been segmented by Detection Technique, Bio-Markers, Cancer Type, End User and Geography.
This strategic segmentation allows for a thorough analysis of the market landscape, providing insights into the diverse techniques, biomarkers, cancer types, end-user preferences, and regional dynamics shaping the companion diagnostic tests sector within oncology. Detection techniques encompass a range of methodologies, including imaging, molecular diagnostics, and histology, each offering unique advantages in cancer detection and monitoring.
Biomarkers serve as crucial indicators of disease progression, treatment response, and patient prognosis, driving the development of targeted therapies and personalized medicine approaches. Cancer type segmentation enables a focused analysis of companion diagnostic tests tailored to specific malignancies, such as breast cancer, lung cancer, and colorectal cancer, among others. End-user categorization includes hospitals, diagnostic laboratories, academic research institutes, and pharmaceutical companies, reflecting the diverse stakeholders involved in companion diagnostic testing and implementation. Moreover, geographical segmentation into regions such as North America, Europe, Asia Pacific, Latin America, and the Middle East and Africa provides insights into regional market trends, regulatory frameworks, and growth opportunities. Overall, this comprehensive segmentation framework facilitates a detailed understanding of the global companion diagnostic tests in oncology market, empowering stakeholders to make informed decisions and capitalize on emerging trends and opportunities.
Global Companion Diagnostic Tests in Oncology Market, Segmentation by Detection Technique
The Global Companion Diagnostic Tests in Oncology Market has been segmented by Detection Technique into Protein Detection, DNA Detection, and Others .
In the comprehensive analysis of the Global Companion Diagnostic Tests in Oncology Market, segmentation by Detection Technique reveals a nuanced understanding of diagnostic methodologies crucial for effective cancer management. The segmentation encompasses Protein Detection, DNA Detection, and other emerging techniques, each playing a pivotal role in precision oncology. Protein Detection methods, such as immunohistochemistry, offer insights into protein expression patterns within tumor tissues, aiding in subtype classification and treatment decision-making. Similarly, DNA Detection techniques, notably Polymerase Chain Reaction (PCR) and Next-Generation Sequencing (NGS), enable the identification of genetic mutations and alterations associated with cancer, facilitating targeted therapy selection and monitoring of treatment response.
The inclusion of Other detection techniques underscores the evolving landscape of companion diagnostics, encompassing novel biomarkers and advanced molecular assays poised to revolutionize oncology diagnostics. This segmentation framework provides stakeholders with valuable insights into the diverse array of diagnostic tools available, empowering informed decision-making and fostering innovation in cancer care.
Global Companion Diagnostic Tests in Oncology Market, Segmentation by Bio-Markers
The Global Companion Diagnostic Tests in Oncology Market has been segmented by Bio-Markers into EGFR , KRAS , BRAF V600E, HER2, and Others .
This segmentation includes prominent biomarkers such as EGFR, KRAS, BRAF V600E, HER2, and others, which play critical roles in oncogenesis and treatment response prediction across various cancer types. EGFR (Epidermal Growth Factor Receptor), KRAS (Kirsten Rat Sarcoma Viral Oncogene Homolog), BRAF V600E (B-Raf Proto-Oncogene, Serine/Threonine Kinase), and HER2 (Human Epidermal Growth Factor Receptor 2) are widely recognized as actionable targets in precision oncology, guiding the selection of targeted therapies and immunotherapies. Additionally.
The inclusion of other biomarkers underscores the diversity of molecular alterations driving cancer progression, reflecting the complex heterogeneity of tumors and the need for comprehensive diagnostic profiling. This segmentation strategy enables stakeholders to gain deeper insights into the molecular landscape of oncology, facilitating the development of tailored diagnostic approaches and therapeutic interventions to improve patient outcomes.
Global Companion Diagnostic Tests in Oncology Market, Segmentation by Cancer Type
The Global Companion Diagnostic Tests in Oncology Market has been segmented by Cancer Type into Breast Cancer, Liver Cancer, Lung Cancer, Colorectal Cancer, Melanoma, and Others .
In the Global Companion Diagnostic Tests in Oncology Market, segmentation by Cancer Type provides a focused analysis of key malignancies where companion diagnostic tests play a crucial role in guiding treatment decisions and optimizing patient outcomes. This segmentation includes prevalent cancer types such as Breast Cancer, Liver Cancer, Lung Cancer, Colorectal Cancer, Melanoma, and others, reflecting the diverse spectrum of oncologic diseases that benefit from personalized diagnostic approaches. Breast Cancer, one of the most common cancers among women worldwide, underscores the importance of biomarker-driven testing, particularly for HER2 and hormone receptor status, to guide targeted therapy selection.
Liver Cancer, often diagnosed at advanced stages, highlights the need for effective biomarker-based strategies for early detection and treatment optimization. Similarly, Lung Cancer, Colorectal Cancer, and Melanoma represent significant oncologic challenges where companion diagnostic tests aid in identifying actionable mutations and guiding the use of targeted therapies and immunotherapies. The inclusion of other cancer types acknowledges the heterogeneity of oncologic diseases and the evolving landscape of precision medicine, emphasizing the importance of tailored diagnostic approaches across various tumor types. This segmentation strategy enables a comprehensive assessment of companion diagnostic testing within the context of specific cancer types, facilitating personalized treatment strategies and improved patient care.
Global Companion Diagnostic Tests in Oncology Market, Segmentation by End User
The Global Companion Diagnostic Tests in Oncology Market has been segmented by End User into Hospitals , Specialty Clinics, Diagnostic Labs, and Others .
This segmentation includes Hospitals, Specialty Clinics, Diagnostic Labs, and others, reflecting the broad spectrum of healthcare facilities involved in oncology diagnostics and management. Hospitals serve as primary hubs for cancer diagnosis, treatment, and follow-up care, offering comprehensive services and advanced diagnostic capabilities. Specialty Clinics, including oncology centers and specialized cancer treatment facilities, play a pivotal role in delivering personalized care and targeted therapies tailored to individual patient needs.
Diagnostic Labs, equipped with state-of-the-art testing technologies and expertise in molecular diagnostics, perform companion diagnostic tests with precision and accuracy, contributing to timely and accurate cancer diagnosis and treatment selection. Other healthcare settings, such as academic medical centers, research institutions, and ambulatory care centers, also utilize companion diagnostic tests to support oncology care delivery and research initiatives. By segmenting the market based on End User, stakeholders gain insights into the varied healthcare settings where companion diagnostic tests are integrated into clinical practice, facilitating targeted marketing strategies, resource allocation, and collaboration initiatives to optimize the use of these diagnostic tools and improve patient outcomes.
Global Companion Diagnostic Tests in Oncology Market, Segmentation by Geography
In this report, the Global Companion Diagnostic Tests in Oncology Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East and Africa and Latin America.
Global Companion Diagnostic Tests in Oncology Market Share (%), by Geographical Region, 2024
In this report on the Global Companion Diagnostic Tests in Oncology Market, strategic segmentation by Geography divides the market into five key regions: North America, Europe, Asia Pacific, Middle East and Africa, and Latin America. This segmentation enables a comprehensive analysis of regional dynamics, market trends, and growth opportunities within the oncology companion diagnostics sector.
North America, encompassing the United States and Canada, represents a significant market share owing to advanced healthcare infrastructure, robust research and development activities, and high adoption rates of companion diagnostic tests in oncology practice.
Europe, including countries like Germany, the United Kingdom, and France, follows suit with a well-established healthcare system, stringent regulatory framework, and growing emphasis on personalized medicine, driving the demand for companion diagnostic tests in oncology.
The Asia Pacific region, comprising countries such as China, Japan, and India, offers substantial growth potential fueled by increasing cancer prevalence, expanding healthcare expenditure, and rising awareness about the benefits of precision medicine and targeted therapies.
The segmentation by Geography provides valuable insights into regional variations, market dynamics, and emerging opportunities within the global companion diagnostic tests in oncology market, facilitating informed decision-making and strategic planning for market participants across different regions.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global Companion Diagnostic Tests in Oncology Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Drivers, Restraints and Opportunity Analysis
Driver:
- Rising Incidence of Cancer
- Regulatory Approvals and Guidelines
- Growing Emphasis on Personalized Medicine
- Collaborations and Partnerships
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Growing Healthcare Expenditure - The global companion diagnostic tests in oncology market is witnessing growth attributed to increasing healthcare expenditure worldwide. As healthcare budgets expand, there is a corresponding rise in investment towards advanced diagnostic technologies and precision medicine initiatives. Governments and healthcare organizations are prioritizing funding for oncology research, diagnosis, and treatment, aiming to improve patient outcomes and reduce the burden of cancer-related morbidity and mortality. With a greater emphasis on personalized medicine approaches, companion diagnostic tests play a crucial role in guiding treatment decisions by identifying patients who are most likely to benefit from targeted therapies.
This alignment between growing healthcare expenditure and the demand for innovative diagnostic solutions underscores the favorable market dynamics for companion diagnostic tests in oncology. Moreover, as healthcare systems continue to evolve and focus on value-based care models, the integration of companion diagnostics into clinical practice is expected to further drive market growth by optimizing treatment efficacy, minimizing adverse effects, and ultimately improving patient care pathways.
Restraints:
- Regulatory Hurdles
- High Development Costs
- Market Fragmentation
- Limited Reimbursement Policies
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Market Access Barriers -Accessing the global market for companion diagnostic tests in oncology presents several challenges, primarily due to various barriers hindering market entry and adoption. These barriers encompass regulatory complexities, reimbursement challenges, technological intricacies, market competition, intellectual property disputes, healthcare provider education gaps, and ethical concerns.
The stringent regulatory requirements and diverse approval processes across regions create hurdles for test developers, often leading to delays and increased costs. Additionally, limited reimbursement coverage and inadequate policies fail to reflect the value of these tests, dissuading healthcare providers from adopting them, especially where budgets are tight. Moreover, demonstrating clinical utility through robust evidence is vital but demanding, requiring extensive resources and time.
The complexity of companion diagnostic technologies, such as next-generation sequencing and molecular profiling, further complicates market penetration, necessitating specialized infrastructure and training. Market fragmentation and intense competition among developers, pharmaceutical firms, and diagnostic labs also impede market access, as distinguishing products becomes challenging amidst saturation.
Addressing these barriers demands collaborative efforts among stakeholders, including regulatory bodies, healthcare providers, payers, industry players, and advocacy groups. Streamlining regulatory processes, enhancing reimbursement mechanisms, investing in evidence generation, improving education initiatives, and fostering partnerships are critical steps toward overcoming market access challenges in the global companion diagnostic tests in oncology market.
- Technological Advancements
- Expanding Cancer Biomarkers Portfolio
- Personalized Medicine Adoption
- Emerging Markets Penetration
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Patient Engagement and Education -Patient engagement and education are integral components of the global companion diagnostic tests in oncology market, playing crucial roles in facilitating informed decision-making, enhancing treatment adherence, and improving patient outcomes. Effective patient engagement strategies aim to empower individuals with knowledge about companion diagnostic tests, their significance in personalized cancer care, and the implications of test results on treatment decisions. Education initiatives focus on providing accessible, accurate, and understandable information to patients, ensuring they have the necessary resources to actively participate in their diagnostic journey.
One approach to patient engagement and education involves the development and dissemination of patient-friendly materials, such as brochures, pamphlets, and educational videos, which explain the purpose, procedure, and potential benefits of companion diagnostic tests. These materials are designed to demystify complex medical concepts, alleviate patient anxiety, and encourage open communication between patients and healthcare providers. Additionally, digital health tools and online resources offer convenient access to educational materials, test information, and support services, empowering patients to take an active role in managing their health.
The patient engagement and education initiatives are critical for fostering collaborative relationships between patients and healthcare providers, promoting informed decision-making, and optimizing outcomes in the global companion diagnostic tests in oncology market. By prioritizing patient-centered approaches and providing comprehensive support throughout the diagnostic journey, stakeholders can empower individuals to play an active role in managing their cancer care and improve overall quality of life.
Competitive Landscape Analysis
Key players in Global Companion Diagnostic Tests in Oncology Market include;
- Abbott
- Hoffman LA Roche Ltd
- Genomic Health, Inc
- QIAGEN
- Agilent Technologies, Inc
- AGENDIA NV
- bioMerieux SA
- Illumina, Inc
- Siemens Healthcare GmBH
- Thermo Fisher Scientific
- BioGenex
In this report, the profile of each market player provides following information:
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Detection Technique
- Market Snapshot, By Bio-Markers
- Market Snapshot, By Cancer Type
- Market Snapshot, By End User
- Market Snapshot, By Region
- Global Companion Diagnostic Tests in Oncology Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Rising Incidence of Cancer
- Regulatory Approvals and Guidelines
- Growing Emphasis on Personalized Medicine
- Collaborations and Partnerships
- Growing Healthcare Expenditure
- Restraints
- Regulatory Hurdles
- High Development Costs
- Market Fragmentation
- Limited Reimbursement Policies
- Market Access Barriers
- Opportunities
- Technological Advancements
- Expanding Cancer Biomarkers Portfolio
- Personalized Medicine Adoption
- Emerging Markets Penetration
- Patient Engagement and Education
- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
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Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Global Companion Diagnostic Tests in Oncology Market, By Detection Technique, 2021 - 2031 (USD Million)
- Protein Detection
- Immunohistochemistry
- DNA Detection
- Polymerase Chain Reaction
- Next Gen Sequencing
- In-Situ Hybridization
- Others
- Global Companion Diagnostic Tests in Oncology Market, By Bio-Markers, 2021 - 2031 (USD Million)
- EGFR
- KRAS
- BRAF V600E
- HER2
- Others
- Global Companion Diagnostic Tests in Oncology Market, By Cancer Type, 2021 - 2031 (USD Million)
- Breast Cancer
- Liver Cancer
- Lung Cancer
- Colorectal Cancer
- Melanoma
- Others
- Global Companion Diagnostic Tests in Oncology Market, By End User, 2021 - 2031 (USD Million)
- Hospitals
- Specialty Clinics
- Diagnostic Labs
- Others
- Global Companion Diagnostic Tests in Oncology Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
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Nordic
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Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Global Companion Diagnostic Tests in Oncology Market, By Detection Technique, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Abbott
- Hoffman LA Roche Ltd
- Genomic Health, Inc
- QIAGEN
- Agilent Technologies, Inc
- AGENDIA NV
- bioMerieux SA
- Illumina, Inc
- Siemens Healthcare GmBH
- Thermo Fisher Scientific, Inc
- BioGenex
- Company Profiles
- Analyst Views
- Future Outlook of the Market