The current landscape of the FDA approved companion diagnostics

Predictive biomarker is an important element in the realization of precision medicine and with the introduction of the drug-diagnostic codevelopment model, the number of regulatory approved companion diagnostics (CDx) have steadily increased. This short perspective is based on an analysis of the FDA...

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Main Author: Jan Trøst Jørgensen
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Translational Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1936523321000553
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author Jan Trøst Jørgensen
author_facet Jan Trøst Jørgensen
author_sort Jan Trøst Jørgensen
collection DOAJ
description Predictive biomarker is an important element in the realization of precision medicine and with the introduction of the drug-diagnostic codevelopment model, the number of regulatory approved companion diagnostics (CDx) have steadily increased. This short perspective is based on an analysis of the FDA List of Cleared or Approved Companion Diagnostic Devices and focus on the biomarkers, drugs, clinical indications, analytical platforms, regulatory paths and status related to the different assays. By the end of 2020, the total number of CDx assays approved by the FDA had reached 44. These assays are almost exclusively linked to different hematological and oncological drugs. Without an accurate and reliable CDx assay these drugs will lose their value. The analytical platforms are diverse and cover technologies like immunohistochemistry, in situ hybridization, polymerase chain reaction, next generation sequencing, and imaging. CDx assays are high risk devices and the regulatory path almost exclusively requires submission of a Premarket Application (PMA); however, a relatively large group of the CDx assays is PMA approved Laboratory Developed Test.
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spelling doaj.art-66fa11382c174c4da80019b05680ea9c2022-12-21T23:18:13ZengElsevierTranslational Oncology1936-52332021-06-01146101063The current landscape of the FDA approved companion diagnosticsJan Trøst Jørgensen0Dx-Rx Institute, Baunevaenget 76, 3480 Fredensborg, DenmarkPredictive biomarker is an important element in the realization of precision medicine and with the introduction of the drug-diagnostic codevelopment model, the number of regulatory approved companion diagnostics (CDx) have steadily increased. This short perspective is based on an analysis of the FDA List of Cleared or Approved Companion Diagnostic Devices and focus on the biomarkers, drugs, clinical indications, analytical platforms, regulatory paths and status related to the different assays. By the end of 2020, the total number of CDx assays approved by the FDA had reached 44. These assays are almost exclusively linked to different hematological and oncological drugs. Without an accurate and reliable CDx assay these drugs will lose their value. The analytical platforms are diverse and cover technologies like immunohistochemistry, in situ hybridization, polymerase chain reaction, next generation sequencing, and imaging. CDx assays are high risk devices and the regulatory path almost exclusively requires submission of a Premarket Application (PMA); however, a relatively large group of the CDx assays is PMA approved Laboratory Developed Test.http://www.sciencedirect.com/science/article/pii/S1936523321000553Companion diagnosticsBiomarkersPremarket applicationLaboratory developed testPrecision medicinePersonalized medicine
spellingShingle Jan Trøst Jørgensen
The current landscape of the FDA approved companion diagnostics
Translational Oncology
Companion diagnostics
Biomarkers
Premarket application
Laboratory developed test
Precision medicine
Personalized medicine
title The current landscape of the FDA approved companion diagnostics
title_full The current landscape of the FDA approved companion diagnostics
title_fullStr The current landscape of the FDA approved companion diagnostics
title_full_unstemmed The current landscape of the FDA approved companion diagnostics
title_short The current landscape of the FDA approved companion diagnostics
title_sort current landscape of the fda approved companion diagnostics
topic Companion diagnostics
Biomarkers
Premarket application
Laboratory developed test
Precision medicine
Personalized medicine
url http://www.sciencedirect.com/science/article/pii/S1936523321000553
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