Companion Diagnostic Tests In Oncology Market
By Detection Technique;
Protein Detection - [Immunohistochemistry] and DNA Detection - [Polymerase Chain Reaction, Next Gen Sequencing, In-Situ Hybridization, and Others]By Bio-Markers;
EGFR, KRAS, BRAF V600E, HER2, and OthersBy Cancer Type;
Breast Cancer, Liver Cancer, Lung Cancer, Colorectal Cancer, Melanoma, and OthersBy End User;
Hospitals, Specialty Clinics, Diagnostic Labs, and OthersBy 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%.
Companion Diagnostic Tests In Oncology Market
*Market size in USD million
CAGR 9.0 %
Study Period | 2025 - 2031 |
---|---|
Base Year | 2024 |
CAGR (%) | 9.0 % |
Market Size (2024) | USD 4,719.77 Million |
Market Size (2031) | USD 8,632.91 Million |
Market Concentration | Medium |
Report Pages | 343 |
Major Players
- 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
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Companion Diagnostic Tests In Oncology Market
Fragmented - Highly competitive market without dominant players
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.
Companion Diagnostic Tests in Oncology Market Segment Analysis
In this report, The Companion Diagnostic Tests in Oncology Market has been segmented by Detection Technique, Bio-Markers, Cancer Type, End User and Geography.
Companion Diagnostic Tests in Oncology Market, Segmentation by Detection Technique
The Companion Diagnostic Tests in Oncology Market has been segmented by Detection Technique into Protein Detection, DNA Detection and Others .
Protein Detection
This segment holds nearly 46% of the market share, driven by its critical role in identifying specific biomarkers for targeted cancer therapies. Advancements in immunohistochemistry have improved detection accuracy by about 27%. Strong research–clinical collaboration supports rapid result turnaround, enhancing treatment strategies and patient outcomes.
DNA Detection
DNA detection accounts for close to 42% of the market, fueled by the growing demand for precision oncology and genetic profiling. Next-generation sequencing adoption has boosted mutation detection rates by nearly 29%. Strategic partnerships between diagnostic labs and oncology centers enhance accessibility, driving market growth and innovation.
Others
Other detection techniques contribute about 12% of the market, including RNA-based assays and emerging multi-omics approaches. These methods improve diagnostic depth by approximately 21%, enabling highly personalized treatment strategies. Cross-industry collaboration accelerates development, supporting the future outlook for advanced oncology diagnostics.
Companion Diagnostic Tests in Oncology Market, Segmentation by Bio-Markers
The Companion Diagnostic Tests in Oncology Market has been segmented by Bio-Markers into EGFR , KRAS , BRAF V600E, HER2 and Others .
EGFR
This segment represents nearly 33% of the market, driven by its vital role in guiding targeted therapies for lung and other cancers. Advanced molecular testing has improved mutation detection accuracy by about 28%. Strategic partnerships between research institutions and diagnostic companies enhance accessibility and treatment strategies.
KRAS
KRAS accounts for close to 24% of the market, with its detection significantly influencing therapy selection in colorectal and other cancers. High-sensitivity assays have improved detection rates by nearly 22%. Strong lab–clinic collaboration supports personalized medicine innovation and treatment optimization.
BRAF V600E
This biomarker holds about 18% of the market share, playing a critical role in melanoma and other targeted cancer treatments. Detection accuracy has risen by approximately 20% due to advancements in PCR and sequencing techniques. Research-driven strategies and clinical partnerships drive adoption and patient outcome improvements.
HER2
HER2 represents nearly 15% of the market, with testing being essential for guiding therapy in breast and gastric cancers. Innovations in immunohistochemistry and FISH have improved diagnostic precision by about 19%. Global collaboration in clinical trials supports continued growth and therapy advancements.
Others
Other biomarkers make up around 10% of the market, including emerging genetic and proteomic indicators. These tests improve targeted therapy potential by nearly 17%, enabling more precise treatment strategies. Cross-industry partnerships accelerate development, strengthening the future outlook of oncology diagnostics.
Companion Diagnostic Tests in Oncology Market, Segmentation by Cancer Type
The Companion Diagnostic Tests in Oncology Market has been segmented by Cancer Type into Breast Cancer, Liver Cancer, Lung Cancer, Colorectal Cancer, Melanoma and Others .
Breast Cancer
This segment accounts for nearly 29% of the companion diagnostic tests market, driven by the critical role of HER2 and other biomarker testing in treatment selection. Advancements in molecular diagnostics have improved detection accuracy by about 25%. Strong research–clinic collaboration enhances therapy personalization and long-term growth.
Liver Cancer
Liver cancer represents close to 14% of the market, with biomarker-based testing improving early diagnosis by approximately 21%. Integration of liquid biopsy and advanced imaging boosts detection capabilities. Strategic partnerships support better treatment strategies and regional expansion of diagnostic services.
Lung Cancer
This segment holds about 26% of the market, with EGFR, ALK and PD-L1 testing guiding targeted and immunotherapy approaches. Next-generation sequencing adoption has raised mutation detection rates by nearly 28%. Public–private collaboration accelerates accessibility and diagnostic innovation.
Colorectal Cancer
Colorectal cancer accounts for roughly 15% of the market, with KRAS, NRAS and BRAF testing improving treatment precision by about 23%. Advanced molecular strategies enhance therapy response rates. Diagnostic–oncology partnerships are expanding access to personalized care solutions.
Melanoma
Melanoma represents close to 9% of the market, where BRAF mutation testing improves targeted therapy outcomes by nearly 20%. Adoption of highly sensitive detection methods supports earlier intervention. Clinical trial collaboration fosters treatment innovation and broader biomarker application.
Others
Other cancer types make up around 7% of the market, including rare and emerging oncology indications. Multi-biomarker panels improve diagnostic accuracy by about 18%. Cross-industry partnerships and technology integration strengthen the future outlook of precision oncology diagnostics.
Companion Diagnostic Tests in Oncology Market, Segmentation by End User
The Companion Diagnostic Tests in Oncology Market has been segmented by End User into Hospitals , Specialty Clinics, Diagnostic Labs and Others .
Hospitals
Hospitals account for nearly 46% of the companion diagnostic tests market, driven by advanced infrastructure and access to multidisciplinary teams. Integration of precision testing protocols improves treatment accuracy by about 27%. Strong research–hospital collaboration supports continuous innovation and broader adoption of targeted therapy strategies.
Specialty Clinics
Specialty clinics represent close to 28% of the market, offering focused oncology care with rapid access to diagnostic tools. Adoption of advanced biomarker testing has improved early detection rates by approximately 24%. Strategic partnerships with research labs enhance service expansion and patient-centered care delivery.
Diagnostic Labs
Diagnostic labs hold about 20% of the market, specializing in high-throughput biomarker analysis and genetic profiling. Next-generation sequencing capabilities increase detection accuracy by nearly 26%. Collaboration with oncology centers supports timely reporting, driving growth and improving patient treatment pathways.
Others
Other end users make up around 6% of the market, including research institutions and community-based testing facilities. These settings improve accessibility in underserved regions by approximately 18%. Cross-industry collaboration and adoption of innovative diagnostic strategies enhance the future outlook for oncology care.
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 & Africa and Latin America.
Regions and Countries Analyzed in this Report
Companion Diagnostic Tests in Oncology Market Share (%), by Geographical Region
North America
North America holds nearly 41% of the companion diagnostic tests in oncology market, supported by advanced healthcare infrastructure and early adoption of innovative technologies. Strong regulatory frameworks and research–industry collaboration improve test accuracy by about 28%. Widespread clinical integration enhances targeted therapy strategies and patient outcomes.
Europe
Europe accounts for close to 30% of the market, driven by standardized diagnostic guidelines and robust screening programs. Adoption of precision oncology tools has improved detection accuracy by nearly 25%. Cross-border partnerships and collaborative research initiatives continue to strengthen service growth and accessibility.
Asia Pacific
Asia Pacific represents about 20% of the market, fueled by expanding healthcare access and rising demand for personalized cancer care. Large-scale screening programs have increased early diagnosis rates by approximately 24%. Public–private collaboration and investment in diagnostic innovation are driving regional expansion.
Middle East & Africa
This region holds roughly 6% of market activity, with gradual improvements in testing capabilities and access to advanced oncology diagnostics. Partnerships with international health agencies improve service coverage by about 19%. Mobile testing units and outreach strategies enhance patient reach and care growth.
Latin America
Latin America captures around 3% of the market, supported by national cancer control initiatives and better diagnostic infrastructure. Coordinated strategies have improved biomarker testing availability by nearly 16%. Regional partnerships and adoption of innovative technologies strengthen the future outlook of oncology care.
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
- 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
- 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
- Companion Diagnostic Tests in Oncology Market, By Bio-Markers, 2021 - 2031 (USD Million)
- EGFR
- KRAS
- BRAF V600E
- HER2
- Others
- Companion Diagnostic Tests in Oncology Market, By Cancer Type, 2021 - 2031 (USD Million)
- Breast Cancer
- Liver Cancer
- Lung Cancer
- Colorectal Cancer
- Melanoma
- Others
- Companion Diagnostic Tests in Oncology Market, By End User, 2021 - 2031 (USD Million)
- Hospitals
- Specialty Clinics
- Diagnostic Labs
- Others
- 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
- 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