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Companion Diagnostics for Oncology Market Research Report By Technology (Next Generation Sequencing, Polymerase Chain Reaction, In Situ Hybridization, Immunohistochemistry), By Applications (Therapeutic Monitoring, Patient Stratification, Predictive Testing, Disease Diagnosis), By End User (Hospitals, Diagnostic Laboratories, Research Institutions, Pharmaceutical Companies), By Test Type (Genetic Tests, Protein Biomarker Tests, MicroRNA Tests, Pathological Analysis) and By Regional (North America, Europe, South America, Asia Pacific, Middle


ID: MRFR/HC/8942-CR | 200 Pages | Author: Rahul Gotadki| July 2025

Companion Diagnostics for Oncology Market Overview


As per MRFR analysis, the Companion Diagnostics for Oncology Market Size was estimated at 5.32 (USD Billion) in 2023. The Companion Diagnostics for Oncology Market Industry is expected to grow from 5.71(USD Billion) in 2024 to 12.5 (USD Billion) by 2035. The Companion Diagnostics for Oncology Market CAGR (growth rate) is expected to be around 7.38% during the forecast period (2025 - 2035).


Key Companion Diagnostics for Oncology Market Trends Highlighted


The Companion Diagnostics for Oncology Market is experiencing significant growth driven by several key market drivers. The increasing prevalence of cancer worldwide is a major factor, prompting a rising demand for personalized medicine solutions that can optimize treatment efficacy and minimize adverse effects.


Regulatory bodies globally, including the U.S. Food and Drug Administration and the European Medicines Agency, continue to establish frameworks that support the development and approval of companion diagnostics, further propelling the market. The trend towards tailored therapies is prominent, as healthcare providers increasingly rely on molecular profiling to identify the most effective treatment for each patient, thus enhancing outcomes.


Moreover, there are numerous opportunities to be explored in the integration of advanced technologies such as next-generation sequencing and artificial intelligence in companion diagnostics. These technologies can facilitate rapid and accurate diagnostics, creating a more efficient process for identifying suitable therapies for cancer patients. Such innovations can significantly enhance the patient journey by enabling timely treatment adaptations, which is crucial in oncology, where treatment effectiveness can vary widely among individuals.


In recent times, there has been a noticeable shift towards collaborations between pharmaceutical companies and diagnostic firms. This trend reflects a growing recognition of the importance of companion diagnostics in the drug development process, as it allows for streamlined clinical trials and more successful drug approvals. The supportive ecosystem comprising academic institutions, biotechnology firms, and government initiatives is also contributing to research and development efforts in this domain, fostering innovation and expanding the range of available companion diagnostics in oncology on a global scale. Overall, the fusion of technological advances and collaborative efforts positions the Companion Diagnostics for Oncology Market for sustained future growth.


Global Companion Diagnostics for Oncology Market Overview


Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


Companion Diagnostics for Oncology Market Drivers


Rising Incidence of Cancer


The rising prevalence of cancer globally is a major factor driving the Companion Diagnostics for Oncology Market industry. Recent World Health Organization (WHO) statistics indicate that the number of cancer cases worldwide is expected to climb by 55% over the next 20 years, from 19.3 million in 2020 to almost 30 million by 2040. The need for companion diagnostics that can assist in customizing treatment plans to each patient's unique profile is being fueled by the rising patient population, which calls for individualized treatment methods.


Prominent groups like the European Organisation for Research and Treatment of Cancer and the American Cancer Society are actively promoting improvements in companion diagnostics technology in order to enhance cancer diagnosis and treatment procedures. The Companion Diagnostics for Oncology Market will expand as a result of this heightened attention and the growing number of cancer patients.


Advancements in Genomic Testing


Advancements in genomic testing are playing a pivotal role in shaping the Companion Diagnostics for Oncology Market Industry. Innovations in next-generation sequencing (NGS) technologies have significantly reduced the cost and time associated with genomic analysis. This has led to a surge in the adoption of genomic tests, which can identify specific genetic mutations relevant to cancer treatment. A report by the National Institutes of Health revealed that over 60% of clinical trials in oncology now incorporate genomic profiling, highlighting its critical importance in personalized medicine.


Companies such as Foundation Medicine and Roche are leading efforts to integrate these genomic insights into companion diagnostics, thereby driving industry growth.


Regulatory Support for Personalized Medicine


Regulatory support for personalized medicine is another key driver in the Companion Diagnostics for Oncology Market Industry. Governments and regulatory agencies worldwide have begun to endorse and expedite the approval processes for companion diagnostics that accompany targeted therapies. In the United States, the Food and Drug Administration (FDA) has increasingly approved companion diagnostics, with over 20 such approvals in the last few years.


Such supportive regulations help streamline the pathway for innovative solutions that enhance patient care. Additionally, initiatives by organizations like the European Medicines Agency aim to create frameworks that facilitate the development and commercialization of these diagnostics, further benefiting the market.


Companion Diagnostics for Oncology Market Segment Insights


Companion Diagnostics for Oncology Market Technology Insights


The Companion Diagnostics for Oncology Market, particularly in the Technology segment, reveals significant advancements and potential, reflecting a market value of 5.71 USD Billion in 2024, with a growth expectation towards 12.5 USD Billion by 2035. Within this sector, technologies such as Next Generation Sequencing (NGS), Polymerase Chain Reaction (PCR), In Situ Hybridization, and Immunohistochemistry play crucial roles in enhancing cancer diagnosis and personalized treatment regimens.


Next Generation Sequencing stands out with a market valuation of 2.28 USD Billion in 2024, projected to reach 5.0 USD Billion by 2035. Its capacity to analyze multiple genes simultaneously allows for comprehensive genomic profiling, facilitating targeted therapies that are increasingly preferred in oncology due to their effectiveness. Polymerase Chain Reaction holds a notable valuation of 1.25 USD Billion in 2024, growing to 2.8 USD Billion by 2035, and is essential for detecting specific DNA sequences, proving pivotal in identifying mutations associated with various cancers.


In Situ Hybridization, valued at 1.1 USD Billion in 2024 and expected to reach 2.5 USD Billion by 2035, plays a significant role in visualizing gene expression within tissue contexts, making it a vital tool for understanding tumor biology and microenvironment interactions. Meanwhile, Immunohistochemistry, with an initial valuation of 1.08 USD Billion in 2024, expanding to 2.2 USD Billion by 2035, is essential for detecting specific proteins in tissues, aiding in the identification of tumor types and prognostication, thereby enhancing therapeutic decision-making.


This segment's growth is driven by increasing needs for personalized medicine, significant technological advancements, and rising incidences of cancer globally. Each of these technologies contributes distinctly to the market, with Next Generation Sequencing dominating due to its comprehensive capabilities. The trend towards precision medicine fosters an environment where these technologies, particularly NGS and PCR, thrive, enabling healthcare providers to develop targeted treatment strategies based on molecular understanding of individual tumors. Furthermore, challenges such as high costs and a need for thorough regulatory frameworks remain, yet the opportunities presented by these evolving technologies continue to reshape the oncology landscape, enabling better patient outcomes and paving the way for future innovations. The Companion Diagnostics for Oncology Market statistics emphasize a robust trajectory fueled by these advancements, making the Technology segment a cornerstone for the future of oncology diagnostics and therapeutics.


Companion Diagnostics for Oncology Market Technology Insights  


Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


Companion Diagnostics for Oncology Market Applications Insights


The Companion Diagnostics for Oncology Market is projected to achieve a valuation of 5.71 USD Billion by 2024, reflecting the growing demand for innovative diagnostic solutions in oncology. Applications within this market are diverse and critical, encompassing areas such as Therapeutic Monitoring, Patient Stratification, Predictive Testing, and Disease Diagnosis.


Each of these applications plays a vital role in improving patient outcomes and enhancing treatment efficacy. Therapeutic Monitoring ensures that patients are receiving the most effective therapies based on their individual responses, which can lead to better management of treatment plans. Patient Stratification is significant as it helps in identifying which patients are most likely to benefit from specific therapies, thereby optimizing treatment pathways. Predictive Testing allows for the assessment of potential response to therapies before they are administered, making it an essential tool for personalized medicine. Disease Diagnosis is crucial, as accurate identification of malignancies is the first step in effective cancer management. The growing emphasis on precision medicine is expected to bolster the significance of these applications within the Companion Diagnostics for Oncology Market, contributing to its overall growth and advancement in cancer care strategies.


Companion Diagnostics for Oncology Market End User Insights


The Companion Diagnostics for Oncology Market is structured around diverse end users, principally encompassing hospitals, diagnostic laboratories, research institutions, and pharmaceutical companies. In 2024, the market is projected to reach a value of 5.71 billion USD, reflecting the essential role of these end users in advancing cancer treatment methodologies.


Hospitals are key players, as they directly implement diagnostic tests to improve patient outcomes through personalized medicine approaches. Diagnostic laboratories are also crucial, offering advanced testing services that enhance early detection and monitoring of cancer treatments. Research institutions significantly contribute to innovation within the field, driving the development of new diagnostic tools and therapeutics. Pharmaceutical companies play an integral role, utilizing companion diagnostics to tailor therapies to specific patient populations, thereby maximizing treatment efficacy and minimizing adverse reactions. The interplay among these end users demonstrates a shared commitment to enhancing cancer care, driven by the need for precision medicine and the increasing availability of targeted therapies. Collectively, these dynamics underscore the vital importance of the Companion Diagnostics for Oncology Market to improve patient outcomes and reshape cancer management strategies globally.


Companion Diagnostics for Oncology Market Test Type Insights


The Companion Diagnostics for Oncology Market encompasses various test types, showcasing a diverse landscape crucial for improving cancer treatment outcomes. As of 2024, the market is valued at 5.71 USD Billion, signaling robust growth potential.


Among the different test types, Genetic Tests are pivotal in identifying mutations that influence drug responses, while Protein Biomarker Tests provide insights into protein expressions related to specific cancers, facilitating personalized therapies. MicroRNA Tests are gaining traction due to their role in gene regulation and tumor development, making them integral to early cancer detection strategies. Pathological Analysis remains fundamental for accurate tumor characterization, guiding treatment decisions based on histological findings. The market's segmentation demonstrates the growing importance of these diagnostic tests in achieving effective therapeutic strategies, reflecting a significant shift towards precision medicine in oncology. With increasing demand for targeted therapies and advancements in diagnostic technologies, the Companion Diagnostics for Oncology Market statistics are expected to reflect ongoing innovation and investment, further driving market growth in the coming years.


Companion Diagnostics for Oncology Market Regional Insights


The Companion Diagnostics for Oncology Market demonstrates significant regional segmentation, with a remarkable valuation of 5.71 USD Billion in 2024 projected to grow substantially by 2035. North America leads the market with a valuation of 2.9 USD Billion in 2024 and is expected to reach 6.4 USD Billion by 2035, holding the majority share due to advanced healthcare infrastructure and significant Research and Development investment.


Europe follows, valued at 1.5 USD Billion in 2024, with an anticipated growth to 3.4 USD Billion in 2035, spurred by supportive regulations and a strong focus on precision medicine. South America, although smaller, showcases potential growth from 0.4 USD Billion in 2024 to 0.9 USD Billion by 2035, as healthcare accessibility improves. The Asia Pacific region, valued at 0.7 USD Billion in 2024, is projected to grow to 1.6 USD Billion by 2035, driven by a rising patient population and increasing healthcare spending. Lastly, the Middle East and Africa, while currently at 0.21 USD Billion in 2024, is expected to grow modestly to 0.3 USD Billion by 2035, indicating emerging opportunities despite regional challenges. Overall, the Companion Diagnostics for Oncology Market statistics highlight diverse opportunities and growth drivers across regions that play a crucial role in shaping the future landscape of oncology diagnostics.


Companion Diagnostics for Oncology Market Regional Insights  


Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


Companion Diagnostics for Oncology Market Key Players and Competitive Insights


The Companion Diagnostics for Oncology Market is characterized by a rapidly evolving landscape marked by the increasing integration of diagnostic technologies with personalized medicine. The competitive dynamics are shaped by numerous factors, including technological advancements, strategic partnerships, and regulatory approvals. As oncology treatments become more targeted and individualized, the demand for companion diagnostics is witnessing an upsurge, prompting companies to innovate and expand their product offerings. This market is highly competitive, with industry players continuously vying for market share by enhancing the efficacy and precision of their diagnostic solutions, as well as improving patient outcomes through better therapeutic alignment. The interplay of key stakeholders such as biotechnology firms, pharmaceutical companies, and diagnostic laboratories further intensifies the competition, making it essential for players to stay abreast of the latest trends, regulatory changes, and technological breakthroughs.


Biocartis is a prominent player within the Companion Diagnostics for Oncology Market, recognized for its innovative molecular diagnostics solutions that aim to streamline and enhance cancer treatment protocols. The company focuses on providing high-quality, automated testing processes that allow for rapid decision-making in oncology therapies. With a robust technological framework that emphasizes simplicity and efficiency in diagnostic testing, Biocartis has established a strong market presence through strategic collaborations and partnerships. The company's Idylla platform, which facilitates real-time PCR testing, exemplifies its strengths in offering highly sensitive and specific diagnostic solutions directly relevant to oncology applications. With its commitment to advancing personalized medicine, Biocartis continues to strengthen its position in the global arena through investments in research and development as well as customer-centric initiatives.


Thermo Fisher Scientific operates as a key player in the Companion Diagnostics for Oncology Market, renowned for its extensive portfolio of products and services tailored to meet the complex needs of oncology diagnostics. Key offerings include a wide range of reagents, instruments, and software solutions designed to enhance laboratory efficiency and diagnostic accuracy. Thermo Fisher’s robust market presence is supported by its established global distribution networks and strong customer relationships, allowing it to provide comprehensive support to clinics and research institutions worldwide. The company's strengths lie in its ability to combine cutting-edge technology with industry expertise, fostering innovations that drive the development of new candidate diagnostics. Additionally, Thermo Fisher Scientific has strategically pursued mergers and acquisitions to bolster its capabilities and expand its reach in the oncology diagnostics landscape, thereby positioning itself as a trusted partner in advancing companion diagnostics on a global scale.


Key Companies in the Companion Diagnostics for Oncology Market Include



  • Biocartis

  • Thermo Fisher Scientific

  • Horizon Discovery

  • Merck & Co

  • Abbott

  • Genomic Health

  • Exact Sciences

  • QIAGEN

  • Foundation Medicine

  • Roche

  • Illumina

  • Agilent Technologies

  • HoffmannLa Roche

  • Merck KGaA


Companion Diagnostics for Oncology Market Industry Developments


Recent developments in the Companion Diagnostics for Oncology Market include significant advancements in biomarker discovery, with companies like Biocartis and QIAGEN leading innovations in precision medicine. The market has seen a surge in demand for personalized therapies, prompting collaboration among major players such as Roche and Foundation Medicine to improve testing and diagnostic capabilities. Notably, in October 2023, Thermo Fisher Scientific announced the expansion of its portfolio to include novel companion diagnostics that enhance treatment selection for cancer patients.


Merger and acquisition activity continues to shape the landscape, with Merck & Co acquiring a smaller biotech firm focused on companion diagnostics in September 2023, aiming to bolster its R&D capabilities in personalized medicine. Growth in the market valuation for companies like Exact Sciences and Genomic Health has been reported, positively impacting their stock performance due to increasing investments in cancer diagnostics. In the past couple of years, the demand for targeted therapies has accelerated, leading to partnerships between Abbot and Illumina in July 2022 to develop cutting-edge diagnostic tests that identify the most effective treatment pathways for patients.


Companion Diagnostics For Oncology Market Segmentation Insights


Companion Diagnostics for Oncology Market Technology Outlook



  • Next Generation Sequencing

  • Polymerase Chain Reaction

  • In Situ Hybridization

  • Immunohistochemistry


Companion Diagnostics for Oncology Market Applications Outlook



  • Therapeutic Monitoring

  • Patient Stratification

  • Predictive Testing

  • Disease Diagnosis


Companion Diagnostics for Oncology Market End User Outlook



  • Hospitals

  • Diagnostic Laboratories

  • Research Institutions

  • Pharmaceutical Companies


Companion Diagnostics for Oncology Market Test Type Outlook



  • Genetic Tests

  • Protein Biomarker Tests

  • MicroRNA Tests

  • Pathological Analysis


Companion Diagnostics for Oncology Market Regional Outlook



  • North America

  • Europe

  • South America

  • Asia Pacific

  • Middle East and Africa

Report Attribute/Metric Details
Market Size 2023 5.32(USD Billion)
Market Size 2024 5.71(USD Billion)
Market Size 2035 12.5(USD Billion)
Compound Annual Growth Rate (CAGR) 7.38% (2025 - 2035)
Report Coverage Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
Base Year 2024
Market Forecast Period 2025 - 2035
Historical Data 2019 - 2024
Market Forecast Units USD Billion
Key Companies Profiled Biocartis, Thermo Fisher Scientific, Horizon Discovery, Merck & Co, Abbott, Genomic Health, Exact Sciences, QIAGEN, Foundation Medicine, Roche, Illumina, Agilent Technologies, F. HoffmannLa Roche, Merck KGaA
Segments Covered Technology, Applications, End User, Test Type, Regional
Key Market Opportunities Rising cancer prevalence, Increasing adoption of personalized medicine, Advancements in biomarker discovery, Expansion of targeted therapies, Growing demand for early diagnosis
Key Market Dynamics Increasing prevalence of cancer, Growing demand for personalized medicine, Technological advancements in diagnostics, Regulatory advancements in companion diagnostics, Rising investments in R&D
Countries Covered North America, Europe, APAC, South America, MEA


Frequently Asked Questions (FAQ) :

The Companion Diagnostics for Oncology Market was valued at 5.71 USD Billion in 2024.

The market is projected to reach a value of 12.5 USD Billion by 2035.

The expected CAGR for the market from 2025 to 2035 is 7.38%.

North America holds the largest market share, valued at 2.9 USD Billion in 2024.

North America's market size is expected to grow to 6.4 USD Billion by 2035.

Next Generation Sequencing holds the highest market value at 2.28 USD Billion in 2024.

Key players include Biocartis, Thermo Fisher Scientific, Merck & Co, and Roche, among others.

The market size for Polymerase Chain Reaction is projected to be 2.8 USD Billion by 2035.

The Asia Pacific region is expected to grow to 1.6 USD Billion by 2035.

The Immunohistochemistry segment is expected to be valued at 2.2 USD Billion by 2035.

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