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Table 1 Comprehensive table of FDA approved companion diagnostics and their corresponding drug.

From: Academic medical centers as innovation ecosystems to address population –omics challenges in precision medicine

Biomarker (only FDA approved assays are listed)

Tumor type

Therapies guided

NDA

PMA

Analytic method

CD117

 D816V

Aggressive systemic mastocytosis

Imatinib

NDA21335

H140006

PCR

 Protein

 

Imatinib

NDA21335, NDA021588

P040011/S001/S002

IHC

PDGF receptor B

 Rearrangment

 

Imatinib

NDA21335

H140005

FISH

EGFR receptor

 Exon 19 deletions,T790M

Non-small cell lung

Osimertinib

NDA208065

P120019, S007

PCR

 Exon 19 deletions, L858R

Non-small cell lung

Gefitinib, afatinib

NDA206995, NDA201292

P120022/S001

PCR

 EGFR receptor protein

Non-small cell lung

Cetuximab, panitumumab

BLA125084, BLA125147

P030044/S001/S002

IHC

 Exon 19 deletions, L858R

Non-small cell lung

Erlotinib

NDA021743

P120019/S001/S004

PCR

 Exon 19 deletions, L858R

Non-small cell lung

Afatinib

NDA201292

P120022/S001

PCR

 Exon 19 deletions, T790 M

Non-small cell lung (circulating tumor)

Erlotinib, osimertinib

NDA208065, NDA021743

P150044, P150047

RTPCR

 Exon 19 deletions, L858R

Non-small cell lung

Gefitinib

NDA206955

P170021

NGS

 Exon 19 deletions, T790M

Non-small cell lung

Osimertinib

NDA208065

P170021

NGS

 Exon 19 deletions, L858R

Non-small cell lung

Erlotinib

NDA021743

P170021

NGS

 Exon 19 deletions, L858R

Non-small cell lung

Afatinib

NDA201292

P170021

NGS

 Exon 19 deletions, L858R

Non-small cell lung

Gefitinib

206995

P160045

NGS

Her2/Neu

 Gene amplification

Breast cancer

Trastuzumab

BLA103792

P940004

FISH

 Gene amplification

Breast cancer

Trastuzumab

BLA103792

P980024/S001/S012

FISH

 Gene amplification

Breast cancer

Trastuzumab

BLA103792

P050040/S001/S003

CISH

 Gene amplification

Breast cancer, gastric/gastro-esophogeal tumor

Trastuzumab, adotrastuzumab emtansine, pertuzumab

BLA103792, BLA125409

P040005

FISH

 Gene amplification: Chrom 17

Breast cancer

Trastuzumab

BLA103792

P100024/S001/S005

CISH

 Protein

Breast cancer

Trastuzumab

BLA103792

P090015

IHC

 Protein

Breast cancer

Trastuzumab

BLA103792

P990081/S001/S028

IHC

 Protein

Breast cancer

Trastuzumab

BLA103792

P040030

IHC

 Protein

Breast cancer

Trastuzumab

BLA103792

P980018/S001/S002

IHC

 Protein

Breast cancer, gastric/gastroesophogeal Tumor

Trastuzumab, adotrastuzumab-emtansine, pertuzumab

BLA103792, BLA125409

P980018/S001/S002

IHC

 Gene amplification

Breast cancer

Trastuzumab

BLA103792

P170021

NGS

 Gene amplification

Breast cancer

Pertuzumab

BLA125409

P170021

NGS

 Gene amplification

Breast cancer

Adotrastuzumab emtansine

BLA125427

P170021

NGS

KRAS

 Codon 12 and 13 mutations

Colorectal cancer

Cetuximab, panitumumab

BLA125084, BLA125147

P110030, P110027

PCR

 

Colorectal cancer

Cetuximab, panitumumab

BLA125084, BLA125147

P140023

PCR

 KRAS wild-type (absence of mutations in codons 12 and 13)

Colorectal cancer

Cetuximab

BLA125084

P170021

NGS

 RAS wild-type (absence of mutations in exons 2, 3, and 4) and NRAS wild type (absence of mutations in exons 2, 3, and 4)

Colorectal cancer

Panitumumab

BLA125147

P170021

NGS

 56 specific mutations in RAS genes [KRAS (exons 2, 3, and 4) and NRAS (exons 2, 3, and 4)]

Colorectal cancer

Panitumumab

BLA125147

P160038

NGS

BRCA1 and BRCA 2

 Deleterious alterations

Breast cancer

Olaparib

NDA206162

P140020

PCR- > Sanger sequencing

 Deleterious alterations

Ovarian cancer

Rucaparib

NDA209115

P160018

NGS

 Deleterious alterations

Breast and ovarian cancer

Olaparib

NDA208558

P140020/S012

PCR- > Sanger sequencing

 Deleterious alterations

Breast cancer

Rucaparib

NDA209115

P170021

NGS

 Deleterious alterations

Breast cancer

Rucaparib

NDA209115

P160018

NGS

 Deleterious alterations

Breast cancer

Cobimetinib + vemurafenib

NDA206192

P170021

NGS

PD-1

 Protein

NonSmall Cell Lung

Pembrolizumab

BLA125514/S5

P150013

IHC

 Protein

NonSmall cell lung cancer, gastric and gastroesophageal junction adenocarcinoma

Pembrolizumab

sBLA125514/s24

P150013/S006

IHC

 Protein

NonSmall Cell Lung

Pembrolizumab

BLA125514 (S008 and S012)

P150013/S001

IHC

ALK

 Protein

NonSmall Cell Lung

Crizotinib

NDA202570

P140025

IHC

 Rearrangement

NonSmall Cell Lung

Crizotinib

NDA202570

P110012

FISH

 Rearrangement

NonSmall Cell Lung

Crizotinib

NDA202570; NDA 202570/S-021

P170021

NGS

 Rearrangement

NonSmall Cell Lung

Alectinib

NDA208434/S-003

P170021

NGS

 Rearrangement

NonSmall Cell Lung

Ceritinib

NDA 205755/S-009

P170021

NGS

 Protein

NonSmall Cell Lung

Ceritinib

sDNA 205755-09 (NDA supplement)

P140025/S005

IHC

BRAF

 V600E/K

Melanoma

Tramatenib, dabrafenib

NDA204114, NDA202806

P120014

PCR

 V600E

Melanoma

Vemurafenib

NDA202429

P110020

PCR

 V600E/K

Melanoma

Vemurafenib

NDA202429

P170021

NGS

 V600E

Melanoma

Dabrafenib

NDA202806; NDA 202806/S-006

P170021

NGS

 V600E

Melanoma

Trametinib

NDA 204114; NDA 204114/S-005

P170021

NGS

 V600E

Melanoma

Trametinib

NDA 204114; NDA 204114/S-006

P160045

NGS

 V600E

Melanoma

Dabrafenib

NDA202806/S006

P160045

NGS

17p−

B cell chronic lymphocytic leukemia

Venetoclax

NDA208573

P150041

FISH

ROS

 ROS1 fusion

NonSmall Cell Lung

Crizotinib

NDA 202570; NDA 202570/S-021

P160045

NGS (RNA)

Isocitrate dehydrogenase-2

 IDH2 mutations (R140Q, R140L, R140G, R140W, R172K, R172M, R172G, R172S, and R172W)

Acute myeloid leukemia

Enasidenib

NDA209606

P170005

PCR

FLT3

 FLT3 D835 and I836 mutation

Acute myeloid leukemia

Midostaurin

NDA207997

P160040

PCR

  1. IHC immunohistochemistry, FISH florescent in situ hybridization, RTPCR reverse transcriptase polymerase chain reaction, T790M threonine to methionine mutation at amino acid position 790 in human epidermal growth factor receptor, D816V aspartic acid to valine mutation at amino acid position 816 in human epidermal growth factor receptor