Companion Diagnostics Market
Companion Diagnostics Market
Diagnostics
Market- A Global
and Regional
Analysis
March 2024
All Rights Reserved. This document contains highly confidential information and is the sole property of BIS Research. Disclosing, copying, circulating, quoting or otherwise reproducing any or all
contents of this document is strictly prohibited. Access to this information is provided exclusively for the benefit of the people or organization concerned. It may not be accessed by or offered
whether for sale or otherwise to any third party.
4.6.3 Factors Challenging the Market ............................................................ 115 5.2 Geographic Assessment .............................................................................. 141
4.6.6 Brazil ........................................................................................................ 118 5.2.1.2 Top Products/Product Portfolio ......................................................... 142
4.6.11 Product .................................................................................................... 123 5.2.2 Agilent Technologies, Inc. ...................................................................... 143
4.6.13 Application .............................................................................................. 125 5.2.2.2 Top Products/Product Portfolio ......................................................... 143
4.7 Middle East and Africa ................................................................................. 127 5.2.2.4 Target Customers ............................................................................. 143
4.7.1 Regional Overview .................................................................................. 127 5.2.2.5 Key Personnel .................................................................................. 143
4.7.2 Driving Factors for Market Growth ........................................................ 127 5.2.2.6 Analyst View ..................................................................................... 143
4.7.3 Factors Challenging the Market ............................................................ 127 5.2.3 Amoy Diagnostics Co., Ltd. ................................................................... 144
4.7.4 South Africa ............................................................................................ 133 5.2.3.6 Analyst View ..................................................................................... 144
4.7.7 Rest-of-Middle East and Africa .............................................................. 136 5.2.4.2 Top Products .................................................................................... 145
Figure 3: Global Companion Diagnostics Market (by Application), $Million, 2022, 2026, Figure 29: Rest-of-Europe Companion Diagnostics Market, $Million, 2022-2033
and 2033 Figure 30: Asia-Pacific Companion Diagnostics Market, $Million, 2022-2033
Figure 4: Global Companion Diagnostics Market (by Technology), $Million, 2022, 2026, Figure 31: China Companion Diagnostics Market, $Million, 2022-2033
and 2033 Figure 32: India Companion Diagnostics Market, $Million, 2022-2033
Figure 5: Global Companion Diagnostics Market (by End User), $Million, 2022, 2026, Figure 33: Australia Companion Diagnostics Market, $Million, 2022-2033
and 2033
Figure 34: Japan Companion Diagnostics Market, $Million, 2022-2033
Figure 6: Key Players in the Companion Diagnostics Industry
Figure 35: South Korea Companion Diagnostics Market, $Million, 2022-2033
Figure 7: Key Industrial Developments in Global Companion Diagnostics Market, 2023
Figure 36: Rest-of-Asia-Pacific Companion Diagnostics Market, $Million, 2022-2033
Figure 8: Key Aspects Related to Liquid Biopsy-Based Companion Diagnostics
Figure 37: Latin America Companion Diagnostics Market, $Million, 2022-2033
Figure 9: Applications of Digital Diagnostics
Figure 38: Brazil Companion Diagnostics Market, $Million, 2022-2033
Figure 10: Supply Chain and Risks within the Supply Chain
Figure 39: Mexico Companion Diagnostics Market, $Million, 2022-2033
Figure 11: Global Companion Diagnostics Market (by Country), January 2021-December
Figure 40: Rest-of-Latin America Companion Diagnostics Market, $Million, 2022-2033
2023
Figure 41: Middle East and Africa Companion Diagnostics Market, $Million, 2022-2033
Figure 12: Global Companion Diagnostics (by Year), January 2021-December 2023
Figure 42: U.A.E. Companion Diagnostics Market, $Million, 2022-2033
Figure 13: Evolution of Companion Diagnostics
Figure 43: South Africa Companion Diagnostics Market, $Million, 2022-2033
Table 18: Europe Companion Diagnostics Market (by End User), $Million, 2022-2033 Table 41: China Companion Diagnostics Market (by Application), $Million, 2022-2033
Table 19: Europe Companion Diagnostics Market (by Technology), $Million, 2022-2033 Table 42: China Companion Diagnostics Market (by End User), $Million, 2022-2033
Table 20: France Companion Diagnostics Market (by Application), $Million, 2022-2033 Table 43: China Companion Diagnostics Market (by Technology), $Million, 2022-2033
Table 21: France Companion Diagnostics Market (by End User), $Million, 2022-2033 Table 44: India Companion Diagnostics Market (by Application), $Million, 2022-2033
Table 22: France Companion Diagnostics Market (by Technology), $Million, 2022-2033 Table 45: India Companion Diagnostics Market (by End User), $Million, 2022-2033
Table 23: Germany Companion Diagnostics Market (by Application), $Million, 2022- Table 46: India Companion Diagnostics Market (by Technology), $Million, 2022-2033
2033 Table 47: Australia Companion Diagnostics Market (by Application), $Million, 2022-2033
Table 24: Germany Companion Diagnostics Market (by End User), $Million, 2022-2033 Table 48: Australia Companion Diagnostics Market (by End User), $Million, 2022-2033
Table 52: Japan Companion Diagnostics Market (by Technology), $Million, 2022-2033 Table 71: Middle East and Africa Companion Diagnostics Market (by Application),
$Million, 2022-2033
Table 53: South Korea Companion Diagnostics Market (by Application), $Million, 2022-
2033 Table 72: Middle East and Africa Companion Diagnostics Market (by End User),
$Million, 2022-2033
Table 54: South Korea Companion Diagnostics Market (by End User), $Million, 2022-
2033 Table 73: Middle East and Africa Companion Diagnostics Market (by Technology),
$Million, 2022-2033
Table 55: South Korea Companion Diagnostics Market (by Technology), $Million, 2022-
2033 Table 74: U.A.E. Companion Diagnostics Market (by Application), $Million, 2022-2033
Table 56: Rest-of-Asia-Pacific Companion Diagnostics Market (by Application), $Million, Table 75: U.A.E. Companion Diagnostics Market (by End User), $Million, 2022-2033
2022-2033 Table 76: U.A.E. Companion Diagnostics Market (by Technology), $Million, 2022-2033
Table 57: Rest-of-Asia-Pacific Companion Diagnostics Market (by End User), $Million, Table 77: South Africa Companion Diagnostics Market (by Application), $Million, 2022-
2022-2033 2033
Table 58: Rest-of-Asia-Pacific Companion Diagnostics Market (by Technology), $Million, Table 78: South Africa Companion Diagnostics Market (by End User), $Million, 2022-
2022-2033 2033
Table 59: Latin America Companion Diagnostics Market (by Application), $Million, 2022- Table 79: South Africa Companion Diagnostics Market (by Technology), $Million, 2022-
2033 2033
Table 60: Latin America Companion Diagnostics Market (by End User), $Million, 2022- Table 80: Rest-of-Middle East and Africa Companion Diagnostics Market (by
2033 Application), $Million, 2022-2033
Table 64: Brazil Companion Diagnostics Market (by Technology), $Million, 2022-2033
Table 65: Mexico Companion Diagnostics Market (by Application), $Million, 2022-2033
Table 66: Mexico Companion Diagnostics Market (by End User), $Million, 2022-2033
Table 67: Mexico Companion Diagnostics Market (by Technology), $Million, 2022-2033
Table 68: Rest-of-Latin America Companion Diagnostics Market (by Application),
$Million, 2022-2033
AI Artificial Intelligence
CDx Companion Diagnostics
CML Chronic Myeloid Leukemia
CROs Contract Research Organizations
CTCs Circulating Tumor Cells
ctDNA Circulating Tumor DNA
EMA European Medicines Agency
ER Estrogen Receptor
EU European Union
FDA Food and Drug Administration
GMP Good Manufacturing Practice
GSPR General Safety And Performance Requirements
HER2 Human Epidermal Growth Factor Receptor 2
ICI Immune Checkpoint Inhibitor
IHC Immunohistochemistry
ISH In-Situ Hybridization
Scenario Market Size (2023) Market Size (2033) CAGR (%) Scenario Parameter
Assuming that there is no significant impact of restraints and driving factors
Optimistic $3,854.6 million $15,068.5 million 14.61%
continue fueling the market
Assuming that the restraining factors are impacting the growth rate of the
Pessimistic $3,663.0 million $9,788.0 million 9.30%
market
A balance being observed between driving factors and restraining factors,
Realistic $3,762.0 million $12,498.7 million 12.76%
along with upcoming technologies invading the market
15,068.4
7,119.9
12,498.7
6,224.8
3,300.0 9,788.0
3,300.00
5,498.4
3,300.0
The inception of companion diagnostics (CDx) in 1998 marked the origin of the drug-diagnostic co-development model, a transformative approach that has since witnessed consistent and substantial
adoption. Initially, companion diagnostics advancement was slow, with approximately 20 new approvals between 1998 and 2012, whereas from 2015 to 2023, this number rose to 134. About 50%
of all new molecular entity (NME) approvals in oncology have an associated CDx or biomarker included in the label required for safe and effective use (based on FDA approvals from 2021 and
2022 of NME in oncology). By the end of August 2023, the FDA approved 56 CDx assays. The global companion diagnostics market is primarily driven by increased demand for precision medicine,
growing sales of CDx complementary therapeutic drugs, regulatory tailwinds, widespread adoption of next-generation sequencing (NGS) enabling multiple biomarker screening simultaneously in
clinical trials, and the emergence of targeted gene panels, comprehensive genome profiling (CGP), and whole exome sequencing (WES) which have further streamlined the development of multi-
biomarker-driven CDx. These companion diagnostics assays are associated with different oncological and hematological drugs, which would lose their value without an accurate and reliable CDx
assay.
Despite the historical trend toward oncology, applications in metabolic syndrome and rare diseases are gaining traction, empowering CDx to become an integral part of precision medicine clinical
trials across many indications. Most NGS-based CDx follow the single-site regulatory pathway today, limiting sample analysis capacity, increasing turnaround times, and reducing patient access.
Moreover, advancements in precision medicine are focused on addressing these limitations through decentralized testing and an easy-to-implement workflow and analysis model.
5,336.9
3,562.1
2,849.7
2,371.6
1,614.1
1,428.9
1,125.1
983.4
633.6
400.0
350.0
219.8
174.4
141.9
112.2
North America Europe Asia-Pacific Middle East and Africa Latin America
Source: BIS Research Analysis
The global companion diagnostics market (by region) has been dominated by North America, which held a 43.30% market share in 2022, and it is anticipated to retain its position in the market
during the forecast period. The region is at the forefront of the market due to the increased adoption of precision medicine, the presence of key industry leaders and strategic collaborations, a
Furthermore, in February 2022, the company received CAP accreditation to process in-vitro diagnostics (IVD) samples in a laboratory in Japan and reimbursement approval. The company also
launched a new laboratory in China. The growing interest of key industry leaders in developing countries and the increasing prevalence of cancer are fueling the market growth. The Asia-Pacific
region has been expanding alongside the U.S. and Europe and is projected to grow faster, with 14.53% CAGR during the forecast period 2023-2033.
Parameter Description
Collaborating with payers to establish coverage policies and reimbursement structures for diagnostic tests.
Developing solutions to integrate companion diagnostics into healthcare systems, such as molecular and genetic testing, into routine healthcare practices.
Developing a genomic database that aids in biomarker discovery and validation.
Developing liquid biopsy-based companion diagnostics
For instance, critical companies such as F. Hoffmann-La Roche, Illumina, Inc., and others contributing liquid biopsy solutions for identifying cancer biomarkers and
Market enhancing personalized treatment options.
Opportunities Developing comprehensive genomic profiling-based companion diagnostics
Collaborating with biopharmaceutical companies in the development of new drugs
Emerging mutations with high unmet needs, such as ESR1, an urgent mutation that evolves after breast cancer treatment and patients expressing ESR1 can be
put on a new class of targeted therapy.
There are growth opportunities in emerging countries, including China, India, South Korea, Japan, and others. For instance, China offers a point of differentiation
and potential for biopharma strategic partnerships.
Source: BIS Research Analysis
4,988.4
2,956.8
2,296.7
2,107.6
1,369.1
1,234.0
1,001.7
958.1
844.3
676.1
597.2
432.8
421.3
327.2
258.8
206.9
201.3
164.1
102.5
91.9
66.8
Lung Cancer Breast Cancer Colorectal Cancer Leukemia Stomach Cancer Melanoma Others
Source: BIS Research Analysis
The global companion diagnostics market (by application) has been dominated by lung cancer, which held 37.39% of the market share in 2022. The dominance could be attributed to the rise of
4,579.6
2,979.9
2,847.2
1,950.5
1,766.0
1,373.7
1,147.0
1,102.4
887.8
845.4
614.0
574.2
326.0
190.6
119.3
The global companion diagnostics market (by technology) was dominated by PCR, representing 34.76% market share in 2022. The significant contribution could primarily be attributed to diverse
6,063.2
4,587.0
2,472.9
2,101.6
1,848.4
1,418.9
1,288.5
930.6
592.6
The global companion diagnostics market (by the end user) has been segmented into pharmaceutical and biotechnological companies, reference laboratories and hospitals, and others. Reference
Fi g ure 6 : Key Pla yers in t he Com pa nio n Dia g nos tic s I ndus tr y
Foundation Medicine, Inc. Recieves FDA Approval for FoundationOne CDx as a Use for Selpercatinib
(Retevmo)
•The FDA, in October 2023, approved FoundationOne CDx for use with selpercatinib (Retevmo) for the treatment of tumors with a RET gene
fusion.
Agilent Technologies, Inc. Collaborates with Incyte to Develop Advanced Companion Diagnostics in
Hematology and Oncology
•In January 2024, Agilent Technologies, Inc. collaborated with Incyte to develop advanced companion diagnostics in hematology and oncology.
This would enables Agilent Technologies, Inc. to continue to expand its CDx portfolio with novel biomarkers and allow Incyte to leverage the
company's expertise in IVD assay development, global regulatory approvals, and commercialization.
•As of May 2023, UnitedHealthcare (UHC) would now cover the Guardant360 CDx liquid biopsy test for patients enrolled in its commercial policies
for all FDA-approved companion diagnostic indications. The test is used by oncologists as a CDx to assess if patients are eligible for targeted
therapy for advanced or metastatic breast or non-small-cell lung cancer (NSCLC).
Source: BIS Research Analysis
• What does the patent landscape of the global companion diagnostics market look like? Which year and country witnessed the maximum patent filings?
• What are the key regulations that impact the growth of the global companion diagnostics market?
• What are the key drivers, restraints, and opportunities for the global companion diagnostics market, and what will be their impact on the market in short-, mid-, and long-term duration?
• What is the estimated global market size for the companion diagnostics market?
• Which segment holds the largest market share of the companion diagnostics market, and which one of these segments is projected to be the fastest-growing segment during the forecast
period 2023-2033?
• Which region holds the largest market share of the companion diagnostics market, and which one of these regions is expected to be the fastest-growing segment during the forecast period
2023-2033?
• Which country holds the largest market share of the companion diagnostics market, and which one of these countries is expected to be the fastest-growing segment during the forecast
period 2023-2033.?
• Who are the key players in the global companion diagnostics market, and what are their product offerings in the market?
• The base year considered for the calculation of the market size is 2022. The historical year analysis has been done from FY2020 to FY2021, and the market
size has been calculated for FY2022 and projected for 2023-2033.
• The geographical distribution of the market revenue has been estimated to be the same as the company’s net revenue distribution. All the numbers have
been adjusted off to two digits after decimal for report presentation reasons. However, the real figures have been utilized for compound annual growth rate
(CAGR) estimation. CAGR has been calculated from 2023 to 2033.
The implementation of liquid biopsy-based companion diagnostics represents a •Liquid biopsy can be used for the early detection of
transformative approach in oncology, offering a non-invasive and dynamic method for cancer, potentially identifying genetic alterations
assessing tumor characteristics. This innovative diagnostic strategy involves the analysis of before the manifestation of clinical symptoms.
Application Furthermore, it provides a dynamic assessment of
circulating biomarkers, such as circulating tumor DNA (ctDNA) and circulating tumor cells treatment response and allows for the detection of
(CTCs), in bodily fluids such as blood. minimal residual disease (MRD) or disease
recurrence.
For instance, according to a research paper published by PubMed Central in October 2022,
titled “Clinical utility of liquid biopsy-based companion diagnostics in the non-small-cell lung •Liquid biopsy-based companion diagnostics are
cancer treatment,” tests that analyze multiple genes in liquid biopsy have been given the green specifically designed to identify actionable genetic or
molecular alterations that can guide the selection of
light as companion diagnostics and are used in regular clinical situations. One way that liquid Companion
targeted therapies. These diagnostics are crucial for
biopsy can help is by checking the number of mutations in the blood tumor (bTMB). This can Diagnostics
personalized medicine, ensuring that patients receive
be useful in predicting how well immune checkpoint inhibitor (ICI) treatments might work. treatments that are most likely to be effective based
on their individual tumor profile.
ArcherMET NGS
Gurdant 360 CDx NGS panel (61 genes) •Liquid biopsy has demonstrated clinical utility in
multiple cancer types, including lung, breast,
FoundationOne Liquid CDx NGS panel (318 genes) colorectal, and prostate cancer. It enables real-time
Clinical Utility
Source: PubMed Central, Clinical Utility of Liquid Biopsy-Based Companion Diagnostics in the Non-Small-Cell monitoring of treatment response, helps in the
Lung Cancer Treatment, October 2022 identification of resistance mechanisms, and assists in
Analyst View
As liquid biopsy technology continues to evolve, it holds immense promise for guiding
personalized cancer treatment by identifying actionable genetic alterations. The successful
implementation of liquid biopsy-based companion diagnostics requires collaboration among
researchers, clinicians, regulatory authorities, and industry partners, ultimately contributing to
a paradigm shift toward precision medicine in cancer care.
accuracy and the ability to identify subtle patterns or correlations that may be challenging for
traditional methods.
For instance, in September 2022, Neuron23 Inc., a company working on creating precise Subtype
Tumor
Identificati
medicines for specific brain and immune system diseases, teamed up with QIAGEN N.V. to Grading
on
make a special test. This test, called a companion diagnostic, could help determine if Digital
Neuron23's LRRK2 inhibitor medicine is a good fit for people with Parkinson's disease. The Diagnostics
collaboration would assist in the final stages of testing Neuron23's potential drug, which is
currently being studied before clinical trials. If the drug continues to show promise in these
trials, the partnership also includes the possibility of creating more tests in the future to go
along with other potential medicines.
Integration
with Quality
Furthermore, in February 2024, F. Hoffmann-La Roche Ltd and PathAI joined forces to use Clinical Assurance
artificial intelligence (AI) in creating computer programs, known as algorithms, for companion Data
diagnostics. This collaboration would enhance the use of AI in developing tests that can help
identify the right patients for specific treatments. Companion diagnostics can play a crucial Source: BIS Research Analysis
role in tailoring medical interventions to individual patients, and AI can contribute to the
efficiency and accuracy of such diagnostic processes. Analyst View
The integration of artificial intelligence (AI) with companion diagnostics represents a
Regulatory
Raw Material Compliance
Procurement Risk Assessment
Raw material
procurement and
assay development
and production are
the key concerns.
Assay
Supplier Evaluation Technology
Development
and Data
and Production
Integration
Assay
Biomarker Development Healthcare
Manufacturing Quality Commercialization
Discovery and Integration
Regulatory Check
Approval
Marketing
Sales
andDistribution
Downstream Activities
23
Japan 2 22
China 2
Canada 8
6
U.S. 9
Australia 3
Regulatory Approvals
Guidelines
According to the approved FDA guidelines, a companion diagnostic is “a medical device, often
an in vitro device, which provides information that is essential for the safe and effective use of The splitting of regulatory responsibilities could hamper prospects for the co-development of
a corresponding drug or biological product.” The test helps a healthcare professional a medicine and consequently, its CDx, causing the drug and the diagnostic to reach the market
determine whether a particular therapeutic product’s benefits to patients will outweigh any at the different timeframe. The co-development of drugs with assays for pharmacogenomic
potential serious side effects or risks. biomarkers necessary for patient selection will be an important component for the shift to
precision or personalized medicines from traditional treatment. Gaps in controls could be
maintained by the division of responsibilities. This gap control could be beneficial for the
The FDA has laid down two draft guidance documents for the regulatory approval of quality of specimens with respect to their storage and transportation, pre-analytical phases of
companion diagnostics. These are as follows: biomarker testing, and in the monitoring of the reproducibility of tests.
▪ In July 2014, the FDA issued "Guidance for Industry: In Vitro Companion Diagnostic
Devices". This guidance was issued to help companies identify the need for Replacing legislations dates back to the early 1990s, two new legislations have been
companion diagnostics at an earlier stage in the drug development process and simultaneously approved in 2017. IVD Regulation 2017/746 will come into full force in 2022
accordingly plan for co-development of the drug and companion diagnostic test. The and EU Regulation 2017/745, Medical Devices will come into full force in 2020. The new rules
guidance ultimately aimed to stimulate early collaborations that would result in faster are more consistent with those developed at the international level for medical devices
▪ In July 2016, the FDA released the draft guidance, "Principles for Co-development
of an In Vitro Companion Diagnostic Device with a Therapeutic Product." This According to the EU’s new IVD legislation, health institutes, including hospitals, should
continue to have the freedom “of manufacturing, modifying, and using devices in-house”
guidance document was intended to be a practical guide to assist therapeutic product
outside the regulation. However, national quality rules may still apply to them. The EU’s
sponsors and IVD sponsors in developing a therapeutic product and an
existing regulatory system has largely been retained, under which self-certification of the
accompanying IVD companion diagnostic. quality and safety of their diagnostic kits can still be done by the IVD manufacturers.
In December 2013, Following the MHLW’s notification, the Pharmaceutical and Medical Device Agency (PMDA) notified the regulatory requirements for a clinical trial of the CDx and drug as well
as the necessary analytical validity of CDx for the trials. These official notifications from the Ministry and the Agency were useful for pharmaceutical and diagnostics manufacturers in comprehending
ways to co-develop and validate CDx for clinical trials and consequently, regulatory submission. However, since the highly anticipated technologies, such as the next-generation sequencing (NGS),
are exceedingly complex for adoption and medically risky, the existing regulatory system which focuses only on IVD-manufacturer made diagnostic reagents and devices, may not be suitable for
the characteristics of CDx for the future.
In November 2013, the FDA cleared 510 K for NGS and its universal kit due to a substantial increment of clinical needs for multiple biomarkers assays by DNA sequencing. Additionally, in October
2014, the agency notified two drafts of guidance (Anticipated Details of the Draft Guidance for Industry, Food and Drug Administration Staff, and Clinical Laboratory in Framework for Regulatory
Oversight of Laboratory Developed Tests (LDTs), [2014]; Anticipated Details of the Draft Guidance for Industry, Food and Drug Administration Staff, and Clinical Laboratory in FDA Notification and
Medical Device Reporting for Laboratory Developed Tests (LDT), [2014]) to oversee laboratory developed tests (LDTs) associated with medium or high medical risks. These strategic decisions
and new regulatory frameworks would further allow the clinical laboratories to develop and perform NGS-based CDx easily under the certification of Clinical Laboratory Improvement Amendments
(CLIA). However, neither law nor regulated quality management system similar to the CLIA exists in Japan. Effective regulatory changes and reimbursement policies still await Japan’s companion
diagnostics co-development regime.
The figure shows the timeline for the introduction of various companion diagnostics platforms.
The decisions in developing CDx are usually guided by the goal of maximizing the exposure of patients who would benefit from a drug while minimizing exposure for those for whom the drug may
not work or could pose risks. Deciding how to evaluate patients who test negative for the diagnostic is crucial. Analyzing the performance of the diagnostic assay should be done before using it in
clinical trials. Identifying key data elements necessary for analytical validation is essential early in development. Therefore, it is vital to bring together researchers, clinicians, sponsors, and regulators
to discuss challenges and opportunities in co-developing drugs and diagnostics. This collaboration is crucial for advancing breakthrough precision diagnostics and targeted therapies.
• DNA
R&D Laboratories (Biomarker • RNA
Identification) • Proteins
• Metabolite Targets
• Screening Assay
• Predictive Marker Screen
Diagnostic Companies (Development
• Final Marker Selection
and Optimizing Assay)
• Assay and Platform Selection
• Final Kit Design
Expanding
Therapeutic
Areas
Integration of
Integration with
Multi-Omics
Immunotherapy
Data
Future Potential
Artificial
Intelligence (AI)
and Data
Analytics
19.3 M 30.2 M
As chronic diseases become more prevalent globally, there has been an increasing need for advanced diagnostic tools that can provide personalized insights into patients' conditions. Companion
diagnostics play a crucial role in this landscape by identifying specific biomarkers or genetic mutations associated with diseases, notably cancer.
The diagnostic tests enable healthcare professionals to tailor treatment strategies based on the individual characteristics of patients, ensuring a more targeted and effective approach to therapy.
As the incidence of cancer continues to climb, the demand for companion diagnostics is expected to rise, facilitating the development of precision medicine and contributing to improved patient
outcomes in the field of oncology.
While companion diagnostics are applicable across various therapeutic areas, oncology remains a dominant field due to the complex genetic nature of cancers and the need for targeted therapies.
Analyst View
As the understanding of the molecular basis of diseases continues to advance, companion diagnostics are expected to play an increasingly crucial role in shaping the future of medicine. The market
is likely to see continued growth with ongoing research, technological innovations, and increased collaboration between diagnostic and pharmaceutical companies.
These advancements not only facilitate the identification of specific biomarkers crucial for companion diagnostics but also enable a more nuanced understanding of individual patient characteristics.
By harnessing the power of precise and detailed biomedical imaging, the field of precision medicine is poised to revolutionize diagnostics, tailoring treatments to the unique profiles of patients for
improved therapeutic outcomes.
Analyst View
For instance, according to a research paper published by PubMed Central in July 2023, titled “Emerging Biomedical Imaging-Based Companion Diagnostics for Precision Medicine,” a new type of
diagnostic tool that uses molecular imaging has been developed to quickly diagnose tumors and monitor how well treatments are working in precision medicine. Presently, the only imaging-based
companion diagnostic tool approved by the FDA is FerriScan, which uses MRI to check iron levels in the livers of people with certain types of thalassemia. Furthermore, with the progress in
molecular imaging, there are more ways to measure the differences in tumors and see how they respond to treatment. This includes methods such as nuclear medicine, ultrasound, MRI, CT scans,
and optical imaging to predict how well a treatment might work.
According to a paper published by PubMed Central, titled “Companion Diagnostics: State of the Art and New Regulations,” in October 2021, companion diagnostics (CDx) show potential in
improving drug development and precision medicine, however they face challenges in clinical development and regulation. CDx is considered high-risk because it plays a crucial role in treatment
decisions, and its sensitivity and specificity can complicate matters. The European Union (EU) has been working on implementing the In-Vitro Diagnostic Medical Devices Regulation (IVDR), which
brings in strict requirements for scientific validity, analytical and clinical performance, and ongoing monitoring for in-vitro diagnostics (IVD) throughout their lifetime.
Adhering to General Safety and Performance Requirements (GSPRs) follows a risk-based approach, similar to the new classification system. This evolving regulatory framework affects everyone
in the in-vitro diagnostics (IVD) industry, such as authorized representatives, distributors, importers, notified bodies, and reference laboratories. It is anticipated to notably influence the creation of
new companion diagnostics (CDx).
Analyst View
The regulatory framework for companion diagnostics involves rigorous scrutiny of their development, validation, and clinical utility. This process aims to confirm that these diagnostics accurately
identify biomarkers or genetic variations, providing essential information for determining the most suitable treatment for an individual patient.
As these technologies mature, the companion diagnostics field is expected to make even
Next-Generation Sequencing
greater contributions to personalized medicine, ultimately improving patient outcomes by
•A significant leap forward in companion diagnostics involves the application of ensuring that treatments are tailored to individual genetic profiles and disease characteristics.
next-generation sequencing (NGS) technology. NGS is a robust tool that
enables the quick and simultaneous examination of several genes, facilitating
the identification of genetic mutations linked to specific diseases. The ability to
analyze multiple genes rapidly through NGS has substantially contributed to
the precision and efficiency of diagnostic processes, ushering in a new era in
personalized medicine.
Liquid Biopsy
•Another notable technological evolution in companion diagnostics is the
adoption of liquid biopsy. This method represents a non-invasive approach
This level of granularity facilitates a more tailored and effective approach to treatment, potentially leading to improved patient outcomes. The versatility of epigenomics spans across various disease
areas, allowing for the discovery of novel biomarkers and expanding the applications of companion diagnostics. Moreover, the dynamic nature of epigenetic changes enables longitudinal monitoring,
providing valuable insights into disease progression and treatment response over time.
•Epigenomics-based companion diagnostics offer a more detailed understanding of a patient's molecular profile, enabling healthcare providers to tailor treatments with
greater precision.
•Epigenomics-related studies can contribute to the discovery of novel biomarkers associated with various diseases. This expands the repertoire of diagnostic tools,
allowing for the identification of unique epigenetic signatures that may serve as indicators for treatment response or disease progression.
•Epigenomics enhances the capabilities of personalized medicine by incorporating information about epigenetic modifications alongside genetic data.
Analyst View
As technological advancements in epigenomic tools continue to evolve, there is expected to be a significant potential for market growth and collaboration opportunities within the healthcare sector.
Epigenomics-based companion diagnostics not only enhance diagnostic precision but also contribute to the strategic expansion of the companion diagnostics market, thereby positioning it at the
forefront of personalized medicine innovations.
Application
Application Segmentation
Lung Cancer Breast Cancer Colorectal Cancer Leukemia Stomach Cancer Melanoma Others
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 1,234.0 1,415.1 1,619.3 1,849.3 2,107.6 2,397.3 2,721.5 3,083.6 3,487.3 3,936.4 4,435.3 4,988.4 13.43%
Breast Cancer 844.3 955.7 1,079.6 1,217.0 1,369.1 1,537.2 1,722.4 1,926.3 2,150.1 2,395.5 2,663.8 2,956.8 11.96%
Colorectal Cancer 597.2 681.8 776.6 882.9 1,001.7 1,134.2 1,281.8 1,445.7 1,627.6 1,828.9 2,051.4 2,296.7 12.91%
Leukemia 206.9 232.8 261.3 292.7 327.2 365.0 406.4 451.6 501.0 554.6 612.9 676.1 11.25%
Stomach Cancer 91.9 106.6 123.3 142.4 164.1 188.8 216.8 248.5 284.3 324.7 370.2 421.3 14.74%
Melanoma 66.8 74.6 83.1 92.4 102.5 113.5 125.5 138.4 152.4 167.5 183.8 201.3 10.44%
Others 258.8 295.6 336.6 382.2 432.8 488.7 550.4 618.2 692.5 773.7 862.1 958.1 12.48%
Total 3,300.0 3,762.0 4,279.8 4,858.8 5,505.0 6,224.8 7,024.8 7,912.4 8,895.2 9,981.4 11,179.5 12,498.7 12.76%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-33)
Total 3,300.0 3,762.0 4,279.8 4,858.8 5,505.0 6,224.8 7,024.8 7,912.4 8,895.2 9,981.4 11,179.5 12,498.7 12.76%
Source: BIS Research Analysis
PD-L1 expression testing assists in determining eligibility for immune checkpoint inhibitors. Furthermore, companion diagnostics not only aid in precise patient stratification but also enable ongoing
monitoring of treatment response. As a result, these tools have significantly improved treatment outcomes in lung cancer patients, offering a paradigm shift toward personalized and more effective
therapies.
This approach optimizes treatment efficacy while minimizing potential side effects in patients who are unlikely to respond to certain therapies. The integration of companion diagnostics in colorectal
cancer not only enhances the precision of therapeutic interventions but also represents a significant stride toward more effective and individualized patient care in the evolving landscape of precision
2.2.4 Leukemia
In the field of leukemia, the companion diagnostics market has emerged in tailoring treatment strategies to the specific genetic and molecular characteristics of individual patients. The identification
of biomarkers, such as specific genetic mutations or chromosomal abnormalities, is pivotal for guiding targeted therapies. For instance, companion diagnostics are instrumental in identifying patients
with chronic myeloid leukemia (CML) who harbor the BCR-ABL fusion gene, guiding the use of tyrosine kinase inhibitors such as imatinib.
2.2.6 Melanoma
Melanoma is a big health problem, causing most skin cancer-related deaths. Even though it makes up only 1% of diagnosed skin cancers, it's expected to be the main reason for skin cancer-
related deaths. The integration of companion diagnostics in melanoma care addresses the unmet needs in oncology, offering personalized approaches to enhance patient outcomes. As the
incidence of melanoma and other common cancer types continues to rise, companion diagnostics for melanoma become increasingly crucial in advancing precision oncology and optimizing patient
care.
2.2.7 Others
Researchers are working on creating drugs and companion diagnostics for common and aggressive cancers worldwide. They are also looking into less common types, such as ovarian cancer,
urothelial cancer, and squamous cell carcinoma of the head and neck. Some important companies making these companion diagnostics are Myriad Genetics, Inc., F. Hoffmann-La Roche Ltd, and
Agilent Technologies, Inc. The other applications include disease such as infectious diseases, cardiac diseases, and neurological diseases:
Companion diagnostics play a crucial role in identifying specific markers or genetic characteristics related to infectious agents, aiding in the diagnosis and treatment of infections. As the field of
infectious diseases evolves, companion diagnostics contribute to precision medicine by guiding the selection of appropriate antimicrobial therapies and helping to manage the growing concern of
antimicrobial resistance. The integration of companion diagnostics in infectious disease management represents a valuable advancement in healthcare, offering a more personalized and efficient
approach to addressing microbial infections.
The integration of companion diagnostics into pharmaceutical and biotechnology strategies is part of a broader shift toward precision medicine. It facilitates the development of more targeted and
efficient therapeutic interventions, reducing potential side effects and improving patient adherence. As the pharmaceutical and biotechnology sectors continue to advance, companion diagnostics
play a vital role in shaping the future of individualized and optimized healthcare.
In reference laboratories, companion diagnostics serve as tools for refining treatment strategies based on individual patient profiles. These labs contribute to the integration of personalized medicine
into routine clinical practice by offering reliable and accurate testing services. This is particularly relevant in the context of oncology, where companion diagnostics help identify patients who are
most likely to respond to targeted therapies.
2.3.3 Others
Companion diagnostics are essential tools that help tailor medical treatments to individual patients based on their unique genetic or molecular characteristics. CROs contribute to this process by
offering a range of services related to the development and validation of companion diagnostics.
Product
Product Segmentation
Technology
Polymerase Chain Reaction (PCR) Next-Generation Sequencing (NGS) Immunohistochemistry (IHC) In-Situ Hybridization (ISH) Others
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-33)
PCR 1,147.0 1,313.9 1,501.9 1,713.3 1,950.5 2,216.2 2,513.0 2,844.1 3,212.8 3,622.4 4,076.7 4,579.6 13.30%
NGS 614.0 713.0 826.1 955.3 1,102.4 1,269.6 1,459.4 1,674.4 1,917.3 2,191.4 2,500.1 2,847.2 14.85%
IHC 845.4 957.5 1,082.1 1,220.4 1,373.7 1,543.1 1,730.1 1,936.0 2,162.4 2,410.7 2,682.6 2,979.9 12.02%
ISH 574.2 642.3 716.9 798.6 887.8 985.1 1,090.8 1,205.7 1,330.1 1,464.6 1,609.7 1,766.0 10.64%
Others 119.3 135.4 152.8 171.2 190.6 210.8 231.4 252.2 272.7 292.3 310.3 326.0 9.18%
Total 3,300.0 3,762.0 4,279.8 4,858.8 5,505.0 6,224.8 7,024.8 7,912.4 8,895.2 9,981.4 11,179.5 12,498.7 12.76%
Source: BIS Research Analysis
In companion diagnostics, PCR is applied to amplify and analyze specific DNA or RNA regions linked to the targeted disease or condition. This is particularly valuable in oncology, where identifying
mutations or alterations in genes can help determine the most appropriate therapeutic interventions. For instance, in cancer companion diagnostics, PCR may be used to detect mutations such as
those in the EGFR gene for lung cancer or the BRAF gene for melanoma.
Companion diagnostics incorporating IHC techniques contribute to the advancement of personalized medicine by helping clinicians identify patient subgroups that are more likely to respond to
specific therapies. The results of IHC tests are often integrated into the overall diagnostic and treatment decision-making process, facilitating a more targeted and individualized approach to patient
care.
In the context of companion diagnostics, ISH is often used to detect and analyze specific RNA or DNA sequences, including gene amplifications, translocations, or mutations. This information is
Region
CAGR
Region 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
North America 1,428.9 1,626.9 1,848.4 2,095.9 2,371.6 2,678.3 3,018.7 3,395.8 3,812.7 4,272.9 4,779.7 5,336.9 12.61%
Europe 983.4 1,116.5 1,265.1 1,430.4 1,614.1 1,817.7 2,043.1 2,291.9 2,566.2 2,867.9 3,199.1 3,562.1 12.30%
Asia-Pacific 633.6 733.7 847.8 977.6 1,125.1 1,292.3 1,481.3 1,694.7 1,935.3 2,205.7 2,509.4 2,849.7 14.53%
Latin America 141.9 159.2 178.0 198.2 219.8 242.7 266.9 292.2 318.5 345.4 372.7 400.0 9.65%
• Increasing product approvals in the field of companion diagnostics • The uncertain reimbursement scenario poses a challenge to the companion
contribute to market expansion, fostering the development of targeted diagnostics market, impacting the adoption of these tests as healthcare
U.K. therapies and enhancing patient outcomes providers seek clarity on reimbursement policies
• Growing awareness among healthcare professionals about the benefits of • Market players respond to reimbursement uncertainties by conducting health
Germany companion diagnostics in tailoring treatments based on individual patient economic studies, providing evidence of the value proposition of companion
profiles propels market demand diagnostics, and enhancing market acceptance
• Advancements in biomedical imaging techniques serve as a driving force • Challenges associated with an uncertain reimbursement landscape drive
China for precision medicine's companion diagnostics, enabling more accurate industry stakeholders to work collaboratively to establish clear
diagnosis and treatment planning reimbursement pathways for companion diagnostics
• Government initiatives for precision medicine initiatives fuel the companion • Stringent regulatory approval processes contribute to the credibility and
Japan diagnostics market, creating a favorable environment for research and trustworthiness of companion diagnostics, assuring healthcare professionals
development and patients of the tests' reliability and efficacy
• Technological advancements in molecular diagnostics and genomics • Navigating complex reimbursement scenarios encourages companion
South Africa contribute to the evolution of companion diagnostics, enabling more precise diagnostics developers to demonstrate the clinical utility and cost-
identification of biomarkers for various diseases, including cancer effectiveness of their tests, driving innovation in the field.
Lower Readiness
5,336.9
4,779.7
4,272.9
3,812.7
3,395.8
3,018.7
2,678.3
2,371.6
2,095.9
1,848.4
1,626.9
1,428.9
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
4.3.1 Regional Overview
Source: BIS Research Analysis
The North America region, including the U.S. and Canada, is a significant market in the
companion diagnostics market because the region allocates substantial resources to
healthcare, fostering a robust market for advanced diagnostics. Furthermore, the U.S. FDA Analyst View
and Health Canada provide clear regulatory pathways, instilling confidence in developers and In 2022, North America accounted for a share of 43.30% of the companion diagnostics market.
facilitating market growth. The region is expected to reach $5,336.9 million in 2033 from $1,428.9 million in 2022, at a
4.3.2 Driving Factors for Market Growth The aging population in North America increases the demand for precise diagnostics to cater
to age-related health concerns, supporting the companion diagnostics market. Furthermore,
• Increasing number of product approvals
the region witnesses widespread adoption of advanced technologies such as next-generation
• Rapid growth in biomarker discovery sequencing, driving companion diagnostics market growth.
Moreover, the region's prominence in conducting clinical trials encourages the integration of
4.3.3 Factors Challenging the Market companion diagnostics in trial design.
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 533.3 610.2 696.6 793.7 902.5 1,024.2 1,160.0 1,311.3 1,479.6 1,666.4 1,873.2 2,102.0 13.17%
Breast Cancer 360.9 408.5 461.5 520.2 585.3 657.2 736.4 823.7 919.5 1,024.5 1,139.4 1,264.9 11.97%
Colorectal Cancer 263.8 300.8 342.3 388.7 440.5 498.3 562.5 633.7 712.6 799.8 896.0 1,001.9 12.79%
Leukemia 92.1 103.6 116.2 130.2 145.5 162.2 180.6 200.6 222.5 246.2 272.0 300.0 11.22%
Stomach 42.5 48.9 56.3 64.5 73.9 84.4 96.3 109.6 124.5 141.2 159.8 180.6 13.95%
Melanoma 28.4 31.8 35.6 39.7 44.2 49.2 54.5 60.4 66.7 73.6 81.0 89.0 10.84%
Others 108.0 123.1 140.0 158.8 179.7 202.8 228.4 256.5 287.4 321.2 358.2 398.6 12.47%
Total 1,428.9 1,626.9 1,848.4 2,095.9 2,371.6 2,678.3 3,018.7 3,395.8 3,812.7 4,272.9 4,779.7 5,336.9 12.61%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
560.6 633.3 714.1 803.5 902.2 1,011.2 1,131.1 1,262.8 1,407.2 1,565.1 1,737.7 1,925.8 11.76%
Biotechnology Companies
Reference Laboratories
615.1 709.2 816.0 937.0 1,073.7 1,227.9 1,401.4 1,596.3 1,814.9 2,059.4 2,332.5 2,637.1 14.03%
and Hospitals
Others 253.3 284.3 318.3 355.4 395.6 439.2 486.2 536.7 590.7 648.3 709.5 774.1 10.53%
Total 1,428.9 1,626.9 1,848.4 2,095.9 2,371.6 2,678.3 3,018.7 3,395.8 3,812.7 4,272.9 4,779.7 5,336.9 12.61%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 486.4 556.9 636.4 725.6 825.7 937.6 1,062.7 1,202.1 1,357.1 1,529.2 1,720.0 1,931.0 13.24%
NGS 270.1 313.6 363.2 419.8 484.3 557.5 640.5 734.5 840.7 960.3 1,095.0 1,246.2 14.80%
IHC 358.4 405.2 457.2 514.8 578.5 648.9 726.3 811.5 904.9 1,007.2 1,119.0 1,241.1 11.84%
ISH 257.0 286.6 318.9 354.2 392.6 434.3 479.6 528.7 581.7 638.9 700.5 766.7 10.34%
Others 57.0 64.6 72.8 81.5 90.6 100.0 109.5 119.1 128.4 137.2 145.2 152.0 8.93%
Total 1,428.9 1,626.9 1,848.4 2,095.9 2,371.6 2,678.3 3,018.7 3,395.8 3,812.7 4,272.9 4,779.7 5,336.9 12.61%
Source: BIS Research Analysis
4,488.4
4,030.0
3,611.9
3,231.2
2,885.2
2,571.4
2,287.3
2,030.6
1,799.1
1,590.7
1,403.7
1,236.0
Country Overview
The companion diagnostics market in the U.S. has been experiencing significant growth,
primarily driven by advancements in personalized medicine and the increasing focus on 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
targeted therapies. As the understanding of the genetic and molecular basis of diseases has
expanded, companion diagnostics have become crucial in tailoring treatments to individual Source: BIS Research Analysis
patients.
The regulatory landscape for companion diagnostics is overseen by the U.S. Food and Drug Analyst View
Administration (FDA). The FDA has been actively involved in streamlining the approval The U.S. companion diagnostics market was valued at $1,236.0 million in 2022 and is
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 460.4 525.2 597.8 679.1 769.8 871.0 983.5 1,108.4 1,246.8 1,399.9 1,568.8 1,754.9 12.82%
Breast Cancer 311.5 351.8 396.4 445.8 500.4 560.5 626.7 699.2 778.7 865.6 960.5 1,063.7 11.70%
Colorectal Cancer 228.7 260.2 295.4 334.8 378.6 427.3 481.3 541.1 607.1 680.0 760.2 848.3 12.55%
Leukemia 80.3 90.2 101.0 112.8 125.8 140.1 155.6 172.5 190.9 210.9 232.5 255.8 10.99%
Stomach 37.1 42.6 48.8 55.8 63.8 72.6 82.6 93.7 106.2 120.0 135.5 152.6 13.61%
Melanoma 24.7 27.7 30.9 34.4 38.3 42.5 47.1 52.0 57.4 63.2 69.5 76.3 10.68%
Others 93.3 106.1 120.4 136.3 153.9 173.3 194.7 218.2 244.0 272.3 303.1 336.6 12.23%
Total 1,236.0 1,403.7 1,590.7 1,799.1 2,030.6 2,287.3 2,571.4 2,885.2 3,231.2 3,611.9 4,030.0 4,488.4 12.33%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
Biotechnology 488.2 549.9 618.1 693.4 776.2 867.3 967.0 1,076.2 1,195.5 1,325.4 1,466.8 1,620.3 11.41%
Companies
Reference Laboratories
532.7 613.2 704.4 807.4 923.7 1,054.7 1,201.8 1,366.8 1,551.5 1,757.8 1,988.0 2,244.2 13.85%
and Hospitals
Others 215.1 240.5 268.2 298.2 330.6 365.4 402.6 442.2 484.3 528.7 575.2 623.9 10.00%
Total 1,236.0 1,403.7 1,590.7 1,799.1 2,030.6 2,287.3 2,571.4 2,885.2 3,231.2 3,611.9 4,030.0 4,488.4 12.33%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 420.2 480.3 547.9 623.6 708.4 803.2 908.8 1,026.3 1,156.8 1,301.5 1,461.5 1,638.2 13.05%
NGS 234.8 272.1 314.6 363.1 418.1 480.5 551.2 631.0 721.0 822.3 936.1 1,063.7 14.61%
IHC 309.0 348.3 391.7 439.7 492.5 550.6 614.3 684.0 760.3 843.4 934.0 1,032.3 11.48%
ISH 222.5 247.0 273.5 302.4 333.6 367.3 403.6 442.6 484.5 529.3 577.2 628.4 9.79%
Others 49.4 56.0 63.0 70.3 78.0 85.8 93.6 101.3 108.7 115.4 121.2 125.7 8.42%
Total 1,236.0 1,403.7 1,590.7 1,799.1 2,030.6 2,287.3 2,571.4 2,885.2 3,231.2 3,611.9 4,030.0 4,488.4 12.33%
Source: BIS Research Analysis
848.6
749.7
661.0
581.5
510.6
447.3
391.0
341.0
296.8
257.7
223.2
192.9
Country Overview
Canada stands as a significant hub for pharmaceutical and biotechnology research and
development (R&D), showcasing a robust presence in the global landscape. Health Canada 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
manages the regulatory oversight for companion diagnostics in Canada. Regulatory
Source: BIS Research Analysis
processes and approvals are in place to ensure the safety, efficacy, and quality of these
diagnostic tools.
Analyst View
The Canada companion diagnostics market includes major pharmaceutical companies,
diagnostic assay developers, and diagnostic testing service providers. These entities The Canada market was valued at $192.9 million in 2022 and is expected to reach $848.6
contribute to the research, development, and commercialization of companion diagnostics million by 2033, growing at a CAGR of 14.29% during the forecast period 2023-2033.
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2024-2033)
Lung Cancer 72.9 85.0 98.8 114.6 132.7 153.2 176.5 202.9 232.8 266.5 304.4 347.1 15.11%
Breast Cancer 49.4 56.7 65.1 74.4 84.9 96.7 109.8 124.4 140.8 158.9 178.9 201.1 13.49%
Colorectal Cancer 35.1 40.6 46.9 53.9 61.9 71.0 81.2 92.6 105.4 119.8 135.8 153.6 14.23%
Leukemia 11.8 13.4 15.3 17.3 19.6 22.2 25.0 28.1 31.6 35.4 39.6 44.1 12.64%
Stomach 5.4 6.3 7.4 8.7 10.1 11.8 13.7 15.9 18.3 21.2 24.4 28.0 16.01%
Melanoma 3.7 4.2 4.7 5.3 5.9 6.7 7.5 8.3 9.3 10.3 11.5 12.7 11.86%
Others 14.7 17.0 19.6 22.5 25.8 29.5 33.7 38.2 43.3 49.0 55.2 61.9 13.82%
Total 192.9 223.2 257.7 296.8 341.0 391.0 447.3 510.6 581.5 661.0 749.7 848.6 14.29%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
72.3 83.4 95.9 110.1 126.0 143.9 164.0 186.6 211.7 239.7 270.9 305.5 13.86%
Biotechnology Companies
Reference Laboratories
82.4 96.0 111.7 129.6 150.0 173.2 199.6 229.5 263.4 301.6 344.6 392.9 15.13%
and Hospitals
Others 38.2 43.8 50.1 57.2 65.1 73.9 83.6 94.5 106.5 119.7 134.2 150.2 13.11%
Total 192.9 223.2 257.7 296.8 341.0 391.0 447.3 510.6 581.5 661.0 749.7 848.6 14.29%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 66.2 76.6 88.5 102.0 117.2 134.5 153.9 175.8 200.3 227.8 258.5 292.8 14.35%
NGS 35.3 41.5 48.6 56.8 66.2 77.0 89.4 103.5 119.7 138.0 158.8 182.4 15.97%
IHC 49.4 56.9 65.5 75.2 86.1 98.3 112.0 127.4 144.6 163.8 185.1 208.7 13.87%
ISH 34.5 39.6 45.3 51.8 59.0 67.1 76.1 86.1 97.2 109.6 123.2 138.3 13.32%
Others 192.9 223.2 257.7 296.8 341.0 391.0 447.3 510.6 581.5 661.0 749.7 848.6 14.29%
Source: BIS Research Analysis
3,562.1
3,199.1
2,867.9
2,566.2
2,291.9
2,043.1
1,817.8
1,614.1
1,430.4
1,265.1
1,116.5
983.4
4.4.1 Regional Overview 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Europe’s strong scientific and technological foundations, diverse industries, and commitment Source: BIS Research Analysis
to innovation have been contributing to the growth of its companion diagnostics market.
Several European countries, including Germany, the U.K., France, Italy, and Spain, have a Analyst View
reputation for a strong commitment to innovation in healthcare. Governments, research
In 2022, Europe accounted for a share of 29.80% of the companion diagnostics market. The
organizations, and industry stakeholders often collaborate to create an environment
region is expected to reach $3,562 million in 2033 from $983.4 million in 2022, at a CAGR of
• Increasing cancer incidence Europe boasts strong scientific and technological foundations, with leading research
institutions and a robust healthcare infrastructure. This foundation has facilitated
advancements in genomics, molecular biology, and other relevant fields, contributing to the
4.4.3 Factors Challenging the Market development of sophisticated companion diagnostics.
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 370.5 423.5 483.0 549.8 624.5 707.9 801.0 904.4 1,019.3 1,146.7 1,287.5 1,443.0 13.04%
Breast Cancer 255.5 287.9 323.7 363.2 406.7 454.5 506.8 564.2 626.8 695.1 769.3 850.0 11.43%
Colorectal Cancer 175.0 198.8 225.5 255.1 288.2 324.8 365.4 410.3 459.9 514.5 574.6 640.5 12.41%
Leukemia 60.1 67.3 75.2 83.8 93.3 103.6 114.8 127.0 140.2 154.5 170.0 186.6 10.74%
Stomach 26.5 30.7 35.5 41.0 47.2 54.3 62.3 71.4 81.7 93.3 106.3 121.0 14.71%
Melanoma 19.9 22.0 24.3 26.9 29.6 32.5 35.6 39.0 42.6 46.4 50.6 54.9 9.57%
Others 75.9 86.4 97.9 110.7 124.8 140.2 157.1 175.5 195.6 217.3 240.8 266.0 11.91%
Total 983.4 1,116.5 1,265.1 1,430.4 1,614.1 1,817.7 2,043.1 2,291.9 2,566.2 2,867.9 3,199.1 3,562.1 12.30%
Source: BIS Research Analysis
Ta ble 1 8 : Euro pe Com pa nio n Dia g nos tic s Ma rke t (by E nd User) ,
$Mil lio n , 20 22 -2 033
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
385.4 436.1 492.4 554.8 623.9 700.2 784.4 876.9 978.5 1,089.9 1,211.7 1,344.7 11.92%
Biotechnology Companies
Reference Laboratories
425.6 487.8 557.9 636.7 725.2 824.4 935.2 1,058.9 1,196.6 1,349.7 1,519.5 1,707.5 13.35%
and Hospitals
Others 172.4 192.7 214.8 238.9 265.0 293.2 323.5 356.1 391.0 428.3 467.9 509.9 10.22%
Total 983.4 1,116.5 1,265.1 1,430.4 1,614.1 1,817.7 2,043.1 2,291.9 2,566.2 2,867.9 3,199.1 3,562.1 12.30%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 346.7 395.3 449.8 510.8 578.8 654.7 739.0 832.7 936.4 1,051.2 1,177.8 1,317.4 12.79%
NGS 181.2 209.3 241.3 277.6 318.7 365.2 417.7 476.8 543.3 617.9 701.5 795.0 14.28%
IHC 255.4 288.0 324.2 364.1 408.2 456.6 509.9 568.2 632.1 701.8 777.9 860.6 11.57%
ISH 167.6 187.1 208.5 231.8 257.2 284.8 314.6 346.9 381.8 419.3 459.6 502.8 10.39%
Others 32.6 36.8 41.3 46.2 51.2 56.5 61.8 67.2 72.5 77.6 82.3 86.3 8.90%
Total 983.4 1,116.5 1,265.1 1,430.4 1,614.1 1,817.7 2,043.1 2,291.9 2,566.2 2,867.9 3,199.1 3,562.1 12.30%
Source: BIS Research Analysis
673.2
600.6
534.8
475.3
421.6
373.3
329.9
291.0
256.2
225.0
197.3
172.6
Country Overview
The companion diagnostics market in France is likely driven by advancements in personalized 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
medicine. As the understanding of the genetic and molecular basis of diseases increases,
there is a growing emphasis on tailoring treatments to the individual characteristics of patients. Source: BIS Research Analysis
Companion diagnostics play a crucial role in identifying patients who are most likely to respond
to specific therapies.
Analyst View
France has a robust scientific and academic community with leading research institutions.
The France companion diagnostics market was valued at $172.6 million in 2022 and is
Collaborations between academia and industry contribute to research and development in the
expected to reach $673.2 million by 2033, growing at a CAGR of 13.06% during the forecast
Regulatory frameworks, overseen by agencies such as the French National Agency for
Medicines and Health Products Safety (ANSM), play a crucial role in ensuring the safety and
efficacy of companion diagnostics. A supportive regulatory environment can facilitate the
timely approval and commercialization of these diagnostics.
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 65.6 75.5 86.7 99.4 113.8 129.9 148.1 168.4 191.2 216.7 245.1 276.7 13.87%
Breast Cancer 45.0 51.1 57.8 65.2 73.4 82.6 92.7 103.8 116.0 129.4 144.1 160.2 12.12%
Colorectal Cancer 28.5 32.6 37.3 42.5 48.4 55.0 62.4 70.6 79.8 90.0 101.3 113.8 13.31%
Leukemia 10.0 11.3 12.7 14.2 15.9 17.7 19.8 22.0 24.4 27.0 29.9 33.0 11.34%
Stomach 4.5 5.3 6.1 7.2 8.3 9.7 11.2 13.0 15.0 17.3 19.9 22.9 15.85%
Melanoma 3.8 4.2 4.7 5.2 5.7 6.3 6.9 7.6 8.3 9.1 9.9 10.8 9.83%
Others 15.2 17.4 19.8 22.5 25.4 28.7 32.3 36.3 40.6 45.3 50.4 55.9 12.41%
Total 172.6 197.3 225.0 256.2 291.0 329.9 373.3 421.6 475.3 534.8 600.6 673.2 13.06%
Source: BIS Research Analysis
Ta ble 2 1 : Fr a nce Com pa nio n Dia g nos tic s Ma rke t (by E nd User) ,
$Mil lio n , 20 22 -2 033
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
69.2 78.9 89.7 101.9 115.4 130.5 147.3 165.8 186.4 209.2 234.3 261.9 12.75%
Biotechnology Companies
Reference Laboratories
76.8 88.4 101.6 116.5 133.3 152.2 173.5 197.4 224.2 254.0 287.4 324.5 13.88%
and Hospitals
Others 26.6 30.0 33.7 37.8 42.3 47.2 52.6 58.4 64.7 71.5 78.9 86.8 11.23%
Total 172.6 197.3 225.0 256.2 291.0 329.9 373.3 421.6 475.3 534.8 600.6 673.2 13.06%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 60.6 69.6 79.9 91.5 104.5 119.2 135.7 154.1 174.7 197.7 223.3 251.8 13.71%
NGS 29.5 34.4 40.0 46.4 53.7 62.1 71.6 82.4 94.7 108.6 124.3 142.1 15.24%
IHC 45.7 52.0 59.0 66.7 75.4 85.0 95.6 107.4 120.4 134.7 150.4 167.6 12.42%
ISH 31.9 35.7 39.9 44.5 49.5 55.0 60.9 67.4 74.4 82.0 90.1 99.0 10.72%
Others 4.8 5.5 6.3 7.0 7.9 8.7 9.5 10.3 11.1 11.8 12.4 12.8 8.76%
Total 172.6 197.3 225.0 256.2 291.0 329.9 373.3 421.6 475.3 534.8 600.6 673.2 13.06%
Source: BIS Research Analysis
790.8
704.9
627.3
557.1
493.9
437.0
385.9
340.2
299.2
262.7
230.1
201.2
Country Overview
The companion diagnostics market in Germany is driven by a convergence of factors.
Collaboration between pharmaceutical companies, diagnostic assay developers, and other 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
industry stakeholders has been a driving force for the country's companion diagnostics market.
Source: BIS Research Analysis
Partnerships and collaborations can lead to the development of novel diagnostic technologies
and the integration of companion diagnostics into the drug development and treatment
processes. Analyst View
The increasing emphasis on precision medicine, which aims to tailor medical interventions to The Germany companion diagnostics market was valued at $201.2 million in 2022 and is
the characteristics of each patient, is likely to drive the adoption of companion diagnostics. expected to reach $790.8 million by 2033, growing at a CAGR of 13.14% during the forecast
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 76.5 88.0 101.0 115.6 132.0 150.6 171.3 194.6 220.6 249.7 282.0 317.9 13.71%
Breast Cancer 53.1 60.4 68.5 77.6 87.7 98.9 111.3 125.0 140.1 156.8 175.2 195.3 12.46%
Colorectal Cancer 36.4 41.8 47.8 54.6 62.2 70.7 80.3 91.0 102.9 116.1 130.8 147.1 13.42%
Leukemia 13.5 15.2 17.1 19.2 21.5 24.0 26.8 29.9 33.2 36.8 40.8 45.1 11.49%
Stomach 5.6 6.6 7.6 8.8 10.2 11.8 13.6 15.6 18.0 20.6 23.5 26.9 15.15%
Melanoma 3.4 3.8 4.2 4.6 5.1 5.6 6.1 6.7 7.4 8.0 8.7 9.5 9.61%
Others 12.6 14.4 16.5 18.9 21.5 24.4 27.6 31.1 35.0 39.3 43.9 49.0 13.00%
Total 201.2 230.1 262.7 299.2 340.2 385.9 437.0 493.9 557.1 627.3 704.9 790.8 13.14%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
79.9 91.2 104.0 118.3 134.3 152.2 172.1 194.2 218.7 245.9 276.0 309.2 12.98%
Biotechnology Companies
Reference Laboratories
85.5 98.3 112.8 129.1 147.5 168.2 191.4 217.4 246.4 278.8 314.9 355.1 13.70%
and Hospitals
Others 35.8 40.6 45.9 51.8 58.4 65.6 73.6 82.3 92.0 102.5 114.0 126.5 12.04%
Total 201.2 230.1 262.7 299.2 340.2 385.9 437.0 493.9 557.1 627.3 704.9 790.8 13.14%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 68.8 79.1 90.8 104.0 118.9 135.6 154.4 175.4 199.0 225.2 254.5 287.1 13.75%
NGS 38.8 45.1 52.4 60.7 70.1 80.8 93.0 106.9 122.5 140.2 160.2 182.7 15.00%
IHC 49.9 56.8 64.6 73.2 82.9 93.6 105.5 118.7 133.3 149.4 167.1 186.6 12.63%
ISH 36.4 40.8 45.6 50.8 56.5 62.8 69.6 76.9 85.0 93.6 103.0 113.1 10.74%
Others 7.2 8.3 9.4 10.6 11.8 13.2 14.5 16.0 17.4 18.8 20.1 21.4 9.96%
Total 201.2 230.1 262.7 299.2 340.2 385.9 437.0 493.9 557.1 627.3 704.9 790.8 13.14%
Source: BIS Research Analysis
605.6
532.9
468.1
410.5
359.2
313.8
273.6
238.0
206.7
179.1
154.9
133.7
Country Overview
The U.K.'s National Health Service (NHS) has been a key player in driving advancements in
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
the healthcare ecosystem. Initiatives and policies that prioritize precision medicine and
personalized treatment approaches can contribute to the growth of the companion diagnostics Source: BIS Research Analysis
market.
Increased public awareness of personalized medicine and the role of companion diagnostics, Analyst View
along with advocacy efforts from patient groups, can drive demand and acceptance of these
advanced diagnostic tools. The U.K. companion diagnostics market was valued at $133.7 million in 2022 and is expected
to reach $605.6 million by 2033, growing at a CAGR of 14.60% during the forecast period
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 50.9 59.4 69.1 80.3 93.1 107.6 124.3 143.2 164.7 189.0 216.6 247.7 15.35%
Breast Cancer 34.8 39.9 45.6 52.0 59.3 67.4 76.5 86.6 97.9 110.5 124.4 139.9 13.38%
Colorectal Cancer 23.8 27.6 32.0 37.1 42.8 49.3 56.7 65.1 74.5 85.2 97.3 110.8 14.89%
Leukemia 7.6 8.7 10.0 11.4 12.9 14.7 16.7 18.8 21.3 24.0 27.0 30.3 13.25%
Stomach 3.3 4.0 4.7 5.6 6.7 7.9 9.3 10.9 12.8 15.1 17.6 20.6 17.85%
Melanoma 2.8 3.2 3.6 4.1 4.6 5.2 5.9 6.6 7.4 8.3 9.2 10.3 12.42%
Others 10.4 12.1 14.0 16.2 18.7 21.4 24.5 28.0 31.8 36.1 40.8 46.0 14.27%
Total 133.7 154.9 179.1 206.7 238.0 273.6 313.8 359.2 410.5 468.1 532.9 605.6 14.60%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
50.3 58.0 66.8 76.7 87.9 100.6 114.9 130.9 148.9 169.1 191.6 216.8 14.09%
Biotechnology Companies
Reference Laboratories
55.9 65.6 76.8 89.7 104.6 121.7 141.3 163.8 189.4 218.7 252.1 290.1 16.03%
and Hospitals
Others 27.5 31.4 35.6 40.3 45.6 51.3 57.6 64.6 72.1 80.3 89.2 98.7 12.15%
Total 133.7 154.9 179.1 206.7 238.0 273.6 313.8 359.2 410.5 468.1 532.9 605.6 14.60%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 48.7 56.6 65.7 76.1 88.0 101.5 116.9 134.4 154.2 176.5 201.7 230.1 15.05%
NGS 25.7 30.3 35.7 41.9 49.2 57.6 67.3 78.4 91.3 106.0 123.0 142.3 16.73%
IHC 34.8 40.0 46.0 52.8 60.4 69.0 78.6 89.5 101.6 115.2 130.3 147.2 13.90%
ISH 20.6 23.3 26.4 29.8 33.6 37.8 42.4 47.5 53.0 59.2 65.9 73.3 12.12%
Others 4.0 4.6 5.3 6.1 6.9 7.7 8.6 9.5 10.4 11.2 12.0 12.7 10.61%
Total 133.7 154.9 179.1 206.7 238.0 273.6 313.8 359.2 410.5 468.1 532.9 605.6 14.60%
Source: BIS Research Analysis
295.7
269.2
244.7
222.0
201.1
181.8
164.0
147.6
132.7
119.0
106.5
95.1
Country Overview
Spain's active pharmaceutical, biotechnology, and healthcare sectors demand enhanced
efficiency, accurate data management, and increased throughput, thereby driving the
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
integration of diagnostics solutions and contributing to the growth of the companion
diagnostics market. Source: BIS Research Analysis
Government policies and healthcare initiatives in Spain play a significant role in shaping the
adoption and integration of companion diagnostics. Policy support for precision medicine and
Analyst View
targeted therapies can positively impact market growth.
The Spain companion diagnostics market was valued at $95.1 million in 2022 and is expected
to reach $295.7 million by 2033, growing at a CAGR of 10.75% during the forecast period
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 34.8 39.4 44.5 50.2 56.6 63.5 71.2 79.7 89.0 99.3 110.5 122.7 12.03%
Breast Cancer 24.6 27.3 30.1 33.2 36.6 40.2 44.0 48.2 52.6 57.3 62.3 67.7 9.52%
Colorectal Cancer 17.6 19.6 21.9 24.3 26.9 29.8 32.9 36.3 39.9 43.9 48.1 52.6 10.37%
Leukemia 6.0 6.6 7.3 8.0 8.7 9.5 10.4 11.3 12.3 13.4 14.5 15.7 9.03%
Stomach 2.6 2.9 3.4 3.8 4.4 5.0 5.7 6.4 7.2 8.2 9.2 10.3 13.40%
Melanoma 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.9 4.1 4.4 7.90%
Others 7.6 8.5 9.5 10.6 11.8 13.1 14.4 15.8 17.3 18.9 20.5 22.2 10.02%
Total 95.1 106.5 119.0 132.7 147.6 164.0 181.8 201.1 222.0 244.7 269.2 295.7 10.75%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
36.8 41.2 46.0 51.3 57.1 63.5 70.3 77.8 85.9 94.7 104.2 114.4 10.75%
Biotechnology Companies
Reference Laboratories and
41.7 47.2 53.2 59.8 67.2 75.3 84.2 94.1 104.8 116.6 129.4 143.4 11.76%
Hospitals
Others 16.5 18.1 19.7 21.5 23.3 25.2 27.2 29.2 31.3 33.5 35.6 37.8 7.66%
Total 95.1 106.5 119.0 132.7 147.6 164.0 181.8 201.1 222.0 244.7 269.2 295.7 10.75%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 32.6 36.5 40.8 45.6 50.7 56.4 62.5 69.2 76.5 84.3 92.8 102.0 10.81%
NGS 17.4 19.8 22.4 25.4 28.6 32.3 36.3 40.8 45.7 51.1 57.0 63.6 12.39%
IHC 24.3 27.2 30.2 33.6 37.2 41.2 45.5 50.2 55.2 60.6 66.5 72.7 10.35%
ISH 17.0 18.9 20.9 23.1 25.5 28.1 30.9 33.9 37.1 40.6 44.3 48.2 9.82%
Others 3.7 4.1 4.5 5.0 5.4 5.9 6.5 7.0 7.5 8.1 8.6 9.2 8.36%
Total 95.1 106.5 119.0 132.7 147.6 164.0 181.8 201.1 222.0 244.7 269.2 295.7 10.75%
Source: BIS Research Analysis
395.4
358.1
323.7
292.0
263.0
236.4
212.1
189.9
169.7
151.3
134.7
119.6
Country Overview
The strategies employed by companies to gain market access, including pricing strategies
and partnerships with healthcare providers, impact the market's overall dynamics in Italy. 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Effective market access strategies contribute to the successful commercialization of
companion diagnostics. Source: BIS Research Analysis
As companion diagnostics often involve the analysis of genetic and molecular data, adherence
to data privacy regulations and ensuring patient confidentiality is critical. Companies operating Analyst View
in Italy must comply with data protection laws and regulatory requirements.
The Italy companion diagnostics market was valued at $119.6 million in 2022 and is expected
to reach $395.4 million by 2033, growing at a CAGR of 11.37% during the forecast period
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 43.9 49.6 55.9 62.9 70.6 79.1 88.4 98.7 109.9 122.2 135.6 150.3 11.73%
Breast Cancer 31.1 34.8 38.9 43.4 48.3 53.7 59.5 65.8 72.7 80.2 88.2 96.9 10.77%
Colorectal Cancer 21.2 23.9 26.9 30.2 33.8 37.8 42.2 47.0 52.3 58.1 64.4 71.2 11.54%
Leukemia 7.1 7.9 8.8 9.7 10.8 11.9 13.2 14.5 15.9 17.5 19.2 21.0 10.29%
Stomach 3.1 3.6 4.2 4.8 5.5 6.3 7.2 8.3 9.4 10.7 12.2 13.8 14.42%
Melanoma 3.0 3.3 3.6 4.0 4.4 4.8 5.2 5.7 6.2 6.7 7.3 7.9 9.14%
Others 10.3 11.6 13.1 14.7 16.5 18.5 20.6 23.0 25.5 28.2 31.2 34.4 11.46%
Total 119.6 134.7 151.3 169.7 189.9 212.1 236.4 263.0 292.0 323.7 358.1 395.4 11.37%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
47.4 53.0 59.2 66.0 73.4 81.5 90.3 99.9 110.3 121.5 133.6 146.7 10.71%
Biotechnology Companies
Reference Laboratories
52.0 59.2 67.3 76.3 86.4 97.6 110.0 123.7 138.9 155.7 174.2 194.5 12.63%
and Hospitals
Others 20.2 22.4 24.8 27.3 30.1 33.0 36.1 39.4 42.8 46.4 50.2 54.2 9.23%
Total 119.6 134.7 151.3 169.7 189.9 212.1 236.4 263.0 292.0 323.7 358.1 395.4 11.37%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 42.0 47.6 53.9 60.8 68.5 77.1 86.5 96.9 108.4 121.0 134.8 149.9 12.15%
NGS 22.7 26.1 29.9 34.2 39.1 44.6 50.7 57.5 65.2 73.7 83.2 93.7 13.63%
IHC 31.7 35.3 39.3 43.7 48.4 53.5 59.1 65.1 71.6 78.6 86.1 94.1 10.29%
ISH 18.5 20.4 22.4 24.5 26.8 29.3 31.9 34.6 37.6 40.7 44.0 47.4 8.81%
Others 4.7 5.2 5.8 6.4 7.0 7.7 8.3 8.8 9.3 9.8 10.1 10.3 7.00%
Total 119.6 134.7 151.3 169.7 189.9 212.1 236.4 263.0 292.0 323.7 358.1 395.4 11.37%
Source: BIS Research Analysis
801.5
733.4
669.3
609.2
553.1
500.8
452.3
407.4
366.0
328.0
293.1
261.3
Country Overview
Rest-of-Europe consists of several dynamic economies, such as Switzerland, Sweden, 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Belgium, Portugal, the Netherlands, and Ireland. There has been a rise in the emphasis on
scientific research and technological innovation in the region, which fosters an environment Source: BIS Research Analysis
Moreover, there is a diverse array of industries in the region, including pharmaceuticals, Analyst View
biotechnology, healthcare, and more, that demand increased efficiency, accurate data The Rest-of-Europe companion diagnostics market was valued at $261.3 million in 2022 and
management, and heightened throughput, thereby propelling the integration of companion is expected to reach $801.5 million by 2033, growing at a CAGR of 10.58% during the forecast
However, since each nation has a unique regulatory, reimbursement, and funding system,
there is still a problem in Rest-of-Europe with regard to equal access to companion diagnostic
solutions.
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 98.8 111.6 125.8 141.4 158.5 177.2 197.6 219.8 243.9 269.8 297.8 327.8 11.38%
Breast Cancer 66.9 74.5 82.8 91.7 101.4 111.8 122.9 134.8 147.5 160.9 175.0 189.9 9.81%
Colorectal Cancer 47.6 53.3 59.6 66.5 74.0 82.1 90.9 100.3 110.4 121.3 132.8 145.1 10.53%
Leukemia 15.9 17.6 19.4 21.4 23.4 25.7 28.0 30.5 33.1 35.8 38.7 41.7 8.99%
Stomach 7.3 8.3 9.5 10.7 12.1 13.6 15.3 17.2 19.2 21.4 23.8 26.4 12.25%
Melanoma 5.0 5.5 6.0 6.5 7.1 7.7 8.4 9.0 9.7 10.5 11.2 12.0 8.23%
Others 19.9 22.3 24.9 27.8 30.9 34.2 37.7 41.4 45.4 49.6 54.0 58.5 10.13%
Total 261.3 293.1 328.0 366.0 407.4 452.3 500.8 553.1 609.2 669.3 733.4 801.5 10.58%
Source: BIS Research Analysis
Ta ble 3 6 : Res t -of -E ur ope Comp a nio n Diag nos tics Ma rke t ( by E nd
User) , $Milli o n , 20 22-2 033
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
101.9 113.7 126.6 140.6 155.7 172.0 189.5 208.2 228.2 249.5 272.0 295.7 10.03%
Biotechnology Companies
Reference Laboratories
113.7 129.1 146.3 165.3 186.3 209.4 234.8 262.5 292.8 325.7 361.4 399.9 11.97%
and Hospitals
Others 45.7 50.3 55.1 60.1 65.4 70.9 76.5 82.3 88.2 94.1 100.0 105.8 7.73%
Total 261.3 293.1 328.0 366.0 407.4 452.3 500.8 553.1 609.2 669.3 733.4 801.5 10.58%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 94.1 105.8 118.7 132.7 148.1 164.9 183.0 202.6 223.7 246.4 270.7 296.5 10.86%
NGS 47.0 53.6 60.9 69.0 78.0 87.9 98.8 110.8 123.9 138.3 153.8 170.7 12.29%
IHC 69.0 76.7 85.1 94.1 103.9 114.3 125.5 137.4 150.1 163.4 177.5 192.4 9.63%
ISH 43.1 48.0 53.3 59.1 65.2 71.9 79.0 86.6 94.7 103.3 112.3 121.8 9.76%
Others 8.1 9.0 10.0 11.1 12.2 13.3 14.5 15.6 16.8 17.9 19.0 20.0 8.29%
Total 261.3 293.1 328.0 366.0 407.4 452.3 500.8 553.1 609.2 669.3 733.4 801.5 10.58%
Source: BIS Research Analysis
Fi g ure 30 : A sia -P acific Companio n Dia gnos tics Mar ke t, $Mill ion,
2 022 -2033
2,849.7
2,509.4
2,205.7
1,935.3
1,694.7
1,481.3
1,292.3
1,125.1
977.6
847.8
733.7
633.6
4.5.1 Regional Overview
The Asia-Pacific region consists of many emerging economies that are undergoing significant
technological advancements along with improvements in their life sciences sector. The region 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
consists of various developed and developing economies, including China, Japan, Australia,
Source: BIS Research Analysis
India, South Korea, and Singapore.
The region comprises many countries that offer high potential for scientific achievement in the
Analyst View
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 235.3 274.3 319.1 370.5 429.4 496.6 573.2 660.3 759.3 871.5 998.5 1,141.8 15.33%
Breast Cancer 162.6 186.7 213.9 244.5 279.0 317.7 361.1 409.6 463.8 524.1 591.1 665.5 13.56%
Colorectal Cancer 113.4 131.5 152.2 175.8 202.7 233.1 267.6 306.7 350.7 400.3 456.1 518.7 14.71%
Leukemia 39.1 44.7 50.9 57.8 65.6 74.2 83.9 94.6 106.5 119.6 134.1 150.2 12.89%
Stomach 16.3 19.3 22.9 27.0 31.8 37.4 43.8 51.4 60.0 70.1 81.6 94.9 17.25%
Melanoma 13.5 15.2 17.1 19.3 21.6 24.2 27.0 30.2 33.6 37.4 41.5 45.9 11.69%
Others 53.4 62.0 71.7 82.7 95.1 109.0 124.6 142.0 161.4 182.8 206.5 232.6 14.14%
Total 633.6 733.7 847.8 977.6 1,125.1 1,292.3 1,481.3 1,694.7 1,935.3 2,205.7 2,509.4 2,849.7 14.53%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
244.7 282.0 324.3 372.2 426.2 487.0 555.5 632.3 718.3 814.5 921.7 1,041.2 13.95%
Biotechnology Companies
Reference Laboratories
269.1 314.9 367.7 428.5 498.4 578.7 670.5 775.5 895.3 1,031.8 1,186.9 1,363.0 15.78%
and Hospitals
Others 119.8 136.8 155.8 177.0 200.5 226.5 255.3 286.9 321.6 359.5 400.8 445.5 12.53%
Total 633.6 733.7 847.8 977.6 1,125.1 1,292.3 1,481.3 1,694.7 1,935.3 2,205.7 2,509.4 2,849.7 14.53%
Source: BIS Research Analysis
CAGR
Product Type 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 224.2 260.8 302.6 350.5 405.1 467.3 538.0 618.1 708.8 811.3 926.9 1,056.9 15.02%
NGS 116.2 137.1 161.3 189.5 222.2 260.0 303.5 353.7 411.5 477.7 553.6 640.3 16.67%
IHC 166.3 191.3 219.5 251.4 287.4 327.9 373.3 424.2 481.2 544.8 615.7 694.6 13.77%
ISH 105.5 119.9 136.0 154.0 174.0 196.2 220.8 248.1 278.2 311.5 348.1 388.3 12.47%
Others 21.4 24.7 28.3 32.2 36.4 40.9 45.7 50.5 55.5 60.4 65.2 69.6 10.92%
Total 633.6 733.7 847.8 977.6 1,125.1 1,292.3 1,481.3 1,694.7 1,935.3 2,205.7 2,509.4 2,849.7 14.53%
Source: BIS Research Analysis
672.5
588.7
514.4
448.6
390.5
339.3
294.2
254.7
220.0
189.6
163.1
140.0
Country Overview
The companion diagnostics market in China is driven by a combination of factors. Robust
post-market surveillance mechanisms ensure the ongoing safety and effectiveness of 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
companion diagnostics, monitoring real-world performance and addressing any issues that
arise, which contribute to the long-term success of these diagnostics in clinical practice in Source: BIS Research Analysis
China.
The competitive landscape, including the presence of local and international companies, Analyst View
influences market dynamics in the country. Furthermore, understanding market competition
The China companion diagnostics market was valued at $140.0 million in 2022 and is
helps companies tailor their strategies to stand out and meet specific market needs.
expected to reach $672.5 million by 2033, growing at a CAGR of 15.22% during the forecast
The strategies employed by companies to gain market access, including pricing strategies
and partnerships with healthcare providers, impact the market's overall dynamics. Moreover,
effective market access strategies contribute to the successful commercialization of
companion diagnostics.
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 52.2 61.0 71.3 83.0 96.5 112.0 129.8 150.0 173.1 199.4 229.2 263.0 15.73%
Breast Cancer 35.3 40.9 47.3 54.5 62.8 72.1 82.7 94.6 108.1 123.3 140.3 159.4 14.58%
Colorectal Cancer 25.9 30.2 35.2 40.9 47.5 55.0 63.5 73.2 84.3 96.8 111.0 127.1 15.44%
Leukemia 9.1 10.5 12.0 13.8 15.8 18.0 20.5 23.3 26.5 30.0 34.0 38.3 13.85%
Stomach 4.2 4.9 5.8 6.8 8.0 9.3 10.9 12.7 14.7 17.1 19.8 22.9 16.54%
Melanoma 2.8 3.2 3.7 4.2 4.8 5.5 6.2 7.0 8.0 9.0 10.2 11.4 13.53%
Others 10.6 12.3 14.4 16.7 19.3 22.3 25.7 29.5 33.9 38.8 44.3 50.4 15.12%
Total 140.0 163.1 189.6 220.0 254.7 294.2 339.3 390.5 448.6 514.4 588.7 672.5 15.22%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
55.3 63.9 73.7 84.8 97.4 111.6 127.6 145.7 166.0 188.8 214.3 242.8 14.28%
Biotechnology Companies
Reference Laboratories
60.4 71.3 84.0 98.7 115.8 135.7 158.6 185.0 215.4 250.3 290.4 336.3 16.78%
and Hospitals
Others 24.4 28.0 32.0 36.5 41.5 47.0 53.1 59.9 67.2 75.3 84.0 93.5 12.83%
Total 140.0 163.1 189.6 220.0 254.7 294.2 339.3 390.5 448.6 514.4 588.7 672.5 15.22%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 48.0 56.0 65.1 75.6 87.5 101.2 116.8 134.4 154.5 177.3 203.0 232.0 15.28%
NGS 25.6 30.3 35.7 42.1 49.4 57.9 67.8 79.2 92.3 107.4 124.7 144.6 16.92%
IHC 35.8 41.6 48.2 55.7 64.3 74.0 85.0 97.5 111.6 127.5 145.3 165.4 14.80%
ISH 25.1 28.9 33.4 38.4 44.1 50.5 57.7 65.9 75.0 85.3 96.8 109.6 14.24%
Others 5.5 6.3 7.2 8.3 9.4 10.7 12.0 13.6 15.2 17.0 18.9 20.8 12.73%
Total 140.0 163.1 189.6 220.0 254.7 294.2 339.3 390.5 448.6 514.4 588.7 672.5 15.22%
Source: BIS Research Analysis
481.6
416.9
360.2
310.7
267.5
229.8
197.1
168.7
144.1
122.8
104.5
88.7
Country Overview
The companion diagnostics market in India is expected to witness growth, driven by factors 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
such as the increasing prevalence of chronic diseases, rising awareness of personalized
Source: BIS Research Analysis
medicine, and advancements in diagnostic technologies.
Like many global markets, companion diagnostics in India have a strong focus on oncology.
The identification of specific biomarkers and genetic mutations is crucial for guiding targeted Analyst View
therapies in cancer treatment. The India companion diagnostics market was valued at $88.7 million in 2022 and is expected
to reach $481.6 million by 2033, growing at a CAGR of 16.51% during the forecast period
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 31.3 37.2 44.1 52.3 61.7 72.8 85.7 100.6 117.9 138.0 161.1 187.8 17.57%
Breast Cancer 22.3 26.0 30.2 35.1 40.7 47.1 54.3 62.6 72.0 82.7 94.7 108.4 15.36%
Colorectal Cancer 16.0 18.8 22.2 26.1 30.5 35.7 41.7 48.7 56.6 65.7 76.2 88.1 16.68%
Leukemia 5.6 6.5 7.5 8.6 9.9 11.4 13.0 14.9 17.0 19.4 22.1 25.0 14.49%
Stomach 2.0 2.4 2.9 3.4 4.2 5.0 6.0 7.2 8.6 10.2 12.2 14.4 19.84%
Melanoma 1.7 1.9 2.2 2.5 2.9 3.3 3.7 4.2 4.7 5.3 6.0 6.7 13.32%
Others 9.9 11.7 13.7 16.1 18.8 21.8 25.3 29.3 33.8 38.9 44.6 51.0 15.87%
Total 88.7 104.5 122.8 144.1 168.7 197.1 229.8 267.5 310.7 360.2 416.9 481.6 16.51%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Total 88.7 104.5 122.8 144.1 168.7 197.1 229.8 267.5 310.7 360.2 416.9 481.6 16.51%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 32.9 38.8 45.8 53.8 63.1 73.9 86.4 100.8 117.3 136.3 158.1 183.0 16.76%
NGS 16.6 19.9 23.8 28.3 33.7 40.1 47.5 56.3 66.5 78.4 92.2 108.4 18.49%
IHC 22.4 26.4 30.9 36.1 42.2 49.1 57.1 66.3 76.8 88.8 102.4 118.0 16.17%
ISH 14.1 16.3 18.8 21.7 24.9 28.6 32.7 37.4 42.7 48.6 55.2 62.6 14.40%
Others 2.7 3.1 3.6 4.1 4.7 5.3 6.0 6.7 7.5 8.2 8.9 9.6 12.01%
Total 88.7 104.5 122.8 144.1 168.7 197.1 229.8 267.5 310.7 360.2 416.9 481.6 16.51%
Source: BIS Research Analysis
313.5
277.2
244.6
215.5
189.5
166.3
145.6
127.3
111.1
96.7
84.0
72.9
Country Overview
The concept of precision medicine has gradually gained traction in Australia, with a focus on 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
tailoring medical interventions based on individual patient characteristics. Companion
Source: BIS Research Analysis
diagnostics play a key role in facilitating personalized treatment approaches.
The companion diagnostics market in Australia faces challenges related to market access,
and reimbursement. However, these challenges also present opportunities for companies to
address unmet needs and contribute to the development of the market.
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 27.2 31.5 36.3 41.9 48.1 55.2 63.3 72.4 82.6 94.0 106.9 121.3 14.45%
Breast Cancer 18.7 21.4 24.5 28.0 31.9 36.3 41.2 46.7 52.8 59.6 67.2 75.6 13.45%
Colorectal Cancer 13.8 15.9 18.4 21.2 24.4 28.0 32.1 36.7 41.8 47.6 54.1 61.4 14.45%
Leukemia 4.7 5.3 6.0 6.8 7.6 8.6 9.6 10.8 12.0 13.4 14.9 16.6 12.13%
Stomach 1.5 1.8 2.1 2.5 3.0 3.6 4.3 5.1 6.1 7.2 8.5 10.0 19.05%
Melanoma 2.0 2.2 2.5 2.7 3.0 3.4 3.7 4.1 4.5 5.0 5.4 6.0 10.48%
Others 5.2 6.0 7.0 8.1 9.3 10.6 12.2 13.8 15.7 17.8 20.1 22.6 14.14%
Total 72.9 84.0 96.7 111.1 127.3 145.6 166.3 189.5 215.5 244.6 277.2 313.5 14.07%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
27.2 31.3 35.9 41.1 46.9 53.5 60.9 69.2 78.5 88.8 100.4 113.2 13.73%
Biotechnology Companies
Reference Laboratories
29.5 34.5 40.2 46.7 54.2 62.8 72.6 83.8 96.5 110.9 127.3 145.8 15.51%
and Hospitals
Others 16.2 18.3 20.7 23.3 26.2 29.3 32.7 36.5 40.5 44.9 49.5 54.5 11.53%
Total 72.9 84.0 96.7 111.1 127.3 145.6 166.3 189.5 215.5 244.6 277.2 313.5 14.07%
Source: BIS Research Analysis
CAGR
Product Type 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 26.7 31.0 35.8 41.3 47.6 54.7 62.7 71.8 82.0 93.6 106.5 121.0 14.60%
NGS 14.0 16.5 19.3 22.6 26.5 30.9 36.0 41.8 48.5 56.2 64.9 74.9 16.36%
IHC 20.0 22.8 26.0 29.5 33.4 37.8 42.6 48.0 54.0 60.6 67.9 75.9 12.75%
ISH 10.0 11.3 12.7 14.3 16.1 18.1 20.2 22.6 25.2 28.0 31.1 34.5 11.82%
Others 2.1 2.5 2.9 3.3 3.7 4.2 4.7 5.2 5.8 6.3 6.8 7.2 11.33%
Total 72.9 84.0 96.7 111.1 127.3 145.6 166.3 189.5 215.5 244.6 277.2 313.5 14.07%
Source: BIS Research Analysis
550.0
481.7
421.2
367.6
320.2
278.4
241.5
209.2
180.8
156.0
134.2
115.3
Country Overview
The companion diagnostics market in Japan is propelled by its technological prowess, 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
addressing labor shortages, advancing precision medicine and diagnostics, and supporting its
strong pharmaceutical, biotechnology, and research sectors. Source: BIS Research Analysis
With a rigorous regulatory environment, partnerships with global entities, and a focus on
healthcare modernization and sustainability, companion diagnostics play a crucial role in Analyst View
enhancing research efficiency, data accuracy, and industrial competitiveness in the country. The Japan companion diagnostics market was valued at $115.3 million in 2022 and is
expected to reach $550.0 million by 2033, growing at a CAGR of 15.15% during the forecast
Educating healthcare professionals and patients about the importance and benefits of
companion diagnostics is essential for market acceptance. Furthermore, increased
awareness can lead to broader integration of these diagnostics into routine clinical practice.
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 42.2 49.7 58.4 68.5 80.1 93.6 109.1 126.9 147.4 170.9 197.7 228.3 16.47%
Breast Cancer 29.9 34.4 39.5 45.3 51.8 59.2 67.4 76.7 87.1 98.6 111.6 126.0 13.86%
Colorectal Cancer 21.3 24.8 28.7 33.1 38.2 43.9 50.4 57.8 66.1 75.5 86.1 97.9 14.74%
Leukemia 7.3 8.3 9.5 10.9 12.4 14.1 16.0 18.1 20.4 23.0 25.9 29.2 13.35%
Stomach 3.1 3.7 4.4 5.2 6.2 7.3 8.7 10.2 12.0 14.1 16.5 19.3 17.89%
Melanoma 2.3 2.6 3.0 3.3 3.8 4.2 4.8 5.3 6.0 6.7 7.4 8.3 12.17%
Others 9.2 10.8 12.5 14.5 16.7 19.2 22.0 25.2 28.6 32.5 36.7 41.3 14.38%
Total 115.3 134.2 156.0 180.8 209.2 241.6 278.4 320.2 367.6 421.2 481.7 550.0 15.15%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
45.0 52.1 60.2 69.5 80.0 91.9 105.3 120.6 137.7 157.0 178.7 203.0 14.57%
Biotechnology Companies
Reference Laboratories
50.2 59.1 69.6 81.7 95.7 111.8 130.5 152.0 176.7 205.0 237.4 274.5 16.59%
and Hospitals
Others 20.2 23.0 26.2 29.7 33.6 37.9 42.5 47.6 53.2 59.2 65.7 72.6 12.17%
Total 115.3 134.2 156.0 180.8 209.2 241.6 278.4 320.2 367.6 421.2 481.7 550.0 15.15%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 40.5 47.5 55.5 64.8 75.5 87.8 101.9 118.0 136.4 157.4 181.3 208.5 15.95%
NGS 21.9 26.0 30.9 36.5 43.1 50.7 59.7 70.0 82.0 95.9 111.9 130.4 17.48%
IHC 30.6 35.2 40.5 46.5 53.3 61.0 69.6 79.2 90.1 102.2 115.8 130.9 14.03%
ISH 17.9 20.3 23.1 26.1 29.5 33.3 37.5 42.2 47.3 53.0 59.2 66.0 12.50%
Others 4.5 5.2 6.0 6.9 7.8 8.7 9.7 10.7 11.8 12.7 13.6 14.3 10.62%
Total 115.3 134.2 156.0 180.8 209.2 241.6 278.4 320.2 367.6 421.2 481.7 550.0 15.15%
Source: BIS Research Analysis
250.8
220.1
192.9
168.7
147.3
128.3
111.6
96.9
83.9
72.5
62.6
53.9
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 20.5 24.0 28.0 32.6 37.9 43.9 50.8 58.7 67.7 77.9 89.5 102.6 15.64%
Breast Cancer 14.0 16.1 18.5 21.1 24.1 27.5 31.3 35.5 40.2 45.5 51.4 57.9 13.67%
Colorectal Cancer 9.6 11.2 13.0 15.0 17.4 20.1 23.2 26.7 30.6 35.1 40.2 45.9 15.18%
Leukemia 3.1 3.5 4.0 4.6 5.3 6.0 6.8 7.7 8.7 9.9 11.1 12.5 13.53%
Stomach 1.3 1.6 1.9 2.3 2.7 3.2 3.8 4.5 5.3 6.2 7.3 8.5 18.15%
Melanoma 1.1 1.3 1.5 1.7 1.9 2.1 2.4 2.7 3.0 3.4 3.8 4.3 12.71%
Others 4.2 4.9 5.7 6.6 7.6 8.7 10.0 11.5 13.1 14.9 16.9 19.1 14.56%
Total 53.9 62.6 72.5 83.9 96.8 111.6 128.3 147.3 168.7 192.9 220.1 250.8 14.89%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
20.2 23.4 27.0 31.1 35.8 41.0 47.0 53.7 61.2 69.7 79.2 89.8 14.38%
Biotechnology Companies
Reference Laboratories
22.5 26.5 31.1 36.4 42.5 49.6 57.8 67.1 77.9 90.1 104.1 120.1 16.33%
and Hospitals
Others 11.1 12.7 14.4 16.4 18.5 20.9 23.6 26.5 29.6 33.1 36.8 40.9 12.43%
Total 53.9 62.6 72.5 83.9 96.8 111.6 128.3 147.3 168.7 192.9 220.1 250.8 14.89%
Source: BIS Research Analysis
CAGR
Product Type 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 18.9 22.1 25.8 30.1 35.0 40.6 47.0 54.3 62.6 72.1 82.9 95.0 15.70%
NGS 10.2 12.1 14.3 16.9 19.9 23.4 27.5 32.2 37.6 43.9 51.1 59.4 17.23%
IHC 14.3 16.4 18.8 21.6 24.7 28.2 32.1 36.4 41.3 46.8 52.9 59.7 13.78%
ISH 8.3 9.5 10.7 12.1 13.7 15.4 17.3 19.4 21.7 24.2 27.0 30.1 12.25%
Others 2.1 2.4 2.8 3.2 3.6 4.0 4.5 4.9 5.4 5.8 6.2 6.5 10.38%
Total 53.9 62.6 72.5 83.9 96.8 111.6 128.3 147.3 168.7 192.9 220.1 250.8 14.89%
Source: BIS Research Analysis
581.3
524.8
472.5
424.2
379.9
339.2
302.2
268.4
237.8
210.2
185.2
162.8
Country Overview
The Rest-of-Asia-Pacific region includes emerging economies such as Malaysia, Indonesia, 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
the Philippines, Thailand, Singapore, and Taiwan.
Source: BIS Research Analysis
Companies entering the Asia-Pacific companion diagnostics market need effective market
access strategies. Understanding local regulatory requirements, reimbursement policies, and
market dynamics would be crucial for successful market entry. Analyst View
The Rest-of-Asia-Pacific companion diagnostics market was valued at $162.8 million in 2022
and is expected to reach $581.3 million by 2033, growing at a CAGR of 12.12% during the
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 20.5 24.0 28.0 32.6 37.9 43.9 50.8 58.7 67.7 77.9 89.5 102.6 15.64%
Breast Cancer 14.0 16.1 18.5 21.1 24.1 27.5 31.3 35.5 40.2 45.5 51.4 57.9 13.67%
Colorectal Cancer 9.6 11.2 13.0 15.0 17.4 20.1 23.2 26.7 30.6 35.1 40.2 45.9 15.18%
Leukemia 3.1 3.5 4.0 4.6 5.3 6.0 6.8 7.7 8.7 9.9 11.1 12.5 13.53%
Stomach 1.3 1.6 1.9 2.3 2.7 3.2 3.8 4.5 5.3 6.2 7.3 8.5 18.15%
Melanoma 1.1 1.3 1.5 1.7 1.9 2.1 2.4 2.7 3.0 3.4 3.8 4.3 12.71%
Others 162.8 185.2 210.2 237.8 268.4 302.2 339.2 379.9 424.2 472.5 524.8 581.3 12.12%
Source: BIS Research Analysis
Ta ble 5 7 : Res t -of -Asia -Pac ific C om pa nion Dia g nos ti cs Mar ke t ( by
End User ), $Millio n , 2 022 -2033
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Total 162.8 185.2 210.2 237.8 268.4 302.2 339.2 379.9 424.2 472.5 524.8 581.3 12.12%
Source: BIS Research Analysis
CAGR
Product Type 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 57.2 65.4 74.6 84.9 96.4 109.2 123.3 138.8 155.9 174.7 195.1 217.4 12.77%
NGS 27.8 32.3 37.3 43.1 49.6 56.9 65.1 74.3 84.5 96.0 108.6 122.7 14.28%
IHC 43.2 48.8 55.1 62.0 69.5 77.8 86.9 96.8 107.4 119.0 131.4 144.8 11.48%
ISH 30.1 33.6 37.3 41.3 45.7 50.4 55.4 60.7 66.4 72.4 78.8 85.5 9.80%
Others 4.6 5.2 5.9 6.5 7.3 8.0 8.7 9.3 9.9 10.4 10.8 11.1 7.85%
Total 162.8 185.2 210.2 237.8 268.4 302.2 339.2 379.9 424.2 472.5 524.8 581.3 12.12%
Source: BIS Research Analysis
400.0
372.7
345.4
318.5
292.2
266.9
242.7
219.8
198.2
178.0
159.2
141.9
4.6.1 Regional Overview
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Several Latin American countries, including Brazil, Mexico, and Argentina, are working toward
Source: BIS Research Analysis
enhancing the adoption of companion diagnostics.
Latin America has a rapidly growing healthcare industry, which is majorly driven by
advancements in medical research and technology and a focus on providing advanced Analyst View
healthcare services. This growth has implications for the adoption of companion diagnostics. In 2022, Latin America accounted for a share of 4.30% of the global companion diagnostics
market. The region is expected to reach $400.0 million in 2033 from $141.9 million in 2022, at
a CAGR of 9.65% during the forecast period 2023-2033.
4.6.2 Driving Factors for Market Growth
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 53.6 60.5 68.0 76.2 85.1 94.6 104.7 115.3 126.5 138.1 149.9 161.9 10.35%
Breast Cancer 36.5 40.6 45.1 49.9 54.9 60.2 65.7 71.4 77.3 83.2 89.1 95.0 8.86%
Colorectal Cancer 24.9 27.9 31.3 34.9 38.7 42.8 47.2 51.7 56.5 61.3 66.3 71.2 9.80%
Leukemia 8.6 9.5 10.5 11.5 12.6 13.7 14.9 16.1 17.3 18.5 19.7 20.8 8.13%
Stomach 3.9 4.5 5.1 5.8 6.5 7.3 8.2 9.2 10.2 11.2 12.3 13.5 11.64%
Melanoma 2.9 3.2 3.5 3.8 4.1 4.5 4.8 5.1 5.5 5.8 6.1 6.4 7.16%
Others 11.5 12.9 14.4 16.1 17.8 19.6 21.4 23.4 25.3 27.3 29.2 31.1 9.19%
Total 141.9 159.2 178.0 198.2 219.8 242.7 266.9 292.2 318.5 345.4 372.7 400.0 9.65%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
55.6 62.1 69.1 76.6 84.6 93.0 101.8 110.9 120.4 129.9 139.6 149.1 9.15%
Biotechnology Companies
Reference Laboratories
61.9 70.0 79.0 88.8 99.3 110.7 122.8 135.7 149.2 163.3 177.8 192.6 10.64%
and Hospitals
Others 24.4 27.1 29.9 32.8 35.9 39.1 42.3 45.6 48.9 52.1 55.3 58.2 7.96%
Total 141.9 159.2 178.0 198.2 219.8 242.7 266.9 292.2 318.5 345.4 372.7 400.0 9.65%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 49.2 55.3 62.0 69.3 77.0 85.3 94.1 103.3 112.9 122.8 132.9 143.0 9.96%
NGS 25.2 28.8 32.7 37.0 41.7 46.9 52.4 58.3 64.6 71.3 78.2 85.3 11.48%
IHC 36.9 41.2 45.9 50.8 56.1 61.7 67.5 73.6 79.8 86.2 92.6 98.9 9.15%
ISH 25.8 28.5 31.4 34.5 37.7 41.1 44.6 48.2 51.8 55.4 59.0 62.4 8.15%
Others 4.8 5.4 6.0 6.6 7.2 7.7 8.3 8.9 9.3 9.8 10.1 10.3 6.70%
Total 141.9 159.2 178.0 198.2 219.8 242.7 266.9 292.2 318.5 345.4 372.7 400.0 9.65%
Source: BIS Research Analysis
172.8
161.3
149.8
138.4
127.3
116.5
106.2
96.3
87.1
78.3
70.2
62.7
Country Overview
The companion diagnostics market in Brazil is driven by factors such as the expanding
healthcare sector's need for precise diagnostics and the pharmaceutical industry's focus on
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
efficient R&D processes. Furthermore, institutions leading in genomic research contribute to
advancements in biomarker discovery for companion diagnostics in the country. Source: BIS Research Analysis
Analyst View
The Brazil companion diagnostics market was valued at $62.7 million in 2022 and is expected
to reach $172.8 million by 2033, growing at a CAGR of 9.42% during the forecast period 2023-
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 23.8 26.9 30.2 33.8 37.7 41.8 46.2 50.8 55.7 60.7 65.8 71.0 10.20%
Breast Cancer 16.4 18.2 20.1 22.2 24.3 26.6 28.9 31.3 33.8 36.3 38.7 41.1 8.51%
Colorectal Cancer 10.3 11.6 13.0 14.5 16.0 17.7 19.5 21.3 23.2 25.2 27.2 29.2 9.66%
Leukemia 3.6 4.0 4.4 4.8 5.3 5.7 6.2 6.6 7.1 7.6 8.0 8.5 7.75%
Stomach 1.6 1.9 2.1 2.4 2.8 3.1 3.5 3.9 4.4 4.9 5.4 5.9 12.12%
Melanoma 1.4 1.5 1.6 1.8 1.9 2.0 2.2 2.3 2.4 2.5 2.7 2.8 6.30%
Others 5.5 6.2 6.9 7.6 8.4 9.2 10.1 10.9 11.8 12.7 13.5 14.3 8.79%
Total 62.7 70.2 78.3 87.1 96.3 106.2 116.5 127.3 138.4 149.8 161.3 172.8 9.42%
Source: BIS Research Analysis
Ta ble 6 3 : B ra zil Com pa nio n Dia g nos tic s Ma rke t (by E nd User) ,
$Mil lio n , 20 22 -2 033
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
25.2 28.1 31.2 34.6 38.2 42.0 46.0 50.1 54.3 58.6 62.9 67.2 9.12%
Biotechnology Companies
Reference Laboratories
27.9 31.5 35.4 39.6 44.1 49.0 54.2 59.6 65.3 71.2 77.2 83.3 10.22%
and Hospitals
Others 9.7 10.7 11.7 12.8 14.0 15.2 16.4 17.6 18.8 20.0 21.2 22.3 7.65%
Total 62.7 70.2 78.3 87.1 96.3 106.2 116.5 127.3 138.4 149.8 161.3 172.8 9.42%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 22.0 24.8 27.8 31.1 34.6 38.4 42.3 46.5 50.9 55.4 60.0 64.6 10.05%
NGS 10.7 12.2 13.9 15.8 17.8 20.0 22.3 24.9 27.6 30.4 33.4 36.5 11.53%
IHC 16.6 18.5 20.5 22.7 25.0 27.3 29.8 32.4 35.1 37.7 40.4 43.0 8.80%
ISH 11.6 12.7 13.9 15.1 16.4 17.7 19.0 20.3 21.7 23.0 24.2 25.4 7.16%
Others 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.1 3.2 3.3 3.3 3.3 5.26%
Total 62.7 70.2 78.3 87.1 96.3 106.2 116.5 127.3 138.4 149.8 161.3 172.8 9.42%
Source: BIS Research Analysis
112.0
103.8
95.7
87.7
80.1
72.8
65.8
59.3
53.2
47.5
42.3
37.5
Country Overview
Similar to global trends, companion diagnostics in Mexico lay a strong emphasis on oncology.
The identification of specific biomarkers and genetic mutations is crucial for guiding targeted
therapies, and this is particularly relevant in cancer treatment.
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Analyst View
The Mexico companion diagnostics market was valued at $37.5 million in 2022 and is
expected to reach $112.0 million by 2033, growing at a CAGR of 10.24% during the forecast
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 14.0 15.8 17.8 20.1 22.5 25.1 27.8 30.8 33.9 37.1 40.4 43.8 10.72%
Breast Cancer 9.4 10.6 11.8 13.2 14.6 16.1 17.7 19.4 21.1 22.9 24.7 26.5 9.62%
Colorectal Cancer 6.9 7.8 8.8 9.9 11.1 12.3 13.6 15.0 16.5 18.0 19.6 21.2 10.45%
Leukemia 2.4 2.7 3.0 3.3 3.7 4.0 4.4 4.8 5.2 5.6 6.0 6.4 8.93%
Stomach 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.6 2.9 3.2 3.5 3.8 11.50%
Melanoma 0.7 0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.6 1.7 1.8 1.9 8.62%
Others 2.8 3.2 3.6 4.0 4.5 5.0 5.5 6.1 6.6 7.2 7.8 8.4 10.14%
Total 37.5 42.3 47.5 53.2 59.3 65.8 72.8 80.1 87.7 95.7 103.8 112.0 10.24%
Source: BIS Research Analysis
Ta ble 6 6 : Mexi co Com pa nio n Dia g nos tic s Ma rke t (by E nd User) ,
$Mil lio n , 20 22 -2 033
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Total 37.5 42.3 47.5 53.2 59.3 65.8 72.8 80.1 87.7 95.7 103.8 112.0 10.24%
Source: BIS Research Analysis
CAGR
Product Type 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 12.8 14.5 16.3 18.3 20.4 22.6 25.0 27.6 30.2 33.0 35.8 38.6 10.29%
NGS 6.9 7.8 9.0 10.2 11.5 13.0 14.5 16.2 18.1 20.0 22.0 24.1 11.86%
IHC 9.6 10.8 12.1 13.5 15.0 16.5 18.2 20.0 21.8 23.7 25.6 27.5 9.84%
ISH 6.7 7.5 8.4 9.3 10.3 11.3 12.4 13.5 14.7 15.9 17.1 18.3 9.30%
Others 1.5 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.2 3.3 3.5 7.86%
Total 37.5 42.3 47.5 53.2 59.3 65.8 72.8 80.1 87.7 95.7 103.8 112.0 10.24%
Source: BIS Research Analysis
115.2
107.6
99.9
92.3
84.8
77.6
70.7
64.2
58.0
52.2
46.7
41.7
Country Overview
The Rest-of-Latin America region consists of emerging economies, including Chile, Argentina,
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Columbia, Peru, and Venezuela, among others. The demand for increasing focus on
Source: BIS Research Analysis
biomarker discovery and the rising pharmaceutical and biotechnology industry can provide
attractive potential for the market’s players to enter the area.
Analyst View
The Rest-of-Latin America companion diagnostics market was valued at $41.7 million in 2022
and is expected to reach $115.2 million by 2033, growing at a CAGR of 9.44% during the
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 15.8 17.8 20.0 22.4 25.0 27.7 30.6 33.7 36.9 40.3 43.7 47.1 10.23%
Breast Cancer 10.7 11.9 13.2 14.5 16.0 17.5 19.1 20.7 22.3 24.0 25.7 27.3 8.68%
Colorectal Cancer 7.6 8.5 9.5 10.5 11.7 12.8 14.1 15.4 16.7 18.1 19.5 20.8 9.39%
Leukemia 2.5 2.8 3.1 3.4 3.7 4.0 4.3 4.7 5.0 5.3 5.7 6.0 7.86%
Stomach 1.2 1.3 1.5 1.7 1.9 2.1 2.4 2.6 2.9 3.2 3.5 3.8 11.09%
Melanoma 0.8 0.9 0.9 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.6 1.7 7.11%
Others 3.2 3.6 4.0 4.4 4.9 5.3 5.8 6.4 6.9 7.4 7.9 8.4 9.00%
Total 41.7 46.7 52.2 58.0 64.2 70.7 77.6 84.8 92.3 99.9 107.6 115.2 9.44%
Source: BIS Research Analysis
Ta ble 6 9 : Res t -of -Lat i n America Co mp anio n Dia g nos tics Mar ke t
( by End User) , $Millio n , 202 2 -20 33
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
15.6 17.5 19.4 21.5 23.7 26.0 28.5 31.0 33.6 36.2 38.9 41.5 9.03%
Biotechnology Companies
Reference Laboratories
17.8 20.1 22.6 25.3 28.2 31.3 34.6 38.1 41.8 45.6 49.4 53.3 10.25%
and Hospitals
Others 8.3 9.2 10.1 11.2 12.2 13.4 14.5 15.7 16.9 18.1 19.3 20.4 8.32%
Total 41.7 46.7 52.2 58.0 64.2 70.7 77.6 84.8 92.3 99.9 107.6 115.2 9.44%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 14.3 16.0 17.9 19.9 22.1 24.3 26.7 29.2 31.8 34.4 37.1 39.7 9.50%
NGS 7.6 8.7 9.8 11.1 12.5 13.9 15.5 17.2 19.0 20.9 22.8 24.8 11.06%
IHC 10.7 11.9 13.3 14.7 16.2 17.8 19.4 21.2 22.9 24.7 26.6 28.3 9.04%
ISH 7.5 8.3 9.2 10.1 11.1 12.1 13.2 14.3 15.4 16.6 17.7 18.8 8.51%
Others 1.6 1.8 2.0 2.2 2.4 2.6 2.8 2.9 3.1 3.3 3.4 3.6 7.08%
Total 41.7 46.7 52.2 58.0 64.2 70.7 77.6 84.8 92.3 99.9 107.6 115.2 9.44%
Source: BIS Research Analysis
350.0
318.6
289.5
262.6
237.8
214.8
193.8
174.4
156.7
140.5
125.7
112.2
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
4.7.1 Regional Overview
Source: BIS Research Analysis
The Middle East and Africa region includes countries such as Israel, Turkiye, and South Africa.
In the Middle East and Africa, there's an increasing focus on developing biotechnological
Analyst View
capabilities, including companion diagnostics. This growth is evident in the rising number of
research initiatives and biotech startups in countries such as Israel, Turkiye, and South Africa. The Middle East and Africa companion diagnostics market was valued at $33.0 million in 2022
and is expected to reach $100.8 million by 2033, growing at a CAGR of 10.78% during the
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 41.3 46.6 52.5 59.0 66.2 74.0 82.7 92.1 102.5 113.8 126.2 139.6 11.58%
Breast Cancer 28.8 32.0 35.5 39.2 43.2 47.6 52.3 57.4 62.8 68.6 74.9 81.5 9.79%
Colorectal Cancer 20.2 22.6 25.3 28.3 31.6 35.2 39.1 43.3 48.0 53.0 58.4 64.3 11.02%
Leukemia 7.0 7.7 8.5 9.3 10.2 11.2 12.2 13.3 14.5 15.8 17.1 18.5 9.14%
Stomach 2.7 3.2 3.6 4.1 4.7 5.4 6.1 6.9 7.9 8.9 10.0 11.3 13.61%
Melanoma 2.1 2.3 2.5 2.8 3.0 3.2 3.5 3.8 4.1 4.4 4.7 5.0 7.93%
Others 10.0 11.2 12.5 13.9 15.5 17.1 18.9 20.8 22.9 25.0 27.3 29.8 10.28%
Total 112.2 125.7 140.5 156.7 174.4 193.8 214.8 237.8 262.6 289.5 318.6 350.0 10.78%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
42.3 47.1 52.5 58.3 64.7 71.6 79.0 87.1 95.8 105.3 115.4 126.3 10.35%
Biotechnology Companies
Reference Laboratories and
47.3 53.4 60.3 67.8 76.2 85.4 95.6 106.8 119.0 132.4 147.1 163.0 11.80%
Hospitals
Others 22.7 25.1 27.7 30.5 33.5 36.8 40.2 43.9 47.7 51.8 56.1 60.7 9.23%
Total 112.2 125.7 140.5 156.7 174.4 193.8 214.8 237.8 262.6 289.5 318.6 350.0 10.78%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 40.5 45.6 51.1 57.2 63.9 71.2 79.2 88.0 97.5 107.9 119.1 131.3 11.17%
NGS 21.3 24.3 27.6 31.4 35.5 40.1 45.3 51.0 57.3 64.2 71.9 80.3 12.70%
IHC 28.5 31.7 35.3 39.2 43.5 48.1 53.1 58.5 64.4 70.6 77.4 84.7 10.30%
ISH 18.3 20.1 22.0 24.1 26.3 28.6 31.1 33.8 36.5 39.5 42.6 45.9 8.59%
Others 3.5 3.9 4.4 4.8 5.2 5.7 6.1 6.5 6.9 7.3 7.6 7.8 7.03%
Total 112.2 125.7 140.5 156.7 174.4 193.8 214.8 237.8 262.6 289.5 318.6 350.0 10.78%
Source: BIS Research Analysis
151.2
137.9
125.6
114.2
103.6
93.8
84.8
76.5
68.8
61.8
55.4
49.6
Country Overview
Companies in the U.A.E. often have a global outlook, and several companies in the diagnostic
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
sector may operate internationally. This global perspective can influence the strategies and
technologies adopted in the local companion diagnostics market. Source: BIS Research Analysis
Analyst View
The U.A.E. companion diagnostics market was valued at $49.6 million in 2022 and is expected
to reach $151.2 million by 2033, growing at a CAGR of 10.55% during the forecast period
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 17.5 19.7 22.2 25.0 28.0 31.3 35.0 39.0 43.3 48.1 53.3 59.0 11.56%
Breast Cancer 12.4 13.8 15.2 16.8 18.4 20.2 22.2 24.2 26.5 28.8 31.3 34.0 9.46%
Colorectal Cancer 8.9 10.0 11.2 12.4 13.8 15.4 17.0 18.8 20.8 22.9 25.2 27.7 10.72%
Leukemia 3.1 3.4 3.8 4.1 4.5 4.9 5.3 5.8 6.3 6.8 7.3 7.9 8.64%
Stomach 1.1 1.3 1.4 1.6 1.9 2.1 2.4 2.8 3.1 3.6 4.0 4.5 13.72%
Melanoma 0.9 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.9 2.0 2.1 7.53%
Others 5.6 6.2 6.9 7.7 8.5 9.4 10.3 11.4 12.4 13.6 14.8 16.0 9.95%
Total 49.6 55.4 61.8 68.8 76.5 84.8 93.8 103.6 114.2 125.6 137.9 151.2 10.55%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
18.1 20.1 22.3 24.7 27.3 30.1 33.1 36.3 39.8 43.6 47.6 51.9 9.93%
Biotechnology Companies
Reference Laboratories
20.9 23.6 26.5 29.8 33.4 37.4 41.8 46.6 51.9 57.7 63.9 70.8 11.62%
and Hospitals
Others 10.6 11.8 13.0 14.3 15.7 17.2 18.9 20.6 22.4 24.4 26.4 28.6 9.29%
Total 49.6 55.4 61.8 68.8 76.5 84.8 93.8 103.6 114.2 125.6 137.9 151.2 10.55%
Source: BIS Research Analysis
CAGR
Technology 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 18.4 20.6 23.0 25.7 28.6 31.8 35.3 39.0 43.1 47.5 52.3 57.4 10.80%
NGS 9.3 10.5 12.0 13.5 15.3 17.2 19.4 21.8 24.4 27.3 30.5 34.0 12.43%
IHC 12.5 14.0 15.6 17.3 19.1 21.1 23.3 25.7 28.2 31.0 33.9 37.0 10.23%
ISH 7.9 8.7 9.5 10.4 11.3 12.3 13.4 14.5 15.7 16.9 18.3 19.7 8.55%
Others 1.5 1.6 1.8 2.0 2.1 2.3 2.5 2.6 2.7 2.9 3.0 3.0 6.29%
Total 49.6 55.4 61.8 68.8 76.5 84.8 93.8 103.6 114.2 125.6 137.9 151.2 10.55%
Source: BIS Research Analysis
98.0
88.7
80.2
72.4
65.2
58.6
52.5
47.0
42.0
37.5
33.4
29.6
Country Overview 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
The approaches adopted by companies to secure market access, encompassing pricing Source: BIS Research Analysis
strategies and collaborations with healthcare providers, influence the overall dynamics of the
market in South Africa.
Analyst View
Successful commercialization of companion diagnostics has been facilitated by effective
The South Africa companion diagnostics market was valued at $29.6 million in 2022 and is
market access strategies. Given that companion diagnostics often entail the analysis of
expected to reach $98.0 million by 2033, growing at a CAGR of 11.38% during the forecast
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 11.3 12.8 14.4 16.2 18.3 20.5 23.0 25.7 28.7 31.9 35.5 39.4 11.94%
Breast Cancer 7.8 8.8 9.8 10.9 12.1 13.5 14.9 16.5 18.2 20.1 22.0 24.2 10.71%
Colorectal Cancer 5.4 6.1 6.8 7.7 8.6 9.6 10.8 12.0 13.4 14.8 16.5 18.2 11.65%
Leukemia 2.0 2.2 2.4 2.7 3.0 3.3 3.6 3.9 4.3 4.7 5.1 5.6 9.75%
Stomach 0.8 1.0 1.1 1.2 1.4 1.6 1.8 2.1 2.3 2.6 3.0 3.3 13.36%
Melanoma 0.5 0.5 0.6 0.6 0.7 0.8 0.8 0.9 1.0 1.0 1.1 1.2 7.91%
Others 1.9 2.1 2.4 2.7 3.0 3.3 3.7 4.1 4.5 5.0 5.5 6.1 11.25%
Total 29.6 33.4 37.5 42.0 47.0 52.5 58.6 65.2 72.4 80.2 88.7 98.0 11.38%
Source: BIS Research Analysis
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
11.8 13.2 14.8 16.6 18.6 20.7 23.1 25.6 28.4 31.4 34.7 38.3 11.22%
Biotechnology Companies
Reference Laboratories
12.6 14.2 16.1 18.1 20.4 22.9 25.6 28.7 32.0 35.7 39.6 44.0 11.94%
and Hospitals
Others 5.3 5.9 6.6 7.3 8.1 8.9 9.9 10.9 11.9 13.1 14.3 15.7 10.30%
Total 29.6 33.4 37.5 42.0 47.0 52.5 58.6 65.2 72.4 80.2 88.7 98.0 11.38%
Source: BIS Research Analysis
CAGR
Product Type 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 10.1 11.5 13.0 14.6 16.4 18.5 20.7 23.1 25.8 28.8 32.0 35.6 11.98%
NGS 5.7 6.5 7.5 8.5 9.7 11.0 12.5 14.1 15.9 17.9 20.2 22.6 13.21%
IHC 7.3 8.2 9.2 10.3 11.5 12.7 14.1 15.7 17.3 19.1 21.0 23.1 10.88%
ISH 5.4 5.9 6.5 7.1 7.8 8.5 9.3 10.2 11.0 12.0 13.0 14.0 9.02%
Others 1.1 1.2 1.3 1.5 1.6 1.8 1.9 2.1 2.3 2.4 2.5 2.6 8.25%
Total 29.6 33.4 37.5 42.0 47.0 52.5 58.6 65.2 72.4 80.2 88.7 98.0 11.38%
Source: BIS Research Analysis
100.8
91.9
83.7
76.1
69.0
62.5
56.5
50.9
45.8
41.2
36.9
33.0
Country Overview
The Rest-of-Middle East and Africa region includes emerging economies such as Oman,
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Kenya, and the U.A.E., among others. Similar to various other regions, Rest-of-Middle East
and Africa has been placing growing emphasis on personalized medicine strategies. Source: BIS Research Analysis
Companion diagnostics assume a crucial role in customizing treatments for individual patients,
particularly within the realm of oncology. The identification of specific biomarkers has become
imperative in guiding targeted therapies for more effective and personalized patient care within Analyst View
the region. The Rest-of-Middle East and Africa companion diagnostics market was valued at $33.0 million
in 2022 and is expected to reach $100.8 million by 2033, growing at a CAGR of 10.58% during
The aging population in Rest-of-Middle East and Africa is driving an increased demand for
precise diagnostics specifically tailored to address age-related health concerns, thereby
bolstering the companion diagnostics market. Additionally, the region has been experiencing
widespread adoption of advanced technologies such as next-generation sequencing,
contributing significantly to the growth of the companion diagnostics market.
CAGR
Application 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
Lung Cancer 12.6 14.1 15.9 17.8 19.9 22.2 24.7 27.5 30.5 33.8 37.4 41.2 11.29%
Breast Cancer 8.6 9.5 10.5 11.5 12.7 13.9 15.2 16.6 18.2 19.8 21.5 23.3 9.39%
Colorectal Cancer 5.9 6.6 7.4 8.2 9.2 10.2 11.3 12.5 13.8 15.2 16.8 18.4 10.85%
Leukemia 1.9 2.1 2.3 2.5 2.8 3.0 3.3 3.6 3.9 4.3 4.7 5.0 9.27%
Stomach 0.8 0.9 1.1 1.2 1.4 1.6 1.8 2.1 2.4 2.7 3.0 3.4 13.71%
Melanoma 0.7 0.8 0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 8.47%
Others 2.6 2.9 3.2 3.6 4.0 4.4 4.9 5.4 5.9 6.5 7.0 7.7 10.26%
Total 33.0 36.9 41.2 45.8 50.9 56.5 62.5 69.0 76.1 83.7 91.9 100.8 10.58%
Source: BIS Research Analysis
Ta ble 8 1 : Res t -of -Mid dle E ast a nd Afri ca Com pa ni on Dia g nos ti cs
Mar ke t ( by E nd Use r), $Millio n , 2 022 -2033
CAGR
End User 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Pharmaceutical and
12.4 13.8 15.3 17.0 18.8 20.8 22.9 25.2 27.6 30.2 33.1 36.1 10.08%
Biotechnology Companies
Reference Laboratories
13.8 15.6 17.6 19.9 22.4 25.1 28.1 31.5 35.1 39.1 43.5 48.3 11.95%
and Hospitals
Others 6.8 7.5 8.2 8.9 9.7 10.6 11.5 12.4 13.4 14.4 15.4 16.4 8.20%
Total 33.0 36.9 41.2 45.8 50.9 56.5 62.5 69.0 76.1 83.7 91.9 100.8 10.58%
Source: BIS Research Analysis
CAGR
Product Type 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
(2023-2033)
PCR 12.0 13.5 15.1 16.9 18.8 21.0 23.3 25.8 28.6 31.6 34.8 38.3 11.01%
NGS 6.3 7.2 8.2 9.3 10.5 11.9 13.4 15.1 16.9 19.0 21.2 23.7 12.63%
IHC 8.6 9.5 10.6 11.7 12.9 14.2 15.7 17.2 18.8 20.6 22.5 24.5 9.90%
ISH 5.1 5.6 6.1 6.6 7.2 7.8 8.4 9.1 9.8 10.6 11.4 12.2 8.18%
Others 1.0 1.1 1.2 1.3 1.5 1.6 1.7 1.8 1.9 2.0 2.1 2.1 6.72%
Total 33.0 36.9 41.2 45.8 50.9 56.5 62.5 69.0 76.1 83.7 91.9 100.8 10.58%
Source: BIS Research Analysis
Market
3 person CT patients were diagnosed with patients were diagnosed with MDD, anxiety A double blinded CT trial of 3 2 people using
MDD, patients received treatment as usual, and disorder, and ma or depression with anxiety disorder. europharmagen P x text was conducted, which
patients received treatment with P x Patients with severe depression (HAMD 2 , n 0) howed significant improvements in HAM D
The patients showed significant clinical showed greater treatment response and remission scores at six week follow ups
improvements when HCPs used the P x test to relative to TAU (per HAM D at 2 week follow ups) Improvement was lost at the 2 week follow up
switch medication per test (p 0.002). using P x guided treatment. Patients with treatment guided by P x reported
The primary outcome of symptom improvements ignificant reductions in anxiety symptoms were greater perceived response to treatment than TAU
was not statistically significant. observed for all patients receiving P x testing (measured P I I scale)
A more recent CT (2022) also showed symptom relative to controls.
improvements, response, and remission rates, but
these differences were not statistically significant.
The following figure shows the leaders in different aspects of the companion diagnostics Total Number of Strategic Initiatives: 37
market:
t e o er e e ti it n o tion
▪ Agilent Technologies Inc., Thermo Fisher Scientific Inc., and Amoy Diagnostics Co., Ltd. are
Thermo Fisher Scientific Inc. 2 2 a few companies that have been highly active in undertaking strategic decisions within the
Abbott Laboratories 1 market.
Year of Establishment Company Type ▪ Each year, hundreds of thousands of people with cancer get help from the company’s
2008 Public products and services.
Headquarters No. of Employees Revenue: R&D Expenditure: pharmaceutical research, diagnostic tools are becoming increasingly popular.
Switzerland 103,613 $63,281 Million $16,023 Million
Source: F. Hoffmann-La Roche Ltd Website and BIS Research Analysis
Headquarters No. of Employees Revenue: R&D Expenditure: ▪ The company's continuous efforts in rapid innovation and up-gradation of
U.S. 10,200 $4,584 Million $1,321 Million commercialized products to support clinical advances toward precision medicine, have
Source: Illumina, Inc. Website and BIS Research Analysis significantly positioned Illumina as a juggernaut in companion diagnsotics market.
Headquarters No. of Employees Revenue: R&D Expenditure: the selection of patients with RET-fusion-positive locally advanced or metastatic non-
U.S. 92,979 $44,915 Million $1,471 Million small cell lung cancer (NSCLC), RET-fusion positive advanced or metastatic thyroid
Source: Thermo Fisher Scientific Inc. Website and BIS Research Analysis cancer, and RET-mutation positive advanced or metastatic medullary thyroid cancer
(MTC), who may be eligible for treatment with Lilly’s etevmo (selpercatinib).
5.2.15.2 Top Products/Product Portfolio
▪ SPOT-LIGHT HER2 CISH Kit
▪ Oncomine Dx Target Test
▪ understanding the competitive landscape The process of market engineering involves the calculation of the market statistics, market
▪ validation of the numbers of various markets for market type size estimation, market forecast, market crackdown, and data triangulation (the methodology
for such quantitative data processes is explained in further sections). The primary research
▪ percentage split of individual markets for geographical analysis
study has been undertaken to gather information and validate the market numbers for
segmentation types and industry trends of the key players in the market.
econdary research was done in order to obtain crucial information about the industry’s value
chain, revenue models, the market’s monetary chain, the total pool of key players, and the
current and potential use cases and applications.
INFORMATION SOURCED
• Key Players
• Competitive Landscape
• Opportunities/Challenges
• Market Size and Market Share
• Influencing Factors
• Market Estimates
• Regional Analysis
SECONDARY SOURCES
• Annual Reports of Key
• Industrial Players
• SEC Filings
• 10K Reports
PRIMARY SOURCES
• Investor Presentations
INTERVIEWS WITH
• Companies Operating in the Companion Diagnostics Market • Industry Associations
DATA
• Companion Diagnostics Manufacturing Companies TRIANGULATION • Journals
• Press Releases
• Sales Managers of Companies Operating in the Market • Paid and Unpaid Databases
Global
▪ Nearly all the recent developments from January 2021 to December 2023 have been
Companion
Diagnostics Summation of Revenue by Each considered in this research study.
Market Technology
▪ The information rendered in the report is a result of in-depth primary interviews,
surveys, and secondary analysis.
Percentage Split by
Percentage Split of Application, End User, and
Application, End User, Technology ▪ Where relevant information was not available, proxy indicators and extrapolation were
and Technology
employed.
Geographical Splits
▪ Any economic downturn in the future has not been taken into consideration for the
Percentage Split of Regional
Market by Region market estimation and forecast.
and Country
▪ Technologies currently used are expected to persist through the forecast with no major
The base currency considered for this Technologies currently used are
study is US$. expected to persist through the forecast
In the company profiles section, the with no breakthrough in the technology.
revenues of companies in any other The economic downturn in future was
currency have been converted into US$. not taken under consideration for market
Currencies other than US$ have been estimation and forecast.
converted into US$ for all the statistical
calculations, considering the average
conversion rate for the particular year.
The currency conversion rate is taken
from historical exchange rate of Oanda
website.
Market reports are based on expectations, estimates, and projections as of the date such
information is available. Any recommendation contained in this report may not be suitable for
all investors or businesses. The market conclusions drawn are necessarily based upon a
number of estimates and assumptions that, while considered reasonable by BIS Research
Inc. as of the date of such statements, are inherently subject to market fluctuations and
business, economic, and competitive uncertainties and contingencies.
www.bisresearch.com
All rights reserved at BIS Research Inc. 162