Table 3. Levels of evidence for MGMT promoter methylation testing using various DNA-based methods. Definitions and discussion of evidence levels A, B, C and D are given in [24]; in brief, a biomarker needs to reach evidence level B or higher for both analytical and prognostic or predictive performance to have sufficient clinical utility.
Biomarker | Tumor type | Analytical performance | Prognostic clinical performance | Predictive clinical performance |
---|---|---|---|---|
MGMT promoter methylation | Adult glioblastoma | A: PSQ | A: glioblastoma | A: glioblastoma of the elderly |
B: | B: | B: | ||
C: MSP, MS-MLPA, MS-PCR | C: | C: glioblastoma (all adult patients except elderly) | ||
D: | D: | D: |
MGMT = O6-methylguanine-methyltransferase promoter; MSP = methylation-specific polymerase chain reaction; MS-MLPA = methylation-specific multiplex ligation-dependent probe amplification; PSQ = pyrosequencing.