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. 2013 Dec 20;33(1):6–14. doi: 10.5414/NP300730

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.