Table 1. Definitions.
Biomarker | A characteristic objectively measured and evaluated as an indicator of normal biological processes or pharmacological responses to a therapeutic intervention. Type 0 biomarker: a marker of the natural history of a disease that correlates longitudinally with known clinical indices Type I biomarker: a marker that captures the effects of a therapeutic intervention in context with its mechanism of action Context independent: developed for general clinical and pre-clinical testing Context specific: developed in association with a drug development program and, accordingly, to study and monitor the effects of specific drugs. They may enter the market together with a specific drug as a “companion diagnostic device” [65]. Antecedent: Identifying the risk of developing an illness Screening: screening for subclinical disease Diagnostic: recognizing overt disease Staging: categorizing disease severity Monitoring: assessing disease progression, therapeutic efficacy and adverse effects Prognostic: predicting future disease course/response to therapy |
Clinical end point | A characteristic or variable that reflects how a patient feels, functions or survives. Intermediate (non-ultimate) end point: a true clinical endpoint, a symptom or measure of function but not the ultimate end-point of the disease Ultimate end point: survival or the rate of other or irreversible morbid events |
Surrogate end point | A biomarker intended to substitute for a clinical endpoint aiming to predict clinical benefit or harm or lack of benefit or lack of harm on the basis of epidemiological, therapeutic, pathophysiological or other scientific evidence. |
Metabolome | A quantitative descriptor of all endogenous low-molecular-weight components in a biological sample such as urine or plasma. Each cell type and biological fluid has a characteristic set of metabolites that reflects the organism under a particular set of environmental conditions and that fluctuates according to physiological demands. The metabolome can be divided into the primary metabolome (as controlled by the host genome) and the co-metabolome (dependent on the microbiome). |
Metabonome | Theoretical combinations, sums and products of the interactions of multiple metabolomes (primary, symbiotic, parasitic, environmental, and co-metabolic) in complex systems. |
Metabolomics | The comprehensive quantitative analysis of all the metabolites of an organism or a specific biological sample. |
Metabonomics | The quantitative measurement over time of the metabolic responses of an individual or population to a disease, drug treatment or other challenge. |
Microbiolome | The consortium of microorganisms, bacteria, protozoa, and fungi that live commensally or symbiotically with a host. |
Xenometabolome | Characteristic profile of non-endogenous compounds such as drugs, their metabolites and their excipients, dietary components, herbal medicines and environmental exposure. |
Proteome | The expressed protein and peptide complement of a cell, organ or organism, including all isoforms and post-translational variants. |
Proteomics | The systematic analysis of proteins for their identity, quantity and function. |
Genomics | Genomics is the study of the genome (approx. 25,000 genes). It is static and allows for estimate the risk for an individual to develop a disease, may modify the efficacy or tolerability of a drug, or influence its tissue distribution and pharmacokinetics. |
Transcriptomics | Transcriptomics is also known as functional genomics and is the study of expression patterns of all gene transcripts (approx. 85,000). |