Table 1. Select cancer biomarkers, targeted therapies, and clinical assay availability.
Biomarker | Targeted therapy | Tumor | Clinical assay(s) available | Molecular profiling methodology |
---|---|---|---|---|
ALK/ROS1 | Crizotinib, ceritinib | Lung | Vysis ALK Break Apart FISH probe kita | FISH |
BRAF (V600E) | Vemurafenib, dabrafenib, trametinib | Lung, melanoma | Cobas 4800 BRAF V600E Mutation Testa; THxID BRAF testa | Real time PCR |
C-KIT | Imatinib mesylate | Lung, GIST | C-KIT pharmDxa | IHC |
EGFR | Erlotinib, afatinib | Lung, colorectal | EGFR pharmDxa, Therascreen EGFR RGQ PCR kita; Cobas EGFR Mutation Testa | IHC, Sanger Sequencing, PCR |
HER2 (ERBB2) | Trastuzumab, lapatinib, pertuzumab, ado-trastuzumab-emtansine, dacomitinib | Lung, breast | HercepTesta, Pathwaya, Insitea, PathVysiona, SPOT-Lighta, HER2 CISHa | IHC, FISH, CISH |
JAK2 | Ruxolitinib | Lung, myelofibrosis and other myeloproliferative disorders | JAK2 V617F Mutation Detection Assay, HTScan JAK2 Kinase Assay Kit | Real time PCR, Kinase activity assay |
PD-1 | Pembrolizumab, nivolumab | Lung, melanoma | In development | N/A |
KRAS | Cetuximab, panitumumab | Lung, colorectal | Therascreen KRAS RGQ PCR Kita, DxS KRAS Mutation Test Kit, Genzyme’s KRAS Mutation Analysis | Real time PCR |
a, assays that are FDA approved, PMA or 510(k) status. IHC, immunohistochemistry; HER2, human epidermal growth factor receptor-2; CISH, chromogenic in situ hybridization; FISH, fluorescence in situ hybridization; PCR, polymerase chain reaction; EGFR, epithelial growth factor receptor; GIST, gastrointestinal stromal tumor; ALK, anaplastic lymphoma kinase; JAK2, janus kinase 2; PD-1, programmed cell death 1; ROS1, ROS proto-oncogene 1, receptor tyrosine kinase.