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    US Companion Diagnostics Oncology Market

    ID: MRFR/MED/12317-HCR
    200 Pages
    Rahul Gotadki
    October 2025

    US Companion Diagnostics Oncology Market Research Report: By Technology (Next Generation Sequencing, Polymerase Chain Reaction, In Situ Hybridization, Immunohistochemistry), By Applications (Therapeutic Monitoring, Patient Stratification, Predictive Testing, Disease Diagnosis), By End User (Hospitals, Diagnostic Laboratories, Research Institutions, Pharmaceutical Companies) and By Test Type (Genetic Tests, Protein Biomarker Tests, MicroRNA Tests, Pathological Analysis) - Forecast to 2035

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    US Companion Diagnostics Oncology Market Infographic
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    US Companion Diagnostics Oncology Market Summary

    As per MRFR analysis, the US companion diagnostics oncology market size was estimated at 1300.0 USD Million in 2024. The US companion diagnostics-oncology market is projected to grow from 1396.2 USD Million in 2025 to 2850.0 USD Million by 2035, exhibiting a compound annual growth rate (CAGR) of 7.4% during the forecast period 2025 - 2035.

    Key Market Trends & Highlights

    The US companion diagnostics-oncology market is poised for substantial growth driven by technological advancements and increasing demand for personalized medicine.

    • The market is witnessing an increased focus on biomarker identification to enhance treatment efficacy.
    • Regulatory support and streamlined approvals are facilitating faster market entry for new diagnostic tools.
    • Integration of artificial intelligence in diagnostics is transforming the landscape of companion diagnostics.
    • The rising incidence of cancer and advancements in genomic technologies are key drivers propelling market growth.

    Market Size & Forecast

    2024 Market Size 1300.0 (USD Million)
    2035 Market Size 2850.0 (USD Million)

    Major Players

    Roche (CH), Thermo Fisher Scientific (US), Abbott (US), Agilent Technologies (US), Illumina (US), Qiagen (DE), Myriad Genetics (US), Hologic (US), BioMérieux (FR)

    US Companion Diagnostics Oncology Market Trends

    The companion diagnostics-oncology market is currently experiencing a transformative phase, driven by advancements in precision medicine and personalized treatment approaches. This market focuses on the development of diagnostic tests that identify specific biomarkers in patients, which can guide oncologists in selecting the most effective therapies. As the understanding of cancer biology deepens, the integration of companion diagnostics into clinical practice appears to enhance treatment outcomes and reduce adverse effects. Regulatory bodies are increasingly supportive of these innovations, facilitating faster approvals and encouraging collaboration between diagnostic companies and pharmaceutical firms. Moreover, the rising prevalence of various cancers in the US is propelling the demand for tailored therapies, thereby expanding the companion diagnostics-oncology market. The emphasis on early detection and targeted treatment strategies is likely to drive further investments in research and development. Additionally, the growing awareness among healthcare professionals and patients regarding the benefits of personalized medicine may contribute to the market's expansion. As the landscape evolves, it seems that the companion diagnostics-oncology market will play a crucial role in shaping the future of cancer care, potentially leading to improved patient outcomes and optimized healthcare resources.

    Increased Focus on Biomarker Identification

    There is a notable trend towards the identification and validation of biomarkers that can predict patient responses to specific cancer therapies. This focus is likely to enhance the precision of treatment plans, ensuring that patients receive the most effective interventions based on their unique genetic profiles.

    Regulatory Support and Streamlined Approvals

    Regulatory agencies are increasingly streamlining the approval processes for companion diagnostics, which may facilitate quicker access to innovative tests. This trend suggests a growing recognition of the importance of these diagnostics in improving patient care and treatment efficacy.

    Integration of Artificial Intelligence in Diagnostics

    The incorporation of artificial intelligence technologies into the companion diagnostics-oncology market appears to be on the rise. AI can enhance the analysis of complex data sets, potentially leading to more accurate and timely diagnostic results, which may ultimately improve patient management.

    US Companion Diagnostics Oncology Market Drivers

    Rising Incidence of Cancer

    The increasing incidence of cancer in the United States is a primary driver for the companion diagnostics-oncology market. According to the American Cancer Society, approximately 1.9 million new cancer cases are expected to be diagnosed in 2025. This surge in cancer cases necessitates the development of targeted therapies, which rely heavily on companion diagnostics to identify suitable patients for specific treatments. The companion diagnostics-oncology market is thus positioned to grow as healthcare providers seek to enhance treatment efficacy and patient outcomes. Furthermore, the demand for personalized medicine is likely to escalate, as patients increasingly expect tailored treatment plans based on their unique genetic profiles. This trend indicates a robust market potential for companion diagnostics, as they play a crucial role in the precision medicine landscape.

    Advancements in Genomic Technologies

    Technological advancements in genomic sequencing and analysis are significantly impacting the companion diagnostics-oncology market. Innovations such as next-generation sequencing (NGS) have made it possible to analyze multiple genes simultaneously, thereby facilitating the identification of biomarkers associated with various cancers. The market for genomic testing is projected to reach $10 billion by 2026, reflecting a growing reliance on these technologies in oncology. As healthcare providers adopt these advanced diagnostic tools, the companion diagnostics-oncology market is expected to expand, driven by the need for accurate and timely identification of suitable therapies. Moreover, the integration of genomic data into clinical practice enhances the ability to match patients with the most effective treatments, further solidifying the role of companion diagnostics in modern oncology.

    Increased Investment in Cancer Research

    The companion diagnostics-oncology market is benefiting from increased investment in cancer research and development. In 2025, funding for cancer research in the United States is projected to exceed $50 billion, driven by both public and private sectors. This influx of capital is likely to accelerate the discovery of new biomarkers and the development of innovative companion diagnostics. As pharmaceutical companies invest in targeted therapies, the need for companion diagnostics to identify patient populations becomes paramount. This trend suggests a symbiotic relationship between drug development and companion diagnostics, where advancements in one area fuel growth in the other. Consequently, the companion diagnostics-oncology market is poised for substantial growth as research initiatives continue to expand.

    Growing Demand for Personalized Medicine

    The shift towards personalized medicine is a significant driver of the companion diagnostics-oncology market. Patients and healthcare providers are increasingly recognizing the value of tailored treatment approaches that consider individual genetic profiles. This trend is reflected in the rising adoption of companion diagnostics, which enable clinicians to select the most appropriate therapies based on specific biomarkers. The market for personalized medicine is expected to reach $2 trillion by 2025, indicating a robust demand for companion diagnostics that support these initiatives. As healthcare systems prioritize patient-centered care, the companion diagnostics-oncology market is likely to experience sustained growth, driven by the need for precision in treatment selection and improved patient outcomes.

    Regulatory Support for Companion Diagnostics

    Regulatory bodies in the United States are providing increasing support for the development and approval of companion diagnostics, which is a key driver for the market. The FDA has established clear pathways for the approval of these diagnostics, facilitating their integration into clinical practice. In 2025, the number of approved companion diagnostics is expected to rise significantly, reflecting the regulatory environment's responsiveness to the need for personalized treatment options. This supportive framework encourages innovation and investment in the companion diagnostics-oncology market, as companies seek to develop new tests that align with regulatory standards. As a result, the market is likely to expand, driven by the increasing availability of approved companion diagnostics that enhance treatment decision-making.

    Market Segment Insights

    By Technology: Next Generation Sequencing (Largest) vs. Polymerase Chain Reaction (Fastest-Growing)

    In the US companion diagnostics-oncology market, Next Generation Sequencing (NGS) holds a significant market share, driven by its advanced capabilities in comprehensive genomic profiling. NGS not only enables the detection of various mutations but also allows for personalized treatment plans, solidifying its position as a preferred technology among oncologists. Conversely, Polymerase Chain Reaction (PCR) continues to grow rapidly, being recognized for its ability to provide quick and cost-effective results in the detection of specific genetic alterations. The growth of NGS is propelled by increasing demand for targeted therapies and precision medicine, leading to its widespread adoption in oncology. Meanwhile, the surge in cancer prevalence is fueling interest in rapid diagnostics, which supports the fast growth of PCR technologies. As healthcare providers seek efficient diagnostic tools, both NGS and PCR are essential in shaping the future landscape of oncological diagnostics.

    Technology: NGS (Dominant) vs. PCR (Emerging)

    Next Generation Sequencing (NGS) has established itself as the dominant technology in the US companion diagnostics-oncology market due to its high-throughput capacity and ability to analyze multiple genes in a single test. This technology enhances personalized medicine by providing comprehensive insights into tumor genomics, subsequently guiding therapy decisions. On the other hand, Polymerase Chain Reaction (PCR) is emerging rapidly, appreciated for its specificity and speed in detecting mutations. PCR's ability to deliver timely results makes it an attractive option for clinical settings, especially in early cancer detection. Together, NGS and PCR exemplify the ongoing evolution in diagnostic capabilities, with NGS leading in depth and breadth of analysis, while PCR excels in rapid and targeted approaches.

    By Applications: Therapeutic Monitoring (Largest) vs. Patient Stratification (Fastest-Growing)

    In the US companion diagnostics-oncology market, the applications of therapeutic monitoring, patient stratification, predictive testing, and disease diagnosis reflect a diverse landscape. Therapeutic monitoring holds the largest share, showcasing its critical role in ongoing cancer treatment management. Patient stratification follows closely behind, rapidly gaining traction as healthcare providers increasingly seek to tailor treatments to individual patient profiles. The growth trends in this segment are being driven by advancements in genomic technologies and a heightened focus on personalized medicine. Therapeutic monitoring is essential for ensuring treatment efficacy, while patient stratification is becoming vital in optimizing therapy effectiveness and minimizing adverse effects. Predictive testing and disease diagnosis are solid contributors, but they are growing at a slower pace compared to these two leading applications.

    Therapeutic Monitoring (Dominant) vs. Patient Stratification (Emerging)

    Therapeutic monitoring serves as a dominant force in the US companion diagnostics-oncology market due to its ability to track treatment response and adjust therapy accordingly, ensuring better patient outcomes. It employs biomarkers and diagnostic tools to provide real-time insights into the effectiveness of ongoing treatments. On the other hand, patient stratification is emerging rapidly, leveraging genetic information to categorize patients based on their likelihood of responding to specific therapies. This approach not only enhances treatment outcomes but also reduces unnecessary exposure to ineffective interventions. The comparative analysis reveals that while therapeutic monitoring is entrenched in clinical practices, patient stratification's innovative methodologies position it for rapid expansion as precision medicine gains momentum.

    By End User: Hospitals (Largest) vs. Diagnostic Laboratories (Fastest-Growing)

    In the US companion diagnostics-oncology market, the distribution among end users reveals that hospitals hold the largest share due to their extensive capabilities in patient care and access to advanced technologies. Diagnostic laboratories have been gaining significant traction, making them a notable player as they cater to both clinical and commercial needs, enabling precise diagnostics that are critical for the oncology sector. Growth trends in this segment are primarily driven by the increasing demand for personalized medicine and the rising prevalence of cancer. Hospitals are investing in advanced diagnostic tools to enhance patient outcomes, while diagnostic laboratories are leaning towards innovative technologies to expedite testing processes, thus positioning themselves as crucial partners in the fight against cancer. Research institutions and pharmaceutical companies are also vital but represent smaller portions of the market, focusing on innovation and drug development.

    Hospitals (Dominant) vs. Diagnostic Laboratories (Emerging)

    Hospitals are a dominant force in the US companion diagnostics-oncology market, primarily because they have the necessary infrastructure and resources to provide comprehensive cancer care. They typically boast advanced imaging and testing facilities that allow for timely and accurate diagnostics. In contrast, diagnostic laboratories are emerging as key contributors to the oncology sector, as they specialize in providing precise testing kits and assays that support the development of personalized cancer treatments. The collaboration between these segments enhances patient care and accelerates the journey from diagnosis to treatment, making both vital players in the evolving landscape of oncology diagnostics.

    By Test Type: Genetic Tests (Largest) vs. Protein Biomarker Tests (Fastest-Growing)

    In the US companion diagnostics-oncology market, Genetic Tests dominate the share of the Test Type segment, owing to their extensive application in identifying hereditary cancer susceptibility. They are followed by Protein Biomarker Tests, which have gained traction due to their ability to detect specific proteins associated with tumors, thus enabling targeted therapies. Meanwhile, MicroRNA Tests and Pathological Analysis, while important, occupy smaller segments of the overall market share. The growth trends in this segment are largely driven by advancements in biotechnology and the increasing demand for personalized medicine, which is reshaping treatment protocols. Genetic Tests are seeing steady growth due to their established role in predictive diagnostics, while Protein Biomarker Tests are the fastest growing segment as they support new drug development and precision medicine initiatives. The focus on early detection and tailored therapies fuels further expansion across all test types, particularly benefitting those categories with promising future potential.

    Genetic Tests (Dominant) vs. Protein Biomarker Tests (Emerging)

    Genetic Tests are characterized by their robust positioning in the market, primarily due to their efficacy in identifying individuals at high risk for various cancers. This segment includes tests for BRCA mutations and other hereditary syndromes that inform treatment options and screening protocols. In contrast, Protein Biomarker Tests are emerging as a critical component of precision oncology, reflecting pharmaceutical advancements and the need for specific cancer therapies. These tests focus on measuring protein levels or activity to provide insights into tumor behavior and treatment response. Together, these segments represent a dynamic landscape, where Genetic Tests provide foundational diagnostics, while Protein Biomarker Tests offer new avenues for innovative treatments.

    Get more detailed insights about US Companion Diagnostics Oncology Market

    Key Players and Competitive Insights

    The companion diagnostics-oncology market is characterized by a dynamic competitive landscape, driven by the increasing demand for personalized medicine and advancements in genomic technologies. Key players such as Roche (CH), Thermo Fisher Scientific (US), and Illumina (US) are at the forefront, leveraging their innovative capabilities to enhance diagnostic accuracy and treatment efficacy. Roche (CH) focuses on integrating its diagnostic solutions with therapeutic products, thereby creating a synergistic approach that enhances patient outcomes. Meanwhile, Thermo Fisher Scientific (US) emphasizes strategic partnerships and acquisitions to expand its portfolio, particularly in next-generation sequencing technologies, which are pivotal in companion diagnostics. Illumina (US) continues to invest heavily in research and development, aiming to maintain its leadership in genomic sequencing, which is essential for the evolution of companion diagnostics.

    The business tactics employed by these companies reflect a concerted effort to optimize supply chains and localize manufacturing processes. The market structure appears moderately fragmented, with a mix of established players and emerging biotech firms. This fragmentation allows for diverse innovations but also intensifies competition among key players, as they strive to capture market share through differentiated offerings and enhanced service delivery.

    In October 2025, Roche (CH) announced the launch of a new companion diagnostic test designed to identify patients who would benefit from its latest oncology drug. This strategic move underscores Roche's commitment to personalized medicine and its ability to align diagnostic capabilities with therapeutic advancements. By integrating diagnostics with treatment options, Roche aims to streamline patient care pathways, potentially improving treatment outcomes and patient satisfaction.

    In September 2025, Thermo Fisher Scientific (US) completed the acquisition of a leading biotech firm specializing in liquid biopsy technologies. This acquisition is significant as it enhances Thermo Fisher's capabilities in non-invasive diagnostics, which are increasingly favored in oncology. The integration of these technologies is likely to position Thermo Fisher as a key player in the rapidly evolving landscape of companion diagnostics, allowing for earlier detection and more tailored treatment strategies.

    In August 2025, Illumina (US) announced a partnership with a major pharmaceutical company to develop a comprehensive genomic profiling solution aimed at improving patient stratification in clinical trials. This collaboration highlights the growing trend of integrating genomic data into clinical research, which is essential for the development of effective companion diagnostics. By aligning with pharmaceutical companies, Illumina is not only enhancing its market presence but also contributing to the advancement of precision medicine.

    As of November 2025, the competitive trends in the companion diagnostics-oncology market are increasingly influenced by digitalization, sustainability, and the integration of artificial intelligence (AI) into diagnostic processes. Strategic alliances are becoming more prevalent, as companies recognize the value of collaboration in driving innovation and improving patient outcomes. Looking ahead, the competitive differentiation in this market is likely to shift from price-based competition to a focus on technological innovation, reliability of supply chains, and the ability to deliver personalized healthcare solutions.

    Key Companies in the US Companion Diagnostics Oncology Market market include

    Industry Developments

    Recent developments in the US Companion Diagnostics Oncology Market have highlighted significant advancements and shifts among key players. Illumina announced the launch of a novel genomic profiling tool, enhancing precision medicine capabilities in oncology, while Merck and Co. has been collaborating with Genomic Health to integrate companion diagnostics with their innovative therapies.

    In terms of mergers and acquisitions, Hologic completed the acquisition of Biotheranostics in September 2023, aimed at enhancing diagnostic offerings in women's health, which also has oncology implications. The market valuation for companies such as Myriad Genetics and Foundation Medicine has seen growth, reflecting an increasing demand for personalized cancer treatment solutions.

    Abbott Laboratories recently expanded its portfolio through new collaborations focused on biomarker testing, demonstrating a commitment to advancing precision oncology. Over the past couple of years, the US Food and Drug Administration has approved several companion diagnostic tests, including one from Roche in March 2022, which has significantly impacted treatment protocols.

    The market continues to evolve rapidly as advancements increase, with stakeholders pushing for more innovative testing methodologies to improve patient outcomes.

    Future Outlook

    US Companion Diagnostics Oncology Market Future Outlook

    The companion diagnostics-oncology market is projected to grow at a 7.4% CAGR from 2024 to 2035, driven by advancements in personalized medicine, regulatory support, and increasing cancer prevalence.

    New opportunities lie in:

    • Development of AI-driven diagnostic platforms for enhanced accuracy
    • Expansion of partnerships with pharmaceutical companies for co-development
    • Investment in telehealth solutions for remote patient monitoring and diagnostics

    By 2035, the market is expected to achieve substantial growth, reflecting its critical role in oncology.

    Market Segmentation

    US Companion Diagnostics Oncology Market End User Outlook

    • Hospitals
    • Diagnostic Laboratories
    • Research Institutions
    • Pharmaceutical Companies

    US Companion Diagnostics Oncology Market Test Type Outlook

    • Genetic Tests
    • Protein Biomarker Tests
    • MicroRNA Tests
    • Pathological Analysis

    US Companion Diagnostics Oncology Market Technology Outlook

    • Next Generation Sequencing
    • Polymerase Chain Reaction
    • In Situ Hybridization
    • Immunohistochemistry

    US Companion Diagnostics Oncology Market Applications Outlook

    • Therapeutic Monitoring
    • Patient Stratification
    • Predictive Testing
    • Disease Diagnosis

    Report Scope

    MARKET SIZE 20241300.0(USD Million)
    MARKET SIZE 20251396.2(USD Million)
    MARKET SIZE 20352850.0(USD Million)
    COMPOUND ANNUAL GROWTH RATE (CAGR)7.4% (2024 - 2035)
    REPORT COVERAGERevenue Forecast, Competitive Landscape, Growth Factors, and Trends
    BASE YEAR2024
    Market Forecast Period2025 - 2035
    Historical Data2019 - 2024
    Market Forecast UnitsUSD Million
    Key Companies Profiled["Roche (CH)", "Thermo Fisher Scientific (US)", "Abbott (US)", "Agilent Technologies (US)", "Illumina (US)", "Qiagen (DE)", "Myriad Genetics (US)", "Hologic (US)", "BioMérieux (FR)"]
    Segments CoveredTechnology, Applications, End User, Test Type
    Key Market OpportunitiesIntegration of artificial intelligence in companion diagnostics-oncology market enhances personalized treatment strategies.
    Key Market DynamicsRising regulatory scrutiny and technological advancements drive innovation in the companion diagnostics-oncology market.
    Countries CoveredUS

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    FAQs

    What is the expected market size of the US Companion Diagnostics Oncology Market in 2024?

    The US Companion Diagnostics Oncology Market is expected to be valued at 1.6 USD Billion in 2024.

    What will be the market value of the US Companion Diagnostics Oncology Market in 2035?

    By 2035, the market is projected to reach a valuation of 3.1 USD Billion.

    What is the expected CAGR for the US Companion Diagnostics Oncology Market from 2025 to 2035?

    The market is anticipated to grow at a CAGR of 6.197% during the forecast period from 2025 to 2035.

    Which technology segment is expected to dominate the market in 2024?

    Next Generation Sequencing is expected to lead the market, valued at 0.64 USD Billion in 2024.

    What will be the market size for Polymerase Chain Reaction technology by 2035?

    The market size for Polymerase Chain Reaction technology is projected to reach 0.95 USD Billion by 2035.

    Who are the key players in the US Companion Diagnostics Oncology Market?

    Major players include Illumina, Hologic, Merck & Co., and Genomic Health.

    What is the projected market size for In Situ Hybridization technology in 2024?

    In Situ Hybridization technology is expected to be valued at 0.32 USD Billion in 2024.

    What are some emerging trends in the US Companion Diagnostics Oncology Market?

    Emerging trends include advancements in precision medicine and increased adoption of personalized treatment options.

    What is the estimated market size for Immunohistochemistry technology by 2035?

    The market size for Immunohistochemistry technology is expected to reach 0.31 USD Billion by 2035.

    How does competition affect the US Companion Diagnostics Oncology Market?

    Intense competition among key players drives innovation and improves product offerings in the market.

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