A scalable NGS-based companion diagnostic program to support biomarker-driven clinical development and commercialization

 

Oncomine CDx solutions are designed to support pharmaceutical and biotech partners across biomarker identification, clinical trials, and global test deployment. Our highly automated and end-to-end NGS solutions enable a broad spectrum of labs to provide genomic results with rapid turnaround time, supporting consistent access to biomarker testing across clinical research and clinical settings.


Supporting biomarker-driven programs at scale

Oncomine CDx solutions are designed to address key operational and analytical considerations in biomarker-driven oncology programs across clinical development and routine testing.


Innovative NGS technology

 

Automated, end-to-end NGS workflows are designed to support consistent genomic testing across laboratory settings. Integrated systems, including the Genexus Dx platform, enable sample-to-report processing with rapid turnaround times, and support for genomic profiling from tissue and plasma samples.


Exceptional track record

 

Thermo Fisher Scientific has more than a decade of experience supporting NGS-based companion diagnostic development, deployment, and commercialization.


Globally distributed NGS CDx solution

 

Oncomine CDx solutions are commercially available in multiple regions and have been implemented across a global network of laboratories. This distributed testing model is designed to support local implementation
of genomic profiling.


Oncomine NGS technology

Oncomine CDx solutions are designed to address key challenges in routine biomarker testing in clinical oncology.

  • Low sample input requirements enable testing from limited or challenging specimens, including small and degraded samples, including FFPE tissue and plasma
  • Rapid turnaround times are designed to support timely biomarker testing across laboratory and clinical workflows 
  • Automated, end-to-end workflows are designed to reduce hands-on time and reduce operational variability across lab settings

Why turnaround time (TAT) is critical

As combination strategies become central to development pipelines, turnaround time for biomarker results becomes a critical constraint. When treatment decisions depend on multiple genomic and immune markers, delays can slow patient identification, enrollment, and therapy initiation. Technologies that cannot close this gap within clinically actionable timeframes introduce risk to both development and clinical adoption of combination therapies.


Oncomine CDx assay portfolio

The Oncomine CDx portfolio includes NGS-based assays designed to support biomarker-driven clinical development and routine testing. The Oncomine Dx Target Test, approved in 2017 as the first distributable NGS-based CDx, enabled broader adoption of genomic testing across laboratories. The portfolio also includes automated solutions such as the Oncomine Dx Express Test, designed to deliver results in as little as 24 hours.


CDx indications

Oncomine Dx Express Test (US) 

Oncomine Dx Target Test

Cancer type Gene Targeted therapies
Non small cell lung cancer (NSCLC) ALK brigatinib, lorlatinib, alectinib, crizotinib
BRAF dabrafenib in combination with trametinib
EGFR mutations afatinib, gefitinib, erlotinib, osimertinib, dacomitinib, amivantamab + lazertinib
EGFR exon 20 insertions amivantamab
ERBB2/HER2 insertions and mutations trastuzumab deruxtecan
ERBB2/HER2 TKD and non-TKD activating mutations zongertinib
MET exon 14 skip capmatinib, tepotinib
RET selpercatinib
ROS1 crizotinib, entrectinib
Thyroid cancer RET fusions and mutations selpercatinib
BRAF encorafenib in combination with binimetinib



Oncomine companion diagnostics news

Thermo Fisher Scientific’s Oncomine Dx Target Test Receives FDA Approval as a Companion Diagnostic to Identify Patients Eligible for Newest Targeted Therapy for Non-Small Cell Lung Cancer
November 20, 2025

 

Thermo Fisher Receives FDA Approval for NGS-Based Companion Diagnostic for New Non-Small Cell Lung Cancer Treatment
August 11, 2025

 

The Oncomine™ Dx Express Test Multi-CDx System, using new next-generation sequencing technology, has been submitted as a companion diagnostic system for detecting PIK3CA, AKT1, and PTEN gene mutations in breast cancer and NTRK fusion genes in solid tumors.
July 31, 2025

 

Thermo Fisher Scientific Japan Group announces strategic alliance with National Cancer Center East Hospital for further advancement of personalized medicine for lung cancer
July 28, 2025

 

Thermo Fisher’s NGS Assay Receives FDA Approval as a Companion Diagnostic for ZEGFROVY and for Tumor Profiling
July 3, 2025

 

FDA Approves NGS-Based Companion Diagnostic for First Targeted Therapy for Patients with Grade 2 IDH-Mutant Glioma
October 21, 2024

 

Bayer and Thermo Fisher Scientific collaborate to increase patient access to precision cancer medicines
March 20, 2024

 

Thermo Fisher Scientific Signs Companion Diagnostic Agreement with Boehringer Ingelheim to Select Patients with NSCLC for Targeted Therapy Treatment
October 19, 2023

 

Thermo Fisher Scientific Japan Group announced submission of application for Oncomine Dx Target Test as a companion diagnostic for BRAF gene mutations in thyroid cancer
September 9, 2023

 

Thermo Fisher Scientific Partners with AstraZeneca to Develop Solid Tissue and Blood-Based Companion Diagnostic Test for Tagrisso
January 24, 2023


Global approvals and commercialization

The Oncomine Dx Target Test is approved and reimbursed by government and commercial insurers in over 15 countries, covering more than 550 million lives globally. The Oncomine Dx Express Test is available in select global markets, subject to local regulatory requirements, including those in the United States, Europe, and other regions.


12

CDx approved

ALK

BRAF

EGFR deletions/SNV

EGFR insertions

ERBB2/HER2

IDH1

IDH1/2

KRAS

MET exon 14 skip

RET fusions

RET mutation

ROS1


16

pharma partners

AstraZeneca
Bayer
Blueprint Medicines
Boehringer Ingelheim
Chugai Pharmaceuticals
Daiichi Sankyo
Dizal
Hengrui Therapeutics 
Johnson & Johnson
Lilly Oncology
Novartis
Pfizer
Servier Pharmaceuticals
Spectrum Pharmaceuticals
Takeda Pharmaceuticals


20

countries

Austria
Australia
Belgium
Canada
Denmark
Finland
France
Germany
Georgia
Italy
Israel
Japan
Korea
Netherlands
Poland
Spain
Saudi
Switzerland
United Kingdom
United States


25

therapies on label

afatinib
alectinib
amivantamab-vmjw 
brigatinib
capmatinib
crizotinib
dabrafenib with trametinib 
dacomitinib
entrectinib
encorafenib
erlotinib
fam-trastuzumab-deruxtecan-nxki
gefitinib
gumarontinib

ivosidenib 
lorlatinib
osimertinib
pralsetinib
selpercatinib
sevabertinib
sotorasib

sunvozertinib
tepotinib
vorasidenib
zongertinib

CDx indications and therapies mentioned represent global approvals. Not all indications and therapies are available in all regions or countries.


Insights on precision oncology and CDx development

Bridging the precision gap: Accelerating clinical adoption of companion diagnostics in oncology

Learn how companion diagnostics (CDx) are shaping precision oncology and why clinical adoption remains slow. Discover the key barriers—evidence, workflow, and reimbursement—and how standardized IVD solutions and rapid NGS testing can accelerate access to targeted cancer care.

Accelerating precision oncology: The value of an end-to-end partner for therapeutic access

Learn how rapid growth in precision oncology is creating both opportunity and complexity for drug developers. Explore the key challenges in patient identification, clinical trial recruitment, and limited tissue samples—and how next-generation sequencing (NGS) helps overcome them.


Explore partnership opportunities with Thermo Fisher Scientific

* For In Vitro Diagnostic Use.

** For In Vitro Diagnostic Use. Not available in all countries.

† For In Vitro Diagnostic Use.

PMR-004794