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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.
Oncomine CDx solutions are designed to address key operational and analytical considerations in biomarker-driven oncology programs across clinical development and routine testing.
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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.
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Exceptional track record
Thermo Fisher Scientific has more than a decade of experience supporting NGS-based companion diagnostic development, deployment, and commercialization.
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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 CDx solutions are designed to address key challenges in routine biomarker testing in clinical oncology.
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.
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.
| Oncomine Dx Express Test (US)* | Oncomine Dx Express Test (CE-IVD)** | Oncomine Dx Target Test† | |
| Specimen type(s) | FFPE | FFPE, plasma | FFPE |
| Number of genes | 46 | 46 | 46 (EU & Japan), 23 (US) |
| Nucleic acid type(s) | DNA and RNA | DNA and RNA, or cfTNA | DNA and RNA |
| Alteration types | Substitutions, insertions, deletions, copy number variants, fusions, splice variants | Mutations, copy number variants, fusions | Mutations and fusions |
| Instrument | Genexus Dx System (IVD) | Genexus Dx System (CE-IVD) | PGM Dx |
| Workflow | Automated | Automated | Manual |
| Turnaround time (days) | 1 | 1 | 4 |
| Reimbursement status | In development | Varies by country | Reimbursed in most countries launched |
| Cancer type | Gene | Targeted therapies |
| Non small cell lung cancer (NSCLC) | EGFR | sunvozertinib |
| Cancer type | Gene | Targeted therapies |
| Non small cell lung cancer (NSCLC) | BRAF | dabrafenib in combination with trametinib |
| EGFR L858R, exon 19 deletions | gefitinib | |
| EGFR exon 20 insertions | amivantamab-vmjw | |
| ERBB2/HER2 activating mutations (SNVs and exon 20 insertions) | fam-trastuzumab deruxtecan-nxki | |
| ERBB2/HER2 activating mutations (SNVs in exons 18-21 within the tyrosine kinase domain and exon 20 insertions) | zongertinib | |
| sevabertinib | ||
| RET | pralsetinib, selpercatinib | |
| ROS1 | crizotinib | |
| Glioma | IHD1/2 | vorasidenib |
| Cholangiocarcinoma | IDH1 | ivosidenib |
| Medullary thyroid cancer | RET mutations (SNV, MNVs, and deletions) | selpercatinib |
| Thyroid cancer | RET fusions | selpercatinib |
| 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 |
| Cancer type | Variant | Targeted therapies |
| Non-small cell lung cancer (NSCLC) | ALK fusions | crizotinib, brigatinib |
| BRAF V600E | dabrafenib in combination with trametinib | |
| EGFR L858R, exon 19 deletions | dacomitinib, amivantamab | |
| EGFR exon 20 insertions | amivantamab-vmjw | |
| ERBB2/HER2 SNVs and exon 20 insertions | trastuzumab deruxtecan | |
| RET fusions | selpercatinib | |
| ROS1 fusions | crizotinib | |
| Cholangiocarcinoma | IDH1 R132C, IDH1 R132G, IDH1 R132H, IDH1 R132L, and IDH1 R132S | ivosidenib |
| Medullary thyroid cancer | RET mutations (SNV, MNVs, and deletions) | selpercatinib |
| Thyroid cancer | RET fusions | selpercatinib |
Thermo Fisher Receives FDA Approval for NGS-Based Companion Diagnostic for New Non-Small Cell Lung Cancer Treatment
August 11, 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 Partners with AstraZeneca to Develop Solid Tissue and Blood-Based Companion Diagnostic Test for Tagrisso
January 24, 2023
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.
ALK
BRAF
EGFR deletions/SNV
EGFR insertions
ERBB2/HER2
IDH1
IDH1/2
KRAS
MET exon 14 skip
RET fusions
RET mutation
ROS1
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
Austria
Australia
Belgium
Canada
Denmark
Finland
France
Germany
Georgia
Italy
Israel
Japan
Korea
Netherlands
Poland
Spain
Saudi
Switzerland
United Kingdom
United States
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.
* For In Vitro Diagnostic Use.
** For In Vitro Diagnostic Use. Not available in all countries.
† For In Vitro Diagnostic Use.
PMR-004794