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Report Overview

The North America companion diagnostics market size was valued at USD 1.88 Billion in 2024. The market is further projected to grow at a CAGR of 15.50% between 2025 and 2034, reaching a value of USD 7.94 Billion by 2034.

2024

Base Year

2018-2024

Historical Year

2025-2034

Forecast Year

  • In the United States alone, around 1,958,310 new cases of cancer were detected in 2023.

  • In June 2023, the U.S. Food and Drug Administration unveiled a new voluntary pilot program targeting specific oncology drugs and their corresponding in vitro diagnostic tests. This initiative aims to assist clinicians in choosing suitable cancer treatments for patients.

  • By the end of 2020, the FDA had granted approval to a total of 44 CDx assays. These assays are nearly all associated with various drugs for haematological and oncological conditions.

Compound Annual Growth Rate

Value in USD Billion

15.5%

2025-2034


North America Companion Diagnostics Market Outlook

*this image is indicative*

The North America companion diagnostics market growth is fuelled by several factors, including the push for personalised medicine, the growing use of next-generation sequencing (NGS), among others. The capability of CDx to pinpoint patients who are likely to respond to treatments based on specific biomarkers has catalysed partnerships between pharmaceutical and diagnostic firms, resulting in the creation and introduction of integrated products.  

The co-development of personalised medicine and companion diagnostics (Rx-CDx) plays a crucial role in the product lifecycle, significantly influencing market accessibility. It expands the range of treatment options available for several serious diseases, including cancer. However, the field of companion diagnostics is particularly susceptible to changes in regulatory and reimbursement environments, requiring tailored strategies for market access. 

Recent FDA approvals in the companion diagnostics market

  • In November 2023, the FDA approved the FoundationOne® CDx as a companion diagnostic tool for identifying patients with advanced hormone receptor–positive, HER2-negative breast cancer who could benefit from the capivasertib and fulvestrant treatment combination.
  • In August 2023, the FDA approved QIAGEN's therascreen PDGFRA RGQ PCR kit. This diagnostic tool aids in the detection of the PDGFRA D842V mutation in patients with inoperable or metastatic gastrointestinal stromal tumours, determining their eligibility for treatment with AYVAKIT® (avapritinib).
  • In October 2022, F. Hoffmann-La Roche Ltd secured FDA approval for the first companion diagnostic designed to determine eligibility for Enhertu treatment in patients with HER2 low metastatic breast cancer.

Market Segmentation

North America Companion Diagnostics Market Report and Forecast 2025-2034 offers a detailed analysis of the market based on the following segments:

Market Breakup by Technology:

  • Immunohistochemistry (IHC)
  • Polymerase Chain Reaction (PCR)
  • In-situ Hybridisation (ISH)
  • Real-time PCR (RT-PCR)
  • Gene Sequencing
  • Others

Market Breakup by Indication:

  • Lung Cancer
  • Breast Cancer
  • Colorectal Cancer
  • Leukaemia
  • Melanoma
  • Others

Market Breakup by End User:

  • Pharmaceutical and Biotechnology Companies
  • Reference Laboratories
  • Contract Research Organisations
  • Others

Market Breakup by Country:

  • United States of America
  • Canada

Competitive Landscape

Market players are heavily investing in research and development and are focusing on personalised medicines to stay ahead in the market.

  • Quest Diagnostics Incorporated
  • Agilent Technologies, Inc.
  • F. Hoffmann-La Roche Ltd
  • Qiagen
  • Siemens AG
  • Thermo Fisher Scientific Inc
  • Laboratory Corporation of America Holdings
  • bioMérieux SA
  • Amgen Inc.
  • Others

*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*

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Key Questions Answered in the Report

In 2024, the market reached an approximate value of USD 1.88 Billion.

The market is expected to grow at a CAGR of 15.50% between 2025 and 2034.

The market is expected to reach a value of USD 7.94 Billion by 2034.

Rising significance of personalised medicine and growing demand for NGS-based technology are the key market drivers for the market.

Companion diagnostics are tests or assays used to determine which patients are most likely to respond positively to a specific therapy or drug.

By 2020, 44 CDx assays were approved by the FDA.

Major countries in the market are the USA and Canada.

Key players in the market include Quest Diagnostics Incorporated, Agilent Technologies, Inc, F. Hoffmann-La Roche Ltd, Qiagen, Siemens AG, Thermo Fisher Scientific Inc, Laboratory Corporation of America Holdings, bioMérieux SA, and Amgen Inc, among others.

Report Summary

Explore our key highlights of the report and gain a concise overview of key findings, trends, and actionable insights that will empower your strategic decisions.

Key Highlights of the Report

Please note that the figures mentioned in the description serve as estimates and may vary from the actual figures presented in the final report.

REPORT FEATURES DETAILS
Base Year 2024
Historical Period 2018-2024
Forecast Period 2025-2034
Scope of the Report

Historical and Forecast Trends, Industry Drivers and Constraints, Historical and Forecast Market Analysis by Segment:

  • Technology
  • Indication
  • End User
  • Region
Breakup by Technology
  • Immunohistochemistry (IHC)
  • Polymerase Chain Reaction (PCR)
  • In-situ Hybridization (ISH)
  • Real-time PCR (RT-PCR)
  • Gene Sequencing
  • Others
Breakup by Indication
  • Lung Cancer
  • Breast Cancer
  • Colorectal Cancer
  • Leukaemia
  • Melanoma
  • Others
Breakup by End User
  • Pharmaceutical and Biotechnology Companies
  • Reference Laboratories
  • Contract Research Organisations
  • Others
Breakup by Region
  • United States of America
  • Canada
Market Dynamics
  • SWOT Analysis
  • Porter's Five Forces Analysis
  • Key Indicators for Demand
  • Key Indicators for Price
Competitive Landscape
  • Market Structure
  • Company Profiles
    • Company Overview
    • Product Portfolio
    • Demographic Reach and Achievements
    • Certifications
Companies Covered
  • Quest Diagnostics Incorporated
  • Agilent Technologies, Inc.
  • F. Hoffmann-La Roche Ltd
  • Qiagen
  • Siemens AG
  • Thermo Fisher Scientific Inc
  • Laboratory Corporation of America Holdings
  • bioMérieux SA
  • Amgen Inc.
  • Others

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