Table 1

Biomarkers predictive of efficacy identified in the review of European Medicines Agency licensing

BiomarkerIndicationDrug
ALK gene rearrangementCarcinoma, non-small-cell lungCrizotinib (Xalkori)
BRAF V600 mutationMelanomaVemurafenib (Zelboraf)
CCR5 tropismHIV infectionsMaraviroc (Celsentri)
CD-33 expression*Leukaemia, myeloid, acuteGemtuzumab ozogamicin (Mylotarg)†
EGFR expressionColorectal neoplasmsCetuximab (Erbitux)
EGFR expressionCarcinoma, non-small-cell lungErlotinib (Tarceva)
EGFR mutationCarcinoma, non-small-cell lungErlotinib (Tarceva)
EGFR mutationCarcinoma, non-small-cell lungGefitinib (Iressa)
EpCAM expressionCancer ascitesCatumaxomab (Removab)
FIP1L1-PDGFR rearrangementHypereosinophilic syndromeImatinib (Glivec)‡
G551D mutation in the CFTR geneCystic fibrosisIvacaftor (Kalydeco)†
Genotype 1 HCVHepatitis C, chronicBoceprevir (Victrelis)
Genotype 1 HCVHepatitis CTelaprevir (Incivo)
HER2 expressionBreast neoplasmsLapatinib (Tyverb)
HER2 expressionBreast neoplasmsTrastuzumab (Herceptin)
HER2 expressionStomach neoplasmsTrastuzumab (Herceptin)
HER2 expressionBreast neoplasmsEverolimus (Afinitor)
HER2 expression§Breast neoplasmsPertuzumab (Perjeta)
Hormone dependencyProstatic neoplasmsDegarelix (Firmagon)
Hormone receptor expression§Breast neoplasmsZoledronic acid (Zometa)
Hormone receptor expressionBreast neoplasmsEverolimus (Afinitor)
Kit (CD 117) expressionGastrointestinal stromal tumoursImatinib (Glivec)‡
Kit (D816V) mutation¶Aggressive systemic mastocytosisImatinib (Glivec)‡
KRAS mutationColorectal neoplasmsCetuximab (Erbitux)
KRAS mutationColorectal neoplasmsPanitumumab (Vectibix)
LPL protein detectableHyperlipoproteinaemia type IAlipogene tiparvovec (Glybera)†
Oestrogen receptor expressionBreast neoplasmsFulvestrant (Faslodex)
Oestrogen receptor expressionBreast neoplasmsToremifene (Fareston)
PDGFR gene rearrangementsMyelodysplastic-myeloproliferative diseasesImatinib (Glivec)‡
Philadelphia chromosomePrecursor cell lymphoblastic leukaemia-lymphomaDasatinib (Sprycel)†
Philadelphia chromosomePrecursor Cell lymphoblastic leukaemia-lymphomaImatinib (Glivec)‡
t(15; 17) translocationLeukaemia, promyelocytic, acuteArsenic trioxide (Trisenox)‡
Viral resistance mutations¶HIV infectionsAmprenavir (Agenerase)
Viral resistance mutationsHIV infectionsAtazanavir sulfate (Reyataz)
Viral resistance mutationsHIV infectionsDarunavir (Prezista)
Viral resistance mutationsHIV infectionsEfavirenz/emtricitabine/tenofovir disoproxil (Atripla)
Viral resistance mutationsHIV infectionsEmtricitabine (Emtriva)
Viral resistance mutationsHIV infectionsEmtricitabine/rilpivirine/tenofovir disoproxil (Eviplera)
Viral resistance mutationsHIV infectionsEnfuvirtide (Fuzeon)
Viral resistance mutationsHIV infectionsFosamprenavir calcium (Telzir)
Viral resistance mutationsHIV infectionsLopinavir/ritonavir (Kaletra)
Viral resistance mutations¶HIV infectionsNelfinavir (Viracept)
Viral resistance mutationsHIV infectionsRilpivirine hydrochloride (Edurant)
Viral resistance mutationsHIV infectionsTenofovir disoproxil fumarate (Viread)
Viral resistance mutationsHIV infectionsTipranavir (Aptivus)
  • *Refused.

  • †Drug designated an orphan medicine.

  • ‡Orphan designation has been removed at the end of exclusivity period.

  • §Pending.

  • ¶Withdrawn.