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Our vision is to democratize next-generation sequencing (NGS) globally and bring genomic testing closer to patients. Our highly automated and end-to-end solutions enable a broad spectrum of laboratories to provide genomic profiling with rapid turnaround time, bringing precision oncology to more patients everywhere.
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Innovative NGS technology
combines speed and automation to empower more labs to conduct testing, even with small and challenging samples.
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Exceptional track record
and capability of CDx co-development through regulatory approval and commercialization, providing more patients to access therapies
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Globally distributed NGS CDx solution
commercially available and reimbursed by government and private payors in the US, EU, Asia, and the Middle East, accelerating patient access to new therapies through local testing
Our NGS technology addresses the challenges of routine biomarker testing in clinical oncology.
The Oncomine Dx Target Test was the first distributable NGS-based CDx test approved in 2017. It is now commercially available as a distributable test, which can be implemented in laboratories around the world. The Oncomine Dx Express Test is an IVD test that enables rapid NGS testing for relevant biomarkers, delivering results in as little as 24 hours.
| Oncomine Dx Express Test (IVD)* | Oncomine Dx Express Test (CE-IVD)** | Oncomine Dx Target Test† | |
| Sample type | FFPE | FFPE, plasma | FFPE |
| Number of genes | DNA and RNA | DNA, RNA, and cfTNA | 46 (EU & Japan), 23 (US) |
| 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 | |
| HER2 insertions and mutations | trastuzumab deruxtecan | |
| 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 | Gene | Targeted therapies |
| Non small cell lung cancer (NSCLC) | ALK | Legally marketed ALK kinase inhibitors |
| BRAF | Legally marketed BRAF kinase inhibitors | |
| EGFR L858R, exon 19 deletions | Legally marketed EGFR tyrosine kinase inhibitors | |
| ROS1 | Legally marketed ROS1 tyrosine kinase inhibitors |
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
MET exon 14 skip
RET fusions
RET mutation
ROS1
AstraZeneca
Bayer
Blueprint Medicines
Boehringer Ingelheim
Chugai Pharmaceuticals
Daiichi Sankyo
Dizal
Hengrui Therapeutics
Janssen Oncology
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
ivosidenib
lorlatinib
osimertinib
pralsetinib
selpercatinib
sevabertinib
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, including the United States.
† For In Vitro Diagnostic Use.
CN: 63958