Table 1

FDA approvals of circulating tumor DNA-based companion diagnostics

DeviceCancer typeCDx biomarker(s)Drug(s)
Cobas EGFR Mutation Test v2
PCR test
NSCLCEGFR exon 19 deletions or exon 21 L858R mutationsGroup labeling claim for FDA approved TKIs
Tarceva (erlotinib),
Tagrisso (osimertinib, Iressa (gefitinib)
Exon 20 T790M substitution mutationTagrisso (osimertinib)
therascreen PIK3CA RGQ PCR Kit
PCR test
Breast Cancer11 mutations in PIK3CAPiqray (alpelisib)
Guardant360 CDx Test
NGS test
NSCLCEGFR exon 19 deletions, L858R, and T790MTagrisso (osimertinib)
EGFR exon 20 insertionsRybrevant
(amivantamab-vmjw)
KRAS G12CLumakras (sotorasib)
F1 Liquid CDx Test
NGS test
NSCLCEGFR exon 19 deletions, L858RIressa (gefitinib),
Tagrisso (osimertinib), Tarceva (erlotinib)
MET exon 14 SNVs and indels lead to skippingTabrecta (capmatinib)
ALKAlecensa (alectinib)
Prostate CancerBRCA1, BRCA2Rubraca (rucaparib)
BRCA1. BRCA2, ATMLynparza (olaparib)
Ovarian CancerBRCA1, BRCA2Rubraca (rucaparib)
Breast Cancer11 mutations in PIK3CAPiqray (alpelisib)
  • CDx, companion diagnostic; FDA, Food and Drug Administration; indel, insertion-deletion; NGS, next generation sequencing; NSCLC, non-small cell lung cancer; SNV, single-nucleotide variant; TKI, tyrosine kinase inhibitor.