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Application of Molecular Diagnostics Technology in the Development of a Companion Diagnostics for Malignant Solid Tumors

악성 고형암의 항암제 동반진단 기술에서 분자진단기술의 적용

Kim, Jin-Hee
김진희

  • Received : 2019.01.23
  • Accepted : 2019.02.27
  • Published : 2019.03.28

Abstract

Unlike benign tumors, malignant tumors are capable of metastasis, easy to relapse, poor survival, and low quality of life. In Korea, here is a tendency to treat the tumors collectively according to the General Principles of Cancer Chemotherapy(GPCC) of the Health Insurance Review & Assessment Service (HIRA). But recently, companion diagnostics(CDx) is recommended rather than unilateral medication because biomarker-based molecular diagnostics is possible to predict the drug response of patients before drug treatment. Not only domestic but also overseas Food and Drug Administratio (FDA) recommends the development of the CDx system at the stage of drug development to ensure the responsiveness and safety of medicines. In this study, I focused on the necessity of CDx development direction as well as CDx development status through literature review. Furthermore I also discussed CDx types according to the molecular diagnostic technology such as immunohistochemistry (IHC), polymerase chain reaction (PCR), in situ hybridization (ISH), and next-generation sequencing (NGS) not only in the approved CDx but also in the developing one by US FDA. And I suggested the technology issue of CDx development process such as a selection of molecular diagnostics at the time of release, a clear understanding of the CDx mechanism, and a convergence of drug with CDx development. The necessity of social insurance system also was proposed for CDx development.

Keywords

Malignant Tumor;Solid Tumor;Companion Diagnostics;Molecular Diagnostics Technology

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Acknowledgement

Supported by : 청주대학교