Table 4

Examples of more widely used established and emerging tests that may predict response to cancer treatment22–28

TestMethodPotential treatmentExample tumour type
Oestrogen receptor statusIHCAntioestrogens, for example, tamoxifen and anastrozoleBreast cancer
Progesterone receptor statusIHCAntioestrogens, for example, tamoxifen and anastrozoleBreast cancer
HER-2 receptor statusIHCHER-2 receptor blocking monoclonal antibodies, for example, trastuzumabBreast and OG cancer
HER-2 gene amplification statusISHHER-2 receptor blocking monoclonal antibodies, for example, trastuzumabBreast and OG cancer
PD-1 expression statusIHCImmunotherapy, for example, pembrolizumabVarious, for example, NSCLC
PD-L1 expression statusIHCImmunotherapy, for example, atezolizumabVarious, for example, bladder carcinoma
DNA MMR statusIHCImmunotherapy
(also predicts resistance to conventional chemotherapy in CRC—5-fluorouracil)
Various, for example, CRC
ALK expression statusIHCALK inhibitors, for example, crizotinibNSCLC
ALK gene mutation statusMALK inhibitors, for example, crizotinibNSCLC
KRAS gene mutation statusMEGFR-blocking monoclonal antibodies, for example, cetuximabCRC
MSI statusMImmunotherapy
(also predicts resistance to conventional chemotherapy in CRC—5-fluorouracil)
Various, for example, CRC
EGFR gene mutation statusMEGFR-blocking monoclonal antibodies, for example, erlotinibNSCLC
NRAS gene mutation statusMEGFR-blocking monoclonal antibodies, for example, cetuximabCRC
BRAF gene mutation statusMEGFR-blocking monoclonal antibodies, for example, cetuximab (in CRC)Malignant melanoma, NSCLC, CRC
KIT and PDGRFA gene mutation statusMTyrosine kinase inhibitors, for example, imatinibGIST
Oncotype DXMConventional chemotherapiesBreast carcinoma
  • CRC, colorectal cancer; GIST, gastrointestinal stromal tumour; IHC, immunohistochemistry; ISH, in situ hybridisation; M, molecular methods based on analysis of DNA (or RNA—for Oncotype DX) extracted from paraffin blocks; MMR, mismatch repair enzyme; MSI, microsatellite instability; NSCLC, non-small cell lung cancer; OG, oesophagogastric; PD-1, programmed death-1; PD-L1, programmed death-ligand 1.