Kalorama Information
A division of
MarketResearch.com
www.kaloramainformation.com
212.807.2660 t
800.298.5603 t
212.807.2676 f
Table of Contents
ii
Table of Contents
iii
Next Generation Sequencing...................................................................................................................221
Mass Spectrometry ..................................................................................................................................225
Molecular Technologies and Players......................................................................................................228
Market Analysis .......................................................................................................................................232
Oncology ................................................................................................................................................233
Inherited Diseases ..................................................................................................................................240
Prenatal Chromosome Analysis .............................................................................................................246
Tissue Typing .........................................................................................................................................253
The Commercial Outlook for Molecular Tests .....................................................................................256
Table of Contents
iv
Table of Contents
v
Key Comment ........................................................................................................................................419
Point of Care ..........................................................................................................................................421
Arkray ......................................................................................................................................................423
Recent Revenue History .........................................................................................................................423
Key Comment. .......................................................................................................................................423
Beckman Coulter Inc...............................................................................................................................426
Recent Revenue History: estimated .....................................................................................................426
Key Comment ........................................................................................................................................427
Hematology ............................................................................................................................................428
Core Lab.................................................................................................................................................429
Immunoassays ........................................................................................................................................429
Coagulation ............................................................................................................................................431
Automation ............................................................................................................................................432
Flow Cytometry .....................................................................................................................................432
Molecular ...............................................................................................................................................433
Becton, Dickinson and Company (BD) ..................................................................................................436
Key Comment. .......................................................................................................................................437
Histology ................................................................................................................................................437
Molecular ...............................................................................................................................................438
Molecular Microbiology ........................................................................................................................439
Microbiology Automation ......................................................................................................................441
Immunoassays ........................................................................................................................................441
Microbiology..........................................................................................................................................442
Blood Culture .........................................................................................................................................443
Mass Spectrometry .................................................................................................................................443
Flow Cytometry .....................................................................................................................................444
BD Vacutainer Blood Collection Products (Preanalytical Systems) ......................................................445
bioMrieux Inc. ........................................................................................................................................447
Recent Revenue History: estimated .....................................................................................................447
Key Comment ........................................................................................................................................448
Microbiology..........................................................................................................................................448
Blood Culture .........................................................................................................................................450
Blood Banks ...........................................................................................................................................450
Molecular Oncology ..............................................................................................................................451
Molecular Microbiology ........................................................................................................................453
Immunoassays ........................................................................................................................................454
Bio-Rad Laboratories Inc. ......................................................................................................................455
Recent Revenue History: ......................................................................................................................455
Key Comment ........................................................................................................................................455
HIV ........................................................................................................................................................456
Molecular ...............................................................................................................................................456
Immunoassays ........................................................................................................................................456
Blood Bank ............................................................................................................................................457
Research .................................................................................................................................................458
Danaher Corporation ..............................................................................................................................459
Recent Revenue History .......................................................................................................................459
AB Sciex ................................................................................................................................................460
Leica .......................................................................................................................................................460
Gen-Probe Inc. .........................................................................................................................................463
Recent Revenue History (in millions) ....................................................................................................463
Key Comment . .....................................................................................................................................463
The acquisitions include:........................................................................................................................463
Expansion ...............................................................................................................................................464
Molecular Assays ...................................................................................................................................465
Copyright 2012 Kalorama Information
Reproduction without prior written permission, in any media now in existence or hereafter developed,
in whole or in any part, is strictly prohibited.
Table of Contents
vi
HPV........................................................................................................................................................466
Transplant/HLA testing ..........................................................................................................................467
Infectious Diseases .................................................................................................................................467
Blood Bank ............................................................................................................................................468
Oncology ................................................................................................................................................469
Hologic, Inc...............................................................................................................................................471
Recent Revenue History .........................................................................................................................471
Key Comment ........................................................................................................................................471
Histology ................................................................................................................................................471
HPV........................................................................................................................................................472
Horiba Medical ........................................................................................................................................473
Recent Revenue History:........................................................................................................................473
Key Comment. .......................................................................................................................................473
Instrumentation Laboratory (IL) ...........................................................................................................475
Recent Revenue History (estimated) ......................................................................................................475
Key Comment. .......................................................................................................................................475
Coagulation ............................................................................................................................................476
Critical Care ...........................................................................................................................................477
Ortho Clinical Diagnostics ......................................................................................................................478
Recent Revenue History .........................................................................................................................478
Key Comment. .......................................................................................................................................478
Blood Bank ............................................................................................................................................479
Core Lab.................................................................................................................................................479
Immunoassays ........................................................................................................................................481
Molecular ...............................................................................................................................................481
QIAGEN N.V. ..........................................................................................................................................482
Recent Revenue History:........................................................................................................................482
Key Comment ........................................................................................................................................482
Histology ................................................................................................................................................485
Infectious Diseases .................................................................................................................................486
Oncology ................................................................................................................................................487
TB 490
HPV........................................................................................................................................................490
HLA .......................................................................................................................................................490
Automation for the Future......................................................................................................................491
Point of Care ..........................................................................................................................................492
Radiometer A/S ........................................................................................................................................494
Recent Revenue History .........................................................................................................................494
Key Comment ........................................................................................................................................494
Immunoassays ........................................................................................................................................495
Roche Diagnostics ....................................................................................................................................497
Recent Revenue History .........................................................................................................................497
Key Comment ........................................................................................................................................498
PCR ........................................................................................................................................................498
Molecular Infectious Diseases ...............................................................................................................499
Viral Load ..............................................................................................................................................500
HPV........................................................................................................................................................500
Companion Tests....................................................................................................................................501
Core Lab.................................................................................................................................................503
Immunoassays ........................................................................................................................................505
Diabetes Care .........................................................................................................................................505
Point-of-Care..........................................................................................................................................507
Coagulation ............................................................................................................................................508
Histology ................................................................................................................................................509
Copyright 2012 Kalorama Information
Reproduction without prior written permission, in any media now in existence or hereafter developed,
in whole or in any part, is strictly prohibited.
Table of Contents
vii
Blood Bank ............................................................................................................................................510
Sequencing .............................................................................................................................................510
Siemens Healthcare Diagnostics .............................................................................................................514
Recent Revenue History .........................................................................................................................514
Key Comment. .......................................................................................................................................514
Core Lab.................................................................................................................................................515
Point of Care ..........................................................................................................................................517
Critical Care ...........................................................................................................................................517
Histology ................................................................................................................................................518
Molecular ...............................................................................................................................................519
Microbiology..........................................................................................................................................520
Allergy ...................................................................................................................................................520
Coagulation ............................................................................................................................................521
Immunoassays ........................................................................................................................................521
Urinalysis ...............................................................................................................................................524
Connectivity ...........................................................................................................................................524
Sysmex Corporation ................................................................................................................................526
Recent Revenue History .........................................................................................................................526
Key Comment ........................................................................................................................................526
Expansion ...............................................................................................................................................527
Hematology ............................................................................................................................................527
Urinalysis ...............................................................................................................................................529
Self-Testing Devices ..............................................................................................................................529
Molecular ...............................................................................................................................................529
Information Technology.........................................................................................................................530
Thermo Fisher Scientific Inc. .................................................................................................................531
Recent Revenue History :......................................................................................................................531
Key Comment. .......................................................................................................................................531
Core Lab.................................................................................................................................................532
Microbiology..........................................................................................................................................533
Point of Care ..........................................................................................................................................534
Specialty Diagnostics .............................................................................................................................534
Table of Contents
viii
Dako A/S ...................................................................................................................................................564
Recent Revenue History:........................................................................................................................564
Companion Diagnostics .........................................................................................................................567
DiaSorin S.p.A..........................................................................................................................................569
Recent Revenue History:........................................................................................................................569
Molecular ...............................................................................................................................................571
Eiken Chemical Co., Ltd .........................................................................................................................572
ELITech Group........................................................................................................................................574
Recent Revenue History:........................................................................................................................574
Fujirebio Diagnostics, Inc. ......................................................................................................................576
Recent Revenue History .........................................................................................................................576
General Electric - GE Healthcare ..........................................................................................................580
Cell Imaging...........................................................................................................................................581
Molecular Sequencing............................................................................................................................582
EMR .......................................................................................................................................................583
Grifols, S.A. ..............................................................................................................................................585
Recent Revenue History .........................................................................................................................585
Illumina Inc. .............................................................................................................................................587
Recent Revenue History .........................................................................................................................587
Microbiology..........................................................................................................................................591
CLIA Lab Service ..................................................................................................................................591
Information Technology.........................................................................................................................592
Research .................................................................................................................................................592
IRIS International, Inc. ...........................................................................................................................594
Recent Revenue History .........................................................................................................................594
Urinalysis ...............................................................................................................................................595
Hematology ............................................................................................................................................596
Molecular ...............................................................................................................................................596
Cytology .................................................................................................................................................598
Life Technologies .....................................................................................................................................600
Recent Revenue History .........................................................................................................................600
Personalized Medicine ...........................................................................................................................602
Arrays .....................................................................................................................................................605
Sample Preparation ................................................................................................................................605
IVD Company Deals ..............................................................................................................................605
International Presence ............................................................................................................................607
Luminex Corporation ..............................................................................................................................609
Recent Revenue History .........................................................................................................................609
IVD Expansion .......................................................................................................................................610
Automation ............................................................................................................................................613
Magellan Biosciences ...............................................................................................................................615
A. Menarini Diagnostics ..........................................................................................................................617
Recent Revenue History .........................................................................................................................617
Mindray Bio-Medical Electronics Co., Ltd ...........................................................................................619
Recent Revenue History .........................................................................................................................619
Nanosphere, Inc. ......................................................................................................................................621
Recent Revenue History .........................................................................................................................621
Infectious Diseases .................................................................................................................................622
Immunoassays ........................................................................................................................................623
Nova Biomedical ......................................................................................................................................625
Recent Revenue History .........................................................................................................................625
Diabetes..................................................................................................................................................626
Novartis Diagnostics ................................................................................................................................629
Recent Revenue History .........................................................................................................................629
Copyright 2012 Kalorama Information
Reproduction without prior written permission, in any media now in existence or hereafter developed,
in whole or in any part, is strictly prohibited.
Table of Contents
ix
Blood Bank ............................................................................................................................................629
Blood Grouping......................................................................................................................................630
Molecular ...............................................................................................................................................631
Companion Tests....................................................................................................................................632
PerkinElmer, Inc. ....................................................................................................................................634
Recent Revenue History .........................................................................................................................634
Prenatal and Neonatal Screening............................................................................................................634
Molecular and Sequencing Diagnostics .................................................................................................639
Cord Blood .............................................................................................................................................640
Immunoassays ........................................................................................................................................641
Information Technology.........................................................................................................................642
Human Health Research .........................................................................................................................642
Phadia AB.................................................................................................................................................644
Recent Revenue History .........................................................................................................................644
Allergy ...................................................................................................................................................645
Phadia Immunology Reference Laboratory ...........................................................................................646
Autoimmune ..........................................................................................................................................646
Pharmaceutical Services.........................................................................................................................647
Quidel Corporation .................................................................................................................................648
Recent Revenue History .........................................................................................................................648
Immunoassays ........................................................................................................................................649
Molecular Business ................................................................................................................................649
Randox Laboratories Ltd........................................................................................................................651
Recent Revenue History .........................................................................................................................651
Core Lab.................................................................................................................................................652
Point of Care ..........................................................................................................................................654
Quality Control ......................................................................................................................................654
Sequenom .................................................................................................................................................655
Recent Revenue History .........................................................................................................................655
Genetic Analysis Products .....................................................................................................................655
Sequenom Center for Molecular Medicine ............................................................................................657
Tosoh Corporation ..................................................................................................................................660
Recent Revenue History .........................................................................................................................660
Immunoassays ........................................................................................................................................661
Transasia Bio-Medicals Ltd. ...................................................................................................................663
Recent Revenue History .........................................................................................................................663
Trinity Biotech plc ...................................................................................................................................665
Recent Revenue History .........................................................................................................................665
Point of Care ..........................................................................................................................................667
Ventana Medical Systems Inc. ................................................................................................................668
Recent Revenue History .........................................................................................................................668
Veridex, LLC ...........................................................................................................................................674
Recent Revenue History .........................................................................................................................674
Wako Pure Chemical Industries, Ltd. ...................................................................................................677
Recent Revenue History .........................................................................................................................677
Werfen Group S.A. ..................................................................................................................................679
Table of Contents
x
BG Medicine, Inc. ....................................................................................................................................687
Caliper Life Sciences ...............................................................................................................................690
Clinical Diagnostics ...............................................................................................................................690
Sequencing .............................................................................................................................................691
Life Sciences ..........................................................................................................................................693
Enzo Biochem Inc. ...................................................................................................................................695
Oncology ................................................................................................................................................696
Epigenomics AG ......................................................................................................................................698
Idaho Technology Inc. .............................................................................................................................701
Innogenetics NV .......................................................................................................................................704
International Technidyne Corp (ITC) ...................................................................................................705
Intrinsic Bioprobes Inc. ...........................................................................................................................707
Ivax Diagnostics Inc.................................................................................................................................709
Linkage Biosciences, Inc. ........................................................................................................................711
Molecular ...............................................................................................................................................714
Immunoassays ........................................................................................................................................715
Millipore EMD Millipore .....................................................................................................................717
Mitsubishi Chemical Medience Corporation ........................................................................................719
Nanosphere, Inc. ......................................................................................................................................721
OPTI Medical Systems ............................................................................................................................725
OptiGene Ltd ...........................................................................................................................................726
Polymedco, Inc. ........................................................................................................................................727
Philips .......................................................................................................................................................727
Radient Pharmaceuticals Corporation ..................................................................................................728
Seegene, Inc. .............................................................................................................................................730
SensiGen LLC ..........................................................................................................................................734
Spartan Bioscience Inc. ...........................................................................................................................735
TessArae, LLC .........................................................................................................................................737
Transgenomic, Inc. ..................................................................................................................................738
Lab Services ...........................................................................................................................................738
Diagnostic Tools Division......................................................................................................................740
TrimGen Genetic Technology.................................................................................................................744
TrovaGene, Inc. .......................................................................................................................................746
Prenatal ..................................................................................................................................................747
Vermillion Inc. .........................................................................................................................................748
Cardiac Markers .....................................................................................................................................749
Alzheimers Disease ..............................................................................................................................750
Cancer ....................................................................................................................................................750
Table of Contents
xi
Immunetics Inc. .......................................................................................................................................766
Mediware Information Systems, Inc. .....................................................................................................768
Monash University ...................................................................................................................................769
Progenika Inc. ..........................................................................................................................................770
Quotient Biodiagnostics Inc. ...................................................................................................................772
Terumo Corporation ...............................................................................................................................773
Transfusion Management Services, Inc. (TxMS) ..................................................................................774
Verax Biomedical Inc. .............................................................................................................................775
Table of Contents
xii
Tandem Diabetes Care, Inc.....................................................................................................................827
TelCare Inc...............................................................................................................................................828
VeraLight, Inc. .........................................................................................................................................829
Table of Contents
xiii
Horizon Discovery Ltd ............................................................................................................................892
HTG Molecular Diagnostics ...................................................................................................................893
Ikonisys, Inc. ............................................................................................................................................895
Leica Microsystems .................................................................................................................................897
Sample Processing .................................................................................................................................897
Histological Analysis .............................................................................................................................897
APP ........................................................................................................................................................899
Massachusetts General Hospital.............................................................................................................900
Maven Biotechnologies histo ..................................................................................................................900
Metamark Genetics, Inc. .........................................................................................................................901
Milestone Medical ....................................................................................................................................902
Mitomics Inc. (formerly Genesis Genomics Inc.) ..................................................................................903
mtm laboratories AG...............................................................................................................................904
Novovision Inc ..........................................................................................................................................906
Olympus America ....................................................................................................................................906
Omnyx, LLC ............................................................................................................................................908
OvaGene Oncology Inc............................................................................................................................909
Table of Contents
xiv
Diazyme Laboratories .............................................................................................................................944
Euroimmun AG .......................................................................................................................................946
GenBio ......................................................................................................................................................947
GlysBy .......................................................................................................................................................948
Gold Standard Diagnostics, Corporation ..............................................................................................949
HealthLinx Limited .................................................................................................................................950
Hycor Biomedical, Inc. ............................................................................................................................951
IMMCO Diagnostics, Inc. .......................................................................................................................952
Immunodiagn ...........................................................................................................................................953
ostic Systems Ltd. (IDS) ..........................................................................................................................953
Inova Diagnostics Inc. .............................................................................................................................954
Innovative Health Diagnostics ................................................................................................................955
Jeev Diagnostics .......................................................................................................................................955
LifeAssays AB ..........................................................................................................................................956
MabCure Inc. ...........................................................................................................................................957
Mediomics, LLC ......................................................................................................................................958
Miraculins Inc. .........................................................................................................................................959
Neogenix Oncology, Inc. ..........................................................................................................................961
Oasis Diagnostics Corporation ...............................................................................................................962
OJ-Bio Ltd. ...............................................................................................................................................963
OncoCyte Corp. .......................................................................................................................................964
OncoHealth Corp. ....................................................................................................................................964
Orgentec Diagnostika ..............................................................................................................................966
PrognostiX Inc. ........................................................................................................................................967
Protagen AG.............................................................................................................................................968
Proteomics International Pty Ltd. ..........................................................................................................969
Saladax Biomedical, Inc. .........................................................................................................................970
Sera Prognostics, Inc. ..............................................................................................................................971
Shanghai Kehua Bio-engineering ...........................................................................................................972
Shionogi Diagnostic .................................................................................................................................973
Sialix Inc. ..................................................................................................................................................974
SQI Diagnostics Inc. ................................................................................................................................975
Sword Diagnostics....................................................................................................................................976
Wistar Institute, The ...............................................................................................................................977
Table of Contents
xv
Chembio Diagnostic Systems, Inc.........................................................................................................1002
In Brazil ...............................................................................................................................................1005
Flu1005
China ....................................................................................................................................................1005
Ceeram S.A.S. ........................................................................................................................................1006
CHROMagar..........................................................................................................................................1007
Cooperative Diagnostics, LLC ..............................................................................................................1007
Copan Diagnostics Inc. ..........................................................................................................................1009
Swabs ...................................................................................................................................................1009
Lab Automation ...................................................................................................................................1010
Diagnostic HYBRIDS, Inc. (DHI) ........................................................................................................1012
Don Whitley Scientific ...........................................................................................................................1013
Dynacon Inc............................................................................................................................................1014
Enigma Diagnostics Limited .................................................................................................................1016
Focus Diagnostics, Inc. ..........................................................................................................................1019
Great Basin Scientific, Inc. ...................................................................................................................1020
Hain Lifescience GmbH ........................................................................................................................1021
Hardy Diagnostics..................................................................................................................................1024
Ibis Biosciences ......................................................................................................................................1025
Immunexpress Inc. ................................................................................................................................1027
Immuno-Mycologics (IMMY) ...............................................................................................................1028
InBios International, Inc. ......................................................................................................................1029
Ingen Biosciences ...................................................................................................................................1030
Innovotech Inc........................................................................................................................................1030
Intelligent Medical Devices, Inc. (IMDx) .............................................................................................1031
IQuum Inc. .............................................................................................................................................1032
Lab M .....................................................................................................................................................1033
MBio Diagnostics, Inc. ...........................................................................................................................1034
Miacom Diagnostics GmbH ..................................................................................................................1035
Micro Identification Technologies, Inc. (MIT) ....................................................................................1035
MicroBionetics, Inc. ...............................................................................................................................1036
Microgen Bioproducts Ltd. ...................................................................................................................1037
MicroPhage, Inc. ....................................................................................................................................1038
Mo Bio Laboratories..............................................................................................................................1039
Molecular Detection Inc. (MDI) ...........................................................................................................1040
Molzym GmbH & Co. KG ....................................................................................................................1041
MP Biomedicals LLC ............................................................................................................................1042
Myconostica ............................................................................................................................................1043
NanoLogix, Inc. ......................................................................................................................................1044
nanoMR Inc............................................................................................................................................1045
NetBio .....................................................................................................................................................1046
Next Dimension Technologies, Inc. ......................................................................................................1046
OraSure Technologies, Inc. ...................................................................................................................1047
Oxford Immunotec Ltd. ........................................................................................................................1049
Oxoid .......................................................................................................................................................1051
ID/AST.................................................................................................................................................1052
PathoGene ..............................................................................................................................................1053
Pathogenica ............................................................................................................................................1053
Preventx Limited ...................................................................................................................................1054
Phthisis Diagnostics Inc. ........................................................................................................................1055
Quantalife, Inc. ......................................................................................................................................1056
QuantuMDx Group Limited .................................................................................................................1057
QuickCheck Health Inc. ........................................................................................................................1058
R-Biopharm AG .....................................................................................................................................1059
Copyright 2012 Kalorama Information
Reproduction without prior written permission, in any media now in existence or hereafter developed,
in whole or in any part, is strictly prohibited.
Table of Contents
xvi
Renishaw Diagnostics Ltd .....................................................................................................................1060
Serosep Limited .....................................................................................................................................1062
Signature Mapping Medical Sciences, Inc. ..........................................................................................1062
SIRS-Lab ................................................................................................................................................1063
T2 Biosystems, Inc. ................................................................................................................................1064
Table of Contents
xvii
GenMark Diagnostics Inc. ....................................................................................................................1123
GenoID Ltd. ...........................................................................................................................................1124
Genomic Expression, Inc.......................................................................................................................1125
Genomed AG ..........................................................................................................................................1126
Genomica S.A.U. ....................................................................................................................................1126
Genomind, LLC .....................................................................................................................................1127
Genorama Ltd. .......................................................................................................................................1129
GenturaDx ..............................................................................................................................................1130
GnuBIO, Inc. ..........................................................................................................................................1131
Great Basin Corporation ......................................................................................................................1132
Helicos BioSciences ................................................................................................................................1133
IncellDx, Inc. ..........................................................................................................................................1135
Inostics GmbH .......................................................................................................................................1136
Insight Genetics......................................................................................................................................1137
IntegenX Inc. ..........................................................................................................................................1139
Ipsogen SA ..............................................................................................................................................1141
LifeCodexx AG ......................................................................................................................................1143
LifeGen Technologies, LLC ..................................................................................................................1144
Linkage Biosciences, Inc. ......................................................................................................................1144
Lumora Ltd. ...........................................................................................................................................1145
Med BioGene, Inc. (MBI) ......................................................................................................................1146
Microsaic Systems plc............................................................................................................................1147
Multiplicom N.V. ...................................................................................................................................1147
NABsys, Inc. ...........................................................................................................................................1148
Nanostring Technologies, Inc................................................................................................................1149
NewGene .................................................................................................................................................1151
NIPD Genetics LTD...............................................................................................................................1153
NobleGen Biosciences ............................................................................................................................1153
Norgen Biotek Corp...............................................................................................................................1154
Nuvera Biosciences, Inc. ........................................................................................................................1155
OptiGene Ltd .........................................................................................................................................1156
Orion Genomics .....................................................................................................................................1157
Oxford Gene Technology ......................................................................................................................1159
Pharmigene.............................................................................................................................................1161
Population Diagnostics, Inc...................................................................................................................1162
PrimeraDx ..............................................................................................................................................1163
RainDance Technologies, Inc. ...............................................................................................................1163
Rheonix Inc. ...........................................................................................................................................1166
Sequenta, Inc. .........................................................................................................................................1167
Sirius Genomics .....................................................................................................................................1167
Skyline Diagnostics B.V.........................................................................................................................1168
Sony DADC Biosciences ........................................................................................................................1170
SpotOn Clinical Diagnostics Ltd ..........................................................................................................1172
Stratos Genomics Inc. ............................................................................................................................1173
SureGene, LLC ......................................................................................................................................1174
TcLand Expression SA ..........................................................................................................................1175
VolitionRx Limited ................................................................................................................................1175
WaferGen Biosystems, Inc. ...................................................................................................................1177
Waters Corporation...............................................................................................................................1179
Xagenic ...................................................................................................................................................1180
ZyGEM Corp. Ltd. ................................................................................................................................1181
Table of Contents
xviii
Table of Contents
xix
GeneDx ................................................................................................................................................1242
BioServe ..................................................................................................................................................1243
bioTheranostics ......................................................................................................................................1244
Bostwick Laboratories...........................................................................................................................1246
Cancer Treatment Centers of America................................................................................................1247
CardioDx ................................................................................................................................................1247
Caris Life Sciences .................................................................................................................................1248
Castle Biosciences Inc. ...........................................................................................................................1250
Circadian Technologies .........................................................................................................................1251
CDx Diagnostics .....................................................................................................................................1252
Chronix Biomedical Inc. .......................................................................................................................1252
Clarient Inc. ...........................................................................................................................................1254
Clinical Reference Laboratory, Inc. (CRL) .........................................................................................1257
CombiMatrix Molecular Diagnostics, Inc. ..........................................................................................1258
Complete Genomics ...............................................................................................................................1260
Crescendo Bioscience, Inc. ....................................................................................................................1262
DeCode Genetics ....................................................................................................................................1263
Gene Variants.......................................................................................................................................1266
DermaGenoma, Inc................................................................................................................................1266
DiaTech Oncology..................................................................................................................................1268
Diatherix Laboratories Inc. ..................................................................................................................1269
Exagen Diagnostics, Inc.........................................................................................................................1271
Existence Genetics .................................................................................................................................1272
ExonHit Therapeutics ...........................................................................................................................1273
Gene Security Network Inc. (GSN) ......................................................................................................1274
Genelex Corporation .............................................................................................................................1275
Genetadi Biotech SL ..............................................................................................................................1276
Genetic Disease Foundation ..................................................................................................................1277
Genomas .................................................................................................................................................1278
Genomic Health, Inc. .............................................................................................................................1279
Sequencing ...........................................................................................................................................1282
Information Technology.......................................................................................................................1283
Genoptix Medical Laboratory ..............................................................................................................1284
GenoVive LLC .......................................................................................................................................1285
Genzyme Genetics..................................................................................................................................1286
Good Start Genetics, Inc. ......................................................................................................................1287
iGenix Inc. ..............................................................................................................................................1288
IntegraGen SA .......................................................................................................................................1289
Interleukin Genetics, Inc. ......................................................................................................................1291
Iverson Genetic Diagnostics, Inc. .........................................................................................................1293
Knome, Inc. ............................................................................................................................................1294
Lab21 Limited ........................................................................................................................................1296
Laboratory Corporation of America Holdings (LabCorp) ................................................................1299
Lineagen Inc. ..........................................................................................................................................1303
LipoScience, Inc. ....................................................................................................................................1304
Lumigenix ...............................................................................................................................................1305
Mayo Medical Laboratories..................................................................................................................1306
MDxHealth SA (formerly Oncomethylome Sciences) ........................................................................1308
Medco Health Solutions Inc. .................................................................................................................1311
Medical Diagnostic Laboratories, L.L.C. (MDL) ...............................................................................1314
Metabolon ...............................................................................................................................................1315
MinuteClinic...........................................................................................................................................1317
Mira Dx...................................................................................................................................................1319
Mitomics, Inc. .........................................................................................................................................1320
Copyright 2012 Kalorama Information
Reproduction without prior written permission, in any media now in existence or hereafter developed,
in whole or in any part, is strictly prohibited.
Table of Contents
xx
MolecularMD Corp. ..............................................................................................................................1321
Molecular Response ...............................................................................................................................1324
Myriad Genetics, Inc. ............................................................................................................................1325
Alliances ..............................................................................................................................................1325
Test Information ...................................................................................................................................1327
Patent Issues .........................................................................................................................................1328
Navigenics ...............................................................................................................................................1330
Oncimmune LLC ...................................................................................................................................1331
OncoPlexDx ............................................................................................................................................1331
OralDNA Labs .......................................................................................................................................1332
OvaGene Oncology, Inc.........................................................................................................................1333
Pacific Edge Biotechnology Limited (PEB) .........................................................................................1336
Partners HealthCare Center for Personalized Genetic Medicine (PCPGM) ..................................1337
Pathway Genomics.................................................................................................................................1339
Pathwork Diagnostics ............................................................................................................................1340
PersonaLabs ...........................................................................................................................................1342
PGXL Laboratories ...............................................................................................................................1343
Pinpoint Genomics, Inc. ........................................................................................................................1344
Power3 Medical Products, Inc. .............................................................................................................1345
Precision Therapeutics ..........................................................................................................................1346
Predictive Biosciences ............................................................................................................................1348
Prometheus Laboratories Inc. ..............................................................................................................1349
Patent Issues .........................................................................................................................................1351
Provista Diagnostics...............................................................................................................................1353
Psynomics Incorporated ........................................................................................................................1354
Quest Diagnostics ...................................................................................................................................1355
Infectious Diseases ...............................................................................................................................1357
Oncology ..............................................................................................................................................1357
Pharmacodiagnostics ............................................................................................................................1357
Neonatal ...............................................................................................................................................1358
Information Technology.......................................................................................................................1358
RedPath Integrated Pathology Inc. ......................................................................................................1359
Response Genetics, Inc. .........................................................................................................................1359
Ridge Diagnostics, Inc. svc ...................................................................................................................1362
Rosetta Genomics Ltd. ..........................................................................................................................1363
Rules-Based Medicine, Inc. (RBM) ......................................................................................................1366
Signal Genetics .......................................................................................................................................1367
Signature Diagnostics AG .....................................................................................................................1369
Sonic Healthcare ....................................................................................................................................1371
SpectraCell Laboratories, Inc. ..............................................................................................................1372
SureGene, LLC ......................................................................................................................................1374
SynapDx..................................................................................................................................................1375
Tethys Bioscience ...................................................................................................................................1375
Veracyte. Inc. .........................................................................................................................................1376
Verinata Health, Inc. .............................................................................................................................1378
Table of Contents
xxi
CollabRx .................................................................................................................................................1383
ConnectedHealth Pte. Ltd. ....................................................................................................................1384
Definiens .................................................................................................................................................1385
Dell Healthcare and Life Sciences ........................................................................................................1387
DNA Direct .............................................................................................................................................1388
EHealth2Share .......................................................................................................................................1389
Freescale Semiconductor.......................................................................................................................1389
GenomeQuest Inc. .................................................................................................................................1390
HolGenTech Inc. ....................................................................................................................................1391
Health Discovery Corporation (HDC) .................................................................................................1392
IDBS ........................................................................................................................................................1393
MediSapiens Ltd. ...................................................................................................................................1394
Personalis.........................................................................................................................................IT
..............................................................................................................................................................1395
Sciclips ....................................................................................................................................................1395
Selventa ...................................................................................................................................................1396
Sophic Systems Alliance ........................................................................................................................1397
Stanford University ...............................................................................................................................1397
University of Houston ............................................................................................................................1398
Wellpoint Inc. .........................................................................................................................................1399
Inc. Expression Diagnostics ...............................................................................................................1400
Table of Contents
xxii
L
Table of Contents
xxiii
Table of Contents
xxiv
Table of Contents
xxv
On top of this, the FDA and CMS (U.S. government agencies) are looking to
reorganize reimbursement and the regulation of IVDs and especially lab developed tests
and molecular assays the tests that provide the most opportunity for market growth.
There is little doubt that IVD marketing in the U.S. in for a bit of a bumpy ride, but
there is evidence that the importance of IVD innovation is well recognized. A report
from the Lewin Group finds that screening and diagnostic laboratory tests are central to
achieving some of the most important goals of healthcare reform. According to the
report, tests for conditions such as diabetes, cervical cancer, drug-resistant infections, and
metastatic colon cancer are enabling important strides in early detection and diagnosis, as
well as in helping physicians select treatments that will work most effectively for
patients. The net result is often better health outcomes for patients, as well as greater
savings and economic efficiencies for the healthcare system, all key goals of healthcare
reform. The report addresses the cost and clinical implications of lab testing by focusing
on four areas: Rapid diagnostic tests for hospital-acquired MRSA infections, KRAS
genetic testing, HbA1c blood glucose testing, and HPV DNA testing for cervical cancer.
The report was sponsored by the American Clinical Laboratory Association, Results for
Life, and AdvaMed. The full report is available at www.labresultsforlife.org and
www.advamed.org.
A discussion of the events of the past few years could occupy a report all alone, but
this review will provide the highlights of changes in progress.
RUO/IUO Issues
Many tests are launched as RUO (research use only) and IUO (investigation use
only). This gives manufacturers a chance to gather information for eventual market
clearance. May 2011, the FDA issued a Draft Guidance for Industry and FDA Staff Commercially Distributed In Vitro Diagnostic Products Labeled for Research Use Only
or Investigational Use Only. The Agency recognized the need for this guidance due to
the marketing of unapproved and uncleared IVD products for purposes other than
research or investigation (for example, for clinical diagnostic use).
This, according to the Agency, has led in some cases to diagnostic use of laboratory
tests with unproven performance characteristics and manufacturing controls that are
inadequate to ensure consistent manufacturing of the finished product. Use of such tests
for clinical diagnostic purposes may mislead healthcare providers and cause serious
Copyright 2012 Kalorama Information
Reproduction without prior written permission, in any media now in existence or hereafter developed,
in whole or in any part, is strictly prohibited.
Four: Trends
113
Determination for using these tests for diagnosis or treatment of cancer. But a statement
from CMS (Centers for Medicare & Medicaid Services) recognized the increasing
evidence to support PGx tests for cancer: CMS is aware that the body of evidence on the
role of pharmacogenomic testing in cancer continues to evolve. Recognizing the rapid
accumulation of such evidence, CMS seeks guidance from the panel to inform future
coverage determinations. A meeting of MEDCAC (Medicare Evidence Development &
Coverage Advisory Committee) was called to explore the subject. It was held in January
2010 but no decisions have been reported.
Reimbursement depends largely on the value proposition. Especially when the
average cost of molecular testing is about $XXX for simple one-target tests and as high as
$XXX for test panels. Bringing new products to market under current healthcare
economics means that medical device companies will have to use the most advanced
marketing techniques and demonstrate credible value for their products if they are to win
in the marketplace. A major key to success is managing the value perception of a product
in relation to the competition and the status quo in test procedures. Market value
perception and competition can make or break the reimbursement proposition.
Quite frankly, keeping up with developments in the new menu of molecular
diagnostics and specialized immunoassays is not that easy. Due to the increasing number
of genetic tests coming on the market, there is confusion among physicians, patients, and
payers about which tests are clinically appropriate. There are more than 2,000 diseases
for which molecular diagnostic and genetic tests are available. Further, companies have
released protein markers for many of these diseases, The debate between the value of
each of these test modalities adds more dimension to the situation.
Help is on the way, a number of initiatives have been launched to help payers sort
through the maze of specialized tests. Medcos DNA Direct's Policy & Benefit Support
Program provides information to help payers manage molecular diagnostic and genetic
tests. It provides access to an online portal that contains detailed clinical information for
individual tests as well as coverage decision support. DNA Directs accredited utilization
management programs to help payers ensure the appropriate use of the more than 2,000
genetic and molecular tests available today. DNA Direct's national call center of genetic
experts, complemented by online decision support services help physicians and patients
determine if genetic tests are appropriate and how to use genetic test results to guide
clinical decisions.
Copyright 2012 Kalorama Information
Reproduction without prior written permission, in any media now in existence or hereafter developed,
in whole or in any part, is strictly prohibited.
There is also increasing evidence that early, aggressive treatment of RA can lead to
improved outcomes and therefore it is crucial that markers of therapeutic efficacy are
used to track a patient's status over time.
The development of RA does not happen overnight and includes multiple factors that
act to varying degrees in different patients. Therefore, PMx tests that can specifically
identify patients who most need the therapy and that also gives you an indication of how
well the drug is working, would be an ideal approach to RA management.
Initiatives are underway led by the American College of Rheumatology (ACR) and
the European League Against Rheumatism (EULAR) to establish quantitative objective
indicators of disease activity to assist in routine clinical practice and for outcomes
measures in clinical trials.
There is no cure for any of the types of arthritis. Treatment options vary depending on
the type of arthritis and aim to reduce inflammation in the joint, which decreases pain.
This begins with over the counter analgesics such as acetaminophen, ibuprofen and
naproxen.
A number of targeted are used in the most severe cases, including anti-TNF- agents
(infliximab, etanercept and adalimumab), treatments directed against IL1 (anakinra), a
CTLA4-directed T-cell modulator (abatacept) and a monoclonal antibody against CD20
that serves as a B-cell modulator (rituximab).
Targeted drugs in development include: anti-IL6 (tocilizumab) and anti-TNF-
(golimumab, certolizumab), as well as other agents targeting CD20 (ocrelizumab,
ofatumumab and TRU-015) Drugs targeted to other pathways within the RA
inflammatory cascade include the lymphotoxin pathways (baminercept), B-cell activation
pathways targeting BAFF, BLyS and APRIL (briobacept, belimumab and atacicept) and
several intracellular kinase pathways, including JAK-3 and Syk.
These emerging therapies offer great promise as well as challenges. They will likely
be expensive and not uniformly effective. The need to identify biomarkers of treatment
response and toxicity specific to the various agents will greatly enhance our ability to
tailor treatment to individual RA patients.
A number of gastrointestinal conditions including irritable bowel disease (IBD) and
Crohn disease are autoimmune diseases that cause inflammation of the digestive or
gastrointestinal tract. Crohn disease is the most common form of irritable bowel disease.
Copyright 2012 Kalorama Information
Reproduction without prior written permission, in any media now in existence or hereafter developed,
in whole or in any part, is strictly prohibited.
Nine: Hematology
263
LIS interfaces via its data center, and lab staff and physicians can work anywhere
because the system is entirely browser-based.
Table 9-1 presents a selection of hematology instrument and automation innovations
that were announced in 2010 and 2011.
Table 9-1
Selected Hematology Innovations, 2011
Company
Location
Details
Status
Table 11-3
Worldwide Microbiology/Virology Sales by Type
2011-2016, ($ million)
Sales
2011
%
Mkt
Sales
2016
% CAGR
Mkt
Breakout of ID/AST
Sales
2011
%
Mkt
Sales
2016
% CAGR
Mkt
ID/AST
Panels and Reagents,
automated
Panels and Reagents, manual
Blood Culture
Chromogenic Media
Rapid Micro
For the next five years micro vendors can expect to see XX-XX% annual growth in the
more mature traditional microbiology and immunoassay sectors with XX% annual growth
in nucleic acid assays.
For the next five years there will be increased demand for microbiology and virology
products due to emerging infectious diseases, nosocomial infections (hospital acquired),
and antibiotic resistance. However, vendors will be challenged to develop products that
can adapt to these market forces that because microorganisms are living entities, are
continuously changing.
Copyright 2012 Kalorama Information
Reproduction without prior written permission, in any media now in existence or hereafter developed,
in whole or in any part, is strictly prohibited.