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Updated: May 24, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Co-development of a companion diagnostic for targeted cancer therapy
Suzanne Cheng1, Walter H Koch, Lin Wu
1Roche Molecular Systems, Inc., 4300 Hacienda Dr, Pleasanton, CA 94588, USA. suzanne.cheng@roche.com
Abstract:
Oncology drug development is a long and costly process associated with a success rate of 5-10%. The parallel development of companion diagnostic tests that will identify patients most likely to receive benefit has the potential to increase the success rate for oncology drugs and decrease development time and associated costs. Metastatic melanoma is a challenging disease that has been associated with poor survival. Identification of a mutated BRAF kinase gene in many cases of melanoma provided a promising therapeutic target. Here we describe the successful co-development of vemurafenib, a first-in-class selective inhibitor of oncogenic BRAF kinase, and its companion diagnostic, the cobas(®) 4800 BRAF V600 Mutation Test. Key success factors in the development process included early identification of the BRAF V600E biomarker, early development of the diagnostic test, and early and close collaboration between the pharmaceutical and diagnostic development teams. This focused and integrated process resulted in the first personalized medicine for the treatment of metastatic melanoma less than five years after the Investigational New Drug Application, a remarkably short time.
Insights
Co-developing vemurafenib, a BRAF kinase inhibitor, with its companion diagnostic test improved metastatic melanoma treatment success. This personalized medicine approach significantly shortened development timelines for oncology drugs.
Area of Science:
- Oncology
- Pharmacogenomics
- Molecular Diagnostics
Background:
- Oncology drug development has a low success rate (5-10%) and high costs.
- Metastatic melanoma presents significant survival challenges.
- The BRAF kinase gene mutation is a key target in melanoma.
Purpose of the Study:
- To describe the co-development of vemurafenib and its companion diagnostic test.
- To highlight factors contributing to successful personalized medicine development.
- To demonstrate accelerated drug and diagnostic development for metastatic melanoma.
Main Methods:
- Co-development of vemurafenib (BRAF kinase inhibitor) and the cobas® 4800 BRAF V600 Mutation Test.
- Early identification and validation of the BRAF V600E biomarker.
- Close collaboration between pharmaceutical and diagnostic development teams.
Main Results:
- Successful co-development of a targeted therapy and its companion diagnostic.
- Vemurafenib and the BRAF V600 Mutation Test represent the first personalized medicine for metastatic melanoma.
- Development time was significantly reduced, achieving approval in under five years.
Conclusions:
- Integrated, parallel development of targeted therapies and companion diagnostics enhances success rates.
- Early biomarker identification and collaborative development are crucial for personalized medicine.
- This model offers a pathway to accelerate the delivery of effective cancer treatments.
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