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Cancer Diagnostic Testing World Markets

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Cancer testing is one of the most important growth opportunities for the next three to five years in the diagnostics segment. The National Cancer Institute estimates that about ten million Americans have or have had some form of cancer. Overall costs of the disease are $126 billion annually. Pharmaceutical companies are developing more than 300 new medicines for cancer, some of which are in development for more than one type of the disease, for a total of more than 500 ongoing R&D projects.

The goal of this TriMark Publications report is to review the market for tumor marker testing equipment and supplies using screening reagents and instruments for analysis of individual components in blood, serum or plasma. It defines the dollar volume of sales, both worldwide and in the U.S., and analyzes the factors that influence the size and the growth of the market segments. Also examined are the subsections of each market segment, including: the physician office labs, hospital labs and commercial laboratories. Additionally, the numbers of institutions using this type of testing and the factors that influence purchases are discussed. The report surveys almost all of the companies known to be marketing, manufacturing or developing instruments and reagents for the clinical point-of-care market in the U.S. Each company is discussed in depth with a section on its history, product line, business and marketing analysis, and a subjective commentary of the company’s market position.

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 1. Overview  1.1 Statement of Report  1.2 About This Report  1.3 Scope of the Report  1.4 Objectives  1.5 Methodology  1.6 Executive Summary  2. Introduction to Cancer Biology and the Diagnostic Industry  2.1 Cancer  2.1.1 The Disease  2.1.2 Metastasis  2.1.3 Demographics and Statistics of Cancer  2.2 The Drivers of the Biotech and Diagnostics Industry  2.2.1 Technological Innovation  2.2.2 Government Funding  2.3 Outlook for Tumor Markers  3. Tumor Markers Market Segment Analysis: Size, Growth and Share  3.1 Market Description  3.2 Clinical Diagnostic Serum Based Cancer Markers  3.3 PSA Testing Market Size  3.4 DNA Markers  3.5 Serum Proteins  3.6 Enzymes  3.7 Occult Blood  3.8 Histology and In Situ Hybridization (ISH)  3.9 Cervical Cytology  3.10 Immunohistochemistry  3.11 In Vivo Detection Cancer Products  3.12 Radionuclides and X-Ray Detection Products  3.13 Human Papillomavirus (HPV) Testing  3.14 Bladder Cancer Testing  3.15 Tumor Assays for Adjuvant Chemotherapy  4. Diagnostic Methods for Cancer Detection  4.1 Organ Specific Tumor Markers  4.1.1 Colon Cancer  4.1.2 Prostate Cancer  4.1.3 Pancreatic Cancer  4.1.4 Breast Cancer  4.1.5 Ovarian Cancer  4.1.6 Cervical Cancer  4.1.7 Lung Cancer  4.1.8 Testicular Cancer  4.1.9 Bladder Cancer  4.1.10 Hepatic Cancer  4.1.11 Stomach Cancer  4.1.12 Malignant Melanoma  4.1.13 Acute Myeloid Leukemia (AML) and Acute Lymphoblastoid Leukemia (ALL)  4.1.14 Lymphoma  4.2 Clinical Laboratory Methods for Measuring Tumor Markers  4.2.1 Abbott Diagnostics AxSYM  4.2.2 Roche Diagnostics Elecsys  4.2.3 Beckman Coulter Diagnostics Access  4.2.4 Bayer Diagnostics ADVIA Centaur  4.2.5 Dade Diagnostics Stratus  4.2.6 Diagnostic Products Corporation Immulite  4.2.7 Tosoh Medics A1A  4.2.8 CIS bio International Kryptor  4.2.9 Ortho-Clinical Diagnostics Vitros ECiQ  4.2.10 Fujirebio Diagnostics, Inc.  4.2.11 bioMerieux Vidas  4.2.12 Eisai Picolumi  4.2.13 Tosoh Medics, Inc.  4.3 New Technologies for Cancer Diagnostics  4.3.1 New and Improved Immunoassays  4.3.2 Immunohistochemical Tests  4.3.3 Molecular (DNA and Genomic) Diagnostic Assays  4.3.4 Genomics and Genetic Markers  4.3.5 Proteomics and New Protein Markers  4.3.5.1 Inside the ProteinChip System  4.3.5.2 Rapid Biological Assays on a Chip  4.3.5.3 Proteome Pattern Recognition  4.3.6 New Platform Technologies Including Flow Cytometry  4.3.7 Stem Cell Markers  4.3.8 Monoclonal Antibodies  4.3.9 Proteomics and Cancer Antibodies  4.3.10 Pharmacogenomics and Oncology Diagnostics  4.3.11 DNA Microarrays  4.3.12 In Vitro Diagnostic Multivariate Index Assays (IVDMIA)  4.3.13 Prostate PX Score  4.3.14 Prostate-63  4.3.15 Future Directions  4.4 Clinical Methods for Diagnosis of Cancer  4.4.1 Screening  4.4.2 Sigmoidoscopy  4.4.3 Imaging  4.4.4 Theranostics  5. Implications of Molecular Biology for New Diagnostic Cancer Tests  6. Companies Entering the Cancer Diagnostics Market with Novel Technology  Platforms  6.1 Abbott Diagnostics  6.2 Affymetrix, Inc.  6.3 Agendia BV  6.4 Agensys, Inc.  6.5 Ambrilla Biopharma, Inc.  6.6 AMDL, Inc.  6.7 Asuragen, Inc.  6.8 Aureon Biosciences Corporation  6.9 Bard Diagnostics, Inc.  6.10 Bayer Diagnostics  6.11 Beckman Coulter, Inc.  6.12 Biocode S.A.  6.13 BioCurex  6.14 Biomedical Diagnostics  6.15 Biomerica  6.16 bioMerieux  6.17 Biomira  6.18 BioModa, Inc.  6.19 Bruker Daltonics  6.20 Byk Gulden  6.21 Cepheid  6.22 Clarient, Inc.  6.23 CytoCore (Formerly known as Molecular Diagnostics, Inc.)  6.24 Correlogic Systems, Inc.  6.25 Cytogen Corporation  6.26 diaDexus, LLC  6.27 DiagnoCure, Inc.  6.28 Diagnostic Products Corporation  6.29 Diagnostic Systems Laboratories, Inc.  6.30 DRG International, Inc.  6.31 Eisai Co., Ltd.  6.32 Enigma Diagnostics Ltd.  6.33 Epigenomics  6.34 Exact Sciences Corporation  6.35 Exagen Diagnostics, Inc.  6.37 Gene Logic, Inc.  6.38 Gen-Probe, Inc.  6.39 Genomic Health  6.40 Geron Corporation  6.42 Immunicon Corporation  6.43 Immunomedics, Inc.  6.44 Incyte Pharmaceuticals, Inc.  6.45 Ipsogen  6.46 LabCorp  6.47 Matritech  6.48 Mitsubishi Kagaku Medical  6.49 Molecular Devices (Formerly known as Arcturus Bioscience, Inc.)  6.50 Myriad Genetics, Inc.  6.51 Poniard Corporation  6.52 Nexell Therapeutics, Inc.  6.53 Northwest Biotherapeutics, Inc.  6.54 Nuvelo, Inc.  6.55 Panacea Pharmaceuticals, Inc.  6.56 Oncotech, Inc.  6.57 Polymedco, Inc.  6.58 Princeton BioMeditech Corporation  6.59 Qiagen  6.60 Sanko Junyaku Co., Ltd.  6.61 Tosoh Medics, Inc.  6.62 TriPath Imaging, Inc.  6.63 UroCor, Inc.  6.64 Ventana Medical Systems, Inc.  6.65 Veridex  6.66 Vermillion, Inc. (Formerly known as Ciphergen)  6.67 Worldwide Medical Corporation  6.68 Xenomics, Inc.  7. Business Trends in the Industry  7.1 Industry Consolidation  7.2 Breadth of Product Offering and Pricing  7.3 Government Regulation of Medical Devices  7.4 Strategic Business and Marketing Considerations  7.5 Commercial Opportunities in Cancer Markers  7.6 Moderators of Growth  7.7 Biotechnology Industry Trends  7.8 Pharmaceutical Industry Trends  7.9 Acquisition, License Agreement, Partnerships  7.10 Legal Developments  7.11 Sales and Marketing Strategies for Tumor Marker Tests  7.11.1 North American Market  7.11.2 International Markets  7.11.2.1 Europe  7.11.2.2 Central and South America  7.11.2.3 Asia/Pacific  8. Tumor Marker Testing: Important Issues  8.1 Trends in Patient Care and Reimbursement  8.2 Trends in Reimbursement Practice  8.3 Clinical Laboratory Improvement Act (CLIA)  8.4 Unmet Needs in Tumor Markers  9. Important New Technology Areas  9.1 Proteins  9.2 DNA Sequencing  9.3 The Human Genome Project (HGP)  9.4 Liquid Phase Chromatography  9.5 Polymerase Chain Reaction (PCR)  9.6 Capillary Electrophoresis  9.7 Proteomics  9.8 Use of Mass Spectroscopy in Sequencing  9.9 High-Throughput Organic Synthesis  10. New Cancer Markers in Basic Research  10.1 Genetics of Cancer  10.2 Telomerase  10.3 Stomach Cancer  10.4 Head and Neck Cancer  10.5 Breast Cancer  10.6 Prostate Cancer: p27 (Kip1) A New Molecular Marker for Prostate Cancer 10.7 PSMA  10.8 Cervical Cancer: NMPI79  10.9 Pancreatic Cancer: Peritoneal Cytology  10.10 Colorectal Cancer: CEA Doubling Time  10.11 Uterine and Kidney Cancer: MN/CA9  10.12 MMSC1 Scaffold Gene  10.13 p16 Tumor Suppressor Gene  10.14 MTS2 and p19 Cell Cycle Genes  10.15 Complement Factor H Related Proteins  10.16 MUC 2, 3, 4  10.17 Cytokeratins  10.18 Colon Cancer: Serum VEGF  10.19 Ras Oncogenes  10.20 Lung Cancer: Ribonucleoprotein A2/B1  10.21 BCLA-4 Matrix Protein  10.22 RAK Antigens  10.23 Serum Urokinase Receptors  10.24 Chips  10.25 Survivin  10.26 Human Endometrial Specific Steroid Binding Factor (hESF1)  10.27 Reg-4 Protein  10.28 Nox-1  10.29 PSP94 Binding Protein  10.30 Ettan DIGE Technology  10.31 YKL-40  10.32 AFP-L3  10.33 DNA Methylation Technology  10.34 Transthyretin and Apolipoprotein A1  10.35 ADAM 12  10.36 Ovarian Cancer: Vermillion's SELDI-based ProteinChip  10.37 Lung Cancer: Labeled Porphyrin Binding  10.38 C-MAP, A Cervical Cancer Screening System  10.39 Lung Cancer: Pro-Gastrin-Releasing Peptide (ProGRP)  10.40 Prostate Cancer: PCA3  10.41 Bladder Cancer: ImmunoCyt(TM)/uCyt+(TM)  10.42 Shc Proteins  10.43 Oncology Biomarker Qualification Initiative  10.44 Anti-Glycan Antibodies  11. Market Trends and Forecasts  11.1 Ultrasensitive Cancer Tests  11.2 Mergers and Acquisitions of Diagnostic Companies  11.3 RT-PCR  11.4 Genetic Tests of Hereditary Cancer Risk  11.5 DNA Measurements  11.6 Technical and Practical Issues for Potential New Markers  11.7 Genetic Profiling  11.8 Ploidy  11.9 Advances in Sputum Analysis for Screening and Early Detection of Lung  Cancer  11.10 Pharmacogenetic Tests for Cancer11.11 Worldwide Healthcare Spending  11.12 R&D Expenditures  Appendix 1: Web Links  Appendix 2: Cancer Information Resources  Appendix 3: Colon Cancer Staging  Appendix 4: Reimbursement for Tumor Marker Testing  Appendix 5: The Pathology of Prostate Cancer  Appendix 6: Government Regulation of Tumor Marker Tests  Appendix 7: The Clinical Laboratory Improvement Act (CLIA)  Appendix 8: Marketers of Occult Blood Diagnostic Test Kits  INDEX OF FIGURES  Figure 4.1: Model of Colorectal Cancer Development  Figure 4.2: ASCO-CAP Guidelines for HER2 Testing in Breast Cancer: Equivocal  Results with IHC  Figure 4.3: ASCO-CAP Guidelines for HER2 Testing in Breast Cancer: Results  by FISH  Figure 4.4: The BTA stat Test vs. Cytology  Figure 6.1: Qiagen Global Sales  Figure 10.1: Estimates for PCA3 Test Volume in U.S., 2005-2008  INDEX OF TABLES  Table 2.1: Organ-Specific Medicines in Development for Cancer, 2007  Table 2.2: Estimates for the Leading Sites of New Cancer Cases and Deaths in  the U.S. by Sex  Table 2.3: Estimated Worldwide Number of New Cancer Cases and Deaths by Type  of Cancer  Table 2.4: Estimated Number of New Cancer Cases and Deaths by Region  Table 2.5: Cancer Death Rates per 100,000 Population (and Rank) for all  Cancer Sites by Country  Table 2.6: Cancer Associated Genes  Table 2.7: Carcinogens in the Workplace  Table 2.8: Private Funding Levels for the Biotechnology Segment, 1995-2006  Table 2.9: Herceptin Worldwide Sales, 2000-2007  Table 2.10: Classes of Drugs Used to Treat Breast Cancer  Table 3.1: In Vitro Cancer Marker Market Segments Worldwide, 2001 and 2007  Table 3.2: Tumor Markers Currently in Common Use  Table 3.3: Global IVD Cancer Tumor Marker Testing Market Segments Projected  Growth Rates, 2005-2010  Table 3.4: Worldwide Market Size in Dollar Volume for Tumor Marker Assays  Product Market, 2001-2010  Table 3.5: U.S. Market Size in Dollar Volume for Tumor Marker Assays Product  Market, 2001-2010  Table 3.6: Worldwide In Vitro Cancer Tumor Marker Diagnostics Market Size,  2001-2010  Table 3.7: U.S. In Vitro Cancer Tumor Marker Diagnostics Market Size,  2001-2010  Table 3.8: Japanese In Vitro Cancer Tumor Marker Diagnostics Market Size,  2001-2010  Table 3.9: European In Vitro Cancer Tumor Marker Diagnostics Market Size,  2001-2010  Table 3.10: Global Distribution of IVD Cancer Tumor Marker Diagnostic  Testing, 2005  Table 3.11: Estimated Market Share of Major Competitors in U.S. Cancer Tumor  Marker Diagnostics Market  Table 3.12: Major Presence in Cancer Tumor Marker Diagnostics Markets  Table 3.13: Worldwide PSA Sales, 2000-2010  Table 3.14: U.S. PSA Sales, 2000-2010  Table 3.15: Serum Markers Used Clinically  Table 3.16: ASCO-CAP Guidelines for HER-2 Testing in Breast Cancer  Table 3.17: Drivers of IHC Growth  Table 3.18: Bladder Cancer Testing Efforts in the U.S. and Germany  Table 3.19: Worldwide Bladder Cancer Marker Sales, 2001-2010  Table 3.20: U.S. Bladder Cancer Marker Sales, 2001-2010  Table 3.21: Worldwide NMP22 Sales, 2001-2010  Table 3.22: Current Breast Cancer Product and Product Opportunities  Table 3.23: Products in Various Stages of Development for Cancers Other than  Breast Cancer  Table 4.1: Colorectal Cancer Stages  Table 4.2: Worldwide CEA Sales, 2001-2010  Table 4.3: U.S. CEA Sales, 2001-2010  Table 4.4: Population Statistics of Serum Levels of PSA in Men Over 50 Years  of Age  Table 4.5: PSA Doubling Time and Time to Reach PSA of 1,000  Table 4.6: PSA Doubling Times  Table 4.7: Worldwide CA-19-9 Sales, 2001-2010  Table 4.8: U.S. CA-19-9 Sales, 2001-2010  Table 4.9: CA-19-9 Levels in Management of Pancreatic Cancer  Table 4.10: Worldwide CA-15-3 Sales, 2001-2010  Table 4.11: U.S. CA-15-3 Sales, 2001-2010  Table 4.12: TPA Marker Sensitivity  Table 4.13: ASCO-CAP Guidelines for HER2 Testing in Breast Cancer:   How to Interpret Test Results  Table 4.14: Siemens Oncogene Science Biomarker Group Reagents  Table 4.15: Worldwide CA-125 Sales, 2001-2010  Table 4.16: U.S. CA-125 Sales, 2001-2010  Table 4.17: Number of Pap Smears Performed by Country  Table 4.18: Lung Cancer Survival Rates  Table 4.19: Lung Cancer Facts  Table 4.20: Patient Category Applications  Table 4.21: Worldwide AFP Marker Sales, 2001-2010  Table 4.22: U.S. AFP Cancer Marker Sales, 2001-2010  Table 4.23: Potential Uses of Molecular Diagnostics in Cancer Management  Table 4.24: Colorectal Cancer Monoclonal Antibody Imaging Kits  Table 6.1: Product Sales as a Percent of Total Product Sales, 2004-2006  Table 6.2: Tumor Diagnosis Immunoassay  Table 6.3: Tumor Diagnosis Radioimmunoassay  Table 6.4: Summary of Matritech's Product Development Programs  Table 6.5: Statements of Operations Data for Matritech, 2002-2006  Table 6.6: Results of Operations of Matritech, 2005 and 2006  Table 6.7: PBM Product List  Table 7.1: List and Discounted Prices for Abbott Tumor Marker Tests  Table 8.1: CPT Codes for Tumor Markers  Table 10.1: Familial Cancer Syndromes and Tumor Suppressor Genes  Table 10.2: Oncogenes and Anti-oncogenes  Table A3: TNM Classification  Table A7: Financial Comparison for Moderate and Waived CLIA Labs  Table A8: List of Marketers of Occult Blood Diagnostic Test Kits  

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Cancer Diagnostic Testing World Markets

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