Precision Diagnostics and the ADC Revolution - Summary - MDSpire

Precision Diagnostics and the ADC Revolution

  • By

  • James Strachan

  • June 15, 2026

  • 15 min

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Objective:

To explore the evolving demands on diagnostics as antibody-drug conjugates (ADCs) expand across tumor types and the implications for biomarker assessment.

Approach:
    Key Findings:
    • The oncology companion diagnostics market is projected to reach $8.4 billion by 2030.
    • Recent regulatory approvals of new ADCs have catalyzed growth in the field.
    • ADCs can remain effective even with low protein expression.
    • IHC has limitations in dynamic range and sensitivity.
    • Computational pathology offers capabilities that improve accuracy and consistency in biomarker assessments.
    Interpretation:

    Accurate biomarker assessment is critical for the effective use of ADCs, especially as they target proteins rather than genomic alterations.

    Limitations:
    • Traditional IHC scoring systems may not adequately assess low biomarker expression.
    • Human eye assessments can struggle with distinguishing true biomarker staining at low levels.
    Conclusion:

    The integration of advanced diagnostic technologies is essential for optimizing patient access to ADC therapies.

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