FDA Approves NGS-Based Companion Diagnostic for Targeted Therapy in Grade 2 IDH-Mutant Glioma Patients
FDA approves Thermo Fisher's NGS-based companion diagnostic for targeted therapy in patients with grade 2 IDH-mutant glioma

Thermo Fisher Scientific has announced that the U.S. Food and Drug Administration (FDA) has approved its next-generation sequencing (NGS)-based companion diagnostic for the first targeted therapy aimed at patients with Grade 2 IDH-mutant glioma, a rare and challenging form of brain cancer. This milestone approval marks a significant step forward in the treatment of this patient population, offering new hope for personalized and more effective therapy options.
The FDA approval pertains to Thermo Fisher’s Oncomine Dx Target Test, which is designed to identify patients with Grade 2 glioma who have mutations in the isocitrate dehydrogenase (IDH) gene. These patients can now be matched with a targeted treatment specifically designed for their genetic profile. This companion diagnostic is the first of its kind for this particular subtype of glioma, which is typically difficult to treat due to its aggressive nature and location in the brain.
In a statement, Dr. Marc Tremblay, Vice President of Clinical Research at Thermo Fisher Scientific, emphasized the importance of the approval, noting, “The approval of the Oncomine Dx Target Test represents a major advancement in personalized cancer care, enabling oncologists to more effectively identify patients who are eligible for a targeted therapy. This is a step toward transforming the way we approach glioma treatment by focusing on genetic drivers rather than traditional treatment regimens.”
IDH-mutant gliomas are a genetically distinct subgroup of gliomas, a type of brain tumor, and are characterized by mutations in the IDH gene. These tumors are generally slower-growing than other forms of glioma but can still be challenging to treat due to their location and the difficulty in achieving complete surgical resection. The approval of a targeted therapy for this condition represents a significant advancement in precision medicine, allowing for a more individualized treatment approach that may improve patient outcomes.
The Oncomine Dx Target Test leverages Thermo Fisher’s expertise in NGS technology to analyze tumor DNA and identify genetic mutations that can guide treatment decisions. By detecting IDH mutations in glioma patients, the diagnostic test ensures that only those most likely to benefit from the targeted therapy are selected, thus optimizing treatment effectiveness and reducing unnecessary side effects.
The targeted therapy, which was developed in conjunction with the companion diagnostic, is designed to block the oncogenic effects of the IDH mutation, potentially slowing tumor growth and improving survival in patients with this specific genetic alteration. The approval of this diagnostic test provides a critical tool for oncologists in selecting appropriate treatments and personalizing care for glioma patients.
Thermo Fisher Scientific’s NGS-based diagnostic is part of a broader trend in oncology toward more precise, gene-targeted treatments. The company continues to expand its portfolio of companion diagnostics, supporting the growing field of precision medicine and helping to bridge the gap between genetic insights and effective clinical therapies.
The approval of the Oncomine Dx Target Test is expected to significantly impact the treatment landscape for Grade 2 IDH-mutant glioma, improving the quality of care and offering new treatment options for patients who previously had limited therapeutic choices.

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BioFocus Newsroom