The World Market for Diagnostic Biomarkers (Tumor, Cardiac, Infectious Disease, AutoImmune, Others)

The World Market for Diagnostic Biomarkers (Tumor, Cardiac, Infectious Disease, AutoImmune, Others)

Biomarkers are biological or biochemical molecules, genetic changes, or other characteristics that can be measured; they indicate or predict a condition, risk, or likely biological response. Biomarkers can be used for a range of diagnostic applications including diagnosis, predicting prognosis, identifying appropriate therapy for an individual, monitoring disease or for return of a disease, and other applications.

This report focuses on diagnostics. The World Market for Biomarkers estimates the world markets for biomarkers and biomarker tests from 2015 to 2024, with 2020 as the base year, providing global biomarker market forecasts for the total biomarker market.

Clinical Diagnostic Biomarker Market by Disease

In 2020, growth in the total global market for clinical diagnostic markers has been strong, with strong expansion expected to continue. The report discusses how this growth will be fueled by an aging population that is more susceptible to disease, the increasing number of targeted therapies being developed and introduced, and the large and growing clinical diagnostic test market. Further, analysis in the report of key segments, such as the infectious disease and cancer segments, shows that growth will occur at different rates. The report provides the following data on segments of the clinical diagnostic biomarker market by disease:

  • Total Global Clinical Diagnostic Biomarker Market, 2015-2025, in $Millions (Cancer, Cardiovascular Disease, Immunological Disease, Infectious Disease, Neurological Disease, Other, Total)
  • Clinical Diagnostic Biomarker Market Segments, 2015, 2020, 2025, by Share (Cancer, Cardiovascular Disease, Immunological Disease, Infectious Disease, Neurological Disease, Other)
Cancer Biomarker Market

Cancer immunoassays (tumor markers) detect proteins in the blood, urine, or other body fluids such as sputum, breast nipple aspirate, and semen. The presence of these proteins, or their relative levels, may indicate an abnormal process in the body, such as cancer, and can provide further information if cancer is diagnosed. Doctors use tumor marker tests at various stages in patient care: for diagnosis, treatment monitoring and disease recurrence. The report provides the following cancer biomarker market data:
  • Total Global Clinical Diagnostic Cancer Biomarker Market, 2015-2025, in $Millions (Histology/Cytology, Immunoassays, Flow Cytometry, Rapid Tests, Molecular Assays, Total)
  • Clinical Diagnostic Cancer Biomarker Market Segments, 2015, 2020, 2025, by Share (%) (Cancer, Cardiovascular Disease, Immunological Disease, Infectious Disease, Neurological Disease)
  • Total Global Clinical Diagnostic Cancer Biomarker Market by Segment, 2015, 2020, 2025, in $Millions (Histology/Cytology: Immunohistochemistry, In Situ Hybridization; Immunoassays – Tumor Markers: PSA, CEA, CA 125, AFP, Others, Flow Cytometry; Rapid Tests: Fecal Occult Blood, PSA, NMP22, Others; Molecular Assays; Total)
Infectious Disease Biomarker Market

The largest disease segment at this time is infectious diseases. This market includes tests to detect antigens or nucleic acid (DNA or RNA) sequences from microbes, and also markers of the body’s response to the infection, such as antibodies produced against a specific pathogen that has infected a person. These are important biomarkers to determine if a person is, or has been, infected. These biomarkers can also sometimes be used to demonstrate the efficacy of treatment. For bacterial infections, antibiotic resistance genes are also important biomarkers to predict which antibiotics are not likely to be effective for treatment of a bacterial infection. The report provides the following infectious disease biomarker market data:
  • Total Global Clinical Diagnostic Infectious Disease Biomarker Market, 2015-2025, in $Millions (Cardiac Markers, Cholesterol/Lipids, Coagulation, Total)
  • Growth of Global Clinical Diagnostic Infectious Disease Biomarker Market, 2015-2025, in $Millions (Laboratory Immunoassays, Rapid Immunoassays, Molecular Assays)
  • Clinical Diagnostic Infectious Disease Biomarker Market Segments, 2015, 2020, 2025, by Share (%) (Laboratory Immunoassays, Rapid Immunoassays, Molecular Assays)
  • Total Global Clinical Diagnostic Infectious Disease Biomarker Market by Segment, 2015, 2020 , 2025, in $Millions (Laboratory Immunoassays [Hepatitis; HIV; STDs including chlamydia, gonorrhea and syphilis; TORCH; Respiratory; Sepsis including sepsis markers, C. difficile, MRSA, other AMR/HAI tests; Parasitology; Mycology; Others including EBV, Chagas, dengue, malaria, Lyme disease, others], Rapid Immunoassays [Influenza; HIV; Malaria; Hepatitis; STDs including chlamydia and syphilis; C. difficile; E. coli; Strep A; H. pylori; Others including rapid tests for TB, Dengue, Chagas, vaginitis, Group B Strep and others], Molecular Assays [HAIs; HIV; Hepatitis; Chlamydia/Gonorrhea (CT/NG); HPV; Respiratory; Mycobacteria/TB; Others], Total)
Cardiovascular Disease Biomarker Market

Cardiac biomarkers are substances that are released into the bloodstream when the heart is damaged or stressed. As discussed in the report, cardiovascular disease includes all diseases or disorder of the heart and the vascular system of the body. Many different biomarkers have been identified to help physicians diagnose disease, identify individuals at increased risk of disease, and to monitor certain conditions. The World Market for Biomarkers provides the following information on the global diagnostic market for cardiovascular disease biomarkers:
  • Total Global Clinical Diagnostic Cardiovascular Disease Biomarker Market, 2015-2025, in $Millions (Cardiac Markers, Cholesterol/Lipids, Coagulation, Total)
  • Clinical Diagnostic Cardiovascular Disease Biomarker Market Segments, 2015, 2020, 2025, by Share (%) (Cardiac Markers, Cholesterol/Lipids, Coagulation)
  • Total Global Clinical Diagnostic Cardiovascular Disease Biomarker Market by Segment, 2015, 2020, 2025, in $Millions (Cardiac Markers [Acute Condition Cardiac Markers: CK-MB, myoglobin, brain natriuretic peptide (BNP); cTn; HscTn; Other cardiac markers: proBNP, hsCRP, homocysteine, others], Cholesterol/Lipids, Coagulation [PT/INR-lab, D-dimer, Molecular (Thrombophilia SNPs), POC], Total)
Immunological Disease Biomarker Market

There are many different diseases that involve an abnormal immune response, as discussed in the report. Two immunological disease categories for which diagnostic testing is commonly performed are autoimmune disease and allergy. More than 80 different autoimmune related diseases have been identified. In addition, individuals can develop an allergic response to a wide array of allergens. As a result, these diagnostic markets include a wide range of different biomarkers that can be tested. The report provides the following information on the sales of biomarkers related to immunological disease:
  • Total Global Clinical Diagnostic Immunological Disease Biomarker Market, 2015-2025, in $Millions (Autoimmune Disease, Allergy, Total)
  • Clinical Diagnostic Immunological Disease Biomarker Market Segments, 2015, 2020, 2025, by Share (%) (Autoimmune Disease, Allergy)
Neurological Disease Biomarker Market

Neurological diseases are those that affect the central nervous system (brain and spinal cord) and the peripheral nervous system. This group encompasses many age-related diseases such as dementia, neurodegenerative diseases, inherited neurodevelopmental disorders, as well as autoimmune diseases such as multiple sclerosis, diabetic neuropathy, stroke, and many others. Because they are systemic, distinct, complex and generally not as widespread as the illnesses discussed elsewhere in this report, biomarker development in this area has been slower. However, the aging of the population and rapid increase of severe and costly diseases such as Alzheimer’s disease has made this area a priority for a rising number of research groups. As such, it is a fast growing biomarker segment of which the report notes total global sales:
  • Total Global Clinical Diagnostic Neurological Disease Biomarker Market, 2015-2025, in $Millions (Autoimmune Disease, Allergy, Total)
  • Clinical Diagnostic Neurological Disease Biomarker Market Segments, 2015, 2020, 2025, by Share (%) (Alzheimer’s Disease, Other Neurological Disorders)
Other Diseases

The “other” segment includes many different types of biomarkers used in diagnostic applications such as bone diseases, renal disease, transplantation, other endocrine diseases, and other varied disease indications. As discussed in the report, a broad definition of biomarkers is used has been used in this report. Biomarkers in this report include molecules or other characteristics that can be measured, and are indicators of a health, risk of disease, disease or other condition, prognosis, response to therapy, or other biological effect. This definition includes biomarkers that are used in drug development as surrogates, markers of drug safety, or other applications. Traditionally, biomarkers have been discussed and evaluated as single molecules or characteristics, and many tests are available for individual biomarkers. The World Market for Biomarkers provides the following information on the sales of biomarkers related to the following segments: general clinical chemistry, fertility/pregnancy, thyroid, diabetes/Hb1Ac, chromosome analysis & inherited disease, and other:
  • Total Global Clinical Diagnostic Other Biomarker Market, 2015-2025, in $Millions (General Clinical Chemistry, Fertility/Pregnancy, Thyroid, Diabetes/Hb1Ac, Chromosome Analysis & Inherited Disease, Other, Total)
  • Clinical Diagnostic Other Biomarker Market Segments, 2015, 2020, 2025, by Share (%) (General Clinical Chemistry, Fertility/Pregnancy, Thyroid, Diabetes/Hb1Ac, Chromosome Analysis & Inherited Disease, Other)
C-Reactive Protein (CRP)

C-Reactive Protein (CRP) is an important biomarker for several diseases. Due to the high and rising interest in CRP tests, a breakout of estimated sales is provided:
  • Total Global CRP Biomarker Market, 2015-2025, in $Millions
Biomarker Market Drivers and Restraints

For this report, the market for biomarkers focuses on applications of biomarkers. This includes both research and diagnostic applications of biomarkers. The potential market for biomarkers being evaluated as potential drug targets is not included in this market analysis, as that therapeutic market would be determined by the potential market for new therapies targeting the biomarker drug target.

The report examines biomarker market drivers and restraints. As in other markets, a variety of drivers and restraints exert influences to varying degrees. Some of these drivers and restraints operate at a macro level, affecting the entire industry, while others mainly affect certain segments, companies, geographies, or other select situations. The market for a biomarker that is developed and commercialized for diagnostic applications is driven by the market and need for diagnostic assays that detect that biomarker.

Key Technologies Used to Identify & Analyze Biomarkers

Many different technologies have been developed and are used in biomarker discovery, and also for detection and analysis of known biomarkers. These include traditional technologies, some of which have been used for decades. In addition, many new technologies developed for other applications are now being applied in this field. These include mass spectrometry and next generation DNA sequencing. Many tests performed using newer technologies are currently being done primarily as laboratory developed tests (LDTs) or by organizations performing clinical tests for pharmaceutical companies developing new drugs; however, some companies plan to eventually develop IVD test kits based on their laboratory assays. Selected examples of companies using these various technologies are discussed in this report, including key players in the market:
  • Selected Companies Using Immunoassays for Detection and Analysis of Biomarkers, 2020
  • Selected Companies with Immunohistochemistry Tests for Detection of Biomarkers, 2020
  • Selected Companies Using In Situ Hybridization for Detection and Analysis of Biomarkers, 2020
  • Selected Companies Using PCR or Other Nucleic Acid Amplification-Based Technologies for Biomarker Assays, 2020
  • Selected Companies Analyzing Gene Signatures, 2020
  • Selected Companies Using Microarrays to Detect and Analyze Biomarkers, 2020
  • Selected Diagnostics Companies and Clinical Laboratories with Sequencing-Based Biomarkers, 2020
  • Selected Companies Using Mass Spectrometry, 2020
Competition in the Market

The World Market for Biomarkers includes profiles of companies active in the discovery and/or commercialization of biomarkers. This includes companies commercializing in vitro diagnostic tests for detection and analysis of biomarkers, selected diagnostic companies commercializing diagnostic tests in their own CLIA certified laboratories for detection and analysis of biomarkers, and selected other players. The report’s focus is on companies with commercialized products and/or very advanced development programs. The diagnostics market is a highly competitive market, and there are many additional diagnostic companies that offer tests based on biomarkers discussed in this report. Companies profiled in the report range from large, multinational companies to smaller companies in or entering this market, including the following:
  • 20/20 GeneSystems, Inc.
  • Abacus Diagnostica Oy
  • Abbott Laboratories
  • Act Genomics Co., Ltd.
  • Adaptive Biotechnologies Corp.
  • Admera Health
  • Agena Bioscience Inc.
  • Agendia NV
  • Agilent Technologies, Inc.
  • ALPCO
  • Ambry Genetics Corp.
  • Athena Diagnostics, Inc. /Quest
  • Banyan Biomarkers, Inc.
  • Beckman Coulter, Inc./Danaher Corp.
  • Becton, Dickinson and Company
  • BioFire Diagnostics, LLC/BioMerieux
  • Biohit Oyj
  • bioMérieux SA
  • Bio-Rad Laboratories, Inc.
  • Cancer Genetics, Inc.
  • Caris Life Sciences
  • Cepheid/Danaher Corp.
  • Curetis AG
  • Exact Sciences Corp.
  • Foundation Medicine, Inc.
  • Fujirebio, Inc.
  • Genomic Health, Inc.
  • Hologic, Inc.
  • Illumina, Inc.
  • Myriad Genetics
  • NeoGenomics
  • Ortho-Clinical Diagnostics
  • Qiagen N.V.
  • Roche
  • Siemens Healthineers
  • Sysmex Corp.
  • Thermo Fisher Scientific, Inc.
  • Ventana Medical Systems, Inc./Roche
  • Zeus Scientific, Inc.


  • Introduction
    • Report Coverage
    • Methodology
    • Sources of Information
  • Executive Summary
    • Table Summary Table: Global Biomarker Sales by Product Group & Region (million dollars), 2018-2027 (Product Groups: Infectious Diseases, Cancer, Cardiovascular, Clinical Chemistry, Neurological, Autoimmune, and Other & Regions: North America, Western Europe, Asia/Pacific, Central & South America, Eastern Europe, Middle East, and Africa)
  • Market Environment & Analysis
    • Overview
      • Demographic Patterns
      • World Healthcare Trends
        • Table Global Demographic & Healthcare Indicators, 2018-2027 (World Population, Healthcare Expenditures, Healthcare Resources, and Healthcare Activity)
    • Biomarker Technologies
    • Biomarker Market Analysis
      • Biomarker Products
        • Table Global Biomarker Sales by Product Group (million dollars), 2018-2027 (Infectious, Cancer, Cardiovascular, Clinical Chemistry, Neurological, Autoimmune, and Other)
        • Table 2020 Global Biomarker Product Sales by Type ) ($43.0 million), (Infectious, Cancer, Cardiovascular, Clinical Chemistry, Neurological, Autoimmune, and Other
      • Geographical Markets
        • Table Global Infectious Disease Biomarker Sales by Region (million dollars), 2018-2027 (U.S., Canada, Mexico, Asia Pacific, China, Japan, Western Europe, Eastern Europe, Central America, South America, and Africa and the Middle East)
        • Table Biomarker Product Sales by Major Geographical Market, 2020 ($43.04 billion), (U.S., Canada, Mexico, Asia Pacific, China, Japan, Western Europe, Eastern Europe, Central America, South America, and Africa and the Middle East)
  • Infectious Disease Biomarkers
    • Overview
      • Table Global Infectious Disease Biomarker Sales by Major Product Group (million dollars), 2018-2027 (Respiratory, HAIs, Hepatitis, HIV, STDs, TORCH, and Other)
    • Infectious Disease Biomarker Technologies
      • Table Global Infectious Disease Biomarker Sales by Technology (million dollars), 2018-2027 (Lab Immunoassay Tests, Molecular Tests, and Rapid Immunoassay Tests)
    • COVID-19 Biomarkers
      • Table COVID-19 Tests by Type, 2020 and 2021, (millions) (Molecular, Antigen, and Antibody)
      • Table Global COVID-19 Test Sales by Type, 2020 and 2021 (million dollars) (Molecular, Antigen, and Antibody)
      • Table Major COVID-19 Test Vendors by Category, unranked
    • Respiratory Diseases
      • Table Global Respiratory Disease Biomarker Sales by Condition (million dollars), 2018-2027 (Pneumonia, Influenza, Group Strep A, Tuberculosis, and Other)
      • Table Respiratory Disease Biomarker Product Sales Breakdown by Condition, 2020 (Pneumonia, Influenza, Strep A, Tuberculosis, and Other)
      • Table Global Respiratory Disease Biomarker Sales by Technology (million dollars), 2018-2027 (Laboratory Immunoassay, Molecular, and POC)
      • Pneumonia
      • Influenza
      • Group A Streptococcus Infections
      • Tuberculosis
      • Other Respiratory Infections
    • Healthcare-Associated Infections (HAIs)
      • Table Global Healthcare-Associated Infections (HAIs) Biomarker Sales by Type (million dollars), 2018-2027 (C. diff, Sepsis, Staph, Enterococci, and Other)
      • Clostridioides difficile (c. diff)
      • Sepsis
      • Staphylococcus aureus
      • Enterococcus
      • Other Healthcare-Associated Infections
    • Hepatitis
      • Types of Hepatitis
      • Hepatitis Biomarkers
        • Table Global Hepatitis Biomarker Sales by Type (million dollars), 2018-2027 (Hepatitis B, Hepatitis C, and Other Types)
      • Commercial Hepatitis Tests
    • HIV
      • Overview
      • Statistical Trends
      • Biomarker-Based HIV Tests
        • Table Global HIV Biomarker Sales by Technology (million dollars), 2018-2027 (Immunoassay, Molecular, and Rapid POC)
      • Commercial HIV Tests
    • Sexually Transmitted Diseases (STDs)
      • Table Global STD Biomarker Sales by Type (million dollars), 2018-2027 (HPV, CT/NG, Trichomoniasis, HSV 1&2, and Other)
      • Human Papillomavirus (HPV)
      • Chlamydia/Gonorrhea (CT/NG)
      • Trichomoniasis
      • Herpes Simplex Virus (HSV-1 & HSV-2)
        • Table Producers of Herpes Simplex Virus Tests
      • Other Sexually Transmitted Diseases
    • TORCH
      • Table Global TORCH Biomarker Sales (million dollars), 2018-2027
    • Other Infectious Diseases
      • Table Global Other Infectious Disease Biomarker Sales by Type (million dollars), 2018-2027 (Malaria, Lyme Disease, E. Coli, H. pylori, Dengue, and All Other)
      • Malaria
      • Lyme Disease
      • E. coli
      • H. pylori
      • Dengue
      • All Other Disease
  • Cancer Biomarkers
    • Overview
    • Types of Cancer Biomarkers
      • Table Global Cancer Biomarker Sales by Type (million dollars), 2018-2027 (CTMs and TTMs)
    • Market Analysis
      • Table Global Cancer Biomarker Sales by Condition (million dollars), 2018-2027 (Breast, Prostate, Lung, Colorectal, Melanoma, Bladder, Uterine, Non-Hodgkin Lymphoma, Kidney, Leukemias, Pancreatic, Thyroid, Liver, Multiple Myeloma, Stomach, Ovarian, Esophageal, and All Other)
    • Biomarker Product Suppliers
  • Cardiovascular Biomarkers
    • Overview
    • Key Biomarkers
    • Market Analysis
      • Table Global Cardiovascular Biomarker Sales by Product Group (million dollars), 2018-2027 (Coagulation, CAD, CHF, MI, Cerebrovascular, Atherosclerosis, Cholesterol/Lipid, and Other)
    • Biomarker Product Suppliers
  • Clinical Chemistry Biomarkers
    • Overview
    • Blood Gases & Electrolytes
    • Urinanalysis
    • Workstation Immunoassay Tests
    • Market Analysis
      • Table Global Clinical Chemistry Biomarker Sales by Product Group (million dollars), 2018-2027 (Glucose, Electrolytes, Cardiac Biomarkers, Enzymes, HbA1c, Proteins, Drugs of Abuse, Therapeutic Drugs, and Other)
    • Biomarker Product Suppliers
  • Neurological Biomarkers
    • Overview
    • Key Biomarkers
    • Market Analysis
      • Table Global Neurological Biomarker Sales by Product Group (million dollars), 2018-2027 (Alzheimer's Disease, Neuropathy Disorders, Epilepsy, Parkinson's Disease, Multiple Sclerosis, and Other)
    • Biomarker Product Suppliers
  • Autoimmune Biomarkers
    • Overview
    • Key Biomarkers
    • Market Analysis
      • Table Global Autoimmune Biomarker Sales by Product Group (million dollars), 2018-2027 (Hashimoto's Thyroiditis, Rheumatoid Arthritis, Type 1 Diabetes, Celiac Disease, Ulcerative Colitis, SLE, Crohn's Disease, and Other)
    • Biomarker Product Suppliers
  • Other Biomarkers
    • Overview
      • Table Other Global Biomarker Sales by Product Group (million dollars), 2018-2027 (Diabetes & Metabolic, Fertility & Pregnancy, Kidney Disorders, Inherited Diseases, Thyroid Conditions, and All Other)
    • Diabetes & Metabolic Biomarkers
    • Fertility & Pregnancy Biomarkers
    • Kidney Disorders
    • Inherited Diseases
      • Cystic Fibrosis
      • Down Syndrome
      • Sickle Cell Disease
      • Gaucher Disease
      • Familial Hypercholesterolemia
      • Muscular Dystrophy
      • Hemophilia
      • Von Willebrand Disease
      • Neurofibromatosis
      • olycystic Kidney Disease
      • Spinal Muscle Atrophy
      • Klinefelter Syndrome
      • Canavan disease
      • Cerebral Palsy
      • Angelman Syndrome (AS)
      • Other Inherited Diseases
    • Thyroid Conditions
    • All Other Biomarkers
      • one Disease Biomarkers
      • Gastrointestinal Biomarkers
      • Respiratory Biomarkers
  • Company Profiles
    • Table IVD Biomarker-Related Sales of Selected Industry Leaders, 2020 (million dollars) (Roche Diagnostics, Abbott Diagnostics, Danaher, Thermo Fisher Scientific, Siemens Healthineers, Becton Dickinson, bioMérieux, Illumina, Ortho Clinical Diagnostics, Quidel, Exact Sciences, Bio-Rad Laboratories, DiaSorin Group, Myriad Genetics, and Luminex)
    • Roche Diagnostics (Basel, Switzerland)
      • Molecular Testing
      • Companion Diagnostics
      • Circulating Tumor Cells
    • Abbott Diagnostics (Abbott Park, Illinois)
      • COVID-19
      • Point-of-Care Tests
      • Core Laboratory
      • Molecular Assays
      • Companion Diagnostics
      • Liquid Biopsy
    • Danaher Corporation (Washington, D.C.)
      • Cepheid
      • Radiometer
      • Beckman Coulter
      • Leica Biosystems
    • Thermo Fisher Scientific (Waltham, Massachusetts)
    • Siemens Healthineers (Malvern, Pennsylvania)
    • Becton Dickinson, and Company – BD (Franklin Lakes, New Jersey)
    • bioMérieux (Marcy l'Etoile, France)
    • Illumina (San Diego, California)
    • Ortho Clinical Diagnostics (Raritan, New Jersey)
    • Quidel Corporation (San Diego, California)
    • Exact Sciences (Madison, Wisconsin)
    • Bio-Rad Laboratories (Hercules, California)
    • DiaSorin Group (Saluggia, Italy)
    • Myriad Genetics (Salt Lake City, Utah)
    • Luminex Corporation (Austin, Texas)
  • Selected Biomarker Compounds (CRP, D-Dimer, PSA, PCT, Others)
    • Table Global Sales of Selected Biomarker Products by Compound (million dollars), 2018-2027
    • Immunoglobulins
    • C-Reactive Protein (CRP)
    • D-dimer
    • Prostate-Specific Antigen (PSA)
    • Complement Proteins
    • Cardiac Troponins
    • Albumin/Prealbumin
    • Haptoglobin
    • Procalcitonin (PCT)
    • Lactate

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