Genomic profiling improves cost-effectiveness by identifying non-responders to targeted therapy
The review examines the economic impact of precision oncology, noting that next-generation sequencing is becoming more cost-efficient than sequential single-gene assays. Investigators highlight that while matched targeted drugs often carry high price tags, broad genomic profiling can improve value by sparing patients from ineffective treatments. The authors also suggest that universal and germline cancer testing may offer better cost-effectiveness than traditional family-history-based approaches. For laboratory directors, these findings underscore the growing financial rationale for adopting comprehensive molecular testing algorithms over single-marker assays.
The original study
Cost-Effectiveness and the Economics of Genomic Testing and Molecularly Matched Therapies.
- Authors
- Banerjee S
- Journal
- Hematology/oncology clinics of North America
- Type
- Journal Article, Review
- PMID
- 42686324
Original abstract
Cost-effectiveness analysis of precision oncology can help guide value-driven care. Next-generation sequencing is increasingly cost-efficient over single gene testing because diagnostic algorithms require multiple individual gene tests to determine biomarker status. Matched targeted therapy is often not cost-effective due to the high cost associated with drug treatment. However, genomic profiling can promote cost-effective care by identifying patients who are unlikely to benefit from therapy. Additional applications of genomic profiling such as universal testing for hereditary cancer syndromes and germline testing in patients with cancer may represent cost-effective approaches compared with traditional history-based diagnostic methods.