Forecast Period
|
2026-2030
|
Market Size (2024)
|
USD 764.31 Million
|
Market Size (2030)
|
USD 1206.51 Million
|
CAGR (2025-2030)
|
7.88%
|
Fastest Growing Segment
|
Research and Development
|
Largest Market
|
North America
|
Market Overview
Global PD-L1 Biomarker Testing Market was valued at USD 764.31 Million in 2024 and is expected to reach USD 1206.51 Million in the forecast period with a CAGR of 7.88% through 2030. The Global PD-L1 Biomarker Testing Market has emerged as a critical component
of modern cancer diagnosis and treatment. Programmed Death-Ligand 1 (PD-L1) is
a protein found on the surface of cancer cells that plays a pivotal role in
regulating the immune response against cancer. Biomarker testing for PD-L1
expression has gained significant prominence in the field of oncology, helping
clinicians make informed decisions about immunotherapy treatment options. This
market encompasses a wide range of diagnostic tests, technologies, and services
aimed at assessing PD-L1 expression levels in various cancer types, primarily
non-small cell lung cancer (NSCLC), melanoma, bladder cancer, and others.
One of the key drivers of the Global PD-L1
Biomarker Testing Market is the remarkable success of immune checkpoint
inhibitors, such as PD-1 and PD-L1 inhibitors, in treating a variety of
advanced cancers. Biomarker testing helps identify patients who are most likely
to benefit from these immunotherapies, thereby improving treatment outcomes and
reducing unnecessary side effects in non-responsive patients. Additionally,
ongoing research and clinical trials continue to expand the scope of PD-L1
testing, encompassing new cancer types and treatment settings.
The market is characterized by a plethora of
testing methods, including immunohistochemistry (IHC), polymerase chain
reaction (PCR), and next-generation sequencing (NGS), each offering its own
advantages and limitations. Furthermore, the market exhibits geographical
variations in terms of adoption and availability of these tests, with developed
regions leading the way in terms of technology adoption and infrastructure.
As precision medicine gains prominence, PD-L1
biomarker testing is becoming an integral part of the diagnostic landscape,
enabling personalized treatment strategies, and improving patient care.
However, challenges such as standardization of testing protocols, regulatory
hurdles, and cost-effectiveness remain pertinent in this dynamic market.
Key Market Drivers
Rising Incidence of Cancer
The Global PD-L1 Biomarker Testing Market has been significantly propelled by the rising incidence of cancer worldwide. In 2022, there were an estimated 20 million new cancer cases and 9.7 million deaths globally. This escalating cancer burden underscores the necessity for effective diagnostic and treatment strategies. As the prevalence of various cancer types continues to surge, there is an increasing demand for precise and personalized treatment approaches. PD-L1 biomarker testing has emerged as a crucial tool in this context, enabling healthcare providers to identify the most suitable candidates for immunotherapy.
One of the key factors contributing to the rising cancer incidence is changing lifestyles and environmental factors. Factors such as smoking, poor dietary habits, exposure to environmental toxins, and sedentary lifestyles have contributed to the growing prevalence of cancer. Additionally, an aging population also plays a significant role, as cancer risk tends to increase with age. As the global population continues to age, the burden of cancer is expected to rise, further driving the demand for effective diagnostic tools like PD-L1 testing.
Advancements in medical research have unveiled new insights into the complexity of cancer, revealing that it is not a single disease but rather a diverse collection of diseases with unique genetic profiles. This understanding has led to the development of targeted therapies and immunotherapies, which have shown remarkable success in treating various cancer types. PD-L1 biomarker testing is at the forefront of this revolution, as it helps identify patients who are most likely to respond positively to immunotherapy.
The rising incidence of cancer is a pivotal driver behind the growth of the Global PD-L1 Biomarker Testing Market. As the world grapples with the increasing burden of cancer, the need for precise and effective diagnostic tools has never been greater. PD-L1 testing not only improves treatment outcomes but also represents a significant step towards personalized medicine, where each patient's unique genetic profile informs their treatment plan, ultimately enhancing the chances of successful cancer management.
Success of Immunotherapy
The remarkable success of immunotherapy in the
treatment of various cancers has played a pivotal role in boosting the Global
PD-L1 Biomarker Testing Market. Immunotherapy, particularly immune checkpoint
inhibitors like PD-1 and PD-L1 inhibitors, has transformed the landscape of
cancer treatment by harnessing the body's immune system to target and destroy
cancer cells. This groundbreaking approach has shown unprecedented efficacy in
numerous cancer types, including non-small cell lung cancer (NSCLC), melanoma,
and bladder cancer. As a result, the demand for PD-L1 biomarker testing has
surged, as it has become an essential tool for identifying patients who are
most likely to benefit from these immunotherapies.
Immunotherapy's success lies in its ability to
unlock the body's immune response against cancer, effectively turning the
patient's immune system into a powerful weapon against the disease. However,
not all patients respond equally to immunotherapy, and this is where PD-L1
biomarker testing comes into play. PD-L1 is a protein found on the surface of
cancer cells, and its presence can indicate how effectively a patient's immune
system may respond to immune checkpoint inhibitors. High PD-L1 expression levels
in tumors suggest a higher likelihood of response to immunotherapy, making
PD-L1 testing an indispensable tool in personalized cancer treatment
strategies.
The growing body of clinical evidence supporting
the efficacy of immunotherapy and the value of PD-L1 testing has led to
increased adoption of these therapies across the globe. Regulatory agencies,
such as the U.S. Food and Drug Administration (FDA) and the European Medicines
Agency (EMA), have approved various immune checkpoint inhibitors and
established guidelines for PD-L1 testing. This regulatory support has further
accelerated the integration of PD-L1 biomarker testing into routine clinical
practice.
Moreover, ongoing research and clinical trials are
continuously expanding the applications of PD-L1 testing beyond the initial
cancer types, broadening its utility and driving further market growth. As the
field of immunotherapy evolves, PD-L1 biomarker testing will remain a critical
component of the decision-making process, ensuring that patients receive the
most suitable and effective treatment options.
Technological
Advancements
Technological advancements have significantly propelled the Global PD-L1 Biomarker Testing Market, enhancing the precision, efficiency, and accessibility of cancer diagnostics. These innovations have transformed PD-L1 testing into a more reliable and cost-effective process, crucial for informing immunotherapy decisions.
A notable development is the refinement of immunohistochemistry (IHC) methods. Traditional IHC techniques have been enhanced to improve sensitivity and specificity, enabling more accurate detection of PD-L1 expression in tumor tissues. The introduction of automated staining systems has streamlined workflows in clinical laboratories, reducing human error and increasing throughput. According to a 2023 study published in the Journal for ImmunoTherapy of Cancer, the response rate to immune checkpoint inhibitors varies between 15% and 30% in most solid tumors, underscoring the importance of precise PD-L1 testing to identify suitable candidates for therapy.
The adoption of molecular diagnostic techniques, such as polymerase chain reaction (PCR) and next-generation sequencing (NGS), has expanded the capabilities of PD-L1 testing. These methods allow for the simultaneous assessment of multiple genetic markers, providing a comprehensive understanding of a tumor's genetic profile. This holistic approach facilitates more informed treatment decisions, particularly in tailoring immunotherapies to individual patient profiles.
Advancements in digital pathology and image analysis have also revolutionized PD-L1 testing. The digitization of tissue samples enables efficient storage, sharing, and analysis of pathology data. Image analysis software can accurately quantify PD-L1 expression levels, reducing subjectivity in interpretations and enhancing result consistency. A 2024 study introduced a Universal Immunohistochemistry Analyzer, an AI-driven model capable of interpreting IHC images across various cancer types and immunostains, demonstrating superior performance over traditional models.
The integration of artificial intelligence (AI) and machine learning into PD-L1 biomarker testing has further enhanced diagnostic accuracy. AI algorithms can analyze extensive datasets, assisting pathologists in swiftly and accurately identifying PD-L1 expression patterns. This technological integration not only expedites the testing process but also aids in stratifying patients based on their potential responsiveness to immunotherapies.
These technological advancements collectively contribute to the growth of the PD-L1 biomarker testing market, ensuring that patients receive timely and appropriate therapeutic interventions.

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Key Market Challenges
Heterogeneity of PD-L1 Expression
Tumor heterogeneity makes it challenging to obtain
a representative tissue sample for testing. A biopsy from one area of a tumor
may yield different results from another, potentially leading to inaccurate assessments
of a patient's likelihood to respond to immunotherapy. This inconsistency can
result in patients receiving suboptimal treatment or being excluded from
potentially beneficial therapies due to misleading test results.
The lack of a standardized approach for PD-L1
biomarker testing exacerbates the issue of heterogeneity. Different
pharmaceutical companies and diagnostic manufacturers may use their own
proprietary tests and scoring systems, making it challenging to establish
uniform criteria for PD-L1 positivity. This lack of standardization can lead to
inconsistencies in test results across laboratories and hinder the
comparability of data in clinical trials.
The heterogeneous nature of PD-L1 expression adds
complexity to treatment decisions. Clinicians must carefully consider the
location and extent of PD-L1 expression within a tumor, as well as the
potential presence of immune cells in the tumor microenvironment. This
complexity can delay treatment initiation and complicate the selection of the
most appropriate immunotherapy regimen for individual patients.
In some cases, PD-L1 expressions may be present but
go undetected due to sampling limitations. Patients with low or focal PD-L1
expression may be classified as negative, leading to missed opportunities for
immunotherapy. Underdiagnosis can negatively impact patient outcomes and limit
the effectiveness of immune checkpoint inhibitors.
Cost-Effectiveness
One of the primary obstacles to the widespread
adoption of PD-L1 testing is the high cost associated with certain testing
methods, such as immunohistochemistry (IHC) and next-generation sequencing
(NGS). These expenses can be a burden for both healthcare providers and
patients, particularly in regions with limited healthcare budgets. The cost of
testing may deter some healthcare institutions from offering PD-L1 testing as a
routine diagnostic procedure.
The cost-effectiveness challenge extends to
patients, as not all individuals may have access to PD-L1 biomarker testing due
to financial constraints or lack of insurance coverage. Inadequate access to
testing can lead to suboptimal treatment decisions and limit patients'
opportunities to benefit from immunotherapy, especially for those who could
otherwise be eligible.
The high costs of PD-L1 testing can exacerbate
healthcare disparities, disproportionately affecting underserved populations
and those in resource-constrained regions. These disparities can lead to
unequal access to the benefits of immunotherapy, contributing to disparities in
cancer treatment outcomes.
The economic implications of high testing costs are
significant. Not only does it impact patients and healthcare systems, but it
can also result in increased overall healthcare spending. When patients do not
receive appropriate testing or treatment due to cost concerns, they may
experience disease progression, leading to more extensive and costly treatments
in the long run..
Key Market Trends
Personalized Medicine
Personalized medicine has emerged as a powerful
driver behind the growth of the Global PD-L1 Biomarker Testing Market. This
transformative approach to healthcare focuses on tailoring treatments to the
individual genetic and molecular characteristics of each patient. Within this
paradigm, PD-L1 biomarker testing plays a pivotal role, as it enables
clinicians to make highly informed decisions about cancer treatment strategies.
In personalized medicine, the one-size-fits-all
approach is replaced with precision. PD-L1 testing allows healthcare providers
to assess the specific PD-L1 expression levels in a patient's tumor tissue.
This information is crucial because it helps identify whether a patient is
likely to respond favorably to immune checkpoint inhibitor therapies, such as
PD-1 and PD-L1 inhibitors. By accurately pinpointing potential responders,
personalized medicine ensures that patients receive the most suitable and effective
therapies, while avoiding unnecessary treatments that may carry risks and side
effects without offering benefits.
The rise of personalized medicine has significantly
expanded the scope of PD-L1 biomarker testing beyond its initial applications.
While it was initially associated primarily with non-small cell lung cancer
(NSCLC), its relevance has broadened to encompass a wide range of cancer types,
including breast cancer, gastric cancer, and head and neck cancer, among
others. This expanded applicability ensures that PD-L1 testing meets the needs
of an increasingly diverse patient population.
Moreover, the integration of PD-L1 biomarker
testing into the personalized medicine paradigm has contributed to a deeper
understanding of the unique genetic profiles and immune responses of individual
patients. This knowledge empowers oncologists to make more precise treatment
decisions, potentially improving outcomes and reducing adverse events. In
conclusion, personalized medicine has catalyzed the growth of the Global PD-L1
Biomarker Testing Market by emphasizing the importance of individualized cancer
care.
Expanding Applications
The Global PD-L1 Biomarker Testing Market has
witnessed significant growth, thanks in part to the expanding applications of
PD-L1 biomarker testing across various cancer types. Initially associated
predominantly with non-small cell lung cancer (NSCLC), the relevance of PD-L1
testing has broadened considerably, encompassing an increasingly diverse array
of cancer types. This expansion in applications has not only broadened the
market's reach but has also made PD-L1 testing a vital tool in the fight
against cancer.
Expanding applications of PD-L1 testing are
critical because they address the unique needs of patients with different
cancer types. PD-L1 expression can vary widely among various cancers, and even
within different subtypes of the same cancer. As a result, understanding the
PD-L1 status of a tumor is essential for tailoring treatment decisions. For
example, breast cancer, which affects a substantial number of individuals, has
seen a growing emphasis on PD-L1 biomarker testing. The identification of PD-L1
expression in breast cancer can help clinicians determine whether immune
checkpoint inhibitor therapies, such as PD-1 and PD-L1 inhibitors, should be
part of the patient's treatment plan.
Similarly, gastric cancer, head and neck cancer,
and other malignancies have seen a surge in the adoption of PD-L1 testing. In
these cases, PD-L1 testing provides critical information about the tumor's
immune microenvironment, helping oncologists make more informed decisions about
the most appropriate treatment strategies, which can include immunotherapies.
This diversification of PD-L1 testing applications
reflects the growing recognition of the importance of personalized medicine in
oncology. It emphasizes the need to consider the unique genetic and molecular
characteristics of each patient's cancer. As a result, PD-L1 testing is no
longer confined to a narrow subset of cancers but is becoming increasingly
relevant in the broader landscape of cancer care.
Segmental Insights
Cancer
Type Insights
Based
on the Cancer Type, Non-Small Cell Lung Cancer (NSCLC) emerged as the dominant
segment in the Global PD-L1 Biomarker Testing Market in 2024. This is
primarily due to the high prevalence of NSCLC and the critical role of PD-L1
testing in guiding immunotherapy treatments. PD-L1 expression levels are
pivotal in determining patient eligibility for immune checkpoint inhibitors
like pembrolizumab (Keytruda). Studies have demonstrated that patients with
higher PD-L1 expression on tumor cells exhibit better responses to such
therapies. For instance, research indicates that approximately 23.2% of
NSCLC patients have PD-L1 expression in 50% or more of their tumor cells,
correlating with improved treatment outcomes. The widespread
implementation of PD-L1 testing in NSCLC ensures that patients receive
personalized and effective treatment plans, thereby solidifying the dominance
of this segment in the PD-L1 biomarker testing market.
Assay
Kit Type Insights
Based on the Assay Kit Type, PD-L1 22C3
IHC emerged
as the dominant segment in the
Global PD-L1 Biomarker Testing Market in 2024. This is due to its widespread
adoption as a companion diagnostic for multiple immunotherapy treatments. The
PD-L1 22C3 assay is extensively used to determine PD-L1 expression levels in
patients with non-small cell lung cancer (NSCLC), urothelial carcinoma, and other
malignancies, making it a crucial tool in personalized medicine. Regulatory
approvals, including the U.S. FDA’s endorsement of 22C3 IHC as the first
companion diagnostic for pembrolizumab (Keytruda), have further strengthened
its market dominance. The assay's reliability, validated performance in
clinical trials, and extensive use in routine clinical practice have positioned
it as the gold standard for PD-L1 testing. Moreover, pharmaceutical companies
and diagnostic laboratories prefer PD-L1 22C3 due to its high sensitivity and
specificity, ensuring accurate patient stratification for immunotherapy. The
growing demand for immune checkpoint inhibitors and the increasing number of
indications for PD-L1 inhibitors have also driven the adoption of 22C3 IHC.
With continuous advancements in precision oncology and expanding immunotherapy
approvals, the PD-L1 22C3 IHC assay remains the preferred choice for
oncologists, further cementing its leadership in the market.

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Regional Insights
North America emerged
as the dominant region in the Global PD-L1 Biomarker Testing Market in 2024. This is due to the high prevalence of
cancers such as non-small cell lung cancer (NSCLC) and melanoma, where PD-L1
testing is crucial for guiding immunotherapy treatments. The region's advanced
healthcare infrastructure and significant investments in precision medicine
have facilitated the widespread adoption of PD-L1 assays. According to a
study analyzing real-world data from 17,165 patients with advanced NSCLC
between 2018 and 2021, approximately 67% underwent testing for biomarkers
including PD-L1 within 90 days of diagnosis. This substantial testing
rate underscores the integration of biomarker assessments into standard
oncological practice across North America. Furthermore, the U.S. Food and Drug
Administration (FDA) has approved several PD-L1 inhibitors, such as pembrolizumab
(Keytruda), for treating various cancers, reinforcing the necessity for PD-L1
testing as a companion diagnostic. The combination of a high cancer burden,
robust healthcare systems, and regulatory support has solidified North
America's leading position in the PD-L1 biomarker testing market.
Recent Developments
- In February 2025, Leica Biosystems launched two new primary antibodies, PD-L1 and HER2, to support cancer research and therapy development. Widely used in studying breast, lung, and other cancers, these antibodies enhance precision medicine efforts. This development highlights the capabilities of Leica’s newly established Center for Enabling Precision Medicine (CEPM), which fosters collaboration with pharmaceutical and academic partners.
- In November 2024, Tempus AI, Inc. announced the clinical launch of its Immune Profile Score (IPS) test, now available for clinicians. IPS is a multimodal biomarker designed as a prognostic tool for adult patients with stage IV and metastatic pan-solid tumors eligible for immune checkpoint inhibitor (ICI)-based therapy. Validation study results, presented at the 2024 Society for Immunotherapy of Cancer (SITC) Annual Meeting, showed that IPS-High patients had a greater overall survival benefit with ICI therapy compared to IPS-Low patients (HR 0.45).
- In September 2024, Lunit partnered with Roche to integrate its AI-powered Lunit SCOPE PD-L1 22C3 TPS into Roche's navify Digital Pathology platform. This collaboration enhances cancer diagnostics by providing pathologists and researchers with advanced AI-driven tools, supporting Roche’s initiative to develop a collaborative digital pathology ecosystem.
- In September 2024, the FDA approved the TruSight Oncology (TSO) Comprehensive Assay, developed by Illumina, as a companion diagnostic for comprehensive genomic profiling. It is the first FDA-approved diagnostic kit for identifying adult and pediatric patients with NTRK-positive solid tumors eligible for larotrectinib (Vitrakvi) and adult patients with locally advanced or metastatic RET fusion-positive NSCLC eligible for selpercatinib (Retevmo).
- In September 2024, Roche expanded its digital pathology open environment by integrating over 20 advanced AI algorithms from eight new collaborators. This initiative enhances cancer research and diagnosis by providing pathologists and scientists with cutting-edge AI technology.
- In July 2024, Oxford BioDynamics, Plc announced its keynote presentation at the 14th World Summit for Clinical Biomarkers and Companion Diagnostics, scheduled for September 3-6, 2024, in Boston, USA. The company specializes in precision clinical diagnostics using its EpiSwitch 3D genomics platform.
Key Market Players
- AstraZeneca PLC
- Merck
Group (SigmaAldrich Co., LLC)
- F.
Hoffmann-La Roche Ltd.
- Abcam
- Agilent
technologies
- NeoGenomics
Laboratories, Inc.
- ACROBiosystems
- PerkinElmer
Inc.
- Guardant
Health
- Quanterix
By Cancer Type
|
By Assay Kit Type
|
By End Use
|
By Region
|
- NSCLC
- Kidney Cancer
- Melanoma
- Head and Neck
- Bladder Cancer
- Others
|
- PD-L1 22C3 IHC
- PD-L1 28-8 IHC
- PD-L1 SP263
- PD-L1 SP142
|
- Research and Development
- Diagnostics
|
- North America
- Europe
- Asia Pacific
- South America
- Middle East & Africa
|
Report Scope:
In this report, the Global PD-L1 Biomarker Testing Market has been segmented into the following
categories, in addition to the industry trends which have also been detailed
below:
- PD-L1 Biomarker Testing Market, By Cancer Type:
o NSCLC
o Kidney Cancer
o Melanoma
o Head and Neck
o Bladder Cancer
o Others
- PD-L1 Biomarker Testing Market, By Assay Kit Type:
o PD-L1 22C3 IHC
o PD-L1 28-8 IHC
o PD-L1 SP263
o PD-L1 SP142
- PD-L1 Biomarker Testing Market, By End Use:
o Research and Development
o Diagnostics
- PD-L1 Biomarker Testing Market, By
Region:
o North America
§ United States
§ Canada
§ Mexico
o Europe
§ France
§ United Kingdom
§ Italy
§ Germany
§ Spain
o Asia-Pacific
§ China
§ India
§ Japan
§ Australia
§ South Korea
o South America
§ Brazil
§ Argentina
§ Colombia
o Middle East & Africa
§ South Africa
§ Saudi Arabia
§ UAE
Competitive Landscape
Company Profiles: Detailed analysis of the major companies present in the Global PD-L1
Biomarker Testing Market.
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