Table 2. Role of biomarkers
Research/preclinical phase |
end point marker in animal studies |
proof of concept testing |
screening tool for leads |
rank compounds in portfolio |
pharmacodynamic evaluation |
toxicity profile |
Clinical phase |
early detection |
differential diagnosis |
identify subpopulations for clinical study |
type/location of injury |
mechanism of disease, mechanism of action |
predict severity and prognosis, regression, etc. |
Surrogate end point |
drug effect, dose ranging studies |
focused hypothesis may shorten and decrease size of trial |
speed agents through testing and approval process |
Commercial phase |
test to aid drug dosing |