FDA's approval of AstraZeneca PLC's Imfinzi (durvalumab) is the latest example of the agency's growing preference for complementary diagnostics over the companion diagnostic paradigm that dominated the early days of targeted therapy and immunotherapy for cancer.
While the indications for many targeted therapies and early immunotherapy approvals specified use of a companion diagnostic test, FDA has been moving toward a less prescriptive approach that describes clinical data organized by biomarker expression on a diagnostic