Signature generationThe identification of gene signatures of response involves the identification of a collection of transcripts whose pattern of expression predicts the response to a therapeutic agent (predictive signature) or indicates disease outcome (prognostic signature). This approach can lead to the development of a test which can be brought forward to regulatory agencies for approval and marketed as a test or companion diagnostic for a therapeutic agent. Large datasets are typically required for the generation of such signatures and experimental study design is of critical importance. The experiment must be balanced to ensure that the design reflects the disease in terms of histology, gender, ethnicity of the patients and the subtypes of the disease. In the case of predictive signatures, sufficient numbers of responders and non-responders are required with each group being balanced for all confounding variables.
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