Table 1.

Definitions of biomarkers and potential applications

Types of biomarkersDefinitionApplications
Diagnostic An assay that identifies patients at the onset of clinical disease To help in rapid diagnosis and initiation of therapy 
To distinguish patients with the disease from those without the disease but similar symptoms (ie, GI GVHD vs infectious colitis or bronchiolitis obliterans vs infectious pulmonary) 
Prognostic An assay that categorizes patients by degree of risk for disease occurrence To help design a biomarker-based preemptive trial 
To determine whether an intervention based on high- or low-risk biomarkers before the clinical signs reduce the anticipated incidence of the disease 
Predictive An assay that categorizes patients by their likelihood of response to or outcome of a particular treatment when measured prior to the treatment To intensify treatment in high-risk patients 
To decrease treatment in low-risk patients 
Response to treatment An assay performed after initiation of therapy To monitor the response to treatment 
Types of biomarkersDefinitionApplications
Diagnostic An assay that identifies patients at the onset of clinical disease To help in rapid diagnosis and initiation of therapy 
To distinguish patients with the disease from those without the disease but similar symptoms (ie, GI GVHD vs infectious colitis or bronchiolitis obliterans vs infectious pulmonary) 
Prognostic An assay that categorizes patients by degree of risk for disease occurrence To help design a biomarker-based preemptive trial 
To determine whether an intervention based on high- or low-risk biomarkers before the clinical signs reduce the anticipated incidence of the disease 
Predictive An assay that categorizes patients by their likelihood of response to or outcome of a particular treatment when measured prior to the treatment To intensify treatment in high-risk patients 
To decrease treatment in low-risk patients 
Response to treatment An assay performed after initiation of therapy To monitor the response to treatment 
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