Healthcare Insights

Europe Laboratory Developed Tests Market Size to Achieve USD 8.26 Billion by 2033

Market growth is driven by several factors, including the rising demand for personalized medicine, the increasing prevalence of cancer, and the lack of commercial in vitro diagnostic tests for certain diseases.

Additionally, some tests do not require regulatory approvals. For example, laboratory-developed tests (LDTs) have been utilized in various countries as part of their testing strategies, especially during the COVID-19 pandemic. The World Health Organization introduced the Emergency Use Listing (EUL) procedure in 2020, which included rapid antigen tests for COVID-19. LDTs, often more affordable than registered in vitro diagnostic tests, have been crucial in creating a wide array of diagnostic tools for different health conditions. The pandemic highlighted the importance of designing, developing, and using LDTs for emergency situations.

LDTs, or ‘in-house devices,’ are exempt from in vitro diagnostic regulations if the health institution meets the conditions outlined in Article 5(5) of the Regulation. For example, in 2023, the University of Bath in England developed LoCKAmp, a prototype device for rapid and cost-effective COVID-19 detection from nasal swabs. Moreover, in January 2024, the Spanish biotech company Amadix received Breakthrough Device Designation from the U.S. Food and Drug Administration (FDA) for PreveCol, a colorectal cancer screening blood test.

Endometriosis, a condition affecting approximately 10% (190 million) of women and girls worldwide, has often been overlooked as a public health priority. In January 2022, the French Government introduced a National Strategy for Endometriosis. For example, in June 2022, Ziwig, a startup based in Lyon, France, launched Ziwig Endotest. This non-invasive diagnostic test for endometriosis utilizes salivary miRNA analysis through next-generation sequencing and artificial intelligence.

Europe Laboratory Developed Tests Market Highlights:

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Recent Developments and Trends in Europe Laboratory Developed Tests Market 

  1. Growth in Oncology Testing
    • The rise in cancer incidence across Europe has spurred the development of LDTs for cancer diagnostics. Laboratories are increasingly focusing on creating tests that identify specific oncogenes and biomarkers to guide targeted therapies. LDTs are particularly beneficial in liquid biopsy applications, where non-invasive testing is used to monitor tumor progression.
  2. Increased Focus on Infectious Disease Testing
    • The COVID-19 pandemic highlighted the importance of LDTs in quickly addressing public health emergencies. Laboratories developed and deployed LDTs for rapid and specific detection of the virus. This trend is expected to continue, with growing demand for LDTs in infectious disease diagnostics, especially for emerging pathogens.
  3. Regulatory Changes Driving Market Transformation
    • The introduction of the IVDR in Europe has impacted the LDT market by imposing stricter requirements on the development and use of these tests. Laboratories now need to comply with higher safety and performance standards, which has led to increased investment in regulatory compliance and quality control.
  4. Rising Collaboration Between Labs and Technology Providers
    • Laboratories are increasingly collaborating with technology providers and pharmaceutical companies to develop innovative LDTs. These partnerships allow for the integration of cutting-edge technologies like artificial intelligence (AI) and machine learning, enhancing diagnostic accuracy and patient outcomes.

Europe Laboratory Developed Tests Market by Application Outlook

In 2023, the oncology segment led the market with the largest revenue share of 22%. The Laboratory Developed Tests (LDTs) market is divided into various categories, including oncology, genetic disorders/inherited diseases, infectious and parasitic diseases, immunology, endocrine, nutritional and metabolic diseases, cardiology, mental/behavioral disorders, pediatric-specific tests, hematology/general blood tests, body fluid analysis, toxicology, and other diseases. Data from the EU Science Hub reveals that new cancer cases increased by 2.3% in 2022 compared to 2020, totaling 2.74 million cases. Western and Northern EU countries report higher incidence rates, while Eastern EU countries face higher cancer mortality rates.

Pancreatic cancer, one of the four deadliest cancers, poses a significant challenge due to its late diagnosis and treatment. A report in The Lancet points out the increased risk of pancreatic cancer in Western Europe. The European PANCAID project aims to improve early detection through a blood test by identifying biomarkers for at-risk groups.

The nutritional and metabolic disease segment is anticipated to grow at the fastest compound annual growth rate (CAGR) of 10.53% during the forecast period. In Germany, neonatal screening includes 19 congenital diseases, 13 of which are metabolic disorders. The German Federal Statistical Office reported 738,819 live births and 2,345 infant deaths in 2022, with approximately one in 1,300 newborns affected by these target diseases. ZenTech LaCAR offers a variety of screening tests for rare neonatal diseases, while ARUP Laboratories’ pharma services group developed AAV5 DetectCDx, a blood test for identifying Hemophilia A patients. In December 2023, ARUP Laboratories partnered with Medicover, a European diagnostics and healthcare provider, to offer companion diagnostics for Hemophilia A gene therapy.

Europe Laboratory Developed Tests Market by Technology Outlook

The molecular diagnostics segment led the market in 2023, securing the largest revenue share of 27%. The LDT market includes segments such as immunoassays, hematology and coagulation, molecular diagnostics, microbiology, clinical chemistry, histology/cytology, flow cytometry, mass spectrometry, and others. Molecular diagnostics are crucial for detecting genetic, inherited, viral, and bacterial diseases.

The rise in lifestyle-related diseases has increased the demand for early detection methods. Cancer, a notable genetic disorder, was the second leading cause of death in Europe in 2020, with 1.2 million fatalities. In November 2023, F. Hoffmann-La Roche Ltd launched the LightCycler PRO, a next-generation qPCR system designed to enhance testing for cancer, infectious diseases, and other public health issues.

The growing prevalence of autoimmune disorders has driven demand for rapid disease detection, fueling the development of laboratory-developed tests, including immunoassay kits. Multi-parametric flow cytometry continues to be a laboratory-developed test for diagnosing leukemia and lymphoma, despite the lack of FDA approval. In October 2023, Synlab GmbH introduced myEDIT-B, the world’s first blood-based diagnostic test for bipolar disorder. Additionally, IBDSENSE, a non-invasive fluorescence-based technology developed by the University of Edinburgh, assists in diagnosing inflammatory bowel disease.

Europe Laboratory Developed Tests Market Country Outlook

The UK’s laboratory-developed tests market is projected to grow at the fastest CAGR during the forecast period, driven by an increase in long-term physical health conditions among the working population, which contributes to economic inactivity. According to the NHS, approximately 90% of the adult population in the UK is affected by type 2 diabetes.

In France, the laboratory-developed tests market is also expected to grow rapidly due to the rising number of deaths caused by non-communicable diseases (NCDs), underscoring the need for early disease detection. WHO data indicates that Alzheimer’s disease, other dementias, and ischemic heart disease were the leading causes of death in 2019.

Recent Market News

Key Companies in the Europe Laboratory Developed Tests (LDTs) Market

1. Abbott

2. Guardant Health

3. Siemens Healthineers AG

4. Quest Diagnostics

5. Qiagen

6. Eurofins Scientific

7. Illumina, Inc.

8. F. Hoffmann-La Roche Ltd

9. SVAR Lifesciences

10. Biomérieux

Read More@ Medical Kiosk Market

Europe Laboratory Developed Tests Market Segmentation:

By Technology

By Application

By Country

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