If you have read any review about biomarkers, you have most likely encountered the following definition put forth by the FDA via the Critical Path Institute:
"A biomarker is a characteristic that is objectively measured and evaluated as an indicator of normal biologic processes, pathogenic processes, or pharmacologic responses to a therapeutic intervention."
While this definition is scientifically accurate, it lacks a key element: an intent. In my mind, this definition should be revised to include the following phrase: "...designed to drive decisions in drug development and/or patient treatment"
Thus, biomarkers are first and foremost decision tools that need to produce reliable predictions about the the biological process of interest in order to make informed decision about a drug or a patient treatment.
Thierry Sornasse for Integrated Biomarker Strategy
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