IVD · Oncology · CRO

IVDs in oncology, and the evidence behind them.

In vitro diagnostics sit at the heart of modern cancer care, but under the IVDR they must prove their performance. Here is the role of the diagnostic, and of the CRO that evidences it.

IVDR 2017/746OncologyPerformance evaluationCompanion diagnostics
IVD in oncology and the role of the CRO, Eclevar MedTech

European Champion

Platinum Award 2026

Eclevar MedTech & Milo Health · xShare × EUCROF Open Call

Led by authority

Oncology diagnostics, evidenced properly.

An oncology IVD is only as strong as its performance data. Our teams build that evidence to the standard the IVDR demands.

Dr Mark Da Costa

Dr Mark Da Costa

COO & CMO · 25+ yrs

Cardiac surgeon and former lead Notified Body reviewer at TÜV SÜD. 400+ devices CE-certified.

in LinkedIn
Sébastien Meier

Sébastien Meier

Chief Data Officer · Biometry · 30 yrs

Endpoints, statistics and RWE; architect of the MILO EDC, 21 CFR Part 11 and real-time dashboards.

IVDR 2017/746Oncology IVDPerformance EvaluationClinical performance

Awards, funding, accountability

Europe’s best-rated medical device CRO.

Platinum Award 2026

Platinum Award 2026

Top tier at the xShare × EUCROF Open Call, awarded to Eclevar MedTech and its Milo Health platform, presented at EUCROF 2026 in Amsterdam.

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Co-funded by the European Union

Selected through the xShare Open Call for clinical research innovation, Horizon Europe.

xShare results →

Independently reported

Distinction confirmed by an independent third party, the CVBF, also an awardee of the xShare × EUCROF Open Call.

CVBF coverage →

The field

Why diagnostics drive cancer care.

IVDs detect and measure biomarkers that guide diagnosis, prognosis and treatment in oncology. Under the IVDR, each of those claims must be supported by robust performance evidence.

01

What IVDs do in oncology

In vitro diagnostics examine samples such as blood, saliva or tissue to detect and measure markers linked to cancer. In oncology they support risk assessment, early detection, staging, prognosis and monitoring of response after therapy, informing decisions at every step of the patient journey.

02

Why the stakes are high

Because a diagnostic result can direct or withhold treatment, oncology IVDs carry real clinical risk.

What a result decides

  • Whether a cancer is detected early enough to treat
  • How a tumour is staged and the prognosis assessed
  • Whether a patient is eligible for a targeted therapy (companion diagnostics)
  • Whether treatment is working, through monitoring and recurrence detection

03

What the IVDR requires

Under the IVD clinical evidence under IVDR, an oncology diagnostic must demonstrate scientific validity, analytical performance and clinical performance, drawn together in a Performance Evaluation Report. Companion diagnostics face additional scrutiny because they gate access to a specific therapy. The risk-based classification means most oncology IVDs now require Notified Body involvement.

04

The role of the CRO

A CRO designs and runs the studies that generate this evidence: performance studies against defined acceptance criteria, access to well-characterised oncology sample cohorts, biostatistics, and the Performance Evaluation Report itself, plus post-market performance follow-up. We turn a promising oncology assay into a diagnostic that clears review.

Oncology IVD at a glance

Diagnostics that hold up.

IVDR
risk-based classes
3 pillars
of performance
CDx
companion diagnostics
PER
the core document

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Building an oncology diagnostic?

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An oncology diagnostic is only as good as its evidence.

An expert read maps the performance studies your IVD needs, secures the right sample cohorts, and builds a Performance Evaluation Report that clears IVDR review.

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Questions we hear first

IVDs in oncology, answered.

What role do IVDs play in oncology?
In vitro diagnostics examine samples such as blood or tissue to detect and measure cancer-related markers, supporting risk assessment, early detection, staging, prognosis and monitoring of treatment response across the patient journey.
What does the IVDR require for an oncology diagnostic?
It must demonstrate scientific validity, analytical performance and clinical performance, drawn together in a Performance Evaluation Report. The risk-based classification means most oncology IVDs now require Notified Body involvement.
What is a companion diagnostic?
A companion diagnostic is an IVD that determines whether a patient is eligible for a specific therapy. Because it gates access to treatment, it faces additional regulatory scrutiny under the IVDR.
How does a CRO help with an oncology IVD?
A CRO designs and runs the performance studies, secures well-characterised oncology sample cohorts, provides biostatistics, and builds the Performance Evaluation Report and post-market performance follow-up needed to clear IVDR review.

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