Industry strategies on theranostics: Need for structural alignment

Theranostics is said to change the way patients will manage their disease. Such a change assumes that diagnostics and therapeutics become increasingly linked based on genetic information. Companies that adhere to this vision have different strategies to address theranostics. The resulting industry dynamics are studied using findings from our own research on theranostics strategies expressed in companies' annual reports and two other major studies on pharmacogenomics. We put forward that, for structurally taking up theranostics, there is limited structural alignment between (bio)pharmaceutical companies, and specialised firms in diagnostics and pharmacogenomics. Also, regulatory authorities should take a more anticipatory stance towards diagnostic and pharmacogenomics companies.