Peer-Reviewed Publication
Mod Pathol2025;38(10):100813.October 1, 2025Journal Article

Analytical Comparison of Commonly Used Laboratory-Developed Tests for the Assessment of Ki-67 in Breast Carcinoma With a Food and Drug Administration-Approved Benchmark.

Sunil Badve1, Jason S White2, Francisco Sapunar2, Kelli Thoele2, Sameera R Wijayawardana2, Xiaoxian Li3, Michael F Press4, Souzan Sanati5, Kyle C Strickland6, Lani Kai Clinton7, David Gutman3, Patrick Frey8, Tobias Lang8, Aaron M Gruver2
1Department of Pathology, Emory University School of Medicine, Atlanta, Georgia. Electronic address: sbadve@emory.edu.
2Eli Lilly and Company, Indianapolis, Indiana.
3Department of Pathology, Emory University School of Medicine, Atlanta, Georgia.
4USC Norris Comprehensive Cancer Center, Los Angeles, California.
5Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, California.
6Labcorp Oncology, Durham, North Carolina; Department of Pathology, Duke University Medical Center, Duke Cancer Institute, Durham, North Carolina.
7PathAI, Boston, Massachusetts.
8Mindpeak, Hamburg, Germany.

Abstract

Ki-67 immunohistochemistry (IHC), a commonly used assay for breast cancer risk prognostication, has significant interlaboratory heterogeneity. This study assessed the impact of antibody clones by comparing the Ki-67 IHC MIB-1 pharmDx assay (Dako Omnis; Agilent Technologies) with clones MIB-1 (Dako Autostainer Link 48 platform), K2 (Leica BOND-III platform), and 30-9 (Ventana BenchMark ULTRA platfo…

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