A method of predicting the sensitivity of a subject's cancer or tumor to MDM2i treatment, comprising measuring the levels of expression of at least three genes selected from the group consisting of RPS27L, FDXR, CDKN1A, AEN, RRM2B, SESN1, TRIAP1, DDB2, CCNG1, XPC, RPL22L1, C12orf5, PPM1D, BAX, BLOC1S2, PHLDA3, PHF23, ZMAT3, FBX022, SPATA18, MDM2, CYFIP2, C1QBP, SPAG7, MAA1967, EDA2R, TNFRSF10B, TP53INP1, SCO1, ZNF828, CLN8, UBFD1, ACTA2, SLC25A11, WDR61, ZSWIM7, NCRNA00188, SPCS1, SMAD4, CCRN4L, PHB2, GRSF1, GAMT, PPID, CNO, OSTC, PSMB6, TMEM131, TYMS, UTP3, LEPROTL1, FOXRED2, EIF4E, RCBTB1, FAM119A, GDF15, MFSD5, BBC3, C19orf60, CNPY2, TM7SF3, ARLSA, FAM98A, TXNL1, ASTN2, ATP5G3, CCDC135, PKD2, SSTR4, LOC731139, ART5, PEBP1, COX18, UBE2G1, ACADS, RAD51C, TARBP2, ARSB, STX8, SLC35B4, NUDT9, MED31, POLH, POLDIP3, A4GNT, RAB3A, SALL1, MAP2K4, ME2, GREB1, FXN, MRPL44, MRPS23, C17orf81, PAPPA2, HDDC2, SLC22A13, FBN3, MFAP3L, C18orf55, ACADSB, TYRO3, TSPAN14, LSMD1, FAM193A, CDK2, DIMT1L, SLC25A30, TTTY11, DCP1B, PDE12, EIF2D, LAMA1, TIMM22, COX10, GLDC, UXS1, CDH20, PDYN, LLGL1, GABARAP, PFAS, PRKY, PRDX3, C17orf71, CNNM2, PCDP1, MED11, USF1, LONP1, TEX19, IFFO1, NAP1L1, FAS, VPS25, TP53, TECTB, KIAA1467, MAPK12, CRADD, LOC643659, NDUFB2, TRAPPC1, HHAT, MRPL19, C18orf32, TSFM, NOP14, MPDU1, GPR84, UBA52, ISCU, IL3, METRN, KCTD7, ZNF425, GDPD1, LOC100129857, PDLIM2, ZNF746, SLC20A1, TNFSF9, EIF1AY, PRTG, TXN2, ORICH2, EIF1B, MLF2, SNX10, MRPL51, ANKRD52, TMEM93, C12orf26, POLR3K, C21orf57, DISC1, and PRPF8 in a cancer or tumor sample obtained from the subject.