Blood Test Detects Dozens Of Cancers Early
IlluminaIllumina(US:ILMN) Forbes·2025-10-19 13:00

Core Insights - A new blood test, Galleri, has shown promising results in detecting over 50 types of cancer, with a more than seven-fold increase in detection rates when combined with standard screenings [2][4][5] Group 1: Study Results - The PATHFINDER 2 study revealed that over half of the detected cancers were at early stages (stage I or II), which are more treatable [3][4] - Approximately 75% of the cancers detected by Galleri do not have existing standard screening programs, including pancreatic, liver, ovarian, and stomach cancers [3][4] Group 2: Implementation and Future Plans - The UK's National Health Service (NHS) is conducting a large-scale trial of the Galleri test with over 140,000 participants, aiming to reshape cancer outcomes through population-level deployment [4][5] - If the trial results align with U.S. findings, the NHS plans to expand the test to an additional one million people, potentially establishing the first national MCED screening program [5] Group 3: Economic and Health Implications - Current cancer screening programs only cover a limited number of cancer types, with about 70% of cancer deaths arising from cancers without standard screening [7] - Early detection through Galleri could significantly reduce the economic burden of late-stage cancer treatment, which is considerably more expensive than early interventions [8] Group 4: Test Mechanism and Accuracy - Galleri analyzes cell-free DNA fragments in the bloodstream to identify cancer through chemical methylation patterns, rather than searching for a single type of cancer [9] - The test boasts a specificity of 99.6% and a positive predictive value of approximately 62%, indicating that nearly two-thirds of positive results are accurate [10] - Galleri can accurately identify the origin of cancer in 92% of cases, allowing for more focused diagnostic efforts and minimizing unnecessary procedures [11] Group 5: Historical Context and Future Outlook - Grail was founded in 2016, inspired by a discovery at Illumina, Inc. regarding DNA signals from cancers detected in prenatal tests [12][13] - The success of Galleri will ultimately depend on whether early detection leads to reduced mortality rates, with ongoing trials moving towards regulatory review and potential population rollout [14]