Early promise for multi-cancer blood test

A multi-cancer blood test being trialled across the UK has shown significant promise in an early study, a global conference is to hear.

Researchers at Oxford University have reported a trial of the Galleri test to the American Society of Oncology.

The test is meant to detect up to 50 types of cancer and is currently the subject of a major study involving thousands of members of the public in the NHS.

The Oxford study involved 5,461 people referred with potential cancer symptoms by GPs.

The test suggested possible cancer in 323 patients – and, in 244 of those these, disease was subsequently confirmed while 79 were clear of cancer.

Researchers say the test is not accurate enough to be used for diagnosis – but shows signs of being a promising screening tool. It was also 85% accurate in identifying the source of the cancer.

According to the abstract, the study found specificity of 98.4% and sensitivity of 66.3%.

The researchers, led by Professor Mark Middleton, write: “These data provide the basis for a prospective, interventional study in patients presenting to primary care with non-specific signs and symptoms with low, but higher than background, probability of being due to cancer.”

Speaking to the BBC, Professor Middleton said the test was not accurate enough to “rule in or rule out” cancer but added: “The test was 85% accurate in detecting the source of the cancer – and that can be really helpful because so many times it is not immediately obvious when you have got the patient in front of you what test is needed to see whether their symptoms are down to cancer.

“With that prediction from the test, we can decide whether to order a scope or a scan and make sure we are giving the right test the first time.”

Large-scale observational prospective cohort study of a multi-cancer early detection (MCED) test in symptomatic patients referred for cancer investigation. ASCO 2023

[abstract]

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