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    Home»Health»Expert hail ‘holy grail’ blood test that accurately flags FIFTY types of cancer before symptoms strike: ‘We’re one step closer to transforming cancer diagnoses’
    Health

    Expert hail ‘holy grail’ blood test that accurately flags FIFTY types of cancer before symptoms strike: ‘We’re one step closer to transforming cancer diagnoses’

    October 17, 20255 Mins Read
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    The Galleri test ¿ dubbed the 'holy grail' for cancer ¿ screens for more than 50 cancers, often picking up signs before symptoms even appear
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    A ground-breaking blood test can accurately detect almost two thirds of deadly cancer cases, research has found. 

    The Galleri test — dubbed the ‘holy grail’ for cancer — screens for more than 50 cancers, often picking up signs before symptoms even appear. 

    Now, results from a key US trial involving more than 23,000 patients show it can accurately detect 62 per cent of cases. 

    Scientists also discovered it could accurately detect 74 per cent of cases of the 12 most deadly cancers, including bowel, lung and pancreatic.

    Experts said the findings, due to be presented at a world-leading cancer conference today, provide the reassurance needed to roll the test out more widely. 

    Developed by US company Grail, it looks for tiny fragments of tumour DNA circulating in the bloodstream.

    The NHS is also currently conducting a major trial of the test involving more than 140,000 people and has previously hailed it a potential ‘gamechanger’. 

    Sir Harpal Kumar, president of International Business and BioPharma at Grail, which pioneered Galleri, and former head of Cancer Research UK, said: ‘We’re really very excited and we think this is a further step along the way in really transforming cancer outcomes.’

    The Galleri test — dubbed the ‘holy grail’ for cancer — screens for more than 50 cancers, often picking up signs before symptoms even appear

    ‘What we wanted to assess was, what added value does the test provide over and above existing screening?

    ‘And one of the most important and exciting results is the fact that it detected seven times as many cancers as the other screening programmes put together.’

    He added: ‘Assuming we do get positive results from NHS Galleri, the opportunity to find substantially greater numbers of cancers before they present clinically, means we should be able to find a lot more of them at an earlier stage. 

    ‘This is also particularly effective in those types of cancer where we have no other screening at the moment – and in those types that are typically diagnosed very late, like pancreas, head and neck, liver and ovary, and so on.

    ‘Once we get those results next year, we would hope the NHS would move very quickly to an implementation evaluation in the NHS.’

    In the US trial, researchers recruited 23,161 patients who took the blood test and were followed-up over at least 12 months. 

    The test detected a cancer signal in 216 people, and cancer was diagnosed in 133 of these.

    This equated to correctly identifying 61.6 per cent of people with cancer, a measure known as sensitivity.

    In 92 per cent of cases, the test could pinpoint in which organ or tissue the cancer arose, meaning time and money could be saved on other scans and other tests. 

    It also correctly ruled out cancer in 99.6 per cent of people who did not have the disease, a measure known as specificity. 

    But the test performed better for 12 cancers whose tumours tend to release higher amounts of abnormal DNA into the blood and which tend to have lower survival rates, including bladder, bowel, stomach, liver, lung, gullet and pancreatic.

    The accuracy for this group was 73.7 per cent at stages one to three, with the test better at finding cancers at a later stage. 

    There are four stages of cancer, with stage four the latest, at which most cancers are terminal.

    The results of the trial will be presented in full at the European Society of Medical Oncology annual congress in Berlin. 

    Responding to the findings, Professor Nitzan Rosenfeld, director of the Barts Cancer Institute at Queen Mary University of London, who was not involved in the trial, said they were ‘impressive’. 

    The 62 per cent accuracy figure was also ‘very encouraging and provides strong evidence that this test could be safe and informative’, he added. 

    The NHS is also currently conducting a major trial of the test involving more than 140,000 people and has previously hailed it a potential 'gamechanger'

    The NHS is also currently conducting a major trial of the test involving more than 140,000 people and has previously hailed it a potential ‘gamechanger’

    But he noted that further data was vital before the test was rolled out. 

    Professor Anna Schuh, an expert in molecular diagnostics at the University of Oxford, meanwhile, who was also not involved in the trial said the 62 per cent result was ‘disappointing as it is only fractionally better compared to tossing a coin’.

    She added: ‘Although it is better compared to current screening tests where still most positive results turn out to be nothing.’

    Grail says its Galleri test would not replace routine cancer screenings, and should instead be paired with them.

    NHS screening programmes currently include those for breast, cervical and bowel. 

    Around 385,000 people are diagnosed with cancer in the UK every year, which is the equivalent of more than 1,000 cases being spotted every day.

    Research published in the journal BMJ Open in May found that an annual blood test for cancer could lead to 49 per cent fewer late-stage diagnoses and 21 per cent fewer deaths within five years compared to patients receiving usual care. 



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