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[HEALTH] · United States, Canada, United Kingdom · 11 sources

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GRAIL faces FDA advisory panel review for Galleri cancer blood test

GRAIL, Inc. is facing a critical regulatory milestone as an FDA advisory panel reviews the Galleri multi-cancer early detection blood test. The Molecular and Clinical Genetics Panel is scheduled to vote on whether the test's benefits outweigh potential risks, such as false alarms or missed diagnoses, for adults aged 50 and older.

FDA reviewers have indicated they have no major outstanding concerns regarding the test's primary safety analysis. However, they have requested the panel to evaluate whether clinical performance data supports the company's proposed labeling for 'early' cancer detection. This follows findings from the PATHFINDER 2 study, which enrolled 35,878 participants across the United States and Canada.

Results from the PATHFINDER 2 study, published in Nature Medicine, showed that the Galleri test demonstrated a specificity of 99.64% and a positive predictive value of 60.3%. Among participants with newly diagnosed primary cancers, 53% were in stage 1 or 2, and 70.9% were in stage 1, 2, or 3. The test also correctly predicted the likely origin of the cancer signal in 91.3% of cases.

An FDA approval could significantly expand the test's availability by facilitating coverage from Medicare and private insurers. GRAIL expects a final FDA decision on the premarket approval application by early 2027.

Entities

FDA · Food and Drug Administration · GRAIL, Inc. · Galleri · Grail Inc. · Mayo Clinic · Oregon Health & Science University

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