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Cancer blood test seven times more effective than current screening

The Galleri test detected early-stage cancers in over 50% of positive cases and ruled out cancer in 99.6% of people without the disease, US study shows.

  • Grail's Pathfinder 2 trial showed the Galleri test screens for more than 50 cancers, detecting a cancer signal in 216 people with 133 confirmed diagnoses.
  • Using DNA methylation patterns, Galleri test identifies cancer-specific methylation 'fingerprint' in blood to spot early disease signs, with modelling projections recommending annual screening from age 50.
  • Specificity and localisation metrics indicate the test correctly excluded cancer in 99.6% of people testing negative, pinpointed the organ or tissue in 92% of cases, and 61.6% of patients with a detected 'cancer signal' received a diagnosis.
  • Results showed a jump in detected cancers when combined with existing screening programmes, finding more than seven-fold more cancers within a year, with 53.5% at stages I–II and an NHS Galleri trial reporting next year.
  • Experts emphasise the need for mortality-focused randomised data as Professor Clare Turnbull calls for endpoints, Professor Anna Schuh warns the test is wrong almost half the time, and cost estimates at current test price reach USD 174,000 per additional diagnosis.
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Promising results from a North American cancer diagnosis study are resonating around the world. The Galleri advanced blood test, developed in the US, could speed up diagnosis for more than 50 types of cancer, most of which are not screened for.

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Irish Examiner broke the news in Ireland on Friday, October 17, 2025.
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