For the first time, a blood test has been shown to help detect many types of cancer in a study of thousands of people with no history or symptoms of the disease.
The test is still experimental. Even its fans say it needs to be improved and that Tuesday’s results are not ideal. Yet they show what benefits and drawbacks might come from using these gene-based tests, called liquid biopsies, in routine care -- in this case, with PET scans to confirm or rule out suspected tumors.
“We think that it’s feasible,” said Nickolas Papadopoulos, a Johns Hopkins University scientist who helped develop the test. Using it along with standard screening methods “doubled the cancers that were detected” in the study, he said.
But the test also missed many more cancers than it found and raised some false alarms that led to unnecessary followup procedures. It was only studied in women 65 to 75 years old and needs to be tried in men, other ages and more diverse groups.
“This is not at the place where it could be used today,” said Dr. Len Lichtenfeld, deputy chief medical officer for the American Cancer Society. “It will need many more studies to demonstrate value,” including whether it improves survival, he said.
Results were published in the journal Science and discussed at an American Association for Cancer Research conference that was held online because of the coronavirus pandemic.
Many companies are working on liquid biopsies, which look for DNA and other things that tumors shed into blood, to try to find cancer at an early stage. This test was invented by Hopkins doctors who formed a company, Thrive Earlier Detection Corp., to develop it with Third Rock Ventures, a biotech finance firm.
Until now, these multi-cancer detection tools have been tested on blood samples from people with and without cancer to estimate their accuracy. The new study was the first “real world” test in routine medical care, following patients through surgery or other treatment to see how they fared.
Nearly 10,000 women 65 to 75 years old with no history of cancer were recruited through the Geisinger Health System in Pennsylvania and New Jersey. That’s because some deadly cancers such as ovarian have no screening test now, and women in this age group have a higher risk for cancer yet are young enough to benefit from finding it early, Papadopoulos said.
story