Colon Cancer Blood Test Approved

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FDA has approved Guardant Health’s Shield blood test for colorectal cancer (CRC) screening in adults 45 years of age and older who are at average risk for the disease. It is the first blood test to be approved by the agency as a primary screening option for CRC that meets the requirements for Medicare coverage, according to the company. Guardant says the test can be completed during a primary care physician visit with a simple blood draw.

The CRC screening rate in the U.S. is only about 59%, the company says. “More than one out of three eligible Americans – over 50 million people – do not complete CRC screening, often due to the perception that other available options, such as colonoscopy or stool-based tests, are invasive, unpleasant or inconvenient,” it explains. Since being introduced as a laboratory developed test in 2022, the “overall adherence rate for the Shield test has been more than 90%, meaning more than 90% of patients who were prescribed the test in a real-world clinical setting completed it,” Guardant says.

Approval was based on data from ECLIPSE, a 20,000-patient registrational study evaluating the performance of the test for detecting CRC in average-risk adults. "Results from the study, published in the 3/14 issue of The New England Journal of Medicine, showed that Shield demonstrated 83% sensitivity for the detection of CRC, with 90% specificity for advanced neoplasia,” the company says.

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