Panel Backs Shield Colon Cancer Test
Members of the FDA Molecular and Genetics Panel of the Medical Devices Advisory Panel have recommended the approval of a Guardant Health PMA for the Shield blood test for colorectal cancer (CRC) screening in adults age 45 and older who are at average risk for the disease. “The advisory committee’s strong support for the approval of Shield reinforces the crucial role that a blood test option can have in improving CRC screening rates for those at average risk,” the company said after the vote.
“Despite the importance of detecting colorectal cancer early, there are notable barriers that can deter average-risk Americans from completing existing screening methods,” the company says. “Shield effectively detects cancer at an early stage when it is most treatable. Providing people with this blood test alongside other non-invasive stool tests can increase the rate of colorectal screening and potentially reduce preventable CRC deaths.”
Panel members voted 8 to 1 that there is reasonable assurance Shield is safe, 6 to 3 that there is reasonable assurance Shield is effective, and 7 to 2 that the benefits of Shield outweigh its risks.
The PMA is based on data from the ECLIPSE study evaluating the performance of the test for detecting CRC in average-risk adults. Results from the study showed that Shield “demonstrated 83% sensitivity for the detection of CRC, with 90% specificity for advanced neoplasia,” the company says. “This performance is within range of existing stool-based tests used as primary CRC screening options, in which overall sensitivity ranges from 67% to 92%.”