Evidence map›Paper›PMID 41173830›Full record

ArticleNature communications2025

Real-world data and clinical experience from over 100,000 multi-cancer early detection tests.

Marc Matrana, Vershalee Shukla, Dallas Kingsbury, Martin Poliak, Jordan Lipton, Matthew McMillin, Louis B Malinow, Oliver Venn, John F Beausang, Geoff Stanley and 5 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Marc MatranaOchsner Cancer Institute, New Orleans, LA, USA.
Vershalee ShuklaVincere Cancer Center, Scottsdale, AZ, USA.
Dallas KingsburyFountain Life, Naples, FL, USA.
Martin PoliakMedical Clinic of Houston, Houston, TX, USA.
Jordan LiptonSignature Healthcare, Charlotte, NC, USA.
Matthew McMillinCarle Health Methodist Hospital and Carel Health Proctor Hospital, Peoria, IL, USA.
Louis B MalinowMDVIP, Baltimore, MD, USA.
Oliver VennGRAIL, Inc., Menlo Park, CA, USA. ovenn@grailbio.com.
John F BeausangGRAIL, Inc., Menlo Park, CA, USA.
Geoff StanleyGRAIL, Inc., Menlo Park, CA, USA.
Earl HubbellGRAIL, Inc., Menlo Park, CA, USA.ORCID http://orcid.org/0000-0001-7301-3759
Kathryn N KurtzmanGRAIL, Inc., Menlo Park, CA, USA.
Jeffrey M VenstromGRAIL, Inc., Menlo Park, CA, USA.
Rita ShaknovichGRAIL, Inc., Menlo Park, CA, USA.
Candace WestgateCommunity Health Network, Westfield, IN, USA. cwestgate@ecommunity.com.ORCID http://orcid.org/0009-0009-5137-9552

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blood-based multi-cancer early detection (MCED) has the potential to simultaneously screen for multiple deadly cancers with high positive predictive value. To assess real-world performance, we evaluated the Galleri® MCED test (GRAIL, Inc.) across 111,080 individuals (median age 58 years, 55.5% males). This MCED test analyzes methylation patterns of cell-free DNA to detect presence of a cancer signal and predict the anatomical cancer signal origin (CSO) to facilitate diagnostic evaluation. Cancer signal detection rate was 0.91% (1011/111,080), consistent with clinical studies and independent modeled values. Providers reported clinical outcome for 459 of 1011 individuals with cancer signal detected MCED tests. Of these, 258 had an invasive cancer diagnosis, spanning 32 cancer types. The MCED test correctly predicted the CSO in 87% of cases with a reported cancer type, consistent with previous clinical studies. CSO enabled efficient workup in most patients, with a median 39.5 days from result receipt to cancer diagnosis.

Indexed as

Early Detection of CancerNeoplasmsAdultAgedBiomarkers, TumorCell-Free Nucleic AcidsDNA MethylationFemaleHumansMaleMiddle AgedBiomarkers, TumorCell-Free Nucleic Acids

Identifiers

PMID41173830
PMCPMC12578847

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.