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FDA approves Freenome’s blood test for colorectal cancer screening

By Thomson Reuters Jul 27, 2026 | 8:14 AM

By Sahil Pandey

July 27 (Reuters) – The U.S. FDA has approved Freenome’s blood-based colorectal cancer screening test for older adults, paving the way for partner Abbott to launch it ​in the U.S. this fall, the companies said ‌on Monday.

Shares of Freenome were up about 4% in morning trading.

Here are some more details:

• The U.S. Food and Drug Administration’s approval for average-risk adults aged 45 and older gives Freenome its first commercial product.

• ‌Abbott ​will exclusively commercialize the test in the ⁠U.S., where it will ⁠compete with Guardant Health’s FDA-approved Shield blood test.

• The large number of unscreened Americans leaves room for multiple blood-based screening providers, TD Cowen analyst Dan Brennan said.

• The test, ​SimpleScreen CRC, detects signals linked to colorectal cancer from DNA fragments circulating in the blood.

• Abbott is likely to ⁠market SimpleScreen to people who do ⁠not complete or decline stool-based screening tests, Brennan ​said.

• It was evaluated in a large study that enrolled ​over 48,000 adults across more than 200 sites.

• In ‌the study, the test detected colorectal cancer with 81.1% sensitivity in a prespecified analysis. It also detected advanced precancerous growths with 13.7% sensitivity, including 30.7% sensitivity for high-risk precancerous growths.

• With ⁠the approval, the test meets Medicare coverage criteria, while blood-based colorectal cancer screening is already included in updated American Cancer Society screening ⁠guidelines.

• Freenome will ‌receive a $100 million milestone payment from Abbott ⁠tied to the approval under the commercialization ​deal signed ‌in 2025.

• Freenome said it plans to ​develop more ⁠blood-based cancer screening tests, including for lung cancer, using the same technology platform.

• Colorectal cancer, which affects the colon or rectum, is the third-most common cancer diagnosed in the U.S., according to the American Cancer Society.

(Reporting by Sahil Pandey in Bengaluru; Editing ​by Sahal Muhammed)