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A28    SCIENCE
                        Monday 3 June 2019
            Companies report progress on blood tests to detect cancer



            By MARILYNN MARCHIONE                                                                                               cancers  where  the  detec-
            AP Chief Medical Writer                                                                                             tion  rate  may  not  be  as
            A California company says                                                                                           good, he said.
            its  experimental  blood  test                                                                                      The  biggest  question,  he
            was  able  to  detect  many                                                                                         said, is “will it make a differ-
            types of cancer at an early                                                                                         ence in outcomes” such as
            stage  and  gave  very  few                                                                                         whether it helps people live
            false alarms in a study that                                                                                        longer,  the  ultimate  mea-
            included  people  with  and                                                                                         sure  of  a  screening  test’s
            without the disease.                                                                                                worth.
            Grail  Inc.  gave  results  in  a                                                                                   Grail’s  test  has  not  been
            news release on Friday and                                                                                          compared to mammogra-
            will  report  them  Saturday                                                                                        phy, colonoscopy or other
            at the American Society of                                                                                          screening  tools  and  is  not
            Clinical Oncology meeting                                                                                           intended to replace them,
            in Chicago. They have not                                                                                           said  the  company’s  chief
            been published in a journal                                                                                         scientific  officer,  Dr.  Alex
            or reviewed by other scien-                                                                                         Aravanis.   Many   deadly
            tists.                                                                                                              cancers  that  the  Grail  test
            Many  companies  are  try-                                                                                          detected have no screen-
            ing  to  develop  early  de-                                                                                        ing tests now, he noted.
            tection “liquid biopsy” tests                                                                                       It’s  not  clear  what  evi-
            that  capture  bits  of  DNA                                                                                        dence  the  U.S.  Food  and
            that cancer cells shed into   In this Tuesday, April 28, 2015 file photo, a patient has her blood drawn at a hospital in Philadelphia   Drug  Administration  would
            blood.                       to monitor her cancer treatment.                                                       require  to  consider  for  ap-
            On  Thursday,  Johns  Hop-                                                                         Associated Press  proval.  Sometimes  tests
            kins   University   scientists  cancer and 40% not known  spread but not widely.       worth  as  a  screening  tool,  can be sold through looser
            launched     a   company  to have it. The test detect-    It also suggested where the  but  these  results  are  en-  lab  accreditation  path-
            called  Thrive  Earlier  De-  ed  55%  of  known  cancers  cancer  may  be  in  94%  of  couraging, he said.        ways  rather  than  by  seek-
            tection  Corp.  to  develop  and  gave  false  alarms  for  cases and was right about  Dr.  Len  Lichtenfeld,  interim  ing FDA approval.
            its  CancerSEEK  test,  which  1%.  The  detection  rate  that 90% of the time.        chief medical officer of the  Grail  and  Thrive  already
            yielded  results  similar  to  was better — 76% — for a  That’s  the  most  encourag-  American  Cancer  Society,  have  larger  studies  under-
            Grail’s  more  than  a  year  dozen  cancers  that  col-  ing part because you don’t  called the low rate of false  way. “We’re not going to di-
            ago.                         lectively account for nearly  want  to  tell  people  they  alarms “remarkable.”       agnose every cancer,” but
            Grail is closely watched be-  two thirds of cancer deaths  may have cancer and then  “I  have  little  doubt  that  in  may not need to because
            cause of the extraordinary  in  the  U.S.,  including  lung,  need  to  do  a  lot  of  other  the next several years we’re  so  many  are  not  found
            investment it’s attracted —  pancreatic,    esophageal  tests  to  figure  out  where,  going to have what is prob-  now until it’s too late for ef-
            more  than  $1  billion  from  and ovarian.               said  Dr.  Richard  Schilsky,  ably a true early detection  fective  treatment,  said  Dr.
            Jeff  Bezos,  Bill  Gates  and  The test found only about a  chief medical officer of the  test”  but  the  technology  Minetta  Liu,  a  Mayo  Clinic
            other celebrities.           third of cancers at the very  oncology society.           still  needs  to  improve  and  cancer  specialist  who  is
            The  new  results  included  earliest stage but as many  “They still have a long way  to be tried in large groups  presenting Grail’s results at
            2,300  people,  60%  with  as 84% that had started to  to  go”  to  prove  the  test’s  of  people  without  known  the cancer conference.q
                                                                      Scientists find flaws in plan

                                                                      to lift U.S. wolf protections



                                                                      By  MATTHEW  BROWN  and  “It  looks  like  they  decided  elsewhere  have  fueled  re-
                                                                      JOHN FLESHER                 to  delist  and  then  they  sentment  against  wolves
                                                                      Associated Press             compiled all the evidence  among  livestock  owners
                                                                      BILLINGS, Mont. (AP) — Sci-  that they thought support-   who must deal with attacks
                                                                      entists  tasked  with  review-  ed  that  decision.  It  simply  by  the  predators.  Also,
                                                                      ing government plans to lift  doesn’t  support  the  deci-  some hunters see wolves as
                                                                      protections for gray wolves  sion,”  said  Adrian  Treves,  competition  for  big  game
                                                                      across most of the U.S. said  an  environmental  studies  animals.
                                                                      in a report released Friday  professor  at  the  University  After  being  nearly  wiped
                                                                      that  the  proposal  has  nu-  of Wisconsin.              out  in  the  Lower  48  early
            In this July 16, 2004, file photo, a gray wolf is seen at the Wildlife   merous  factual  errors  and  The  findings  could  under-  last  century,  more  than
            Science Center in Forest Lake, Minn.                      other problems.              cut the government’s con-    6,000 gray wolves now live
                                                     Associated Press  The  five-member  scientific  tention  that  gray  wolves  in  portions  of  nine  states.
                                                                      panel’s  conclusions  were  across  the  Lower  48  have  The decades-long, govern-
                                                                      detailed in a 245-page re-   recovered from near exter-   ment-sponsored  recovery
                                                                      port  delivered  to  the  U.S.  mination.                 effort  for  the  animals  has
                                                                      Fish and Wildlife Service.   Federal officials have been  cost roughly $160 million.
                                                                      One reviewer said the U.S.  under  increasing  pressure  Yet  gray  wolves  remain
                                                                      Fish and Wildlife Service ap-  to  put  wolves  under  state  absent  from  most  of  their
                                                                      peared to have come to a  management,  which  is  al-     historical  range.  Critics  of
                                                                      pre-determined     conclu-   ready  the  case  in  parts  of  lifting  protections  say  the
                                                                      sion,  not  supported  by  its  the Northern Rockies where  move would be premature
                                                                      own  science,  that  wolves  hunting  and  trapping  of  and worry that more hunt-
                                                                      should  come  off  the  en-  the animals is allowed.      ing will reverse the species’
                                                                      dangered species list.       Prohibitions   on   hunting  rebound. q
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