All-cause mortality as the primary endpoint for the GRAIL/National Health Service England multi-cancer screening trial

D Carr, DM Kent, HG Welch - Journal of Medical Screening, 2022 - journals.sagepub.com
D Carr, DM Kent, HG Welch
Journal of Medical Screening, 2022journals.sagepub.com
A randomized trial of the GRAIL GalleriTM multi-cancer screening test is being planned for
the National Health Service in England, and will have 140,000 healthy participants aged 50–
79: 70,000 exposed to screening and 70,000 unexposed. The test reportedly detects 50
different cancers and is expected to reduce all-cancer mortality by approximately 25%.
Given this effect size—and that cancer deaths constitute a large fraction of all deaths—the
trial is sufficiently large to test the effect on all-cause mortality. Because most patients …
A randomized trial of the GRAIL GalleriTM multi-cancer screening test is being planned for the National Health Service in England, and will have 140,000 healthy participants aged 50–79: 70,000 exposed to screening and 70,000 unexposed. The test reportedly detects 50 different cancers and is expected to reduce all-cancer mortality by approximately 25%. Given this effect size—and that cancer deaths constitute a large fraction of all deaths—the trial is sufficiently large to test the effect on all-cause mortality. Because most patients believe cancer screening “saves lives”, the GRAIL/National Health Service collaboration could set the evaluation standard for multi-cancer screening.
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