Grail's Galleri Cancer Test Misses Primary Endpoint in NHS Trial, Shares Plunge Despite Positive Trends
Grail's Galleri Cancer Test Misses Primary Endpoint in NHS Trial, Shares Plunge Despite Positive Trends
GRAIL announced topline results from the NHS-Galleri trial on February 19, 2026, involving 142,000 participants aged 50-77 over three years. 1 2 The trial failed to meet its primary endpoint of statistically significant reduction in combined Stage III-IV cancer diagnoses, though a favorable trend was observed, particularly a substantial reduction in Stage IV diagnoses. 1 2 Galleri showed increased Stage I and II detection for deadly cancers and a four-fold higher cancer detection rate; test performance (PPV, specificity, CSO accuracy) was consistent with prior studies. 1 No serious safety concerns reported; GRAIL plans U.S. sales force expansion based on these and PATHFINDER 2 results, despite analysts citing risks to FDA approval and Medicare coverage. 1 2 Company shares tumbled about 50% following the announcement. 2 Sources: 1. https://grail.com/press-releases/landmark-nhs-galleri-trial-demonstrates-a-substantial-reduction-in-stage-iv-cancer-diagnoses-increased-stage-i-a...
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