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Thousands of People in East Midlands Invited to Help NHS Trial New Cancer Test

The East Midlands has been selected as one of eight areas of the country to take part in the world’s largest trial of a revolutionary new blood test that can detect more than 50 types of cancer before symptoms appear.

People in the East Midlands will be among the first to have blood samples taken at mobile testing clinics in retail parks and other convenient community locations in the area.

The potentially lifesaving Galleri™ test checks for the earliest signs of cancer in the blood and the NHS-Galleri trial, the first of its kind, aims to recruit 140,000 volunteers nationally, including thousands in the East Midlands, to see how well the test works in the NHS.

Head of the NHS East Midlands Cancer Alliance, Michael Ryan, said: “This simple blood test could play a major part in the revolution in cancer detection and treatment. By finding cancer at an early stage, before signs and symptoms even appear, we can give people the best chance of survival as the cancer is easier to treat.

“So, if you are invited, I’d really encourage you to take part, as you could be helping to transform cancer care and protect yourself.”

The test is a simple blood test that research has shown is particularly effective at finding cancers that are difficult to identify early – such as head and neck, bowel, lung, pancreatic, and throat cancers.

It works by finding chemical changes in fragments of genetic code – cell-free DNA (cfDNA) – that leak from tumours into the bloodstream.

The NHS will be sending out thousands of letters inviting local people from different background and ethnicities aged between 50 and 77 to take part.

Participants, who must not have had a cancer diagnosis in the last three years, will be asked to give a blood sample at a locally based mobile clinic and they will then be invited back after 12 months, and again at two years, to give further blood samples.

The first location in the East Midlands to host a mobile clinic is Derby’s Sainsbury’s car park. The clinic will stay there for a month from November before moving on to Chesterfield, Nottingham, Northampton, Lincoln and Leicester. People in Derby will be the first to receive invitations at the end of this month.

The NHS-Galleri trial is being run by The Cancer Research UK and King’s College London Cancer Prevention Trials Unit in partnership with the NHS and healthcare company, GRAIL, which has developed the Galleri test.

Prof Peter Sasieni, Director of The Cancer Research UK & King’s College London Cancer Prevention Trials Unit and one of the trial’s lead investigators, said: “We need to study the Galleri test carefully to find out whether it can significantly reduce the number of cancers diagnosed at a late stage. The test could be a game-changer for early cancer detection, and we are excited to be leading this important research. Cancer screening can find cancers earlier when they are more likely to be treated successfully, but not all types of screening work.

“Joining the trial is easy, and we are particularly keen to attract volunteers from diverse communities in the East Midlands to ensure the results are relevant for as many different people as possible.”

The NHS-Galleri trial is a Randomised Control Trial (RCT) – meaning that half the participants will have their blood sample screened with the Galleri test right away and the other half will have their sample stored and may be tested in the future. This will allow scientists to compare the stage at which cancer is detected between the two groups.

People will only know they’re in the test group if they are among the small minority whose test detects potential signals of cancer in their blood. These people will be contacted by the trial nurse by phone and referred to an NHS hospital for further tests.

The NHS East Midlands Cancer Alliance is helping to ensure that volunteers who test positive across the region are appropriately investigated and receive the best possible care within the NHS.

Its Clinical Director, Alastair Simpson said: “Detecting cancer early will be key to improving cancer outcomes in the East Midlands which is why we’re tremendously supportive of NHS-Galleri. Taking part is easy so we ask people to look out for their invitation in the post and consider registering to give a simple blood sample at mobile clinics that will be located in towns and cities around the East Midlands over the next few months.”

GP Clinical Lead for the NHS East Midlands Cancer Alliance, Dr Pawan Randev said: “Volunteers from the East Midlands will be helping the NHS be at the forefront of evaluating and introducing new technologies that could improve the health of millions.”

All participants will be advised to continue with their standard NHS screening appointments and to still contact their GP if they notice any new or unusual symptoms.

Sir Harpal Kumar, President of GRAIL Europe, said: “We’re delighted to partner with the NHS to support the NHS Long Term Plan for earlier cancer diagnosis, and we are eager to bring our technology to people in the UK as quickly as we can. The Galleri test can not only detect a wide range of cancer types but can also predict where the cancer is in the body with a high degree of accuracy. The test is particularly strong at detecting deadly cancers and has a very low rate of false positives.”

Initial results of the study are expected by 2023 and, if successful, NHS England and NHS Improvement plans to extend the rollout to a further one million people in 2024 and 2025.

The trial is the latest initiative launched by the NHS to meet its Long Term Plan commitment of finding three-quarters of cancers at an early stage by 2028.

Patients whose condition is diagnosed at ‘stage one’ typically have between five and 10 times the chance of surviving compared with those found at ‘stage four’.