Sensitivity, % 75-81
Specificity, % 91-96
In the European Union only 1 in 7 eligible people is screened for colorectal cancer (CRC). As a consequence, 60% of CRC cases are diagnosed when the cancer has already spread regionally or to distant organs and treatment becomes more challenging.
The Epi proColon® test is a blood-based test designed to aid in the early detection of colorectal cancer.
The epigenetic-based test kit is CE-labeled EU, FDA, and CFDA approved for colorectal cancer screening for average-risk patients (as defined by current screening guidelines) who decline or choose not to be screened by colonoscopy or a stool-based fecal immunochemical test (FIT).
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Currently, colonoscopy is the most accurate screening method for early diagnosis of CRC. However, its compliance rate remains very low due to its invasiveness, dietary restriction requirement, and extensive bowel preparation. Although noninvasive fecal immunochemical tests (FIT) for hemoglobin in stool are available, their sensitivities are relatively low in detecting stage I CRC. Thus, developing highly accurate CRC screening method using molecular biomarkers for people who are reluctant to participate in colonoscopy examination is urgently needed for early detection of CRC.
This test is a real-time PCR test that measures methylated syndecan-2 (SDC2) DNA using human fecal. Abnormal methylation of the syndecan-2 biomarker in colorectal cancer tissues is observed more than 95% regardless of the stage and is not observed in normal colorectal tissues. This indicates that the presence of methylated syndecan-2 DNA has a significant association with the incidence of colorectal neoplasia. It has been proven to be able to diagnose colorectal cancer with 90% sensitivity and 90% specificity, and 89% sensitivity for early stages (0-II) in a pivotal trial on 585 subjects.