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Two U.S. trials are currently underway of a new test that may
be able to screen for colon cancer by detecting cancer-indicating
mutations in human DNA extracted from a stool sample.
The PreGen-Plus,
developed by Exact Sciences Corp. of Maynard, MA, appears able
based on early studies to detect cancer 65 percent to 70 percent
of the time, according to company president Don Hardison.
This compares
with colorectal cancer detection sensitivity of about 90 percent
for a colonoscopy, 50 percent sensitivity for sigmoidoscopy and
around 30 percent for a single fecal occult blood test, according
to Anthony Shuber, chief technology officer at Exact.
The big advantage
would be that unlike a colonoscopy or sigmoidoscopy, the PreGen-Plus
requires no dietary changes and causes no discomfort. A person
simply would mail a stool sample to the laboratory in a sealed
container.
Results of
the first large trial of 5,000 participants are due in the second
half of 2003.
Other
Sources: Exact Sciences, AP
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