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A Prospective, Cross-Sectional, Multicenter Study Evaluating a Multi-Target Blood Protein in Vitro Diagnostic Test
Emily Y He1, Guy A van Hazel2, Andrew M Sloss3
1Concord Repatriation General Hospital, Camperdown, NSW, Australia.
Journal of Gastrointestinal Cancer
|January 16, 2026
Summary
A new multi-target blood protein (MTBP) test shows promise for earlier colorectal cancer (CRC) detection. The ColoSTAT test achieved 81.3% sensitivity and 91.0% specificity, meeting performance goals.
Area of Science:
- Oncology
- Biomarker Discovery
- Cancer Diagnostics
Background:
- Early detection of colorectal cancer (CRC) significantly improves patient survival rates.
- Improving screening participation is crucial for effective CRC management.
- A simple blood test could enhance screening accessibility and adherence.
Purpose of the Study:
- To evaluate the performance of a multi-target blood protein (MTBP) test, ColoSTAT®, in detecting colorectal cancer (CRC).
- To compare the diagnostic accuracy of the MTBP test against colonoscopy, the established gold standard for CRC diagnosis.
Main Methods:
- A cross-sectional, multicenter study involving two cohorts: CRC patients and individuals scheduled for colonoscopy.
- Inclusion of bio-banked samples from CRC patients to supplement the primary cohort.
- Performance evaluation based on pre-defined sensitivity (≥73%) and specificity (≥90%) goals.
Main Results:
- The study included 29 patients in Cohort 1, 768 in Cohort 2, and 192 bio-banked samples.
- ColoSTAT® demonstrated a sensitivity of 81.3% (95% CL 73.0%-87.4%) for detecting all stages of CRC.
- The specificity of ColoSTAT® was 91.0% (95% CL 87.7%-93.5%) compared to colonoscopy.
Conclusions:
- The MTBP test (ColoSTAT®) successfully met its primary performance objectives for CRC detection.
- The test warrants further investigation in clinical settings, particularly for high-risk populations.
- This blood test shows potential as a non-invasive tool to aid in CRC screening.

