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Detect cancer early.
Before symptoms start.

Galleri is a single blood draw that screens for signals from 50+ cancer types simultaneously - including the ones with no standard screening test today. Tissue of origin identified. Annual. HSA/FSA eligible.

71%

The screening gap

of cancer deaths in the U.S. come from cancers with no recommended screening test today.

We screen for breast, cervical, colorectal, and lung cancer - but ovarian, pancreatic, liver, stomach, and esophageal cancers have no routine test. These are among the deadliest, precisely because they're caught late. Stage I survival rates average 80–90%. Stage IV survival rates average 15–25%.

Galleri was built specifically to fill this gap.

Source · American Cancer Society, 2024 · GRAIL PATHFINDER 2 Study

50+

Cancer types screened in a single blood draw, including many with no other recommended test.

GRAIL Galleri

2×

More cancers detected when Galleri was added to standard screening - from the PATHFINDER 2 clinical study.

NEJM, 2024

20,000+

Participants across GRAIL's clinical validation studies, including PATHFINDER and PATHFINDER 2.

Multi-trial cohort

>99%

Specificity - meaning fewer than 1 in 100 results are a false positive, reducing unnecessary follow-up procedures.

PATHFINDER Study

How it works

One draw.
Fifty cancers screened.

01

A single blood draw

Galleri is ordered through your clinician or - soon - directly through EllaDx. One standard venous draw at any Quest Diagnostics location or at-home phlebotomy visit. No special prep. Takes minutes.

02

cfDNA methylation analysis

Cancer cells shed fragments of cell-free DNA (cfDNA) into the bloodstream. Galleri analyzes the methylation patterns of these fragments - chemical “fingerprints” that are unique to cancer DNA - using machine learning trained on thousands of clinical samples.

03

Signal + tissue of origin

If a cancer signal is detected, Galleri doesn't just say “positive” - it predicts the tissue of origin with high accuracy, so your clinician knows where to look. No signal is reported as “No Cancer Signal Detected.” Results in ~2 weeks.

50+ cancer types

Including the silent ones.

Most cancers have no recommended screening test. These six - the ones most likely to be caught late - are where early detection matters most.

Pancreatic
Fewer than 1 in 8 cases are caught before they spread.
Ovarian
Often found only after symptoms appear in advanced stages.
Liver (Hepatocellular)
Typically silent until the disease is well-established.
Esophageal
Early symptoms are easy to mistake for everyday discomfort.
Stomach
Less than a third are diagnosed at a localized stage.
Head & Neck
No population-wide screening currently exists in the U.S.

And 45+ more we also detect

Cancers with established screening paths or more predictable presentations.

AnusAppendixBile DuctBladderBone & Soft TissueBreastCervixColorectalEndometrial / UterineKidneyLeukemiaLungLymphomaMelanomaMesotheliomaMultiple MyelomaNeuroblastomaProstateSmall IntestineTesticularThyroidUpper Tract UrothelialVaginal / VulvarWaldenstrom Macroglobulinemia+ 20 more

Galleri is not a diagnostic test. A positive result does not mean cancer is present. It is intended to complement, not replace, recommended cancer screenings.

The science

“The addition of the multi-cancer early detection test to standard screening approximately doubled the number of cancers detected, as compared with standard screening alone.”

- Schrag et al., PATHFINDER 2 · New England Journal of Medicine, 2024

Galleri uses targeted methylation sequencing - a technique that reads chemical tags on cell-free DNA fragments circulating in blood. These methylation patterns change when cells become cancerous, and each cancer type produces a distinct pattern. GRAIL trained machine learning models on over 10,000 samples to learn those patterns across 50+ cancer types.

When cancer is detected, the algorithm also identifies the most likely tissue of origin - correctly in more than 88% of true positive cases - directing the diagnostic workup efficiently rather than leaving clinicians searching blind.

[1]

Schrag D et al. Blood-Based Tests for Multicancer Early Detection. N Engl J Med, 2024.

PATHFINDER 2 Study · NEJMoa2309278

[2]

Hubbell E et al. Quantification of Cancer Ctissue-of-origin by methylation profiling. Nature Commun, 2023.

doi:10.1038/s41467-023-37394-z

[3]

American Cancer Society. Cancer Facts & Figures 2024. Atlanta: American Cancer Society.

cancer.org/research/cancer-facts-statistics

Important note

Galleri is not FDA-cleared. It is performed in a CLIA-certified laboratory. A positive result requires follow-up diagnostic evaluation with your physician. Galleri does not detect all cancers and is not a substitute for recommended cancer screenings.

Coming to EllaDx

Be first
in line.

We're working to bring Galleri directly into the EllaDx portal - ordered, drawn, and reported alongside your standard labs. Join the waitlist and we'll notify you when it's available.

Galleri® is a registered trademark of GRAIL, LLC. EllaDx is not affiliated with GRAIL, LLC. Information on this page is provided for educational purposes only and does not constitute a clinical recommendation or endorsement. The Galleri test has not been approved or cleared by the U.S. Food and Drug Administration. The Galleri test may not detect all cancers and not all detectable cancers are the same. False positive and false negative results do occur. Always consult a qualified healthcare provider before making medical decisions.