FDA granted Breakthrough Device designation to Natera's multi-cancer early detection assay, the Austin company said October 9. The test reads cell-free DNA in blood to screen for several cancers at once.

Natera says FDA reviewed data across 12 cancer types, covering sensitivity, specificity and cancer signal origin performance. It did not name the assay or publish the numbers. Alexey Aleshin, the company's corporate chief medical officer, said too many cancers are found after they have progressed.

Designation buys sprint-level access to reviewers, not a lower bar. It is worth more here than usual, because the agency is still settling how to judge a test that screens for many cancers at once. An FDA panel split 6 to 4 on the effectiveness of GRAIL's Galleri on September 23, and every question raised there lands on Natera next.