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FDA Grants Breakthrough Device Designation to Freenome’s Blood-Based SimpleScreen™ Lung Cancer Screening Test

(Moderate)
(Positive)

Freenome (Nasdaq: FRNM) announced that the U.S. Food and Drug Administration has granted Breakthrough Device Designation to SimpleScreen™ Lung, its investigational blood-based lung cancer screening test. The designation covers adults ages 50–80 with at least a 20 pack-year smoking history who are not currently undergoing guideline-recommended lung cancer screening.

The AI-powered multiomic test is intended to detect early signals of lung cancer from a standard blood draw and be ordered by healthcare providers. According to Freenome, the FDA Breakthrough Devices Program enables interactive communication and prioritized review during premarket submission. SimpleScreen Lung builds on the company’s methylation and next-generation sequencing platform already used in the FDA-approved SimpleScreen CRC colorectal cancer screening test.

The test combines methylation and proteomics with an AI/ML classifier to determine whether a lung cancer signal is detected. A positive result would indicate a signal that may suggest lung cancer and should be followed by low-dose CT imaging; a negative result does not rule out lung cancer. Freenome is continuing clinical evaluation, including the prospective PROACT LUNG study (NCT06122077), after reporting initial development data at the 2026 AACR Annual Meeting.

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Positive

  • FDA Breakthrough Device Designation granted for SimpleScreen Lung investigational test
  • Test targets high-risk adults 50–80 with ≥20 pack-year smoking history
  • SimpleScreen Lung builds on platform used in FDA-approved SimpleScreen CRC
  • Access to FDA Breakthrough program’s interactive communication and prioritized review
  • Ongoing clinical evaluation, including PROACT LUNG prospective study (NCT06122077)

Negative

  • SimpleScreen Lung remains investigational and is not yet FDA cleared or approved
  • Negative test result does not guarantee absence of lung cancer, requiring clinical follow-up

Market reaction after FDA breakthrough designation: FRNM -3.67% in the Aug 12 session

-3.67% 1.8x vol
7 alerts
-3.67% Session close to close
$1.19B Market Cap
1.8x Rel. Volume

In the Aug 12 session, FRNM declined 3.67%, reflecting a moderate negative market reaction. Our momentum scanner triggered 7 alerts that day, indicating moderate trading interest and price volatility. Trading volume was above average at 1.8x the daily average, suggesting increased trading activity.

Data tracked by StockTitan Argus on the day of publication.

Market Context

Freenome’s prior tag-specific FDA event was followed by +1.25% over 24 hours, providing context for ...
Analysis

Freenome’s prior tag-specific FDA event was followed by +1.25% over 24 hours, providing context for this designation. Unlike approval, the announcement left clinical evaluation ongoing; SimpleScreen Lung remained investigational, with follow-up requirements after positive results.

Key Figures

Proposed age range: 50 to 80 years Smoking history threshold: 20 pack-years Screening rate: 18%
3 metrics
Proposed age range 50 to 80 years SimpleScreen Lung proposed indication
Smoking history threshold 20 pack-years SimpleScreen Lung proposed indication
Screening rate 18% U.S. adults for whom lung cancer screening is recommended

Previous Fda approval Reports

1 past event · Latest: Jul 27 (Positive)
Same Type Pattern 1 events
Date Event Sentiment 24h Move Catalyst
Jul 27 FDA approval Positive +1.3% FDA approved SimpleScreen CRC and named Abbott as exclusive U.S. commercializer.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

The one tag-specific prior FDA event had a positive +1.25% 24-hour reaction; no broader pattern is established.

Key Terms

breakthrough device designation, ldct, multiomics, methylation
4 terms
breakthrough device designation regulatory
"FDA has granted Breakthrough Device Designation to SimpleScreen Lung"
A breakthrough device designation is a regulatory program that gives promising medical devices for serious or life‑threatening conditions priority support and faster review from a health authority (e.g., the U.S. FDA). Think of it as a “fast lane” or VIP pass through development and review: it can shorten time to market, lower regulatory uncertainty, and boost a company’s commercial prospects — but it is not an approval by itself.
ldct medical
"Today, low-dose computed tomography (LDCT) is the only guideline-recommended"
Low-dose computed tomography (LDCT) is a medical imaging scan that uses X-rays to create detailed cross‑sectional pictures of the lungs while exposing the patient to a much lower radiation dose than a standard CT. It is commonly used for lung cancer screening and early detection, which can change demand for imaging equipment, screening programs, and related services — making LDCT relevant to investors tracking healthcare technology, diagnostics, and reimbursement trends.
multiomics technical
"SimpleScreen Lung incorporates multiomics through methylation and proteomics"
Multiomics is the combined analysis of different biological data types — such as genes, proteins and small‑molecule chemicals — to build a complete picture of how cells or organisms function. For investors, multiomics matters because it can make drug and diagnostic development more precise and faster by revealing causes, predicting who will benefit from a therapy, and reducing downstream clinical trial surprises — like using multiple camera angles to better understand a complex scene.
methylation medical
"platform analyzes circulating cell-free DNA methylation patterns"
Methylation is a chemical process where small tags called methyl groups attach to DNA or proteins, altering how genes are read without changing the underlying genetic code. Investors monitor methylation because patterns can serve as diagnostic markers, drug targets, or measures of treatment response in biotech and healthcare—think of them as sticky notes or light switches that change biological behavior and can affect a product’s development, approval and market value.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Investigational AI-powered multiomic test is being developed for adults ages 50-80 at high risk who are not currently participating in guideline-recommended lung cancer screening

BRISBANE, Calif., Aug. 12, 2026 (GLOBE NEWSWIRE) -- Freenome, Inc. (Nasdaq: FRNM), an early cancer detection company developing blood-based screening tests, today announced that the U.S. Food and Drug Administration (FDA) has granted Breakthrough Device Designation to SimpleScreen™ Lung, the company’s investigational lung cancer screening test.

The designation applies to the proposed use of SimpleScreen Lung in adults ages 50 to 80 who have at least a 20 pack-year smoking history and are not currently participating in guideline-recommended lung cancer screening. The test, which would be ordered by a healthcare provider, is designed to detect early signals of lung cancer in a blood sample from a standard blood draw.

The FDA Breakthrough Devices Program is intended to accelerate the development and review of medical devices that provide more effective treatment or diagnosis of life-threatening or irreversibly debilitating diseases and meet other criteria. The program offers Freenome the opportunity for interactive communication and prioritized review during the premarket submission process.

Lung cancer is the leading cause of cancer death in the United States,1 yet the screening gap remains substantial. According to the Centers for Disease Control and Prevention, only about 18% of U.S. adults for whom lung cancer screening is recommended have been screened. Today, low-dose computed tomography (LDCT) is the only guideline-recommended screening for lung cancer. Common barriers to LDCT adoption include strict eligibility criteria, lack of awareness, social stigma around smoking, fear of a cancer diagnosis, concern of repetitive radiation exposure, and logistical and financial obstacles.

By offering a non-invasive blood test, Freenome aims to help patients and providers overcome some of those obstacles and make lung cancer screening easier and more accessible.

"The Breakthrough Device Designation from the FDA recognizes the substantial unmet need for lung cancer screening and accelerates our path to bring SimpleScreen Lung to patients," said Aaron Elliott, Ph.D., CEO of Freenome. "By identifying high-risk individuals who would benefit from LDCT, we believe our test will complement the current standard of care and improve detection rates. We continue to advance the clinical work necessary to submit SimpleScreen Lung for FDA review."

The development of SimpleScreen Lung builds upon Freenome’s base-level methylation and next-generation sequencing platform, which is the technology underlying the FDA approval last month of the SimpleScreen CRC colorectal cancer screening test. SimpleScreen Lung incorporates multiomics through methylation and proteomics technologies with an AI/ML-powered classifier to determine whether a lung cancer signal has been detected. Under the proposed indication, a positive result means the test detected a signal that may suggest lung cancer and should be followed by LDCT imaging. A negative result means the test did not detect a lung cancer-associated signal, but it does not guarantee the absence of lung cancer. Healthcare providers should determine appropriate follow-up for each individual.

Freenome reported initial development data for the investigational SimpleScreen Lung test at the 2026 AACR Annual Meeting.2 Freenome is continuing clinical evaluation of the test, including through its prospective PROACT LUNG study (NCT06122077).

About Freenome

Freenome is an early cancer detection company developing blood-based screening tests to identify cancer in its earliest, most treatable stages. The company’s proprietary multiomics discovery platform analyzes circulating cell-free DNA methylation patterns at single-base resolution alongside additional biomarkers to detect multiple cancers. Freenome’s development of SimpleScreen™ CRC for colorectal cancer screening and a pipeline of tests for lung cancer and additional indications is designed to increase cancer detection among millions of at-risk individuals. For more information, visit www.freenome.com.

Forward-Looking Statements

Statements we make in this press release may include statements that are not historical facts and are considered forward-looking within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, which are usually identified by the use of words such as “anticipates,” “believes,” “estimates,” “expects,” “intends,” “may,” “plans,” “projects,” “seeks,” “should,” “will” and variations of such words or similar expressions. We intend these forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 and are making this statement for purposes of complying with those safe harbor provisions. Any statements in this press release that are not statements of historical fact may be deemed to be forward-looking statements. These forward-looking statements include, without limitation, express or implied statements regarding the Breakthrough Device Designation of SimpleScreen Lung, potential benefits resulting from such designation and related implications including interactions with the FDA and related timing; SimpleScreen Lung’s impact and ability to reach additional patients; our plans with respect to the continued development of SimpleScreen Lung and expectations regarding submission to FDA. These forward-looking statements reflect our current views about our plans, intentions, expectations, strategies and prospects, which are based on the information currently available to us and on assumptions we have made. Although we believe that our plans, intentions, expectations, strategies and prospects as reflected in or suggested by those forward-looking statements are reasonable, we can give no assurance that the plans, intentions, expectations or strategies will be attained or achieved. Furthermore, actual results may differ materially from those described in the forward-looking statements and will be affected by a variety of risks and factors that are beyond our control including, without limitation, risks related to the approval of Freenome’s products and tests and the timing of expected regulatory and business milestones; ability to negotiate definitive contractual arrangements with potential customers; the impact of competitive products and tests; ability to obtain sufficient supply of materials; ability to obtain additional financing; ability to attract and retain qualified personnel; global economic and political conditions; legal and regulatory changes; the outcome of any legal proceedings that may be instituted against Freenome; the effects of competition on Freenome’s future business; as well as those set forth in the Form S-4 that was filed with the SEC, as updated by our subsequently filed SEC filings. We assume no obligation to update publicly any forward-looking statements, whether as a result of new information, future events or otherwise.

References
1. Siegel RL, Kratzer TB, Wagle NS, Sung H, Jemal A. Cancer statistics, 2026. CA Cancer J Clin. 2026;76(1):e70043. doi:10.3322/caac.70043.
2. Cancer Res (2026) 86 (7_Supplement): 1107. https://doi.org/10.1158/1538-7445.AM2026-1107.



Contacts

Media contact
Ryan Flinn
The Grace Group
ryan@gracegroup.us

Investor contact
investor-relations@freenome.com

FAQ

What did the FDA grant to Freenome (FRNM) for its SimpleScreen Lung test in August 2026?

The FDA granted Breakthrough Device Designation to Freenome’s investigational SimpleScreen Lung blood-based screening test. According to Freenome, this designation supports interactive communication and prioritized review during the premarket submission process for diagnosing lung cancer in high-risk, under-screened adults.

Who is the SimpleScreen Lung test from Freenome (FRNM) intended to screen?

SimpleScreen Lung is being developed for adults aged 50–80 with at least a 20 pack-year smoking history who are not in guideline-recommended screening. According to Freenome, the test aims to identify high-risk individuals who may benefit from follow-up low-dose CT imaging.

How does Freenome’s SimpleScreen Lung blood test work for lung cancer screening?

SimpleScreen Lung analyzes a standard blood draw using multiomic technologies, including methylation and proteomics, plus an AI/ML classifier. According to Freenome, the test determines whether a lung cancer-associated signal is detected, with positive results to be followed by low-dose CT imaging for further evaluation.

Is Freenome’s SimpleScreen Lung test FDA approved and available to patients now?

SimpleScreen Lung is currently investigational and not yet FDA cleared or approved for routine clinical use. According to Freenome, the Breakthrough Device Designation supports ongoing development and review, including continued clinical evaluation in the PROACT LUNG study before potential FDA submission.

What does a positive or negative SimpleScreen Lung result mean for patients?

A positive SimpleScreen Lung result indicates a detected signal that may suggest lung cancer and should be followed by LDCT imaging. According to Freenome, a negative result means no detected signal but does not guarantee absence of cancer, so providers should determine appropriate follow-up.

What clinical studies are evaluating Freenome’s SimpleScreen Lung test (FRNM)?

Freenome is evaluating SimpleScreen Lung in clinical research, including the prospective PROACT LUNG study (NCT06122077). According to Freenome, the company previously reported initial development data for the investigational test at the 2026 AACR Annual Meeting, supporting ongoing development and future regulatory review.