ProPhase Labs Announces Successful Study Demonstrating Performance of BE-Smart™ Test in Detecting Esophageal Cancer
- Achieved >95% technical success rate in validation study
- Unique capability to work with both forceps and brush biopsies
- Targeting a $10 billion market opportunity
- Expanded payer coverage reaching over 73 million U.S. lives
- Clinical launch expected within 2-3 quarters
- Addresses limitations of traditional forceps biopsies which can miss up to 50% of cases
- Product not yet commercially launched
- Will face competition in established diagnostic market
- Clinical adoption and market penetration yet to be proven
Insights
ProPhase's BE-Smart test shows >95% success rate for esophageal cancer detection, creating significant commercial opportunity in $10B market.
ProPhase Labs has achieved a significant breakthrough with their BE-Smart™ molecular diagnostic test, demonstrating a >95% technical success rate in detecting biomarkers for Barrett's esophagus and related conditions using esophageal brush cytology. This validation represents a critical technological advancement in the early detection of esophageal adenocarcinoma (EAC), a cancer with a staggering 79% mortality rate that has increased by over 750% since the 1970s.
What makes BE-Smart™ particularly valuable is its dual compatibility with both forceps ("pinch") and brush biopsy methods. This versatility addresses a significant clinical limitation in current diagnostic approaches, as forceps sampling can miss up to 50% of focal areas of Barrett's esophagus. The brush method's ability to collect cells across broader regions creates a more comprehensive sampling profile for detection.
The commercial implications are substantial. With approximately 6-7 million upper endoscopies performed annually in the US and an estimated 60 million Americans affected by esophageal disease, ProPhase is targeting a $10 billion market. The test's compatibility with brush biopsies—which are gaining traction due to lower costs and reduced complication risks—positions it well as the diagnostic landscape evolves. With expanded payer coverage now reaching over 73 million US lives, the path to market adoption appears increasingly clear.
ProPhase expects clinical launch within 2-3 quarters as a laboratory developed test (LDT), which typically faces fewer regulatory hurdles than FDA-approved diagnostics. This accelerated commercialization timeline could provide ProPhase first-mover advantage in this specific diagnostic niche for early detection of a deadly cancer that desperately needs improved diagnostic tools.
BE-Smart represents a significant advance in diagnosis and management of Esophageal disease that affects an estimated 60 million people in the United States
Study shows >
UNIONDALE, NY, June 17, 2025 (GLOBE NEWSWIRE) -- ProPhase Labs Inc. (NASDAQ: PRPH), (the “Company” or “ProPhase”) a next generation biotech, genomics and consumer products company, today announced the successful completion of a key validation study evaluating the performance of the BE-Smart™ molecular diagnostic test compatibility with samples obtained from esophageal brush cytology. The study demonstrated BE-Smart™ achieved greater than a
BE-Smart uses a proprietary panel of biomarkers and a multi-modal analysis method which together significantly increase detection of deadly cancer cells in one of the fastest growing cancer indications, esophageal denocarcinoma cancer or “EAC”. EAC has a 5-year mortality rate of over
“The ability to run BE-Smart on brush biopsy samples opens the door to much broader clinical use,” said Ted Karkus, CEO at ProPhase Labs. “Many leading molecular diagnostics cannot be used with brush biopsies. BE-Smart now stands apart as the only advanced molecular test designed to work with both forceps biopsies and brush-based tissue collection. We are now working toward commercialization as a laboratory developed test (LDT) with a target market of roughly
The dual capability of BE-Smart now validated to analyze both “pinch” and “brush” standard of care biopsies enables a powerful tool for comprehensive esophageal disease surveillance and clinical management. Pinch biopsies enable detailed analysis of specific areas, while brush biopsies gather a wider sample of epithelial cells, improving detection of disease across broader regions. Importantly, BE-Smart is commercially and clinically compatible with both of these broadly used approaches making it a dynamic and one-of-a-kind test.
Brush biopsies are rapidly emerging into mainstream clinical practice due to decreased cost and possibility of health complications associated with forceps biopsies. U.S. endoscopists perform approximately 6-7 million upper endoscopies (EGDs) each year, the majority of which still rely on traditional forceps biopsies alone. However, forceps sampling can miss up to
This shift toward brush biopsies is driven by their improved diagnostic yield and safety profile, addressing some of the limitations of traditional forceps biopsies. As clinical evidence mounts, these non-invasive techniques are gaining traction in both the U.S. and abroad, transforming the landscape of esophageal diagnostics. With expanded payer coverage now reaching over 73 million U.S. lives, and inclusion in leading gastroenterology guidelines, brush biopsies are increasingly recognized for their ability to capture a broader, more representative cell population compared to forceps alone.
Brush biopsies continue to grow in popularity among gastroenterologists and endoscopists, particularly for patients with GERD, Barrett’s esophagus, and other distal esophageal disorders. BE-Smart has been designed as the ideal molecular add-on testing platform for improving cancer risk stratification and disease monitoring. Improved measurement ability addresses the critical unmet need of early detection, treatment and improved outcomes.
About ProPhase Labs Inc.
ProPhase Labs Inc. (Nasdaq: PRPH) (“ProPhase”) is a next-generation biotech, genomics and consumer products company. Our mission is to build a healthier world through bold innovation and actionable insight. We’re revolutionizing healthcare with industry-leading Whole Genome Sequencing solutions, groundbreaking diagnostic development – such as our potentially life-saving test for the early detection of esophageal cancer – and a world class direct-to-consumer marketing platform for cutting edge OTC dietary supplements. We develop and commercialize health and wellness solutions to enable people to live their best lives. We are committed to executional excellence, smart diversification, and a synergistic, omni-channel approach. ProPhase Labs’ valuable subsidiaries, their synergies, and significant growth underscore our potential for long-term value. www.ProPhaseLabs.com
Forward-Looking Statements
Except for the historical information contained herein, this document contains forward looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including statements regarding our strategy, plans, objectives and initiatives, including our expectations regarding the future revenue growth potential of each of our subsidiaries, our expected timeline for commercializing our BE-Smart Esophageal Cancer Test, our expectations regarding future liquidity events, the success of our efforts to collect accounts receivables and anticipated timeline for any payments relating thereto, and our ability to successfully transition into a consumer products company. Management believes that these forward-looking statements are reasonable as and when made. However, such forward-looking statements involve known and unknown risks, uncertainties, and other factors that may cause actual results to differ materially from those projected in the forward-looking statements. These risks and uncertainties include but are not limited to our ability to obtain and maintain necessary regulatory approvals, general economic conditions, consumer demand for our products and services, challenges relating to entering into and growing new business lines, the competitive environment, and the risk factors listed from time to time in our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q and any other SEC filings. The Company undertakes no obligation to update forward-looking statements except as required by applicable securities laws. Readers are cautioned that forward-looking statements are not guarantees of future performance and are cautioned not to place undue reliance on any forward-looking statements.
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