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Information on early detection of HCC with GAAD

In Switzerland, liver cancer is among the most common cancer diagnosis and ranks in sixth place as cause of cancer-related death.1 The risk population for hepatocellular carcinoma (HCC) will continue to rise in the future as cases of MASH (Metabolic Dysfunction-Associated Steatohepatitis) increase. The 5-year survival rate for late-stage diagnosis is less than 5%, whereas it can rise to 40-70% with early detection. However, conventional screening methods for early detection of HCC have limited sensitivity.2,3

GAAD algorithm for early detection of hepatocellular carcinoma

GAAD is a multivariate index assay that combines the results of the AFP and PIVKA-II assays with information on gender and age. It serves as an aid in the diagnosis of hepatocellular carcinoma in both early and advanced stages.4,5

 

Using the GAAD algorithm alone increases the sensitivity for detecting earlystage HCC to 73%; when combined with an ultrasound, it increases to 88%.6 

 

GAAD must be interpreted in conjunction with other diagnostic findings and clinical information according to standard clinical management guidelines.

 

A pilot project is running until mid March this year. If certain requirements are met, you can request a GAAD risk calculation free of charge until March 19th, 2025 and send your patient samples to our partner laboratory Bioanalytika in Lucerne.

 

If you would like to find out more about GAAD or on the conditions of participation, please do not hesitate to contact Dr Benjamin Eggerschwiler by e-mail benjamin.eggerschwiler.be1@roche.com or by phone on +41 79 741 66 43. 

EASL Liver Cancer Summit

If you are attending this year's EASL Liver Cancer Summit in Paris, we would be delighted to welcome you at our Roche stand.

Visit our stand

References

1. Krebsliga Schweiz. Krebs in der Schweiz. wichtige Zahlen, data access under: https://www.krebsliga.ch/ueber-krebs/zahlen-fakten/-dl-/fileadmin/downloads/sheets/zahlen-krebs-in-derschweiz.pdf (last access: 22.01.2025) | 2. El-Serag HB et al. Surveillance for hepatocellular carcinoma: in whom and how? Ther Adv Gastroenterol 2011; 4: 5–10 |  3. Kao, Wei-Yu et al. “Prognosis of Early-Stage Hepatocellular Carcinoma: The Clinical Implications of Substages of Barcelona Clinic Liver Cancer System Based on a Cohort of 1265 Patients.” Medicine vol. 94,43 (2015): e1929 | 4. Roche. Elecsys® GAAD immunoassay product information. 2022, data access under: https://diagnostics.roche.com/ch/de/article-listing/gaad.html, (last access: 22.01.2025) | 5. Piratvisuth T et al, Development and clinical validation of a novel algorithmicscore (GAAD) for detecting HCC in prospective cohort studies. Hepatol Commun. 2023;7:e0317 | 6. Huang CF et al. Surveillance Imaging and GAAD/GALAD Scores for Detection of Hepatocellular Carcinoma in Patients with Chronic Hepatitis, J Clin Transl Hepatol, 2024;12(11):907-916

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