Freenome

Freenome

Blood-based multiomics cancer detection tests

Overview

Freenome develops non-invasive blood tests for early cancer detection by combining genomics and proteomics to identify cancer signals in blood. The tests are sold to healthcare providers and research institutions and are also used in clinical trials and collaborations. The process involves analyzing a blood sample with proprietary algorithms to assess cancer risk and guide follow-up diagnostics. By integrating multiple data types and pursuing large-scale trials, Freenome aims to make early cancer screening routine and improve patient outcomes, with a focus on expanding colorectal cancer testing.

About Freenome

Simplify's Rating
Why Freenome is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & Analytics

Biotechnology

Healthcare

Company Size

201-500

Company Stage

IPO

Headquarters

San Francisco, California

Founded

2014

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Simplify's Take

What believers are saying

  • Abbott’s July 2025 deal pays Freenome a $100 million FDA milestone.
  • ACS guidelines added blood-based CRC screening in May 2026, improving reimbursement and referrals.
  • SimpleScreen Lung won FDA Breakthrough Device Designation on August 12, 2026, accelerating development.

What critics are saying

  • Guardant Shield and Abbott’s Cologuard portfolio can crowd out Freenome sales in 2026.
  • SimpleScreen CRC detects only 13.7% of advanced precancerous lesions, limiting guideline enthusiasm.
  • If lung-screening trials disappoint, Freenome remains a single-product company dependent on CRC adoption.

What makes Freenome unique

  • SimpleScreen CRC won FDA approval on July 27, 2026.
  • Freenome pairs methylation, proteomics, and AI to screen blood for early cancer.
  • Abbott exclusively commercializes U.S. CRC screening, while Roche backs international expansion.

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Funding

Total Funding

$1.4B

Above

Industry Average

Funded Over

10 Rounds

Spac IPO funding comparison data is currently unavailable. We're working to provide this information soon!
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Benefits

Competitive market-based salaries

Annual bonus opportunities

Relocation packages

Medical, dental, & vision coverage

401k

Wellness programs

Equity

PTO

Stock Price

Growth & Insights and Company News

Headcount

6 month growth

-1%

1 year growth

-1%

2 year growth

-4%
The Charlotte Observer
Aug 19th, 2026
Jefferies initiates Freenome at Buy with $17 target, 47% upside

Jefferies initiated coverage of Freenome with a Buy rating and $17 price target on 17 August 2026, according to CNBC. The target implies a roughly 47% increase from the previous close of $11.56. Shares jumped more than 12% on the news. Freenome develops blood-based cancer screening tests. The company recently went public via a SPAC merger on 21 July 2026, raising more than $300 million. Its lead product, a colorectal cancer test, won FDA approval on 27 July 2026. Abbott Laboratories handles US commercialisation under a deal that included a $100 million milestone payment. Roche covers international markets and led a $254 million funding round in 2024. The company plans to expand into lung cancer screening and aims to cover more than ten cancer types over time.

Targeted Oncology
Aug 1st, 2026
FDA approves SimpleScreen blood test for CRC screening.

FDA approves SimpleScreen blood test for CRC screening. SimpleScreen CRC has demonstrated a sensitivity of 81.1% for CRC detection. The FDA has approved SimpleScreen CRC (Freenome), a blood-based screening option for colorectal cancer (CRC), for adults 45 and older who are at average risk for the disease, with Abbott planning to commercialize the test this fall.[1] SimpleScreen CRC detects CRC-associated signals from cell-free DNA in the blood. In a prespecified analysis from the PREEMPT CRC study (NCT04369053) adjusted to match the US Census population distribution, the test demonstrated a sensitivity of 81.1% for CRC detection and 13.7% for advanced precancerous lesions (APLs), including 30.7% for APLs with high-grade dysplasia.[1] Specificity for advanced colorectal neoplasia was 90.4%.[1] In practical terms, the test correctly identified approximately 8 in 10 CRC cases and produced a negative result in 9 of 10 people without CRC or advanced precancerous lesions. The PREEMPT CRC data were published in JAMA in June 2025, where the primary analysis in 27,010 consecutively enrolled participants showed a CRC sensitivity of 79.2% (95% CI, 68.4%-86.9%; P = .006) and specificity for advanced colorectal neoplasia of 91.5% (95% CI, 91.2%-91.9%; P <.001), with all primary end points meeting prespecified acceptance criteria.[2] In adults aged 45 to 49 years, among whom only approximately 20% are current with recommended screening, the test showed 100% sensitivity for CRC and 94.8% specificity for advanced colorectal neoplasia.[2] Freenome is also developing an updated next-generation version. Data presented at the 2026 American Society of Clinical Oncology Gastrointestinal Cancers Symposium (ASCO GI) showed that the updated test achieved 80.4% to 85% sensitivity for CRC and 18.2% to 22% sensitivity for APLs at 90% specificity, reflecting improved precancer detection over the approved first-generation version.[3] "The most effective screening test is the one a person will actually complete," Aasma Shaukat, MD, MPH, a professor of medicine at NYU Grossman School of Medicine and a co-lead principal investigator on PREEMPT CRC, stated in a news release. "Many people who should be screened for colorectal cancer simply aren't. A blood-based test provides another way to reach unscreened patients, and bringing more people into the screening fold leads to earlier detection and better outcomes." About PREEMPT CRC and Clinical development. PREEMPT CRC enrolled more than 48,000 asymptomatic, average-risk adults aged 45 to 85 years at more than 200 sites across the United States who were scheduled for a routine screening colonoscopy, with colonoscopy findings serving as the reference standard.[1] The study used a hybrid recruitment strategy to broaden diversity, with more than 11% of participants identifying as Black or African American and more than 11% as Hispanic or Latino.[2] SimpleScreen CRC is indicated for adults 45 and older at average risk for CRC who have been referred by a health care provider. A positive result should be followed by a colonoscopy. The test is not a replacement for diagnostic or surveillance colonoscopy in high-risk individuals.[1] With FDA approval, SimpleScreen CRC meets Medicare coverage criteria and has been incorporated into the updated American Cancer Society guidelines for CRC screening.[1] "The fact is that 90% of colorectal cancer deaths are preventable, yet the disease will still claim more than 55,000 lives in the US this year alone," Anjee Davis, MPAA, CEO of Fight Colorectal Cancer, stated in the news release.[1] "Regular screening is the key to reversing that trend, and new, minimally invasive screening options that help more people get screened are a critical part of that process. Colorectal cancer is increasingly affecting younger adults, and a screening test that fits into a routine visit, accompanied by prompt follow-up in response to an abnormal result, can play an important role in driving earlier treatment and prevention." References. 1. FDA approves Freenome's SimpleScreen CRC blood-based screening test; Abbott to commercialize in the U.S. News release. Freenome. July 27, 2026. Accessed July 27, 2026. 2. Shaukat A, Burke CA, Chan AT, et al. Clinical validation of a circulating tumor DNA-based blood test to screen for colorectal cancer. JAMA. 2025;334(1):56-63. doi:10.1001/jama.2025.7515.

Freenome
Jul 29th, 2026
Freenome Debuts as a Publicly Traded Company Focused on Blood-Based Early Cancer Detection

– Freenome common stock expected to begin trading on the Nasdaq Capital Market under the ticker symbol “FRNM” on July […]

Yahoo Finance
Jul 27th, 2026
Abbott to market Freenome's FDA-approved blood test for colorectal cancer screening

The FDA has approved Freenome's SimpleScreen CRC, a blood-based colorectal cancer screening test. Abbott will exclusively market the test in the US starting this autumn, adding it to its portfolio alongside the Cologuard stool test acquired through its $21 billion purchase of Exact Sciences earlier this year. SimpleScreen will compete with Guardant Health's Shield blood test, approved in 2024. Both tests target adults aged 45 and older at average risk, addressing approximately 60 million Americans overdue for recommended screening. The approval follows Freenome's PREEMPT CRC study of over 48,000 people, which showed the test detected about 80% of colorectal cancers. Freenome will receive a $100 million milestone payment from Abbott under their August 2025 commercial agreement.

Associated Press
Jul 27th, 2026
FDA approves Freenome's blood-based colorectal cancer screening test, Abbott to commercialise

The US Food and Drug Administration has approved Freenome's SimpleScreen CRC, a blood-based colorectal cancer screening test for adults aged 45 and older at average risk. Abbott will exclusively commercialise the test in the US this autumn. The approval addresses a significant gap, as up to 60 million Americans remain overdue for recommended colorectal cancer screening. The test detects cancer-associated signals from cell-free DNA in blood samples. PREEMPT CRC, the largest prospective clinical validation study for such a test, enrolled over 48,000 participants across 200 sites. The test detected colorectal cancer with 81.1% sensitivity and advanced precancerous lesions with 13.7% sensitivity, whilst showing 90.4% specificity for advanced colorectal neoplasia. Following the FDA approval, Freenome will receive a $100 million milestone payment from Abbott under their August 2025 commercial agreement. The test meets Medicare coverage criteria.

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