EXAS—As per usual in biotech, if the company hasn't provided data, it is reasonable to speculate that the data isn't particularly good.
Following up on my reply in #msg-87008129: After listening to the EXAS CC last week, I’m pretty sure EXAS does not have any hard data on cumulative sensitivity (which, I suppose, is better than having bad data and not disclosing it). This passage from the CC is revealing:
…the risk of developing colorectal cancer multiplies with polyp size, but fewer than 40% of polyps continue to grow past 1 centimeter. Those that do grow expand slowly, doubling in 5 to 6 years. The slow growth of these polyps provides us with an ample window to detect them over several screening intervals, which creates a cumulative sensitivity of potentially 90%.
The key words in this passage are: i) several, which is deliberately vague in a context where the devil is in the details; and ii) potentially, from which I infer that no actual data exist on series of Cologuard tests.
I continue to think the concept of cumulative sensitivity has merit for Cologuard screening of the general population, but I have to wonder why EXAS has made no attempt to quantify it.
“The efficient-market hypothesis may be the foremost piece of B.S. ever promulgated in any area of human knowledge!”