Lucid Diagnostics Releases Positive Data from First Prospective Clinical Utility Study of EsoGuard® Esophageal Precancer Detection

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Lucid Diagnostics Releases Positive Data from First Prospective Clinical Utility Study of EsoGuard® Esophageal Precancer Detection

Lucid Diagnostics Inc. (Nasdaq: LUCD) ("Lucid" or the "Company") a commercial-stage, cancer prevention medical diagnostics company, and majority-owned subsidiary of PAVmed (NASDAQ: PAVM ) Inc. (Nasdaq: PAVM, PAVMZ) ( "PAVmed"), today announced it has released positive interim data from the multicenter, CLinical Utility of EsoGuard (CLUE) study. This is the Company's first report of prospective data from multiple physicians demonstrating real-world clinical utility of EsoGuard® Esophageal DNA testing for the detection of esophageal precancer; and supplements its recently released positive data from a retrospective analysis of EsoGuard's clinical utility in firefighters.

The study documents near perfect concordance, including 100 percent concordance in EsoGuard-positive patients, between clinically-directed EsoGuard test results and subsequent medical decision-making by multiple different prescribing physicians. It demonstrates that EsoGuard allows physicians to appropriately triage those requiring confirmatory endoscopy in a manner broadly consistent with established, and recently updated, professional society guidelines. The manuscript entitled Clinical Utility Study of EsoGuard® on Samples Collected with EsoCheck® as a Triage Test for Endoscopy to Identify Barrett's Esophagus – Interim Data of the First 275 Subjects is available on the leading health sciences preprint server, medRxiv, pending peer review and publication.

"Prospective clinical utility data involving multiple physicians provides the strongest level of evidence to payors, and other stakeholders, that a diagnostic test such as EsoGuard has real-world clinical utility driving appropriate medical decision making," said Victoria T. Lee, M.D., PAVmed's Senior Vice President and Chief Medical Officer of PAVmed, who oversees all of Lucid's clinical research activities. "We designed CLUE to demonstrate to payors that a diverse group of physicians across multiple centers will clinically utilize EsoGuard to appropriately refer at-risk patients with positive results for confirmatory endoscopy, and not refer those with negative results unless another indication for endoscopy emerges. These outstanding interim results in our first 275 patients document that the physicians do make the appropriate referrals, consistent with professional society guidelines. We continue to expand the number of study sites and enroll additional patients in the CLUE study. We plan to release subsequent reports on a larger CLUE cohort along with additional clinical utility data documenting patient compliance with the endoscopy referral following a positive EsoGuard result."

The manuscript reports on the first 275 patients at-risk for esophageal precancer enrolled in the prospective multicenter CLUE study at four U.S. sites. 264 patients underwent successful nonendoscopic esophageal cell sampling using Lucid's EsoCheck® Cell Collection Device—a 96 percent technical success rate. Of the 232 patients for whom results were available 220 had sufficient DNA (95 percent) for EsoGuard testing. The prescribing physician referred all 68 patients with positive EsoGuard results (29 percent) for confirmatory endoscopy. 151 of the 152 patients with negative EsoGuard results were not referred for endoscopy. One EsoGuard-negative patient was referred for endoscopy as part of a surgical evaluation, not for precancer screening. These results document 100 percent concordance between a positive EsoGuard test result and subsequent physician medical decision-making, and a 99 percent concordance with a negative result. EsoGuard eliminated the need for over one-hundred fifty costly, invasive, and inconvenient endoscopies at the four practices, consistent with professional society guidelines.

"These outstanding results add to a growing evidence base of EsoGuard's clinical utility and clinical validity, which was recently strengthened by unprecedented esophageal precancer and cancer detection results from the NCI-funded BETRNet study," said Lishan Aklog, M.D., Lucid's Chairman & Chief Executive Officer. "We look forward to using these data to accelerate our engagement with payors and continuing to expand EsoGuard's clinical utility and clinical validity evidence base over the coming quarters."

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