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How Will We Know They Work? Challenges in Evaluating Multicancer Detection Tests
March 31, 2026 | 1:00 PM-2:00 PM ET
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Company Overview:
Arnold Ventures is a philanthropy that supports research to understand the root causes of America’s most persistent and pressing problems, as well as evidence-based solutions to address them. By focusing on systemic change, AV is working to improve the lives of American families, strengthen their communities, and promote their economic opportunity. Since Laura and John Arnold launched their foundation in 2008, the philanthropy has expanded, and Arnold Ventures’ focus areas include education, criminal justice, health, infrastructure, and public finance, advocating for bipartisan policy reforms that will lead to lasting, scalable change. The Arnolds became signatories of the Giving Pledge in 2010.
Webinar Overview:
Multicancer early detection (MCED) tests have generated great enthusiasm and are becoming available in the U.S. Well-designed clinical trials are needed to determine whether they truly improve health outcomes or if they increase cancer diagnosis rates without ultimately saving lives. In addition, during a trial, if MCED testing leads to increased demand for limited follow-up services such as imaging or endoscopy, this could lead to increased wait times, delayed diagnosis, and worse outcomes for control group patients in the same health system. Trials evaluating MCED and other technologies that affect care delivery should be designed to account for such spillover effects, or they risk overestimating intervention benefits.
Featured Topics:
- Cancer screening and diagnostics
- Clinical trial design
- Study endpoints
- Spillover bias
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Sean Mann, MSc
Senior Policy Analyst, RAND
Sean Mann is a senior policy analyst at RAND and a professor of policy analysis at the RAND School of Public Policy. His work explores critical issues in clinical trial design and the use of artificial intelligence in health care.
- Rita Redberg, MD, MS
Professor, Medicine
University of California San Francisco

- Sanket Dhruva, MD, MHS
Associate Professor, Medicine
University of California San Francisco

Dr. Dhruva is an Associate Professor of Medicine who uses health services research methods to understand and strengthen the evidence base for the safe and effective use of drugs and medical devices, with the goal of improving the quality of care and clinical outcomes for patients. One central focus is on reducing low-value care from medical devices. Dr. Dhruva has more than 250 peer-reviewed publications, including in leading academic journals such as the New England Journal of Medicine, Journal of the American Medical Association (JAMA), JAMA Internal Medicine, and BMJ.