Lucid Diagnostics Publishes Largest Real‑World Study of EsoGuard and EsoCheck, Highlighting Safety, Efficiency and Future Coverage Opportunities

LUCD
December 09, 2025

Lucid Diagnostics announced the results of its largest real‑world study of the EsoGuard DNA test and EsoCheck cell‑collection device, covering 11,991 at‑risk patients screened between January 2023 and June 2024. The study, posted to the medRxiv preprint server, reports a 95 % technical success rate for EsoCheck, with 95 % of procedures completed in under two minutes and no serious adverse events. The data confirm the high sensitivity and negative predictive value that were demonstrated in earlier clinical trials, reinforcing the test’s role as a scalable, non‑invasive screening tool for Barrett’s esophagus.

The 11,991‑patient cohort represents the largest real‑world evidence base for EsoGuard to date. A 95 % success rate means that nearly all patients received a usable sample, while the rapid procedure time—95 % under two minutes—demonstrates operational efficiency that could ease workflow integration in primary care and gastroenterology practices. The absence of serious adverse events underscores the safety profile that is critical for widespread adoption and payer acceptance.

Lucid’s CEO, Lishan Aklog, said the study “demonstrates that EsoGuard has advanced from an aspirational ‘missing link’ to the linchpin of a clinically viable and scalable early‑detection program.” The findings support the company’s strategy to secure insurance coverage, including a proposed Medicare Local Coverage Determination for molecular testing of esophageal precancer and cancer. Successful coverage would unlock a large, under‑served patient population and accelerate commercial uptake.

Despite the positive clinical data, Lucid Diagnostics continues to face significant financial headwinds. The company has reported substantial net losses and negative operating margins in recent quarters, and its Altman Z‑Score indicates a high risk of bankruptcy. Lucid has raised additional capital to extend its runway, but the study’s commercial potential remains to be monetized. The data provide a foundation for future revenue growth, but investors should weigh the financial challenges that accompany the company’s current cash position.

The CEO’s statement highlights the strategic importance of the study: “This extensive real‑world experience demonstrates that EsoGuard has advanced from an aspirational ‘missing link’ in esophageal cancer prevention to the linchpin of a clinically viable and scalable early‑detection program.” The company’s focus on scaling the technology, securing payer coverage, and addressing financial sustainability will shape its trajectory in the coming months.

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