Freenome logo

Freenome

Challenger

Freenome is a biotech company developing AI-powered multiomics blood tests for early cancer detection; raised $1.1B+ total with Roche as a major investor; signed a $75M exclusive license with Exact Sciences for colorectal cancer;

Best for: Multiomics Blood-Based Early Cancer Detection
Life Sciences & BioTechMultiomics Blood-Based Early Cancer DetectionWebsiteUpdated May 2026

Company Overview

About Freenome

Freenome is a clinical-stage biotechnology company founded in 2014 and headquartered in South San Francisco, California. The company is developing a multiomics blood-based testing platform for the early detection of cancer — combining genomics, proteomics, metabolomics, and epigenomics signals from a single blood draw and applying AI/ML models to distinguish cancer-derived signals from normal biological variation. Its lead program targets colorectal cancer (CRC) screening, aiming to provide a non-invasive alternative to colonoscopy for the millions of Americans who decline or delay guideline-based screening.

Business Model & Competitive Advantage

Freenome has raised over $1.1 billion in total funding, including a landmark $290 million investment from Roche in January 2022 alongside an international licensing and collaboration agreement. In late 2024, Freenome signed an exclusive license with Exact Sciences for its blood-based CRC screening test — including a $75 million upfront payment, $200 million in potential milestone payments, and up to $500 million more if the test receives a USPSTF A or B recommendation. In December 2025, Freenome announced a SPAC business combination with Perceptive Capital Solutions Corp, including $240 million from institutional investors, to create a publicly listed company trading on Nasdaq under ticker FRNM, with the transaction expected to close in H1 2026.

Competitive Landscape 2025–2026

Freenome''s AI/ML-enabled multiomics approach differentiates it from single-analyte liquid biopsy companies by integrating multiple biological signal types into a composite cancer risk model. Its platform competes with Exact Sciences (Cologuard), Grail (Galleri multi-cancer early detection), and Guardant Health (Shield blood-based CRC test) for the emerging blood-based cancer screening market — a segment that analysts expect to grow significantly as clinical validation matures and payor coverage expands.

Founded
2014
Headquarters
South San Francisco, California
Curated content • Fact-checked and verified

Key Differentiators

Strong Challenger

Freenome is an established challenger with significant market presence and competitive offerings in Life Sciences & BioTech.

Frequently Asked Questions

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