Japanese startup Craif raises funds to expand urine-based cancer test

Using microRNA instead of cfDNA, Craif’s technology offers earlier and clearer cancer detection at a very early stage.

Craif is developing a urine-based, AI-powered cancer detection test instead of relying on traditional blood screenings.

Cancer remains one of the leading causes of death worldwide, with nearly 20 million new cases and 9.7 million deaths recorded in 2022.

In response, Japanese startup Craif, spun off from Nagoya University in 2018, is developing an AI-powered early cancer detection software using microRNA (miRNA) instead of relying on traditional methods.

The company has just raised $22 million in Series C funding, bringing its total to $57 million, with plans to expand into the US market and strengthen its research and development efforts.

Craif was founded after co-founder and CEO Ryuichi Onose experienced the impact of cancer within his own family. Partnering with associate professor Takao Yasui, who had discovered a new technique for early cancer detection using urinary biomarkers, the company created a non-invasive urine-based test.

Instead of invasive blood tests, Craif’s technology allows patients to detect cancers as early as Stage 1 from the comfort of their own homes, making regular screening more accessible and less daunting.

Unlike competitors who depend on cell-free DNA (cfDNA), Craif uses microRNA, a biomarker known for its strong link to early cancer biology. Urine is chosen instead of blood because it contains fewer impurities, offering clearer signals and reducing measurement errors.

Craif’s first product, miSignal, which tests for seven different types of cancers, is already on the market in Japan and has attracted around 20,000 users through clinics, pharmacies, direct sales, and corporate wellness programmes.

The new funding will enable Craif to enter the US market, complete clinical trials by 2029, and seek FDA approval. It also plans to expand its detection capabilities to cover ten types of cancers this year and explore applications for other conditions like dementia instead of limiting its technology to cancer alone.

With a growing presence in California and partnerships with dozens of US medical institutions, Craif is positioning itself as a major player in the future of early disease detection.

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