Gene test may spare some breast cancer patients from chemo
NCT ID NCT03843346
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether a tumor gene test called the 21 gene Recurrence Score (OncotypeDx) changes doctors' recommendations for chemotherapy in women with early-stage, hormone receptor-positive breast cancer that has spread to lymph nodes. Researchers tracked how often chemotherapy was recommended before and after the test results were known. The goal was to see if the test helps avoid unnecessary chemotherapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors better decide which patients need chemotherapy, avoiding unnecessary treatment.
- What could go wrong
- This is a small, completed observational study in Ireland, so results may not apply to all populations. The test itself is already commercially available, so the main question is about its real-world impact.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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87 people
The number who actually took part.
- Started
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Mar 2017
- Finished
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Feb 2021
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study will examine 2 cohorts of patients; * 75 patients (cohort 1; "postoperative") who have undergone resection of their primary breast cancer and * 75 patients (cohort 2; "preoperative") who are referred to a Medical Oncologist for consideration of neoadjuvant (preoperative) treatment. Both cohorts will have ER positive, lymph node positive breast cancer and both cohorts will undergo testing with the 21 gene RS.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: General Inclusion Criteria (All Patients) 1. Age 18 years of age or older 2. ER Positive Tumours (≥1% positive cells or Allred score ≥ 2 (Appendix 1)) 3. Human Epidermal Growth Factor Receptor 2 (HER2) negative breast cancer (0-1 by IHC or FISH \<2.0) 4. No evidence of metastatic disease on CT, bone scan or other imaging 5. Fit for consideration of chemotherapy as determined by the Investigator 6. Adequate performance status (Eastern Cooperative Oncology Group (ECOG) 0 or 1 (Appendix 2)) Inclusion Criteria - Cohort 1 (Postoperative Patients): N= 75 1. Adequate surgical excision of breast tumour (mastectomy or lumpectomy) and lymph nodes (sentinel lymph biopsy or axillary dissection) 2. Any tumour size (T stage (Appendix 3)) 3. Involvement of 1-3 lymph nodes (N1, including micrometastases) Inclusion Criteria - Cohort 2 (Preoperative Patients): N= 75 1. Candidates for preoperative therapy for early breast cancer 2. T2-T4 tumours 3. Involvement of at least one lymph node, (including micrometastases) on biopsy 4. Adequate tissue from core biopsy for 21 gene RS testing (approximate minimum 5mm) Exclusion Criteria (All patients): 1. ER negative tumour (Allred score 0-1) 2. HER2 positive tumours as defined by IHC 3+ or FISH ≥ 2.0 3. Node negative disease, including those with Isolated tumour cells only (node negative i+/i-) 4. Known metastatic breast cancer 5. Performance status ≥ 2 6. Patients not considered by their treating physician to be fit to undergo chemotherapy. 7. Men with breast cancer.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Beaumont Hospital
Dublin, Dublin 9, Ireland
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Bon Secour Cork
Cork, Ireland
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Cork University Hospital
Cork, Ireland
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Letterkenny University Hospital
Letterkenny, Co. Donegal, Ireland
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Mater Misericordiae University Hospital & Mater Private Hospital
Dublin, Dublin 7, Ireland
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St James' Hospital
Dublin, Ireland
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St Vincent's University Hospital
Dublin, Dublin 4, Ireland
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University Hospital Galway
Galway, Ireland
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University Hospital Limerick
Limerick, V94 F858, Ireland
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University Hospital Waterford
Waterford, Ireland
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