Can a simple algorithm replace a $4,000 cancer test?
NCT ID NCT04131933
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether giving doctors a free online risk score (PREDICT 2.1) changes how often they order an expensive genetic test called Oncotype DX for early-stage breast cancer. Over 600 patients took part. The goal was to see if the algorithm could help doctors make better decisions about who really needs the costly test.
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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602 people
The number who actually took part.
- Started
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Mar 2020
- Finished
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May 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients that are eligible for Oncotype DX ® testing under current funding parameters with complete pathology reports for newly diagnosed early stage breast cancer will be eligible for this prospective trial.
- Ages
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18 years and older
- Sex
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Anyone
- 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: * Histologically confirmed primary breast cancer * No prior chemotherapy * Eligible for Oncotype DX ® testing as per current Ontario funding criteria including: ER positive, PR positive or negative, HER2 negative, lymph node status negative or micro-invasive disease, tumor \>1 cm in size (or if equal or \<1 cm, must be grade 2/3 or have lymph node micrometastasis). Exclusion Criteria: * Neoadjuvant treatment including window of opportunity trials * Recurrent 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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Grand River Hospital
Kitchener, Ontario, N2G 1G3, Canada
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Kingston Health Sciences Centre
Kingston, Ontario, K7L 2V7, Canada
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Markham Stouffville Hospital
Markham, Ontario, L3P 7P3, Canada
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Ottawa Hospital Research Institute
Ottawa, Ontario, Canada
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Thunder Bay Regional Health Sciences Centre
Thunder Bay, Ontario, P7B 6V4, Canada
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Windsor Regional Hospital
Windsor, Ontario, N8W 1L9, Canada
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Other studies related to the condition(s) this trial covers.
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