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临床试验/NCT03053193
NCT03053193招募中不适用

MammaPrint, BluePrint, and Full-genome Data Linked With Clinical Data to Evaluate New Gene EXpression Profiles: An Adaptable Registry (FLEX)

Agendia132 个研究点 分布在 1 个国家目标入组 30,000 人开始时间: 2017年4月28日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
发起方
Agendia
入组人数
30,000
试验地点
132
主要终点
A large scale registry of full genome expression data to investigate new gene associations with prognostic and/or predictive value will be created.

研究概览

简要总结

The FLEX Registry will be implemented to operate as a large-scale, population based, prospective registry. All patients with stage I to III breast cancer who receive MammaPrint® and BluePrint testing on a primary breast tumor are eligible for entry into the FLEX Registry, which is intended to enable additional study arms at low incremental effort and cost. FLEX Registry will utilize an adaptive design, where additional targeted substudies and arms can be added after the initial study is opened.

详细描述

The FLEX Registry will include all patients with stage I-III breast cancer who have received MammaPrint and BluePrint testing in any clinical setting. Study arm appendices will specify treatment arm, inclusion criteria, and number of patients needed. Approximately 30,000 patients from 125+ US based institutions will be enrolled.

Treatment is at the discretion of the physician adhering to NCCN approved regimens of a recognized alternative.

Clinical data will be collected and entered online at the time points listed: patient enrollment, time of treatment, 1 year post-treatment, and 3, 5, and 10 years post diagnosis.

Objectives:

  • Create a large scale, population-based registry of full genome expression data and clinical data to investigate new gene associations with prognostic and/or predictive value
  • Utilize shared registry infrastructure to examine smaller groups of interest
  • Generate hypotheses for targeted subset analyses and trials based on full genome data

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Stage I, II, or III patients who receive MammaPrint, with or without BluePrint testing (male or female)
  • Informed consent form signed on the same day or before enrollment
  • New primary lesion

排除标准

  • Tumor sample shipped to Agendia with ≤ 30% tumor cells or that fails QA or QC criteria
  • Metastatic disease
  • Recurrent disease
  • Stage 0 disease

结局指标

主要结局

A large scale registry of full genome expression data to investigate new gene associations with prognostic and/or predictive value will be created.

时间窗: 10 years

Create a large scale registry of full genome expression data with clinical data to investigate possible new gene associations with prognostic or predictive value.

A shared registry infrastructure to examine smaller groups of interest.

时间窗: 10 years

Create a shared registry infrastructure to examine smaller groups of interest.

次要结局

  • Subset analyses based on full genome data will be created.(10 years)

研究者

发起方
Agendia
申办方类型
Industry
责任方
Sponsor

研究点 (132)

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MammaPrint Genomic Profiling Predicts Anthracycline Benefit in HR+HER2- Early Breast Cancer, Guiding NCCN Guideline Update- Real-world FLEX Study data show MammaPrint High Risk 2 patients had significantly improved 3-year invasive disease-free survival with anthracycline-containing regimens (100% vs 94.8%, p=0.023). - MammaPrint High Risk 1 patients showed no additional benefit from anthracyclines, with identical 3-year IDFS rates of 95.9% for both chemotherapy regimens. - The NCCN Guidelines now recognize MammaPrint as the only genomic test to personalize anthracycline use in HR+HER2- early-stage breast cancer. - Additional ASCO 2026 data link MammaPrint High Risk 2 tumors to homologous recombination deficiency, providing biological rationale for anthracycline sensitivity.4 months agoNCCN Guidelines Now Recognize MammaPrint Testing to Guide Anthracycline Use in HR+/HER2- Breast Cancer- Updated NCCN clinical practice guidelines now recognize the 70-gene expression profile MammaPrint, combined with the 80-gene BluePrint assay, as tools to identify HR+/HER2- early-stage breast cancer patients who benefit most from anthracycline-based chemotherapy. - Real-world evidence from the FLEX study of 1,261 patients showed that those with High Risk 2 molecular subtypes achieved 100% three-year invasive disease-free survival with anthracycline therapy versus 89.3% with non-anthracycline regimens. - The guideline update represents a shift toward precision oncology, allowing clinicians to optimize specific drug classes based on tumor biology rather than making binary chemotherapy decisions. - This development enables more tailored treatment approaches, intensifying therapy for patients with H2 subtypes while potentially sparing H1 patients from anthracycline-related toxicities like cardiotoxicity and secondary leukemia.7 months agoAgendia's BluePrint Test Shows Promise in Identifying Chemotherapy-Responsive Breast Cancer Subtypes- New FLEX Study data reveals BluePrint molecular subtyping assay can identify Basal-type tumors among MammaPrint High Risk HR+ HER2- breast cancers that respond better to chemotherapy. - Patients with Basal-type tumors showed higher pathological complete response rates following neoadjuvant chemotherapy compared to those with Luminal B tumors, supporting more personalized treatment approaches. - The findings, to be presented at ESMO Breast Cancer 2025, demonstrate how BluePrint's 80-gene signature provides actionable insights that physicians are using to inform real-world treatment decisions.last year
MammaPrint, BluePrint, and Full-genome Data Linked... | 临床试验