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Groundbreaking genomic test could spare millions of breast cancer patients chemotherapy

More than 4,400 patients in the OPTIMA trial had nearly identical outcomes when lower-risk cases skipped chemotherapy, researchers said.

  • The Optima trial observed more than 4,400 patients aged 40 or older with hormone-sensitive breast cancer, revealing that 93.6% treated with hormone therapy alone remained recurrence-free after five years, comparable to 94.8% who also received chemotherapy.
  • Participants utilized the Prosigna genomic test measuring gene activity to stratify treatment; those scoring above 60 received chemotherapy plus hormone therapy, while those scoring 60 or below received hormone therapy alone, yielding similar outcomes regardless of chemotherapy use.
  • Karen Bonham, 64 from Cardiff, avoided chemotherapy after her Prosigna test returned a low score, saying the trial "helped decision making to allow me to receive targeted, appropriate treatment" and has returned to normal family life.
  • Co-Chief investigator Iain MacPherson of the University of Glasgow said The Optima provides "robust, practice-changing evidence" that clinicians can safely reduce chemotherapy use for many patients with hormone-sensitive breast cancer.
  • Researchers noted more studies are required to determine if Prosigna offers similar benefits for men and patients aged under 40, ensuring treatment decisions remain driven by evidence across all demographic groups.
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01net broke the news on Friday, May 29, 2026.
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