Second generation prognostic genomic tests in early breast cancer: EndoPredict® y Prosigna™.

Martínez-Férez IM, Isabel-Gómez, Beltrán-Calvo C.
Record ID 32018000420
Spanish
Original Title: Plataformas genómicas de segunda generación para el pronóstico del cáncer de mama: EndoPredict® y Prosigna™. Revisión sistemática.
Authors' objectives: To assess the efficacy (analytical and clinical validation) and clinical utility of Prosigna ™ and EndoPredict® as prognostic tests in early breast cancer.
Authors' results and conclusions: • EndoPredict® and Prosigna ™ have showed analytical validity, measured as precision and reproducibility of assay. • EndoPredict® EP and EPclin scores are independent prognosis factors. These scores provided additional prognostic information on distant recurrence to the clinicopathological factors in pre and postmenopausal women with ER-positive, HER2-negative, node-negative early breast cancer at 10 years. The assay showed a good discrimination capacity between the low and high distant recurrence groups. • Prosigna ™ ROR score is an independent prognosis factor and adds prognostic information on distant recurrence to the clinicopathological factors in postmenopausal women with HR-positive, node-negative, node-positive early breast cancer at 10 years. The assay showed a good discrimination capacity between the three distant recurrence groups: low, intermediate and high. • EndoPredict® seemed to have an impact on therapeutic decision making, reducing chemotherapy. • The clinical utility of both assays, and so their potential benefits in breast cancer remain unclear.
Details
Project Status: Completed
Year Published: 2015
English language abstract: An English language summary is available
Publication Type: Mini HTA
Country: Spain
MeSH Terms
  • Breast Neoplasms
  • Gene Expression Profiling
  • Genomics
  • Female
  • Prognosis
Keywords
  • Cáncer de mama
  • Perfilación de la expresión génica
  • Genómica
Contact
Organisation Name: Andalusian Health Technology Assessment Area
Contact Address: Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name: aetsa.csalud@juntadeandalucia.es
Contact Email: aetsa.csalud@juntadeandalucia.es
Copyright: Andalusian Health Technology Assessment Area (AETSA)
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