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Genomic test may help breast cancer patients safely skip chemotherapy

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

  • A landmark international trial has found that a groundbreaking genomic test allows thousands of breast cancer patients to safely skip chemotherapy, sparing them from unnecessary, toxic treatments without raising the risk of their cancer returning.
  • The independent OPTIMA trial tracked 4,429 patients across six countries, focusing on those over 40 with newly diagnosed hormone-sensitive breast cancer, which is the world's most common form of the disease.
  • The study utilized a specialized genomic test called Prosigna, which analyzes the activity of 50 distinct genes within tumor tissue to assign a precise "Risk of Recurrence" score, enabling doctors to base treatment choices on tumor biology rather than traditional clinical features.
  • The results demonstrated that 68% of patients with clinically high-risk tumors had low genomic risk scores and could safely forgo chemotherapy entirely, managing their treatment with hormone therapy alone.
  • Five years after treatment, the survival outcomes between the two groups were virtually identical, with 94.9% of patients who received chemotherapy being alive and cancer-free, compared to 93.7% of those who skipped it, satisfying strict medical criteria for non-inferiority.
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Millions of women with breast cancer could avoid chemotherapy thanks to a groundbreaking test, according to results from a study that could change the way cancer care is delivered worldwide, experts say.

·Stockholm, Sweden
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Chemotherapy, which causes fatigue, nausea, hair loss, weakens the immune system, and more, only helps to a small extent with the most common form of cancer.

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01net broke the news on Friday, May 29, 2026.
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