Individualization of therapy using mammaprint®™: From development to the MINDACT trial

Stella Mook, Laura J. Van't Veer, Emiel J.T. Rutgers, Martine J. Piccart-Gebhart, Fatima Cardoso*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

110 Citations (Scopus)

Abstract

To date, most treatment decisions for adjuvant chemotherapy in breast cancer are based on conventional clinicopathological criteria. Since breast cancer tumors with similar clinicopathological characteristics can have strikingly different outcomes, the current selection for adjuvant chemotherapy is far from accurate. Using high-throughput microarray analysis, a 70-gene signature was identified which can accurately select early stage breast cancer patients who are highly likely to develop distant metastases, and therefore, may benefit the most from adjuvant chemotherapy. This review describes the development of the 70-gene profile (Mammaprint®™), its retrospective validation and feasibility studies, and its prospective validation in the large adjuvant MINDACT (Microarray In Node-negative Disease may Avoid ChemoTherapy) clinical trial.

Original languageEnglish
Pages (from-to)147-156
Number of pages10
JournalCancer Genomics and Proteomics
Volume4
Issue number3
Publication statusPublished - 2007
Externally publishedYes

Keywords

  • 70-gene profile
  • Breast cancer
  • Chemotherapy
  • Gene expression microarray
  • Mammaprint®™
  • MINDACT
  • Prognostic
  • Review
  • Validation

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