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Breast NeoplasmsSCAN-BNCT02306096

Sweden Cancerome Analysis Network - Breast : Genomic Profiling of Breast Cancer

An observational study of Breast Neoplasms, run by Lund University at 10 sites in Sweden.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study evaluates the genomic profiles of breast cancer in a prospective and population-based manner. In the first phase, breast tumors are analyzed by whole transcriptome RNA-sequencing. Read more about this study

Who is it for?
Any age
Conditions the study is for
Breast Neoplasms
How many people
20,000 participants
Where
10 sitesSweden
Study dates
Aug 2010to Aug 2031
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: All patients with suspected or confirmed diagnosis of primary breast cancer within participating hospital systems in the South Sweden Healthcare Region, Uppsala County, and Jönköping Country, Sweden. Additional hospital sites from within the Nordic countries are welcome to join.

Who may be able to join

  • suspicion or confirmed diagnosis of primary breast cancer
  • signed informed consent

Who cannot join

  • lack of signed informed consent

Trial locations and contacts

10 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Åke Borg, PhD contact

+46-46-2752552

ake.borg@med.lu.se

Lao Saal, MD, PhD contact

lao.saal@med.lu.se

10 sites in 1 country

Sweden10 sites, 8 recruiting
  • Södra Älvsborg Hospital

    Borås

    Zakaria Einbeigi, PhD MD, +4603306161000, zakaria.einbeigi@oncology.gu.se

    Recruiting
  • Hallands Hospital Halmstad

    Halmstad, 30233

    Suspended
  • Helsingborg Hospital

    Helsingborg, 25187

    Anna-Karin Falck, MD, anna-karin.falck@skane.se

    Recruiting
  • Kirurgiska kliniken

    Jönköping, 55185

    Suspended
  • Blekinge County Hospital

    Karlskrona, 37185

    Monika Sjövall, MD, monika.sjovall@ltblekinge.se

    Recruiting
  • Central Hospital Kristianstad

    Kristianstad, 29185

    Tor Svensjö, MD, PhD, tor.svensjo@skane.se

    Recruiting
  • Skåne University Hospital

    Lund, 22185

    Lisa Rydén, MD PhD, +46-46-176241, lisa.ryden@med.lu.se

    Recruiting
  • Skåne University Hospital

    Malmö, 20502

    Martin Rehn, MD, PhD, +46-40-331892, martin.rehn@skane.se

    Recruiting
  • Uppsala University Hospital

    Uppsala, 75185

    Tobias Sjöblom, PhD, +46-18-4715036, tobias.sjoblom@igp.uu.se

    Recruiting
  • Central Hospital Växjö

    Vaxjo, 35234

    Per Weber, MD, +46-470-588052, per.weber@ltkronoberg.se

    Recruiting

Other trials in Sweden

About this study

Official title: SCAN-B: The Sweden Cancerome Analysis Network - Breast Initiative

This study evaluates the genomic profiles of breast cancer in a prospective and population-based manner. In the first phase, breast tumors are analyzed by whole transcriptome RNA-sequencing. Gene expression profiles, mutational profiles, and transcript isoform-level data will be analyzed in the context of patient information, clinicopathological variables, and outcome, with the purpose to develop new molecular diagnostic assays for breast cancer. Additional genome-scale RNA, DNA, and protein analyses will be performed in the future.

Read the detailed description

Breast cancer exhibits significant molecular, pathological, and clinical heterogeneity. Current patient and clinicopathological evaluation is imperfect for predicting outcome, which results in overtreatment for many patients, and for others, leads to death from recurrent disease. Therefore, additional criteria are needed to better personalize care and maximize treatment effectiveness and survival.

The Sweden Cancerome Analysis Network - Breast (SCAN-B) study was initiated in 2010 as a multicenter prospective population-based observational study with long-sighted aims to analyze breast cancers with next-generation genomic technologies for translational research and integrated with healthcare; decipher fundamental tumor biology from these analyses; utilize genomic data to develop and validate new clinically-actionable biomarker assays; and establish real-time clinical implementation of molecular diagnostic, prognostic, and predictive tests. In the first phase, we focus on molecular profiling by next-generation RNA-sequencing. Gene expression profiles, mutational profiles, and transcript isoform-level data will be analyzed in the context of patient information, clinicopathological variables, and outcome, with the purpose to develop new molecular diagnostic assays for breast cancer. Additional genome-scale RNA, DNA, and protein analyses will be performed in the future.

As of February 2024, over 20,000 patients have enrolled in the study, representing approximately 85% of all eligible patients within the catchment region. Tissue and blood collection is integrated within healthcare routines and clinical information is provided from national quality registries.

As of Q4 2021, the SCAN-B RNA-seq analysis for molecular subtyping and risk-of-recurrence has been clinically implemented for all breast cancer patients in Skåne within the Center for Molecular Diagnostics, Laboratory Medicine, Medical Service, Region Skåne.

Keywords
prognostic and predictive biomarkers, RNA-sequencing, pathological complete response, minimal residual disease, molecular subtype, gene expression profiling, mutation screening, BRCA, translational research, genomics, transcriptomics, proteomics, metabolomics, liquid biopsy, circulating tumor cells, circulating tumor DNA, RNA-seq
Medical subject headings
Breast Neoplasms, Neoplasm, Residual, Neoplastic Cells, Circulating

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Biomarkers and clinicopathological information

    Analysis of genomic data (biomarkers) and their relationship to patient and tumor clinicopathological information; assessment of analytical validity.

    Measured: up to 20-years

  2. Invasive disease-free survival

    Different biomarkers will be analysed in the context of invasive disease-free survival (IDFS) at different time-points for different subgroups of the prospective cohort, for example for all patients receiving a particular therapy or patients with tumors of a specific molecular subtype.

    Measured: up to 20-years

Secondary outcomes (3)
  1. Overall survival

    Different biomarkers will be analysed in the context of overall survival (OS) at different time-points for different subgroups of the prospective cohort, for example for all patients receiving a particular therapy or patients with tumors of a specific molecular subtype.

    Measured: 3-years, 5-years, 10-years, 15-years, 20-years

  2. Breast cancer-specific survival

    Different biomarkers will be analysed in the context of breast cancer survival (BCS) at different time-points for different subgroups of the prospective cohort, for example for all patients receiving a particular therapy or patients with tumors of a specific molecular subtype.

    Measured: 3-years, 5-years, 10-years, 15-years, 20-years

  3. Pathological response

    Different biomarkers will be analysed in the context of pathological response at time of surgery for patients receiving pre-operative therapy.

    Measured: intraoperative

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Dec 2014 (estimated)
  2. Study startAug 2010
  3. Primary completionAug 2031 (estimated)
  4. Study completionAug 2031 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
20,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02306096
Sponsor's protocol ID
SCANB001
Acronym
SCAN-B
Status last verified
Aug 2026
First submitted
1 Dec 2014
Last updated
27 Aug 2026
Results posted
No
Data monitoring committee
No
Individual data sharing
Undecided: Upon publication, the relevant anonymized individual participant data will be shared.

Publications

  • Ryden L, Loman N, Larsson C, Hegardt C, Vallon-Christersson J, Malmberg M, Lindman H, Ehinger A, Saal LH, Borg A. Minimizing inequality in access to precision medicine in breast cancer by real-time population-based molecular analysis in the SCAN-B initiative. Br J Surg. 2018 Jan;105(2):e158-e168. doi: 10.1002/bjs.10741.

    PubMed 29341157
  • Axelsson U, Ryden L, Johnsson P, Eden P, Mansson J, Hallberg IR, Borrebaeck CAK. A multicenter study investigating the molecular fingerprint of psychological resilience in breast cancer patients: study protocol of the SCAN-B resilience study. BMC Cancer. 2018 Aug 6;18(1):789. doi: 10.1186/s12885-018-4669-y.

    PubMed 30081937
  • Saal LH, Vallon-Christersson J, Hakkinen J, Hegardt C, Grabau D, Winter C, Brueffer C, Tang MH, Reutersward C, Schulz R, Karlsson A, Ehinger A, Malina J, Manjer J, Malmberg M, Larsson C, Ryden L, Loman N, Borg A. The Sweden Cancerome Analysis Network - Breast (SCAN-B) Initiative: a large-scale multicenter infrastructure towards implementation of breast cancer genomic analyses in the clinical routine. Genome Med. 2015 Feb 2;7(1):20. doi: 10.1186/s13073-015-0131-9. eCollection 2015.

    PubMed 25722745
  • Staaf J, Glodzik D, Bosch A, Vallon-Christersson J, Reutersward C, Hakkinen J, Degasperi A, Amarante TD, Saal LH, Hegardt C, Stobart H, Ehinger A, Larsson C, Ryden L, Loman N, Malmberg M, Kvist A, Ehrencrona H, Davies HR, Borg A, Nik-Zainal S. Whole-genome sequencing of triple-negative breast cancers in a population-based clinical study. Nat Med. 2019 Oct;25(10):1526-1533. doi: 10.1038/s41591-019-0582-4. Epub 2019 Sep 30.

    PubMed 31570822
  • Vallon-Christersson J, Hakkinen J, Hegardt C, Saal LH, Larsson C, Ehinger A, Lindman H, Olofsson H, Sjoblom T, Warnberg F, Ryden L, Loman N, Malmberg M, Borg A, Staaf J. Cross comparison and prognostic assessment of breast cancer multigene signatures in a large population-based contemporary clinical series. Sci Rep. 2019 Aug 21;9(1):12184. doi: 10.1038/s41598-019-48570-x.

    PubMed 31434940
  • Dihge L, Vallon-Christersson J, Hegardt C, Saal LH, Hakkinen J, Larsson C, Ehinger A, Loman N, Malmberg M, Bendahl PO, Borg A, Staaf J, Ryden L. Prediction of Lymph Node Metastasis in Breast Cancer by Gene Expression and Clinicopathological Models: Development and Validation within a Population-Based Cohort. Clin Cancer Res. 2019 Nov 1;25(21):6368-6381. doi: 10.1158/1078-0432.CCR-19-0075. Epub 2019 Jul 24.

    PubMed 31340938
  • Lundgren C, Bendahl PO, Borg A, Ehinger A, Hegardt C, Larsson C, Loman N, Malmberg M, Olofsson H, Saal LH, Sjoblom T, Lindman H, Klintman M, Hakkinen J, Vallon-Christersson J, Ferno M, Ryden L, Ekholm M. Agreement between molecular subtyping and surrogate subtype classification: a contemporary population-based study of ER-positive/HER2-negative primary breast cancer. Breast Cancer Res Treat. 2019 Nov;178(2):459-467. doi: 10.1007/s10549-019-05378-7. Epub 2019 Aug 20.

    PubMed 31432367
  • Sokilde R, Persson H, Ehinger A, Pirona AC, Ferno M, Hegardt C, Larsson C, Loman N, Malmberg M, Ryden L, Saal L, Borg A, Vallon-Christerson J, Rovira C. Refinement of breast cancer molecular classification by miRNA expression profiles. BMC Genomics. 2019 Jun 17;20(1):503. doi: 10.1186/s12864-019-5887-7.

    PubMed 31208318
  • Persson H, Sokilde R, Hakkinen J, Pirona AC, Vallon-Christersson J, Kvist A, Mertens F, Borg A, Mitelman F, Hoglund M, Rovira C. Frequent miRNA-convergent fusion gene events in breast cancer. Nat Commun. 2017 Oct 5;8(1):788. doi: 10.1038/s41467-017-01176-1.

    PubMed 28983113
  • Persson H, Sokilde R, Hakkinen J, Vallon-Christersson J, Mitelman F, Borg A, Hoglund M, Rovira C. Analysis of fusion transcripts indicates widespread deregulation of snoRNAs and their host genes in breast cancer. Int J Cancer. 2020 Jun 15;146(12):3343-3353. doi: 10.1002/ijc.32927. Epub 2020 Feb 28.

    PubMed 32067223
  • Winter C, Nilsson MP, Olsson E, George AM, Chen Y, Kvist A, Torngren T, Vallon-Christersson J, Hegardt C, Hakkinen J, Jonsson G, Grabau D, Malmberg M, Kristoffersson U, Rehn M, Gruvberger-Saal SK, Larsson C, Borg A, Loman N, Saal LH. Targeted sequencing of BRCA1 and BRCA2 across a large unselected breast cancer cohort suggests that one-third of mutations are somatic. Ann Oncol. 2016 Aug;27(8):1532-8. doi: 10.1093/annonc/mdw209. Epub 2016 May 18.

    PubMed 27194814
  • Dahlgren M, George AM, Brueffer C, Gladchuk S, Chen Y, Vallon-Christersson J, Hegardt C, Hakkinen J, Ryden L, Malmberg M, Larsson C, Gruvberger-Saal SK, Ehinger A, Loman N, Borg A, Saal LH. Preexisting Somatic Mutations of Estrogen Receptor Alpha (ESR1) in Early-Stage Primary Breast Cancer. JNCI Cancer Spectr. 2021 Apr 22;5(2):pkab028. doi: 10.1093/jncics/pkab028. eCollection 2021 Apr.

    PubMed 33937624
  • Brueffer C, Gladchuk S, Winter C, Vallon-Christersson J, Hegardt C, Hakkinen J, George AM, Chen Y, Ehinger A, Larsson C, Loman N, Malmberg M, Ryden L, Borg A, Saal LH. The mutational landscape of the SCAN-B real-world primary breast cancer transcriptome. EMBO Mol Med. 2020 Oct 7;12(10):e12118. doi: 10.15252/emmm.202012118. Epub 2020 Sep 14.

    PubMed 32926574
  • Glodzik D, Bosch A, Hartman J, Aine M, Vallon-Christersson J, Reutersward C, Karlsson A, Mitra S, Nimeus E, Holm K, Hakkinen J, Hegardt C, Saal LH, Larsson C, Malmberg M, Ryden L, Ehinger A, Loman N, Kvist A, Ehrencrona H, Nik-Zainal S, Borg A, Staaf J. Comprehensive molecular comparison of BRCA1 hypermethylated and BRCA1 mutated triple negative breast cancers. Nat Commun. 2020 Jul 27;11(1):3747. doi: 10.1038/s41467-020-17537-2.

    PubMed 32719340
  • Larsson C, Ehinger A, Winslow S, Leandersson K, Klintman M, Dahl L, Vallon-Christersson J, Hakkinen J, Hegardt C, Manjer J, Saal L, Ryden L, Malmberg M, Borg A, Loman N. Prognostic implications of the expression levels of different immunoglobulin heavy chain-encoding RNAs in early breast cancer. NPJ Breast Cancer. 2020 Jul 6;6:28. doi: 10.1038/s41523-020-0170-2. eCollection 2020.

    PubMed 32656317

Questions about this trial

What is this clinical trial studying?

An observational study of Breast Neoplasms, run by Lund University at 10 sites in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Åke Borg, PhD (+46-46-2752552, ake.borg@med.lu.se), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Biomarkers and clinicopathological information (time frame: up to 20-years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02306096, which also lists 40 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Aug 2026.

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