Breast CancerFLEXNCT03053193
MammaPrint, BluePrint, and Full-genome Data Linked With Clinical Data to Evaluate New Gene EXpression Profiles
An observational study of Breast Cancer, run by Agendia at 134 sites in 4 countries.
Trial summary
The FLEX Registry will be implemented to operate as a large-scale, population based, prospective registry. All patients with stage I to III breast cancer who receive MammaPrint® and BluePrint testing on a primary breast tumor are eligible for entry into the FLEX Registry, which is intended to enable additional study… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer
- What is being tested?
- MammaPrint, BluePrint, and Full-Genome Testing
- How many people
- 30,000 participants
- Where
- 134 sitesin 4 countries
- Study dates
- 28 Apr 2017to Dec 2037
- How long will I take part?
- 10 Years
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Study population will include patients with stage I, II, or III breast cancer that have signed an informed consent, and are eligible to receive chemotherapy and endocrine therapy. Patients will be excluded if they have metastatic disease or do not have ample tissue to send to Agendia for testing.
Who may be able to join
- Stage I, II, or III patients who receive MammaPrint, with or without BluePrint testing (male or female)
- Informed consent form signed on the same day or before enrollment
- New primary lesion
Who cannot join
- Tumor sample shipped to Agendia with ≤ 30% tumor cells or that fails QA or QC criteria
- Metastatic disease
- Recurrent disease
- Stage 0 disease
Trial locations and contacts
134 sites in 4 countries. Contact the study team or a site near you to ask about taking part.
134 sites in 4 countries
United States130 sites, 113 recruiting
- Recruiting
Akron General Medical Center
Akron, Ohio, 44307
Michael McNeal, mcnealm@ccf.org
Esther Rehmus
- Recruiting
Phoebe Health
Albany, Georgia, 31701
Keisa Mansfield, 229-312-5091, kmansfield@phoebehealth.com
Penny Robinson, RN, 229-312-5703, penrobin@phoebehealth.com
- Recruiting
New York Oncology Hematology
Albany, New York, 12206
Josephine Faruol, Josephine.Faruol@usoncology.com
Karen Tedesco, MD
- Recruiting
Texas Oncology - Allen
Allen, Texas, 75013
Tejvir Anand, tejvir.anand@usoncology.com
Monte Jones, MD
- Completed
Harrington Cancer Center
Amarillo, Texas, 79106
- Recruiting
Providence Alaska Medical Center
Anchorage, Alaska, 99508
Nicolette Ziolkowski, NicoletteAnne.Ziolkowski@providence.org
Theodore Kim
- Recruiting
Luminis Health Center for Cancer & Blood Disorders
Annapolis, Maryland, 21401
Regina Hampton
- Recruiting
Piedmont Cancer Institute
Atlanta, Georgia, 30318
Olabusola Awoyemi, RN, BSN, MPH, 678-298-3242, OAwoyemi@piedmontcancerinstitute.com
Trevor Feinstein, MD
- Recruiting
Emory University - Winship Cancer Institute
Atlanta, Georgia, 30322
Alicia Escobar, alicia.m.escobar@emory.edu
Cathy Graham, MD
- Recruiting
Breast Specialists of South Florida
Atlantis, Florida, 33462
Taylor Stroud, taylor.stroud@sflbreastcare.com
June Lee, MD
- Recruiting
JFK Medical Center
Atlantis, Florida, 33462
Tonnica Sasanas, RN, BSN, 561-548-1877, Tonnica.Sasanas@hcahealthcare.com
Julian Berrocal, MD
- Recruiting
Rocky Mountain Cancer Centers
Aurora, Colorado, 80012
Wafa El-Ejmi, wafa.el-ejmi@usoncology.com
Sami Diab, MD
- Recruiting
University of Colorado Cancer Center
Aurora, Colorado, 80045
Julia LeBlanc, julia.leblanc@cuanschutz.edu
Virginia Borges, MD
- Recruiting
Texas Oncology - Austin
Austin, Texas, 78731
Viviana Castillo, viviana.castillo@usoncology.com
Debra Pratt
- Recruiting
Adventist Health - Bakersfield
Bakersfield, California, 93301
Nicole Gordon
- Recruiting
Mercy Medical Center
Baltimore, Maryland, 21202
Lisa McConnell, lmcconnell@mdmercy.com
David Riseberg, MD
- Recruiting
Johns Hopkins Hospital
Baltimore, Maryland, 21231
Nivali Naik, nnaik2@jhmi.edu
Mehran Habibi, MD
- Recruiting
Texas Oncology - Bedford
Bedford, Texas, 76022
Sandy Mathews, sandy.mathews@usoncology.com
Lea Krekow, MD
- Recruiting
Maryland Oncology Hematology - Bethesda
Bethesda, Maryland, 20817
Carolyn Hendricks, MD
- Recruiting
St. Luke's Hospital
Bethlehem, Pennsylvania, 18015
Lauren Downing, lauren.downing@sluhn.irg
Lee Riley, MD
- Completed
Broome Oncology
Binghamton, New York, 13905
- Completed
CHS Grandview
Birmingham, Alabama, 35243
- Recruiting
Boca Raton Regional Hospital
Boca Raton, Florida, 33428
Maggie Szymczak, mszymczak@brrh.com
Jane Skelton, MD
- Recruiting
Maryland Oncology Hematology - Brandywine
Brandywine, Maryland, 20613
Carolyn Hendricks, MD
- Recruiting
Consultants in Medical Oncology and Hematology, P.C.
Broomall, Pennsylvania, 19008
Radha Patel, radha.patel@alliancecancer.com
Laura Austin
- Recruiting
Southeast Georgia Health System - Physician Associates
Brunswick, Georgia, 31520
William L Tillett, PharmD, 912-466-5363, wtillet@sghs.org
Abraham Cheong, MD
- Recruiting
Roswell Park Cancer Institute
Buffalo, New York, 14263
Karen Rudnicki, karen.rudnicki@roswellpark.org
Ellis Levine, MD
- Recruiting
Texas Oncology - Carrollton
Carrollton, Texas, 75010
Whitney Koracin, whitney.koracin@usoncology.com
Vibha Thomas, MD
- Recruiting
Roper St. Francis Physician Partners - Breast Surgery
Charleston, South Carolina, 29401
Suzannah Bagwell, RN, OCN, 843-724-2220, Suzannah.Bagwell@rsfh.com
Megan Baker, MD
- Recruiting
University of Illinois at Chicago
Chicago, Illinois, 60612
Darlene Kitterman, dkitt@uic.edu
VK Gadi, MD
- Recruiting
TriHealth Cancer Institutes
Cincinnati, Ohio, 45220
Nancy Firsich, RN, BSN, 513-865-5569, nancy_firsich@trihealth.com
Apurva Mehta, MD
- Recruiting
Oncology Hematology Care
Cincinnati, Ohio, 45236
Doug Hart, Douglas.Hart@usoncology.com
Patrick Ward, MD
- Recruiting
Morton Plant Hospital
Clearwater, Florida, 33756
Mindy Thacker, B.S., 727-298-6190, Mindy.Thacker@baycare.org
Peter Blumencranz, MD
- Recruiting
Maryland Oncology Hematology - Clinton
Clinton, Maryland, 20735
Carolyn Hendricks, MD
- Recruiting
Maryland Oncology Hematology, PA
Columbia, Maryland, 21044
Carolyn Hendricks, MD
- Completed
Boone Hospital Center
Columbia, Missouri, 65201
- Recruiting
CHRISTUS Spohn Cancer Center
Corpus Christi, Texas, 78404
Polly Mock, polly.mock@christushealth.org
Shantan Reddy, MD
- Recruiting
UPMC at Western Maryland Health System
Cumberland, Maryland, 21502
Mildred Seletyn, mseletyn@upmc.edu
Blanche Mavromatis, MD
- Completed
Texas Oncology - Methodist Dallas Cancer Center
Dallas, Texas, 75203
- Recruiting
Texas Oncology - Presbyterian
Dallas, Texas, 75231
Kristi McIntyre, MD
- Recruiting
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Teinette Wells, teinette.wells@usoncology.com
Joyce O'Shaughnessy, MD
- Recruiting
Halifax Health - Center for Oncology
Daytona Beach, Florida, 32114
Deborah Reynolds, debbie.reynolds@halifax.org
Ruby Anne Deveras, MD
- Completed
DeKalb Medical Center
Decatur, Georgia, 30033
- Recruiting
Texas Oncology - Denton
Denton, Texas, 76210
Nancy Smith, Nancy.Smith2@usoncology.com
Sharad Jain, MD
- Recruiting
Comprehensive Breast Care of Denver
Denver, Colorado, 80218
Joseph Ruybal, MA, Joseph.Ruybal@sclhs.net
Julie Barone, MD
- Recruiting
Alexian Brothers Medical Center
Elk Grove Village, Illinois, 60007
Lauren Niklinski, Lauren.Niklinski@AMITAhealth.org
Robert Maganini, MD
- Recruiting
Willamette Valley Cancer Institute and Research Center
Eugene, Oregon, 97401
Anastasiya Johnson, anastasiya.johnson@usoncology.com
Benjamin Cho, MD
- Recruiting
Texas Oncology - Flower Mound
Flower Mound, Texas, 75028
Whitney Koracin, whitney.koracin@usoncology.com
Vibha Thomas, MD
- Recruiting
Parkview Health
Fort Wayne, Indiana, 46805
Emily Powell, emily.powell@parkview.com
Linda Han, MD
- Completed
The Center for Cancer and Blood Disorders
Fort Worth, Texas, 76104
- Recruiting
Frederick Oncology Hematology Associates
Frederick, Maryland, 21702
Carolyn Hendricks, MD
- Recruiting
Tidelands Health Coastal Carolina Breast Center
Georgetown, South Carolina, 29442
Barbara Roe, broe@tidelandshealth.org
Angela Mislowsky, MD
- Recruiting
West Cancer Center
Germantown, Tennessee, 38138
Catherine Morningstar, 901-683-0055, cmorningstar@westclinic.com
Richard Fine, MD
- Recruiting
Texas Oncology - Grapevine
Grapevine, Texas, 76051
Sandy Mathews, sandy.mathews@usoncology.com
Lea Krekow, MD
- Recruiting
St. John Hospital
Grosse Pointe Woods, Michigan, 48236
Margaret van der Veen, RN, 313-343-4657, Margaret.Vanderveen@ascension.org
Carrie Dul, MD
- Recruiting
Saint Alexius Medical Center
Hoffman Estates, Illinois, 60169
Lauren Niklinski, Lauren.Niklinski@AMITAhealth.org
Robert Maganini, MD
- Recruiting
Alliance Cancer Specialists
Horsham, Pennsylvania, 19044
Lindsay Klein, lindsay.klein@alliancecancer.com
Joseph Potz, MD
- Recruiting
Texas Oncology - Memorial City
Houston, Texas, 77024
Rowena Martinez, rowena.martinez@usoncology.com
Michelina Cairo, MD
- Recruiting
Texas Oncology Willowbrook
Houston, Texas, 77070
Catherine Barter
John Thachil
- Recruiting
Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207
Colleen Rosentraub, 904-202-7085, Colleen.Rosentraub@bmcjax.com
Jennifer Crozier, MD
- Completed
University of Florida - Jacksonville
Jacksonville, Florida, 32224
- Active, not recruiting
St. Vincent Hospital / Mayo Clinic
Jacksonville, Florida, 32256
- Completed
Oncology Consultants
Katy, Texas, 77494
- Completed
Lake Success Oncology / ProHealth Care
Lake Success, New York, 11020
- Recruiting
Lakeland Regional Cancer Center
Lakeland, Florida, 33805
Rebecca Delph, Rebecca.Delph@myLRH.org
Madhavi Venigalla, MD
- Recruiting
Rocky Mountain Cancer Center - Lakewood
Lakewood, Colorado, 80228
Sami Diab, MD
- Terminated
St. Mary Medical Center
Langhorne, Pennsylvania, 19047
- Recruiting
Sparrow Cancer Center
Lansing, Michigan, 48912
Harsha Trivedi, harsha.trivedi@sparrow.org
Gordan Srkalovic, MD
- Completed
Cancer Centers of Southwest Oklahoma
Lawton, Oklahoma, 73505
- Recruiting
University of Texas Medical Branch
League City, Texas, 77573
Lisa Hernandez Garcia, lghernan@utmb.edu
V. Suzanne Klimberg, MD
- Recruiting
Texas Oncology - Longview
Longview, Texas, 75601
Svetislava Vukelja, MD
- Recruiting
Texas Tech UHSC - Southwest Cancer Center
Lubbock, Texas, 79430
Melanie Bisbee, melanie.bisbee@umchealthsystem.com
Rakhshanda Layeequr-Rahman, MD
- Recruiting
Texas Oncology - McKinney
McKinney, Texas, 75071
Tejvir Anand, tejvir.anand@usoncology.com
Monte Jones, MD
- Recruiting
Sylvester Comprehensive Cancer Center - University of Miami
Miami, Florida, 33136
Teresa Torres, otorres@miami.edu
Reshma L Mahtani, MD
- Recruiting
Miami Cancer Institute at Baptist Health, Inc
Miami, Florida, 33176
Elaine Hernandez, ElaineHer@baptisthealth.net
Lauren Carcas
- Recruiting
Columbia St. Mary's
Milwaukee, Wisconsin, 53211
Bobby Paul, bobby.paul@ascension.org
Varsha Shah, MD
- Recruiting
NYU Winthrop Hospital
Mineola, New York, 11501
Farrah Covington, RN, 516-663-1237, farrah.covington@nyulangone.org
Nina D'Abreo, MD
- Recruiting
Minnesota Oncology
Minneapolis, Minnesota, 55404
Anne Rabenn, anne.rabenn@usoncology.com
Michaela Tsai, MD
- Recruiting
Northwell Health- Northern Westchester Hospital
Mount Kisco, New York, 10549
Julissa Cruz, jcruz42@northwell.edu
Pond Keleman, MD
- Recruiting
Skagit Valley Hospital
Mount Vernon, Washington, 98273
Diana Wharton, dwharton@skagitvalleyhospital.org
Kiarash Kojouri, MD
- Recruiting
Nashville Breast Center
Nashville, Tennessee, 37203
Kristie Appleton, 615-620-5535
Pat W Whitworth, MD
- Recruiting
Kings County Hospital
New York, New York, 10004
Subhatra Limbu, limbus@nychhc.org
Jaime Alberty
- Recruiting
Medical Oncology and Hematology Consultants
Newark, Delaware, 19713
Julie Yucis, Julie.Yucis@usoncology.com
Jamal Misleh, MD
- Recruiting
Hematology Oncology Center of Rockland at Nyack
Nyack, New York, 10960
Marion VanWoudenberg, research@highlandmedicalpc.com
Sung Ho Lee, MD
- Recruiting
Affiliated Oncologists
Oak Lawn, Illinois, 60453
Amy Brich, Amy.brich@usoncology.com
Rami Haddad, MD
- Recruiting
Ogden Regional Cancer Center
Ogden, Utah, 84405
Brittny Miller, Brittny.Miller@Mountainstarhealth.com
Jose Tomayo, MD
- Recruiting
Comprehensive Cancer Center at Desert Regional Medical Center
Palm Springs, California, 92262
Claudia Fortiche, claudia.fortiche@tenethealth.com
Laura Lee, MD
- Recruiting
Arizona Oncology Associates, PC
Phoenix, Arizona, 85006
Jeanette Cardenas, Jeanette.Cardenas@usoncology.com
Rachel Swart
- Recruiting
Allegheny Health Network
Pittsburgh, Pennsylvania, 15212
Donna Creese, donna.creese@ahn.org
Diane Buchbarker, MD
- Recruiting
University of Pittsburgh Medical Centers
Pittsburgh, Pennsylvania, 15213
Christine Thomas, thomascr@upmc.edu
Adam Brufsky, MD, PhD
- Recruiting
Texas Oncology - Plano East
Plano, Texas, 75075
Christopher Stokoe, MD
- Recruiting
Texas Oncology - Plano West
Plano, Texas, 95093
Tejvir Anand, tejvir.anand@usoncology.com
Philip Kovoor, MD
- Recruiting
Northern Light Breast Care
Portland, Maine, 04102
Susan Hoekstra
- Recruiting
Legacy Good Samaritan Medical Center
Portland, Oregon, 97210
Jake Wolf, JLWOLF@LHS.ORG
Nathalie Johnson
- Completed
Oregon Health Sciences University
Portland, Oregon, 97239
- Recruiting
North Valley Breast Clinic
Redding, California, 96001
Ian Grady, MD, 530-243-5551
Ian P Grady, MD
- Recruiting
University of Rochester - Pluta Cancer Center
Rochester, New York, 14642
Katherine Gerich, Katherine_Gerich@URMC.Rochester.edu
Ajay Dhakal, MD
- Recruiting
Cancer Care Centers of Brevard
Rockledge, Florida, 32955
Deborah Schmitt, deborah.schmitt@usoncology.com
Pavan Kancharla, MD
- Recruiting
Maryland Oncology Hematology - Aquilino Cancer Center
Rockville, Maryland, 20850
Carolyn Hendricks, MD
- Recruiting
Beaumont Breast Care Center
Royal Oak, Michigan, 48076
Alexis Greear, alexis.greear@corewellhealth.org
Nayana Dekhne
- Recruiting
Texas Oncology, PA - Metropolitan
San Antonio, Texas, 78212
Emmalind Aponte, MD
- Recruiting
Texas Oncology, PA - Northeast
San Antonio, Texas, 78217
Emmalind Aponte, MD
- Recruiting
UT Health Cancer Center
San Antonio, Texas, 78229
Epp Goodwin, goodwine@uthsca.edu
Virginia Kaklamani, MD
- Recruiting
Texas Oncology PA -San Antonio Medical Center
San Antonio, Texas, 78240
Emmalind Aponte, MD
- Recruiting
Texas Oncology, PA - Stone Oak
San Antonio, Texas, 78258
Emmalind Aponte, MD
- Recruiting
UCSF Breast Care Center
San Francisco, California, 94158
Molly Baxter, molly.baxter@ucsf.edu
Rita Mukhtar, MD
- Recruiting
Candler Hospital
Savannah, Georgia, 31405
Catherine Ronaghan
- Recruiting
Swedish Cancer Institute
Seattle, Washington, 98104
Samantha Megrath, samantha.megrath@swedish.org
Fengting Yan, MD
- Recruiting
Seattle Cancer Care Alliance
Seattle, Washington, 98109
Obsy Tadesse, otadesse@seattlecca.org
Natasha Hunter, MD
- Completed
Grandview Hospital
Sellersville, Pennsylvania, 18960
- Recruiting
Louisiana State University
Shreveport, Louisiana, 71103
Lisa French, lisa.french@lsuhsc.edu
Sarah Thayer, MD
- Recruiting
Maryland Oncology Hematology, PA
Silver Spring, Maryland, 20904
Carolyn Hendricks, MD
- Completed
Providence - Providence Park Hospital
Southfield, Michigan, 48075
- Completed
Mercy Medical Center
Springfield, Massachusetts, 01104
- Recruiting
Washington University School of Medicine
St Louis, Missouri, 63110
Isabella Grigsby, igrigsby@wustl.edu
Cynthia Ma, MD PhD
- Recruiting
Texas Oncology - Sugar Land
Sugar Land, Texas, 77479
Melissa Howell, Melissa.Howell@usoncology.com
Caesar K Tin-U
- Recruiting
SUNY Upstate Medical University Hospital
Syracuse, New York, 13210
Erinn McDowell, McDowellE@upstate.edu
Abirami Sivapiragasam, MD
- Recruiting
St. Joseph's Hospital - Baycare
Tampa, Florida, 33607
Lyn Shelley-velez, RN, 813-356-7144, Lyn.Shelley-velez@baycare.org
Robert Gabordi, MD
- Recruiting
University of South Florida
Tampa, Florida, 33613
Al'Lima Trotman, 813-660-6158, atrotman1@usf.edu
Charles Cox, MD
- Recruiting
Northwell Health- Phelps Hospital
Tarrytown, New York, 10591
Julissa Cruz, 914-362-6277, jcruz42@northwell.edu
Pond Kelemen
- Recruiting
Tift Regional Health System
Tifton, Georgia, 31794
Jodie Davis, RN, 229-353-3730, Jodie.Davis@tiftregional.com
Apurva Shah, MD
- Recruiting
Comprehensive Breast Care
Troy, Michigan, 48098
Caroline Kaleth, ckaleth@compbreastcare.com
Eric Brown, MD
- Recruiting
Arizona Oncology Associates, PC - HOPE
Tucson, Arizona, 85704
Julie Klinker, julie.klinker@usoncology.com
Rachel Swart, MD
- Recruiting
Texas Oncology - Tyler
Tyler, Texas, 75702
Svetislava Vukelja, MD
- Recruiting
Vail Health - Shaw Cancer Center
Vail, Colorado, 81658
Paige Bordelon, paige.bordelon@vailhealth.org
Julie Barone, DO
- Recruiting
Valley Breast Care
Van Nuys, California, 91405
James Dunham, james@valleybreastcare.org
Thomas Lomis, MD
- Recruiting
Texas Oncology - Waco
Waco, Texas, 76712
Laura Fonseca, laura.fonseca@usoncology.com
Carlos Encarnacion, MD
- Recruiting
St. Mary's Hospital
Waterbury, Connecticut, 06706
Jessica Bello, Jessica.Bello@TrinityHealthOfNE.org
Beth Sieling, MD
- Recruiting
Texas Oncology - Webster
Webster, Texas, 77584
Dhatri Kodali, MD
- Recruiting
Winter Haven Hospital
Winter Haven, Florida, 33881
Sharhonda Davis, RN, 863-293-1121 ext. 205872, Sharhonda.Davis@BAYCARE.ORG
Kamal Sharma, DO
Canada2 sites, 2 recruiting
- Recruiting
William Osler Cancer Centre
Brampton, Ontario, L6R 3J7
Arunya Sithi Vinayagam, Arunya.SithiVinayagam@williamoslerhs.ca
Henry Conter
- Recruiting
Thunder Bay Regional Health Sciences Centre
Thunder Bay, Ontario, P7B 6V4
Olexiy Aseyev
Greece1 site, 1 recruiting
- Recruiting
University General Hospital Alexandra
Athens
Eftychia Papachatzopoulo, efipapaxatzopoulou@hotmail.com
Spyridon Marinopoulos, MD
Israel1 site, 1 recruiting
- Recruiting
Tel Aviv Sourasky Medical Center
Tel Aviv
Hagit Damchiner-Pearl, hagitdp@tlvmc.gov.il
Amir Sonnenblick
About this study
Official title: MammaPrint, BluePrint, and Full-genome Data Linked With Clinical Data to Evaluate New Gene EXpression Profiles: An Adaptable Registry (FLEX)
The FLEX Registry will be implemented to operate as a large-scale, population based, prospective registry. All patients with stage I to III breast cancer who receive MammaPrint® and BluePrint testing on a primary breast tumor are eligible for entry into the FLEX Registry, which is intended to enable additional study arms at low incremental effort and cost. FLEX Registry will utilize an adaptive design, where additional targeted substudies and arms can be added after the initial study is opened.
Read the detailed description
The FLEX Registry will include all patients with stage I-III breast cancer who have received MammaPrint and BluePrint testing in any clinical setting. Study arm appendices will specify treatment arm, inclusion criteria, and number of patients needed. Approximately 30,000 patients from 125+ US based institutions will be enrolled.
Treatment is at the discretion of the physician adhering to NCCN approved regimens of a recognized alternative.
Clinical data will be collected and entered online at the time points listed: patient enrollment, time of treatment, 1 year post-treatment, and 3, 5, and 10 years post diagnosis.
Objectives:
- Create a large scale, population-based registry of full genome expression data and clinical data to investigate new gene associations with prognostic and/or predictive value
- Utilize shared registry infrastructure to examine smaller groups of interest
- Generate hypotheses for targeted subset analyses and trials based on full genome data
FLEX is an observational (phase IV) study.
- Conditions
- Breast Cancer
- Being tested
- MammaPrint, BluePrint, and Full-Genome Testing
- Keywords
- breast cancer, stage I, stage II, stage III
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MammaPrint, BluePrint, and Full-Genome TestingDiagnostic test
Also called MammaPrint, BluePrint
Agendia will run MammaPrint and BluePrint tests using the full genome testing array.
| Study group | Role | What they receive |
|---|---|---|
| MammaPrint and BluePrint testing | All patients will receive MammaPrint and BluePrint testing using the full-genome testing data chip. Treatment will be at the discretion of the physician while adhering to NCCN guidelines. Receives: Diagnostic Test: MammaPrint, BluePrint, and Full-Genome Testing |
What is being measured
The primary outcome is the main question the study is designed to answer.
A large scale registry of full genome expression data to investigate new gene associations with prognostic and/or predictive value will be created.
Create a large scale registry of full genome expression data with clinical data to investigate possible new gene associations with prognostic or predictive value.
Measured: 10 years
A shared registry infrastructure to examine smaller groups of interest.
Create a shared registry infrastructure to examine smaller groups of interest.
Measured: 10 years
Secondary outcomes (1)
Subset analyses based on full genome data will be created.
Use full genome data to analyze subsets.
Measured: 10 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Feb 2017
- Study start28 Apr 2017
- Primary completionApr 2037 (estimated)
- Study completionDec 2037 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Case only
- Time perspective
- Prospective
- Enrolment
- 30,000 participants (estimated)
- Target duration
- 10 Years
Sponsor and investigators
- Lead sponsor
- Agendia
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- William Audeh, MD, Study director, Agendia, Inc.Joyce O'Shaughnessy, MD, Principal investigator, Texas Oncology - Baylor Charles A. Sammons Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03053193
- Sponsor's protocol ID
- FLEX Registry
- Acronym
- FLEX
- Status last verified
- Aug 2025
- First submitted
- 9 Feb 2017
- Last updated
- 20 Aug 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
O'Shaughnessy J, Brufsky AM, Layeequr Rahman R, Osborne CR, Mahtani R, Elkhanany A, Graham CL, Brown E, Gold LP, Johnson N, Giffoni D, Alberty-Oller JJ, Ramaswamy H, Weber R, Chmielewski-Stivers N, Menicucci AR, Audeh W. Prediction of Anthracycline Benefit in Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Early-Stage Breast Cancer by the MammaPrint 70-Gene Signature for Patients Enrolled in the FLEX Study. JCO Precis Oncol. 2026 Jun;10(6):e2501285. doi: 10.1200/PO-25-01285. Epub 2026 Jun 24.
PubMed 42341255Brufsky AM, Hoskins KF, Conter HJ, Kelemen P, Habibi M, Samian L, Rahman RL, Lee L, Dias EC, Hampton R, Sieling BA, Osborne CR, Brown E, Elayoubi JA, Sharma P, Ramadurai J, Matt-Amaral L, Santillan AA, Davis S, Albaneze P, Ramaswamy H, Chmielewski-Stivers N, Menicucci A, Audeh W, Whitworth P, Johnson N, O'Shaughnessy J. MammaPrint predicts chemotherapy benefit in HR+HER2- early breast cancer: FLEX Registry real-world data. JNCI Cancer Spectr. 2025 Sep 1;9(5):pkaf079. doi: 10.1093/jncics/pkaf079.
PubMed 40796181
Study at a glance
From the registry record, last updated by the sponsor on 20 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- MammaPrint, BluePrint, and Full-genome Data Linked With Clinical Data to Evaluate New Gene EXpression Profiles: An Adaptable Registry (FLEX)
- ClinicalTrials.gov ID
- NCT03053193
- Acronym / sponsor ID
- FLEX / FLEX Registry
- Conditions
- Breast Cancer
- Keywords
- breast cancer, stage I, stage II, stage III
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 30,000 participants (estimated)
- Lead sponsor
- AgendiaIndustry (pharma, biotech, devices)
- Study start
- 28 Apr 2017 (actual)
- Primary completion
- Apr 2037 (estimated)
- Study completion
- Dec 2037 (estimated)
- First posted
- 15 Feb 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The FLEX Registry will be implemented to operate as a large-scale, population based, prospective registry. All patients with stage I to III breast cancer who receive MammaPrint® and BluePrint testing on a primary breast tumor are eligible for entry into the FLEX Registry, which is intended to enable additional study arms at low incremental effort and cost. FLEX Registry will utilize an adaptive design, where additional targeted substudies and arms can be added after the initial study is opened.
Detailed description
The FLEX Registry will include all patients with stage I-III breast cancer who have received MammaPrint and BluePrint testing in any clinical setting. Study arm appendices will specify treatment arm, inclusion criteria, and number of patients needed. Approximately 30,000 patients from 125+ US based institutions will be enrolled.
Treatment is at the discretion of the physician adhering to NCCN approved regimens of a recognized alternative.
Clinical data will be collected and entered online at the time points listed: patient enrollment, time of treatment, 1 year post-treatment, and 3, 5, and 10 years post diagnosis.
Objectives:
- Create a large scale, population-based registry of full genome expression data and clinical data to investigate new gene associations with prognostic and/or predictive value
- Utilize shared registry infrastructure to examine smaller groups of interest
- Generate hypotheses for targeted subset analyses and trials based on full genome data
FLEX is an observational (phase IV) study.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
- Target follow-up
- 10 Years
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| MammaPrint and BluePrint testing | – | Diagnostic Test: MammaPrint, BluePrint, and Full-Genome TestingAll patients will receive MammaPrint and BluePrint testing using the full-genome testing data chip. Treatment will be at the discretion of the physician while adhering to NCCN guidelines. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Study population will include patients with stage I, II, or III breast cancer that have signed an informed consent, and are eligible to receive chemotherapy and endocrine therapy. Patients will be excluded if they have metastatic disease or do not have ample tissue to send to Agendia for testing.
Key inclusion criteria (3 listed)
- Stage I, II, or III patients who receive MammaPrint, with or without BluePrint testing (male or female)
- Informed consent form signed on the same day or before enrollment
- New primary lesion
Key exclusion criteria (4 listed)
- Tumor sample shipped to Agendia with ≤ 30% tumor cells or that fails QA or QC criteria
- Metastatic disease
- Recurrent disease
- Stage 0 disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MammaPrint, BluePrint, and Full-Genome TestingAlso: MammaPrint, BluePrintAgendia will run MammaPrint and BluePrint tests using the full genome testing array. | Diagnostic test | MammaPrint and BluePrint testing |
Primary outcome
A large scale registry of full genome expression data to investigate new gene associations with prognostic and/or predictive value will be created.
Time frame: 10 years
Create a large scale registry of full genome expression data with clinical data to investigate possible new gene associations with prognostic or predictive value.
A shared registry infrastructure to examine smaller groups of interest.
Time frame: 10 years
Create a shared registry infrastructure to examine smaller groups of interest.
1 secondary outcome
Subset analyses based on full genome data will be created.
Time frame: 10 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Aug 2025.
- Derived from this study: PubMed 42341255O'Shaughnessy J, Brufsky AM, Layeequr Rahman R, Osborne CR, Mahtani R, Elkhanany A, Graham CL, Brown E, Gold LP, Johnson N, Giffoni D, Alberty-Oller JJ, Ramaswamy H, Weber R, Chmielewski-Stivers N, Menicucci AR, Audeh W. Prediction of Anthracycline Benefit in Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Early-Stage Breast Cancer by the MammaPrint 70-Gene Signature for Patients Enrolled in the FLEX Study. JCO Precis Oncol. 2026 Jun;10(6):e2501285. doi: 10.1200/PO-25-01285. Epub 2026 Jun 24.
- Derived from this study: PubMed 40796181Brufsky AM, Hoskins KF, Conter HJ, Kelemen P, Habibi M, Samian L, Rahman RL, Lee L, Dias EC, Hampton R, Sieling BA, Osborne CR, Brown E, Elayoubi JA, Sharma P, Ramadurai J, Matt-Amaral L, Santillan AA, Davis S, Albaneze P, Ramaswamy H, Chmielewski-Stivers N, Menicucci A, Audeh W, Whitworth P, Johnson N, O'Shaughnessy J. MammaPrint predicts chemotherapy benefit in HR+HER2- early breast cancer: FLEX Registry real-world data. JNCI Cancer Spectr. 2025 Sep 1;9(5):pkaf079. doi: 10.1093/jncics/pkaf079.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
William Audeh, MD study director
Agendia, Inc.
Joyce O'Shaughnessy, MD principal investigator
Texas Oncology - Baylor Charles A. Sammons Center
134 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Breast Cancer, run by Agendia at 134 sites in 4 countries.
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 3 inclusion and 4 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 20 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 134 sites in United States, Canada, Greece, Israel. 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 Michelle Landon, MS, CGC (801-633-8215, michelle.landon@agendia.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
A large scale registry of full genome expression data to investigate new gene associations with prognostic and/or predictive value will be created. (time frame: 10 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 NCT03053193, which also lists 2 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 20 Aug 2025.