Gene tests to find women at high risk of breast cancer returning many years later

Using gene expression to identify patients at high risk for late breast cancer recurrence

NIH-funded research University of Vermont & St Agric College · NIH-11412218

This project looks for patterns in tumor gene activity to spot women with ER-positive breast cancer who are more likely to have the cancer come back more than 10 years after initial treatment.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Vermont & St Agric College NIH-funded
Lab location1 site (Burlington, United States)
Project IDNIH-11412218 on NIH RePORTER

What this research studies

This project will compare gene activity in archived tumor samples from women like you who had ER-positive, non-metastatic breast cancer and later experienced a distant recurrence more than 10 years after diagnosis to samples from matched women who stayed recurrence-free. The team will identify 200 late-recurrence cases and 200 matched controls across premenopausal and postmenopausal groups and analyze gene expression using robust ensemble methods with up to 20 years of follow-up data. By focusing on women treated with surgery and adjuvant therapies, they aim to find gene-expression signatures linked specifically to very late recurrence. If such a signature is found, it could be developed into a test to guide who should consider long-term preventive treatments and who might avoid their toxic side effects.

Who could benefit from this research

Good fit: Ideal candidates mirror women with ER-positive, non-metastatic breast cancer treated with surgery and adjuvant therapy, especially those who are 10+ years out from diagnosis or were pre- or postmenopausal at diagnosis.

Not a fit: People with non-ER-positive breast cancers, those with metastatic disease, or those less than 10 years from diagnosis are unlikely to receive direct benefit from this specific project.

Why it matters

Potential benefit: If successful, this work could help doctors target long-term preventive therapies to the women most likely to benefit while sparing others unnecessary toxicity.

How similar studies have performed: Some gene-expression tests can predict early recurrence risk, but reliable tests for predicting recurrence beyond 10 years are currently lacking, making this an extension of earlier work.

Where this research is happening

Burlington, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.