Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Precision genomic testing for primary and metastatic breast cancer

Official title: Precision Oncology Clinical Diagnostic Study In Primary and Metastatic Breast Cancer (PRISM)

Run by Cancer Trials Ireland · NCT07425002 · Data updated 2026-11-12

This project will test a comprehensive genetic sequencing assay on tumour tissue to help your oncologist find targeted treatment options for adults with primary or brain-metastatic breast cancer.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1600 (estimated)
SponsorCancer Trials Ireland
Research network
Locations3 sites (Dublin, Leinster and 2 other locations)
StatusRecruiting
StartedNovember 11, 2025
Main results expectedDecember 30, 2030
Study endsDecember 30, 2030
Registry record updatedFebruary 20, 2026
Trial IDNCT07425002 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with primary breast cancer or suspected/confirmed brain metastatic breast cancer who can provide informed consent and have available tumour tissue for resection or biopsy.

Probably not a fit

Patients without available tumour tissue, without a confirmed breast cancer diagnosis, or whose tumours lack actionable genomic changes are unlikely to gain direct treatment benefit from the testing.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pragmatic single-arm diagnostic project uses Illumina TruSight Oncology 500 next-generation sequencing on paraffin-embedded tumour tissue to profile 523 cancer-relevant genes and measure microsatellite instability, tumour mutational burden, and homologous recombination deficiency. Testing is performed centrally at the ISO 15189–accredited molecular diagnostics laboratory at Beaumont RCSI Cancer Centre using a NextSeq 550Dx, with bioinformatic analysis to identify somatic variants. Results and treatment recommendations are reviewed at a multi-disciplinary Molecular Tumour Board and provided to the treating oncology team. Eligible adults include those undergoing resection or biopsy of primary breast tumours or suspected/confirmed brain metastases, including patients receiving neoadjuvant therapy.

Why it matters

Potential benefit: If successful, the results could help match patients to targeted therapies or clinical trials based on their tumour's genomic alterations.

How similar studies have gone: Other comprehensive genomic profiling programs have identified actionable mutations and helped match patients to targeted drugs or trials, although improvements in survival have been inconsistent across studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients diagnosed with primary breast cancer attending hospital for the resection of their tumour tissue. Or Patients with suspected or confirmed brain metastatic breast cancer (Patient has a history of a biopsy or surgically (i.e. pathologically) confirmed primary breast cancer) attending hospital for the resection/biopsy and/or treatment of their tumour tissue. Or Patients with suspected (but not necessarily biopsy confirmed) newly diagnosed brain metastatic breast cancer attending hospital for the resection/biopsy and/or treatment of their tumour tissue.
2. Patients receiving neoadjuvant treatment are also eligible (if applicable).
3. Patients must be ≥ 18 years of age.
4. Patients must be able to give informed consent.

Exclusion Criteria:

1. Patients who do not have a confirmed diagnosis of primary breast cancer.
2. Patients whose participation, in the opinion of the PI, would not be in their best interest, or those whom in the opinion of the PI would be unsuitable for study for reasons of infirmity or poor health.

Where it's running

  • Beaumont RCSI Cancer Centre
    Dublin, Leinster, Ireland
    Recruiting
  • Cork University Hospital
    Cork, Ireland
    Not yet recruiting
  • University Hospital Galway
    Galway, Ireland
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.