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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1600 (estimated) |
| Sponsor | Cancer Trials Ireland Research network |
| Locations | 3 sites (Dublin, Leinster and 2 other locations) |
| Status | Recruiting |
| Started | November 11, 2025 |
| Main results expected | December 30, 2030 |
| Study ends | December 30, 2030 |
| Registry record updated | February 20, 2026 |
| Trial ID | NCT07425002 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
- Study coordinator: Cancer Trials Ireland
- Email: info@cancertrials.ie
- Phone: 00353 1 6677211
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.