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The Oncotype DX ® Breast Cancer Assay helps you find an answer Oncotype DX helps clarify one of the most difficult treatment questions by providing an individualized Recurrence Score ® result that assesses the benefit of chemotherapy and the likelihood of breast cancer recurrence. 1,2 CHEMO? NO CHEMO?

CHEMO? NO CHEMO? - Genomic Testing | Oncotype IQ®/media/... · CHEMO? 2 Landmark NSABP B-20 trial of 651 estrogen receptor–positive (ER-positive), node-negative breast cancer patients

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The Oncotype DX® Breast Cancer Assay helps you find an answer

Oncotype DX helps clarify one of the most difficult treatment questions by providing an individualized Recurrence Score® result that assesses the benefit of chemotherapy and the likelihood of breast cancer recurrence.1,2

CHEMO? NO CHEMO?

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Landmark NSABP B-20 trial of 651 estrogen receptor–positive (ER-positive), node-negative breast cancer patients found1:

• Theadditionofchemotherapyprovidedonlya4%absolutebenefit,measuredastheproportionofpatientsfreeofdistantrecurrenceat10years

Do all patients have the same magnitude of benefit from chemotherapy?

Prop

ortio

n w

ithou

t dis

tant

recu

rren

ce

0.2

Years0 2 4 6 8 10 12

0.0

0.1

0.3

0.5

0.7

0.9

0.4

0.6

0.8

1.0 92%

88%

n Events

Tam + chemo 424 30Tam 227 26

P=.02

Proportion of all patients free of distant recurrence at 10 years1

4%ABSOLUTE BENEFITFROM TAM + CHEMO

The Oncotype DX® Breast Cancer Assay is the only test that provides patients with an individual score validated to predict chemotherapy benefit and the likelihood of distant recurrence.1-3

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Providing predictive and prognostic information for a broad range of patients

The Oncotype DX® Breast Cancer Assay1,2:

• Analyzestheexpressionof21genes• Predictschemotherapybenefit• Indicatesthe10-yearriskofdistantrecurrence

Eligible ER-positive breast cancer patients extend along a biologic continuum1,2,4-7

included in asco® and nccn® guidelines5,6

stage i

stage ii included in nccn guidelines6

certain node-positive patients4,7 stage iii†

pT1, N0

pT2-3, N0

pT1-3, N1mi*

pT0-2, N1

pT3, N1

ER-positive, tamoxifen-treated, or AI-treated4

AI=aromatase inhibitor; ASCO=American Society of Clinical Oncology; NCCN=National Comprehensive Cancer Network. Cancer Network. ASCO and NCCN do not endorse any product or therapy.

*T1b moderate/poorly differentiated or unfavorable features/1c/2/3, N1mi, M0; HER2-negative.†Consider patients from a subset of stage IIIa as indicated; not all stage III patients.

The Oncotype DX Breast Cancer Assay is the only multigene expression assay incorporated in both the ASCO® and NCCN® guidelines.5,6

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Why RT-PCR was chosen for the Oncotype DX® Breast Cancer Assay3:

• Precise,accurate,andhighlyreproducibleoverawidedynamicrange

• Minimizesvariabilitythatmayresultfrom:

—Tissuepreparationmethod,typeoffixative,andfixationtime

—Tumorblockage,storage,andvariabilityinpreparation

—Sampleheterogeneity

• Can be assayed using fixed tissue from core biopsy or surgical excision samples

Genomic Health’s® surgical pathologists take additional steps to ensure accuracy3

• Performmanualmicrodissection

• Clearsamplecontaminants

• Enrichforinvasivetumortissue

With a success rate >97% in generating an accurate result, you can feel confident in the Oncotype DX Breast Cancer Assay.8

Fixedparaffin-embeddedtumorsample.

Accurate, precise, and reproducible

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16 cancer genes • Several identified with a consistent and strong statistical

association to breast cancer recurrence• Others with robust predictive power for chemotherapy benefit

5 reference genes• Normalize gene expression • Provide quality control

REFERENCEBeta-actin

GAPDHRPLPO

GUSTFRC

Ki-67STK15

SurvivinCyclin B1

MYBL2

Stromelysin 3Cathepsin L2

GRB7HER2

ERPR

Bcl-2SCUBE2

GSTM1CD68BAG1

PROLIFERATION INVASION HER2

ESTROGEN OTHER

21 genes identified through a rigorous selection process2

• 447patientswithER-positiveandER-negative,andnode-positiveandnode-negativebreastcancerwereexamined

• 250breastcancer–associatedgeneswereanalyzed

21-gene panel used to develop the Recurrence Score® algorithm2

+0.47 × HER2 group score –0.34 × Estrogen group score +1.04 × Proliferation group score +0.10 × Invasion group score +0.05 × CD68 –0.08 × GSTM1 –0.07 × BAG1

RS =

Gene expression levels determine the Recurrence Score (RS) result2

Helping you find an individualized answer with genomics

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Rate

of d

ista

nt re

curr

ence

at 1

0 ye

ars

(%)

6.8%

0

5

10

15

20

25

30

35

RECURRENCESCORE VALUE <18

LOWRISK

RECURRENCESCORE VALUE 18-30INTERMEDIATE

RISK

RECURRENCESCORE VALUE ≥31

HIGHRISK

14.3%

30.5%

95% Cl4%-9.6%

95% Cl8.3%-20.3%

95% Cl23.6%-37.4%

51%RS <18

27%RS ≥31

22%RS 18-30

CI=confidence interval.

10-year rate of distant recurrence was significantly lower for patients with low Recurrence Score® values2

The majority of patients had low Recurrence Score values2

ALL PATIENTS IN STUDY (n=668)

15%=

• Prospectiveanalysisonarchivedtissue2

• 668patientstreatedwithtamoxifen2

• ER-positive,node-negative2

Prognostic: any measurement available at the time of diagnosis or surgery associated with clinical outcome in the absence of systemic adjuvant therapy or following the standard of care treatment.3

The proven prognostic utility of the Oncotype DX® Breast Cancer Assay

Validated in

NSABP B-14

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VARIABLE

Age at surgery

Clinical tumor size

Recurrence Score®

HAZARD RATIO

0.71

1.26

3.21*

95% CI

(0.48, 1.05)

(0.86, 1.86)

(2.23, 4.61)

P-VALUE

.08

.23

<.001

Multivariate COX analysis2

*ThehazardratiofortheRecurrenceScoreiscalculatedrelativetoanincrementof50units.

May predict the magnitude of tamoxifen benefit, as shown in a follow-up study to NSABP B-14 (n=645)9†

86%

93%

Years

Prop

ortio

n w

ithou

t dis

tant

recu

rren

ce

0.0

0.2

0.4

0.6

0.8

1.0

2 4 6 8 1610 12 140

n

Placebo 171Tam 142

P=.039

LOW RECURRENCE SCORE VALUE (<18)

Years

Prop

ortio

n w

ithou

t dis

tant

recu

rren

ce

0.0

0.2

0.4

0.6

0.8

1.0

2 4 6 8 1610 12 140

n

Placebo 99Tam 79

P=.82

Years

Prop

ortio

n w

ithou

t dis

tant

recu

rren

ce

0.0

0.2

0.4

0.6

0.8

1.0

2 4 6 8 1610 12 140

n

Placebo 85Tam 69

P=.02

80%

62%

INTERMEDIATE RECURRENCE SCORE VALUE (18-30)

70%

69%

HIGH RECURRENCE SCORE VALUE (≥31)

• Patients with high ER scores (and low Recurrence Score values) saw the largest benefit from treatment with tamoxifen9

Provides significant information about recurrence risk, independent of age and tumor size (P<.001)2

Adding critical information to your treatment decision

†Results should not be used to indicate that tamoxifen should not be given to the high-risk group.3

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• Prospectiveanalysisonarchivedtissue1

• 651 patientstreatedwithtamoxifenortamoxifenplusCMF/MF1

• ER-positive,node-negative1

Intermediate Recurrence Score value (18-30); no substantial chemotherapy benefit1*

Years0 2 4 6 8 10 12

Low Recurrence Score® value (<18); little to no chemotherapy benefit1

Prop

ortio

n w

ithou

t dis

tant

recu

rren

ce

Prop

ortio

n w

ithou

t dis

tant

recu

rren

ce

0.1

0.0

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0.1

0.0

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

Years0 2 4 6 8 10 12

P=.61 n Events

Tam + chemo 218 8Tam 135 4

P=.39 n Events

Tam + chemo 89 9Tam 45 4

97%

96%

91%

89%

*Clinically important benefit cannot be excluded.

The proven predictive utility of the Oncotype DX® Breast Cancer Assay

Validated in

NSABP B-20

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Predictive: any measurement associated with benefit or lack of benefit from a particular therapy.3

0.1

0.0

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

Years0 2 4 6 8 10 12

28%ABSOLUTE BENEFITFROM TAM + CHEMO

P<.001 n Events

Tam + chemo 117 13Tam 47 18

High Recurrence Score® value (≥31); large chemotherapy benefit1

Abso

lute

incr

ease

in p

ropo

rtio

n fr

eeof

dis

tant

recu

rren

ce (m

ean

± S

E)

0

-10%

10%

20%

30%

40%

RECURRENCESCORE VALUE <18

(n=353)

RECURRENCESCORE VALUE 18-30

(n=134)

RECURRENCESCORE VALUE ≥31

(n=164)

Large reduction in 10-year distant recurrence for high-risk patients treated with chemotherapy1

Prop

ortio

n w

ithou

t dis

tant

recu

rren

ce 88%

60%

Helping you predict the benefit of chemotherapy in node-negative patients

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Patient age P=.018

0

20

40

60

80

100

Clinical tumor size P=.001

0

20

40

60

80

100

≤1 cm(n=110)

1.1-2 cm(n=318)

2.1-4 cm(n=196)

>4 cm(n=24)

64% 56% 46% 46%

20% 19% 23% 21%

16% 25% 30% 33%

Recu

rren

ce S

core

val

ueRe

curr

ence

Sco

re v

alue

44%

14%

41%

<40(n=63)

50%

22%

28%

50-59(n=166)

55%

21%

24%

40-49(n=226)

60%

21%

19%

≥60(n=196)

<18 18-30 ≥31

Recurrence Score® value

NSABP B-20 trial (n=651)1

NSABP B-20 trial (n=651)1

• YoungerpatientscanhavelowRecurrenceScorevalues1

• OlderpatientscanhavehighRecurrenceScorevalues1

• PatientswithlargertumorscanhavelowRecurrenceScorevalues1

• PatientswithsmallertumorscanhavehighRecurrenceScorevalues1

Additional insight may help guide your treatment decision

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0

20

40

60

80

100

Tumor grade (central)

grading by pathologist at central lab

P<.001

WELL(n=119)

MODERATE(n=340)

POOR(n=190)

Recu

rren

ce S

core

val

ue

64%

24%

12%

19%

19%

61%

83%

12%

5%

Tumor grade (site) P<.001

0

20

40

60

80

100grading by pathologist at local hospital

WELL(n=77)

MODERATE(n=339)

Recu

rren

ce S

core

val

ue

56%

22%

22%

36%

22%

42%

POOR(n=163)

73%

16%

12%

<18 18-30 ≥31

Recurrence Score® value

NSABP B-20 trial (n=651)1

• Significantproportionsofhigh-gradetumorshavelowRecurrenceScorevalues1

• Evenlow-gradetumorscanhavehighRecurrenceScorevalues1

Providing independent, significant data beyond traditional measures

Nearly 1 in 3 adjuvant treatment recommendations were changed based on the Recurrence Score results in a decision impact study.10

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• Prospectiveanalysisonarchivedtissue4

• 1,231postmenopausalpatientstreatedwithtamoxifenorAl4

• 1,178ER-positive,node-positive,andnode-negative4

Comparative risks were seen in node-negative patients and patients with 1 to 3 nodes who had low Recurrence Score® values3,4

9-ye

ar ri

sk o

f dis

tant

recu

rren

ce (%

)

Recurrence Score value

10

0

20

30

40

50

60

70

80

90

100

4+ POSITIVE NODESn=63

(31 EVENTS)

1-3 POSITIVE NODESn=243

(43 EVENTS)

NODE-NEGATIVE

n=872(72 EVENTS)

0 5 10 15 20 25 40 4530 35 50

Mean95% Cl

Providing independent recurrence risk information across a biologic continuum

Validated in

Trans ATAC

Oncotype DX® is the only multigene expression assay incorporated in the NCCN® guidelines to help guide chemotherapy treatment decisions in patients with micrometastases.6

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92%

87%

Brea

st c

ance

r−sp

ecifi

c su

rviv

al

0.0

0.25

0.50

0.75

1.00

2 4 6 8 100

n Events

Tam only 55 4CAF-T 91 10

P=.56

LOW RECURRENCE SCORE VALUE (<18)

Years

Brea

st c

ance

r−sp

ecifi

c su

rviv

al

0.0

0.25

0.50

0.75

1.00

2 4 6 8 100

n Events

Tam only 46 11CAF-T 57 10

P=.89

81%

70%

INTERMEDIATE RECURRENCE SCORE VALUE (18-30)

Brea

st c

ance

r−sp

ecifi

c su

rviv

al

Years

Years

0.0

0.25

0.50

0.75

1.00

2 4 6 8 100

n Events

Tam only 47 20CAF-T 71 18

P=.033

73%

54%

HIGH RECURRENCE SCORE VALUE (≥31)

• Prospectiveanalysisonarchivedtissue7

• 367 postmenopausalpatientstreatedwithtamoxifenortamoxifenplusCAF7

• HR-positive,node-positive7

Helping you predict the benefit of chemotherapy in node-positive patients

Half of adjuvant treatment recommendations for node-positive patients were changed based on the Recurrence Score result in a decision impact survey11

• For33.3%ofpatientstestedwithOncotypeDX®,theirtreatmentwaschangedfromchemotherapyplushormonaltherapytohormonaltherapyalone

• For9.4%ofpatientstestedwithOncotypeDX,theirtreatmentwaschangedfromhormonaltherapyalonetochemotherapyplushormonaltherapy

Strong chemotherapy benefit seen only in the high Recurrence Score® value group7

• NosubstantialbenefitinBreastCancerSpecificSurvivalfromanthracyclinebasedchemotherapyfornode-positivepatientswithlowerRecurrenceScorevalues

Validated in

SWOG 8814

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PATIENT REPORTPatient/ID: Doe, Jane Sex: FemaleDOB: 01/01/1950Medical Record/Patient #: 556677771Date of Surgery: 9/25/2008Specimen Type/ID: Breast/SURG-0001

Requisition: R00003GOrder Received: 10/15/2008Date Reported: 10/23/2008Client: Community Medical CenterOrdering Physician: Dr. Harry D SmithSubmitting Pathologist: Dr. John P WilliamsSubmitting Pathologist: Dr. Sally M Jones

BREAST CANCER ASSAY DESCRIPTIONOncotype DX Breast Cancer Assay uses RT-PCR to determine the expression of a panel of 21 genes in tumor tissue.The Recurrence Score® is calculated from the gene expression results. The Recurrence Score range is from 0-100.

RESULTS

Breast CancerRecurrence Score = 6

The findings summarized in the Clinical Experience sections of this report areapplicable to the patient populations defined in each section. It is unknownwhether the findings apply to patients outside these criteria.

CLINICAL EXPERIENCE: PROGNOSIS FOR NODE NEGATIVE, ER-POSITIVE PATIENTSThe Clinical Validation study included female patients with Stage I or II, Node Negative, ER-Positivebreast cancer treated with 5 years of tamoxifen. Those patients who had a Recurrence Score of 6

had an Average Rate of Distant Recurrence of 5% (95% CI: 3%-7%)The following results are from a clinical validation study of 668 patients from the NSABP B-14 study. N Engl J Med 2004; 351: 2817-26.

Recurrence Score vs Distant Recurrence in Node Negative, ER-Positive Breast Cancer Prognosis

Page 1 of 3Genomic Health, Inc.301 Penobscot DriveRedwood City, CA 94063 USAToll Free Tel 866-ONCOTYPE (866-662-6897)Worldwide Tel +1 650-569-2080www.oncotypeDX.com

Laboratory Director: Patrick Joseph, MD CLIA Number 05D1018272This test was developed and its performance characteristics determined by Genomic Health, Inc. The laboratory is regulated under the Clinical Laboratory ImprovementAmendments of 1988 (CLIA) as qualified to perform high-complexity clinical testing. This test is used for clinical purposes. It should not be regarded as investigational or forresearch. These results are adjunctive to the ordering physician's workup.

Online Ordering and Reports Available — Please contact Customer Service at [email protected]© 2004-2010 Genomic Health, Inc. All rights reserved. Oncotype DX and Recurrence Score are registered trademarks of Genomic Health, Inc.

GHI004 Rev017

• Thereportalsocontainspredictiveinformationaboutchemotherapybenefit,validatedintheNSABPB-20study1

• Fornode-positivepatients,thereportalsoincludesbothpredictiveandprognosticinformation,asvalidatedintheSWOG8814study7

The first page of the report contains the individualized Recurrence Score®

result between 0 and 100.

Estimate of the likelihood of distant recurrence at 10 years.

The Oncotype DX® Breast Cancer report

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PATIENT REPORTPatient/ID: Doe, Jane Sex: FemaleDOB: 01/01/1950

Requisition: R00003GOrder Received: 10/15/2008Date Reported: 10/23/2008

QUANTITATIVE SINGLE GENE REPORTThe Oncotype DX assay uses RT-PCR to determine the RNA expression of the genes below. These results may differ from ER, PR, or HER2results reported using other methods or reported by other laboratories.1

The ER, PR, and HER2 Scores are also included in the calculation of the Recurrence Score.

ER Score = Positive

The ER Score positive/negative cut-off of 6.5 units was validated from a study of 761 samples using the 1D5 antibody (immunohistochemistry)and 607 samples using the SP1 antibody (immunohistochemistry). The standard deviation for the ER Score is less than 0.5 units.2

Clinical Experience:For ER positive breast cancer, the magnitude of tamoxifen benefit increases as the ER Score increases from 6.5 to 12.5.3

Please note: The Average Rate of Distant Recurrence reported on Page 1 based on the Recurrence Score was determined in patients whoreceived 5 years of tamoxifen treatment and takes into account the magnitude of tamoxifen benefit indicated by the ER Score.

PR Score = Positive

The PR Score positive/negative cut-off of 5.5 units was validated from a study of 761 samples using the PR636 antibody(immunohistochemistry) and another study of 607 samples using the PR636 antibody (immunohistochemistry). The standard deviation for thePR Score is less than 0.5 units.2

HER2 Score = Negative

The HER2 positive cut-off of 11.5 units, equivocal range from 10.7 to 11.4 units, and negative cut-off of < 10.7 units were validated fromconcordance studies of 755 samples using the HercepTest™ assay (immunohistochemistry) and another study of 568 samples using thePathVysion® assay (FISH). The standard deviation for the HER2 score is less than 0.5 units.4

References:1. ER Score based on quantitative ESR1 expression (estrogen receptor); PR Score based on quantitative PGR expression (progesterone receptor); HER2 Scorebased on quantitative ERBB2 expression.2. ASCO Breast Cancer Symposium 2007 Abstracts #87 by S.S. Badve et al., and #88 by F.L. Baehner et al.3. ASCO Annual Meeting 2005 Abstract #510 by S. Paik et al.4. ASCO Breast Cancer Symposium 2008 Abstracts #13 by F.L. Baehner et al., and #41 by F.L. Baehner et al.

Page 3 of 3Genomic Health, Inc.301 Penobscot DriveRedwood City, CA 94063 USAToll Free Tel 866-ONCOTYPE (866-662-6897)Worldwide Tel +1 650-569-2080www.oncotypeDX.com

Laboratory Director: Patrick Joseph, MD CLIA Number 05D1018272This test was developed and its performance characteristics determined by Genomic Health, Inc. The laboratory is regulated under the Clinical Laboratory ImprovementAmendments of 1988 (CLIA) as qualified to perform high-complexity clinical testing. This test is used for clinical purposes. It should not be regarded as investigational or forresearch. These results are adjunctive to the ordering physician's workup.

Online Ordering and Reports Available — Please contact Customer Service at [email protected]© 2004-2010 Genomic Health, Inc. All rights reserved. Oncotype DX and Recurrence Score are registered trademarks of Genomic Health, Inc.

GHI004 Rev017

Quantitative ER, PR, and HER2 scores,

which are highly concordant with

IHC and FISH3,12,13

Sign up now for the Customer Portal at https://online.genomichealth.com:• Onlineordering• Onlineresults• Importantcustomerinformationpostings

Call Customer Service at 866-ONCOTYPE to open an account.

Helping to make a more informed decision with quantitative data

Genomic Health® accepts all early-stage breast cancer samples

to help confirm or clarify ER status

The Oncotype DX® Breast Cancer Assay helps you find an answer

CHEMO? NO CHEMO?

A personalized approach to breast cancer treatment

• Validatedthroughanextensivesuiteofstudies,acrossacontinuumofmorethan4,000ER-positivepatientsin13clinicalstudies1,2,4,7

• OnlytestincorporatedinboththeASCO®andNCCN®guidelinestohelpguidechemotherapytreatmentdecisions5,6

• Clinicalutilityinnode-negativeandcertainnode-positive,ER-positivebreastcancerpatients1,2,4-7

• Changedadjuvanttreatmentrecommendationsforasignificantproportionofbothnode-negativeandnode-positivepatients10,11

• GenomicHealth®iscommittedtomakingOncotypeDXavailabletoyourpatients3

—Extensivelyreimbursed,withmorethan95%ofprivatelyinsuredlivesandMedicarebeneficiariescoveredforthetest,aswellasexpandingcoverageinnode-positivepatients

—Providesnumerousservicestoeasethereimbursementprocessforyou,yourstaff,andyourpatientsthroughtheGenomicAccessProgram(GAP)

• GenomicHealthisaCLIA-certified,CAP-accreditedreferencelaboratory

For Customer Service, please contact 866-ONCOTYPE (866-662-6897) or e-mail [email protected] within the United States, and +1-650-569-2028 or e-mail [email protected] outside the United States.www.oncotypeDX.com

References:1. PaikS,etal.Geneexpressionandbenefitofchemotherapyinwomenwithnode-negative,estrogenreceptor–positivebreastcancer.J Clin Oncol.2006;24(23):3726-3734.2.PaikS,etal.Amultigeneassaytopredictrecurrenceoftamoxifen-treated,node-negativebreastcancer.N Engl J Med.2004;351(27):2817-2826.3.Dataonfile.GenomicHealth,RedwoodCity,CA.4.DowsettM,etal.RiskofdistantrecurrenceusingOncotypeDXinpostmenopausalprimarybreastcancerpatientstreatedwithanastrozoleortamoxifen:aTransATACstudy.Abstractpresentedat:31stAnnualSanAntonioBreastCancerSymposium;December10-14,2008;SanAntonio,TX.Abstract53.5.HarrisL,etal.AmericanSocietyofClinicalOncology2007updateofrecommendationsfortheuseoftumormarkersinbreastcancer.J Clin Oncol.2007;25(33):5287-5312.6.NationalComprehensiveCancerNetwork®.NCCNClinicalPracticeGuidelinesinOncology™:breastcancer:V.1.2009.http://www.nccn.org.PublishedDecember2,2008.AccessedDecember22,2009.7.AlbainKS,etal;forTheBreastCancerIntergroupofNorthAmerica.Prognosticandpredictivevalueofthe21-geneRecurrenceScoreassayinpostmenopausalwomenwithnode-positive,oestrogen-receptor-positivebreastcanceronchemotherapy:aretrospectiveanalysisofarandomisedtrial.Lancet Oncol.2010;11(1):55-65.8.AndersonJM,etal.MolecularcharacterizationofbreastcancercorebiopsyspecimensbygeneexpressionanalysisusingstandardizedquantitativeRT-PCR.Posterpresentedat:32ndAnnualSanAntonioBreastCancerSymposium;December9-13,2009;SanAntonio,TX.Poster6021.9.PaikS,etal.Expressionofthe21genesintheRecurrenceScoreassayandtamoxifenclinicalbenefitintheNSABPstudyB-14ofnodenegative,estrogenreceptorpositivebreastcancer.J Clin Oncol.2005;23(16S)(suppl).Abstract510.10.LoSS,etal.Prospectivemulticenterstudyoftheimpactofthe21-geneRecurrenceScoreassayonmedicaloncologistandpatientadjuvantbreastcancertreatmentselection[publishedonlineaheadofprintJanuary11,2010].J Clin Oncol.doi:10.1200/JCO.2008.20.2119.11.OratzR,etal.Effectofa21-genereverse-transcriptasepolymerasechainreactionassayontreatmentrecommendationsforpatientswithlymphnode–positiveandestrogenreceptor–positivebreastcancer.Posterpresentedat:32ndAnnualSanAntonioBreastCancerSymposium;December9-13,2009;SanAntonio,TX.Poster2031.12.BadveSS,etal.Estrogen-andprogesterone-receptorstatusinECOG2197:comparisonofimmunohistochemistrybylocalandcentrallaboratoriesandquantitativereversetranscriptionpolymerasechainreactionbycentrallaboratory.J Clin Oncol.2008;26(15):2473-2481.13.BaehnerFL,etal.AKaiser-Permanentepopulation-basedstudyofERandPRexpressionbythestandardmethod,immunohistochemistry(IHC),comparedtoanewmethod,quantitativereversetranscriptionpolymerasechainreaction(RT-PCR).Presentedat:2007AmericanSocietyofClinicalOncologyBreastCancerSymposium;September7-8,2007;SanFrancisco,CA.Abstract88.

© 2010 Genomic Health, Inc. All rights reserved. GHI201 12/10GenomicHealth,OncotypeDX,andRecurrenceScore®areregisteredtrademarksofGenomicHealth,Inc.

Oncotype DX is now available for patients with stage II colon cancer, expanding Genomic Health’s technology to other cancer types.

AmericanSocietyofClinicalOncology(ASCO)andASCOareregisteredtrademarksofASCO;NationalComprehensiveCancerNetwork(NCCN)andNCCNareregisteredtrademarksofNCCN.ASCOandNCCNdonotendorseanyproductortherapy.