Genomic Health Demonstrates the Importance of Utilizing Multiple Pathways

Cancer Connect

REDWOOD CITY, Calif., June 3, 2014 /PRNewswire/  Genomic Health, Inc. (Nasdaq: GHDX) today announced results of two studies demonstrating the ability of its Oncotype DX® test and a new 16-gene panel to predict disease aggressiveness and clinical outcomes in prostate and renal cancers, respectively. These results, presented at the American Society of Clinical Oncology® (ASCO®) Annual Meeting in Chicago, underscore the companys successful approach to understanding tumor biology, resulting in tests that incorporate distinct genes across multiple pathways to provide more precise risk assessment than currently available risk factors and help improve treatment decision making.

Based upon our extensive experience across cancers, we have observed that each cancer has a unique set of genes with expression that is most strongly associated with outcome, said Phil Febbo, M.D., chief medical officer, Genomic Health. Our approach in breast, colon, prostate cancers and now, in renal cancer reflects our ability to select those genes and pathways that can inform critical treatment decisions and individualize patient care.

In the prostate cancer study, researchers at the University of California, San Francisco (UCSF) conducted an analysis of 395 patient samples to evaluate the ability of the Oncotype DX Genomic Prostate Score (GPS) to predict cancer aggressiveness despite variability in pathology assessment. The analysis revealed that original pathology readings of tumor grade and stage, rendered by more than 15 pathologists, frequently differed from the central review that was performed by a single expert urologic pathologist as part of the clinical validation study. For both biopsy and radical prostatectomy specimen evaluation, the pathology results for Gleason Score were different in one out of every four patients (24 percent and 26 percent, respectively). Despite these discordances, GPS remained a robust predictor of adverse pathology at surgery.

These results demonstrate that the Oncotype DX GPS remains prognostic of disease aggressiveness in the face of differing pathology assessments, said Matthew Cooperberg, M.D., assistant professor of urology, epidemiology and biostatistics, UCSF.  This test measures the heterogeneous biology of prostate cancer and represents a personalized approach to predict disease aggressiveness.

Separately, an independent, prospectively conducted study provided clinical validation of a 16-gene signature developed by Genomic Health to predict disease recurrence after surgery in patients with clear cell renal cell carcinoma (ccRCC). A consortium of French researchers conducted an analysis of 626 patients who were treated with surgery and then followed for a median of five and a half years. They demonstrated that the 16-gene panel was able to predict clinical outcomes in patients with stage I, II and III ccRCC and provide significant information beyond conventional clinical and pathologic characteristics. This panel includes genes from four pathways: vascular, immune response, cell growth and division, and inflammation. It was developed as part of a collaboration agreement with Pfizer, Inc. and could potentially be useful in guiding treatment as effective adjuvant therapies emerge.

About Genomic Health

Genomic Health, Inc. (NASDAQ: GHDX) is the worlds leading provider of genomic-based diagnostic tests that address both the overtreatment and optimal treatment of early stage cancer, one of the greatest issues in healthcare today. The company is applying its world-class scientific and commercial expertise and infrastructure to lead the translation of massive amounts of genomic data into clinically-actionable results for treatment planning throughout the cancer patients journey, from screening and surveillance, through diagnosis, treatment selection and monitoring. Genomic Healths lead product, the Oncotype DX® breast cancer test, has been shown to predict the likelihood of chemotherapy benefit as well as recurrence in invasive breast cancer and has been shown to predict the likelihood of recurrence in ductal carcinoma in situ (DCIS). In addition to this widely adopted test, Genomic Health provides the Oncotype DX colon cancer test, the first multi-gene expression test developed for the assessment of risk of recurrence in patients with stage II and stage III disease, and the Oncotype DX prostate cancer test, which predicts disease aggressiveness in men with low risk disease. As of March 31, 2014, more than 19,000 physicians in over 70 countries had ordered more than 440,000 Oncotype DX tests. The company is based in Redwood City, California with European headquarters in Geneva, Switzerland. For more information, please visit, and follow the company on Twitter: @GenomicHealth. To learn more about OncotypeDX tests, visit:, and

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