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The Breast Cancer Index (BCI) test helps determine the benefit of extended endocrine therapy and the risk of late recurrence in hormone receptor-positive (HR+), early-stage breast cancer.
Predicts Benefit of Extended Therapy: Identifies patients likely to benefit from endocrine therapy beyond 5 years
Assesses Late Recurrence Risk: Evaluates likelihood of cancer returning after initial treatment window
Personalized Care: Supports tailored treatment planning based on tumor biology
Non-Invasive: Performed on archived tumor tissue
Clinically Proven: Validated in multiple studies; recommended by ASCO and NCCN guidelines
BCI analyzes the expression of seven genes associated with estrogen signaling and tumor proliferation.
It provides two results: the H/I ratio (predictive of endocrine therapy benefit) and a risk score for late recurrence (years 5–10).
Archived tumor sample (from biopsy or surgery) is sent to the lab
Seven key genes are analyzed for expression levels
Risk of late recurrence and likelihood of benefit from extended therapy
Results guide discussion between patient and physician
Women with early-stage, HR-positive, node-negative or node-positive breast cancer
Patients who have completed 4–5 years of endocrine therapy and are considering continuation
Physicians aiming to reduce unnecessary treatment and optimize outcomes