What's Happening?
REVEAL GENOMICS, a biotechnology company based in Barcelona, has announced significant advancements in predicting brain metastasis in HER2-positive breast cancer. During the San Antonio Breast Cancer Symposium
(SABCS) 2025, the company presented seven studies involving over 1,300 tumor samples. These studies introduced the HER2DX CNS Progression Score, which predicts the risk of brain progression in patients with advanced HER2-positive breast cancer. The research demonstrated that the HER2DX ERBB2 score, along with two new genomic scores, independently predicts overall survival and brain progression risk. The findings are particularly important as they address the unmet need for biomarkers that identify patients at high risk of CNS involvement. The studies also highlighted the operational feasibility of the HER2DX test in real-time clinical settings, supporting its integration into treatment decision-making processes.
Why It's Important?
The development of the HER2DX CNS Progression Score is a breakthrough in precision oncology, offering a new tool for clinicians to better stratify risk and personalize treatment for patients with HER2-positive breast cancer. This advancement could lead to improved patient outcomes by enabling more targeted surveillance and treatment strategies. The ability to predict brain metastasis risk is crucial, as CNS progression remains a significant challenge in breast cancer management. By providing a reliable biomarker for CNS involvement, REVEAL GENOMICS' innovation could influence clinical practices and enhance the quality of care for breast cancer patients. The integration of genomic testing into routine clinical workflows also underscores the growing importance of precision medicine in oncology.
What's Next?
The ongoing international DEFINITIVE trial, funded by the European Union, is evaluating the impact of HER2DX-guided treatment in stage II-III HER2-positive breast cancer. The trial's results could further validate the clinical utility of the HER2DX scores and support their broader adoption in clinical practice. As genomic testing becomes more integrated into cancer care, stakeholders, including healthcare providers and policymakers, may need to consider the implications for healthcare systems and patient access to advanced diagnostics. Continued research and collaboration will be essential to fully realize the potential of genomic innovations in improving cancer treatment outcomes.











