Evidence map›Paper›PMID 39747865›Full record

Trial reportNature communications2025

The spatially informed mFISHseq assay resolves biomarker discordance and predicts treatment response in breast cancer.

Evan D Paul, Barbora Huraiová, Natália Valková, Natalia Matyasovska, Daniela Gábrišová, Soňa Gubová, Helena Ignačáková, Tomáš Ondris, Michal Gala, Liliane Barroso and 18 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Evan D PaulMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia. paul@multiplexdx.com.ORCID 0000-0002-7011-8050
Barbora HuraiováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.ORCID 0000-0001-8784-8001
Natália ValkováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.ORCID 0000-0003-3898-7229
Natalia MatyasovskaMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Daniela GábrišováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Soňa GubováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.ORCID 0009-0005-4791-7056
Helena IgnačákováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Tomáš OndrisMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.ORCID 0009-0009-2112-4006
Michal GalaMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.ORCID 0009-0007-7035-2393
Liliane BarrosoMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Silvia BendíkováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Jarmila BílaMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Katarína BuranovskáMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.ORCID 0000-0001-5223-3461
Diana DrobnáMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Zuzana KrchňákováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Maryna KryvokhyzhaMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.ORCID 0000-0002-3444-9792
Daniel LovíšekMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.ORCID 0000-0001-5654-3504
Viktoriia MamoilykMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Veronika MancikovaMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Nina VojtaššákováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Michaela RistováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Iñaki Comino-MéndezHospital Universitario Virgen de la Victoria, The Biomedical Research Institute of Málaga (IBIMA-CIMES-UMA), Málaga, Spain.ORCID 0000-0003-1926-9432
Igor AndrašinaDepartment of Radiotherapy and Oncology, East Slovakia Institute of Oncology, Košice, Slovakia.
Pavel MorozovLaboratory for RNA Molecular Biology, The Rockefeller University, New York, NY, USA.ORCID 0000-0001-7085-9134
Thomas TuschlLaboratory for RNA Molecular Biology, The Rockefeller University, New York, NY, USA.ORCID 0000-0002-6483-5678
Fresia ParejaDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA. parejaf@mskcc.org.ORCID 0000-0003-3748-8049
Jakob N KatherElse Kroener Fresenius Center for Digital Health, Technical University Dresden, Dresden, Germany. nikolas.kather@tu-dresden.de.ORCID 0000-0002-3730-5348
Pavol ČekanMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia. pavol@multiplexdx.com.ORCID 0000-0001-8806-9958

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Targeting Polθ to Overcome PARP Inhibitor Resistance in Homologous Recombination Deficient Breast CancerP50CA247749 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Sarat Chandarlapaty, Simon N. Powell · 2020 to 2026
$16.3M
EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 946693NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA247749
6 · The paper itself

Abstract

Current assays fail to address breast cancer's complex biology and accurately predict treatment response. On a retrospective cohort of 1082 female breast tissues, we develop and validate mFISHseq, which integrates multiplexed RNA fluorescent in situ hybridization with RNA-sequencing, guided by laser capture microdissection. This technique ensures tumor purity, unbiased whole transcriptome profiling, and explicitly quantifies intratumoral heterogeneity. Here we show mFISHseq has 93% accuracy compared to immunohistochemistry. Our consensus subtyping and risk groups mitigate single sample discordance, provide early and late prognostic information, and identify high risk patients with enriched immune signatures, which predict response to neoadjuvant immunotherapy in the multicenter, phase II, prospective I-SPY2 trial. We identify putative antibody-drug conjugate (ADC)-responsive patients, as evidenced by a 19-feature T-DM1 classifier, validated on I-SPY2. Deploying mFISHseq as a research-use only test on 48 patients demonstrates clinical feasibility, revealing insights into the efficacy of targeted therapies, like CDK4/6 inhibitors, immunotherapies, and ADCs.

Indexed as

Biomarkers, TumorBreast NeoplasmsIn Situ Hybridization, FluorescenceAdultFemaleGene Expression ProfilingHumansImmunoconjugatesImmunohistochemistryImmunotherapyMiddle AgedNeoadjuvant TherapyPrognosisProspective StudiesRetrospective StudiesSequence Analysis, RNABiomarkers, TumorImmunoconjugates

Identifiers

PMID39747865
PMCPMC11696812

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.