Path 6

MAF Test®
Clinical Evidence

Click on each event to open the supporting publication

Background: landmark trials in adjuvant breast cancer treatment

Lancet Oncology

NSABP B-34 Oral Clodronate for Adjuvant
Treatment of Operable Breast Cancer

Lancet Oncology

AZURE Adjuvant Zoledronic in Early Breast Cancer Patients

Lancet Oncology

EBCTCG Meta-Analysis: Adjuvant Bisphosphonate Treatment in Early Breast Cancer: Meta-Analyses of Patient Data

MAF Test® is a novel tool, backed by level 1B clinical evidence, with the potential to guide bisphosphonate use in adjuvant breast cancer

SABCS 2016

AZURE Trial: Effect of MAF Amplification on Adjuvant Zoledronic Acid Treatment Outcome in Early Breast Cancer Patients

Path 178
Benefit for MAF(-)
Potential harm for MAF(+)
Path 134
SABCS 2018

Long Term Survival Benefits of Adjuvant Zoledronic
Acid Associated with MAF Status of Primary Tumor

Benefit for MAF(-)
Potential harm for MAF(+)
Journal Bone Oncology

AZURE Trial: Benefits and Risks of Adjuvant Treatment with Zoledronic Acid (ZOL) in Stage II/III Breast Cancer

10-year follow-up outcomes improved with ZOL
in MAF(-) women

79% women with a MAF(-) tumor, ZOL improved
IDFS and OS irrespective of menopause status

ZOL did not improve disease outcomes in MAF(+) tumors

Path 139
Line 29
JNCI Cancer Spectrum

B-34 Trial: Benefits and Risks of Adjuvant Treatment with Clodronate (CLO) in Stage I/III Breast Cancer

MAF B-34 study confirms the findings
of MAF AZURE trial

Improved DFS and OS in MAF(-)
patients, independent of menopause status

CLO did not improve disease outcomes in MAF(+) tumors

Path 185

Journal of Bone and Mineral Metabolism

Metastasis prevention with bone-targeted agents: a complex interaction between the microenvironment and tumour biology

Path 180

Review on adjuvant bisphosphonates in breast cancer in light of current scientific evidence

Path 181
Path 187
Path 174
2016
2015
2017
2018
2020
2021
2023
2022
Journal NCI

MAF Gene Expression and Breast Cancer Bone Metastasis

May help identify patients who benefit from bisphosphonates

MAF Biomarker Discovery and effects on bone metastasis

Path 182
Lancet Oncology

AZURE Trial: Effect of MAF Amplification on Adjuvant Zoledronic Acid Treatment Outcome in Early Breast Cancer Patients

Path 188
Potential harm for MAF(+)

Benefit for MAF(-) independent of menopause status

MAF predicts benefit from adjuvant zoledronic acid, independent of menopause status

Path 183
ESMO Clinical Practise Guidelines

Bone Health in Cancer: ESMO Clinical Practice Guidelines

Path 169

"MAF is a transcription factor that is amplified in around 20% of bone metastases has been shown in one study to predict disease benefits with zoledronate in those with normal MAF status and harm, especially in younger patients and in those with MAF (+) amplification. Validation of these results are awaited before this biomarker can be considered for routine use.”

ASCO Abstract

NSABP B-34 MAF Confirmatory Study Abstract
Clodronate addition to adjuvant treatment increases time to relapse and OS in MAF(-) tumors independent of menopausal status

Benefit for MAF(-)
No benefit for MAF(+)
Path 179
Path 184
Path 186
ESMO Abstract

Impact of MAF selection of patients for adjuvant bisphosphonate therapy and comparison with current clinical guidance

Benefit for MAF(-)
No benefit for MAF(+)

MAF Test®
Clinical Evidence

Path 6

Click on each event to open the supporting publication

Background: landmark trials in adjuvant breast cancer treatment

Lancet Oncology

NSABP B-34 Oral Clodronate for Adjuvant
Treatment of Operable Breast Cancer

Lancet Oncology

AZURE Adjuvant Zoledronic in Early Breast Cancer Patients

Lancet Oncology

EBCTCG Meta-Analysis: Adjuvant Bisphosphonate Treatment in Early Breast Cancer: Meta-Analyses of Patient Data

MAF Test® is a novel tool, backed by level 1B clinical evidence, with the potential to guide bisphosphonate use in adjuvant breast cancer

Path 223
2015
Journal NCI

MAF Gene Expression and Breast Cancer Bone Metastasis

MAF Biomarker Discovery and effects on bone metastasis

May help identify patients who
benefit from bisphosphonates

Path 222
2016
SABCS 2016

AZURE Trial: Effect of MAF Amplification on Adjuvant
Zoledronic Acid Treatment Outcome in Early Breast
Cancer Patients

Path 178
Benefit for MAF(-)
Potential harm for MAF(+)
Path 221
2017
Lancet Oncology

AZURE Trial: Effect of MAF Amplification on Adjuvant Zoledronic
Acid Treatment Outcome in Early Breast Cancer Patients

Path 188
Potential harm for MAF(+)

Benefit for MAF(-) independent of menopause status

MAF predicts benefit from adjuvant zoledronic acid,
independent of menopause status

Path 220
2018
SABCS 2018

Long Term Survival Benefits of Adjuvant Zoledronic
Acid Associated with MAF Status of Primary Tumor

Benefit for MAF(-)
Potential harm for MAF(+)
Journal Bone Oncology

AZURE Trial: Benefits and Risks of Adjuvant
Treatment with Zoledronic Acid (ZOL) in Stage
II/III Breast Cancer

10-year follow-up outcomes improved with ZOL
in MAF(-) women

79% women with a MAF(-) tumor, ZOL improved
IDFS and OS irrespective of menopause status

ZOL did not improve disease
outcomes in MAF(+) tumors

Line 29 Path 219
2020
ESMO Clinical Practise Guidelines

Bone Health in Cancer: ESMO Clinical Practice Guidelines

Path 169

"MAF is a transcription factor that is amplified in
around 20% of bone metastases has been shown in
one study to predict disease benefits with
zoledronate in those with normal MAF status and
harm, especially in younger patients and in those
with MAF (+) amplification. Validation of these
results are awaited before this biomarker can be
considered for routine use.”

ASCO Abstract

NSABP B-34 MAF Confirmatory Study Abstract
Clodronate addition to adjuvant treatment increases time to
relapse and OS in MAF(-) tumors independent of
menopausal status

Benefit for MAF(-)
No benefit for MAF(+)
Path 179
Path 218
2021
JNCI Cancer Spectrum

B-34 Trial: Benefits and Risks of Adjuvant Treatment with
Clodronate (CLO) in Stage I/III Breast Cancer

MAF B-34 study confirms the findings
of MAF AZURE trial

Improved DFS and OS in MAF(-)
patients, independent of menopause status

CLO did not improve disease
outcomes in MAF(+) tumors

Path 217
2022
ESMO Abstract

Impact of MAF selection of patients for adjuvant
bisphosphonate therapy and comparison with
current clinical guidance

Benefit for MAF(-)
No benefit for MAF(+)
Path 216
2023

Journal of Bone and
Mineral Metabolism

Metastasis prevention with bone-targeted agents: a
complex interaction between the microenvironment and
tumour biology

Path 180

Review on adjuvant bisphosphonates in breast
cancer in light of current scientific evidence

Path 181
Path 187
Path 75

Together, we will drive
new perspectives
towards a future where
breast cancer is no
longer a life-threatening
disease.

Are you a Healthcare Professional?

Yes, I am
Path 8
No, I'm not
Path 8

Are you a Healthcare Professional?

Yes, I am
Path 8
No, I'm not
Path 8

Are you a Healthcare Professional?

No, I'm not
Path 8
Yes, I am
Path 8

Are you a Healthcare Professional?

No, I'm not
Path 8
Yes, I am
Path 8