Oncotype DX Genomic Prostate Score

About the Oncotype DX Genomic Prostate Score Assay

The Oncotype DX Genomic Prostate Score (GPS) assay is the only genomic assay designed for men with clinically low-risk cancer to help make treatment decisions at the time of diagnosis. The assay analyzes prostate cancer gene activity to predict disease aggressiveness.

It examines interactions among genes in the tumor to better understand the unique biology of the cancer—a science known as genomics—for clinically low-risk prostate cancer patients (GS 3+3 and 3+4). Essentially, the Oncotype DX GPS provides more specific and individualized information about prostate cancer aggressiveness. The assay:

  • Provides a result (GPS) ranging from 0-100 that corresponds to the biologic aggressiveness of the tumor.
  • Measures biology through the expression of 17 genes across four important genetic pathways and, in conjunction with clinical risk factors, predicts the likelihood of adverse pathology.

Predicts BOTH clinical risk and tumor aggressiveness

The Oncotype DX Genomic Prostate Score provides a comprehensive risk profile for personalized information to guide treatment decisions.

Oncotype DX GPS is proven to be an independent predictor of:

Clinical risk

  • Prospectively validated as an independent predictor of both prostate cancer death and metastasis at 10 years1*
  • Predicts future tumor behavior and helps patients understand long-term prognosis to ease patient concerns and offer reassurance1

Tumor aggressiveness

  • Prospectively validated as an independent predictor of adverse pathology2,3†
  • The most important and actionable endpoint when individualizing patient management4,5
  • Identifies patients with less aggressive disease who are likely candidates for Active Surveillance

Multiple biologic pathways were more predictive than any single pathway alone2

Androgen Signaling Cellular Organization Stromal Response Cellular Proliferation Reference

Developed and validated with studies

Learn more about Oncotype DX GPS development studies

The GPS assay was:

  • Developed based on multiple collaborative studies with the Cleveland Clinic to specifically address the many challenges inherent in prostate cancer risk assessment.2,6,7
  • Validated in two large, contemporary studies as a strong, independent predictor of adverse pathology at radical prostatectomy.2,3

See the benefits of integrating the test in your practice

The Oncotype DX GPS reveals the underlying tumor biology in clinically low-risk patients to provide actionable information for treatment or management planning.

Efficient treatment planning

The Oncotype DX GPS provides refined risk stratification, allowing you to more confidently recommend active surveillance or immediate treatment for your clinically low-risk patients. It has been demonstrated in two clinical utility studies to impact clinically meaningful changes in treatment planning across all clinically low-risk groups.8,9

Two clinical utility studies demonstrate how Oncotype DX GPS helps with treatment planning:

  • A prospective study assessed changes in urologists’ treatment recommendations pre- and post-Oncotype DX GPS results. This decision-impact study demonstrated a 26% absolute change in management recommendations. Physician confidence improved in 85% of cases.8
  • A retrospective study that compared 6-month management received in clinically low-risk patients with and without the Oncotype DX GPS results. This chart-review analysis revealed a 56% relative increase in the number of patients on active surveillance/watchful waiting at 6 months post-diagnosis when GPS testing was added to standard decision making tools.9

Explaining risk to patients

Oncotype DX GPS provides meaningful information on the aggressiveness of the tumor that, when combined with clinical pathologic features (PSA levels, Gleason score, anatomic stage, and NCCN® risk classification), helps when discussing management options with patients. The GPS report is a patient-friendly resource that facilitates discussions by consolidating key prostate cancer characteristics in a single document for ease of reference during management conversations.

Clear advantages for your patients

The Oncotype DX GPS assay has been developed and studied in over 4,000 patients.3 The results from the assay refine risk assessment, help guide treatment decisions, and potentially impact patient quality of life. For example, the results might give a low-risk patient the additional confidence he needs to pursue active surveillance, delaying or even completely avoiding the side effects of more aggressive treatment options like prostatectomy or radiation therapy.


1. Van Den Eeden et al. AUA 2017. Abstract MP20-05.
2. Klein et al. Eur Urol. 2014.
3. Cullen et al. Eur Urol. 2014.
4. Kozminski et al. Eur Oncol. 2016.
5. Eggener et al. J Urol. 2011.
6. Knezevic et l. SUO. 2013.
7. Data on file. Genomic Health, Inc.
8. Badani et al. Urol Pract. 2015.
9. Dall’Era et al. Urol Pract. 2015.

a. DOI: 10.3909/riu0786

b. DOI: 10.1016/j.eururo.2017.09.013

* Kaiser Permanente Northern California (KPNC) retrospective cohort study N=279 clinically low, intermediate, and high risk patients; biopsy.
†University of California, San Francisco (UCSF) prospective validation study: N=395 clinically low-risk patients; needle biopsy.
‡ Center for Prostate Disease Research (CPDR) prospective validation study: N=402 clinically low-risk patients; needle biopsy.


National Comprehensive Cancer Network (NCCN) and NCCN are registered trademarks of NCCN. NCCN does not endorse any product or therapy.

Report Viewer

Take an interactive tour of the Oncotype DX Genomic Prostate Score report.

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Expanded Medicare Coverage

The Oncotype DX Genomic Prostate Score test is now covered by Medicare for favorable intermediate risk prostate cancer.

Learn More

Clinical Utility Study:
Active Surveillance Usea

In a large clinical data set of nearly 9,000 low risk prostate cancer patients, GPS utilization revealed a significant increase in AS.

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Clinical Validation:

Kaiser Permanente of Northern California assessed the association between GPS and two hard endpoints: metastasis and prostate cancer death in a cohort of 279 men.

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