AI-Powered Precision for Risk of Recurrence Prediction

Ataraxis™ Breast RISK

Ataraxis Breast RISK is an AI-powered test that provides personalized recurrence risk prediction for stage I–III breast cancer patients. By analyzing morphological features from standard H&E slides together with clinical data, the test delivers both a precise risk estimate to help personalize care.

Introducing next-generation technology for prediction of breast cancer recurrence

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No more ambiguity

Building on tens of thousands of real-world and clinical trial cases, Ataraxis Breast RISK helps resolve uncertainty in challenging and inconclusive cases, such as patients considered to be intermediate risk or borderline by standard clinical characteristics and genomic tests.

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For all molecular subtypes

Ataraxis Breast RISK was developed and validated using data from all early-stage breast cancer patients, including HR+/HER2-, but also triple-negative (TNBC),  HER2-positive, and triple-positive breast cancer.

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A different perspective

Ataraxis Breast RISK was found to provide independently prognostic information, unique from standard clinicopathological features and genomic assays.

How do we predict risk of recurrence?

Flowchart showing Ataraxis AI Models using H&E slide and clinical data to predict 6% low risk and 31% high risk of 5-year recurrence with corresponding treatment recommendations.Flowchart showing use of H&E slide and clinical data to assess Ataraxis risk: 6% low risk with recommendation to consider treatment de-escalation, and 31% high risk with recommendation to consider treatment escalation.
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Development & Clinical Validation

Robust development and validation data

Ataraxis Breast RISK was developed and validated using data from 8,161breast cancer patients treated at 15 institutions in 7 countries.

The study included patients with all subtypes of early-stage and locally advanced invasive breast cancer, marking this as one of the most comprehensive evaluations of a prognostic/predictive test.

Kaplan Meier curves comparing low and high risk patients
Comparison of Ataraxis Breast to 21 gene assay

Over 50% improvement in accuracy compared to standard of care genomic tests

In validation of the Ataraxis Breast RISK score on three external cohorts from top international cancer centers, Ataraxis Breast reduced prediction error by approximately 50% compared to the standard of care genomic assays for hormone receptor-positive invasive breast cancer.

Works in all clinically relevant invasive breast cancer subgroups

Ataraxis Breast RISK was developed and validated on robust and diverse data from seven countries. The data included previously underserved groups, such as triple-negative breast cancer patients. Ataraxis Breast RISK was shown to be consistently prognostic across groups with various age, race, molecular and histological subtype, and nodal status.

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Two calibration plots showing Kaplan-Meier estimates of observed 5-year recurrence probability versus median predicted probability, comparing uncalibrated and spline models against perfect alignment; top for all patients and bottom for patients with legacy genomic testing.

Superior calibration to real-world outcomes

Traditional prognostic tools, including widely used genomic assays, often provide relative risk scores. These scores indicate who is higher or lower risk within a population, but they do not reliably match the true recurrence probabilities patients experience in practice.

Ataraxis Breast RISK is fundamentally different. It is designed not only to rank patients by risk, but to produce absolute risk estimates that reflect what actually happens in real-world cohorts.

What this means in practical terms:

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Older approaches often don’t reflect real-world rates. Published validations of legacy assays show poor alignment between reported risk and actual outcomes; a “15% risk” may behave very differently in practice. Our test addresses this mismatch.
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The predicted Ataraxis test score is trustworthy. If Ataraxis Breast RISK predicts a 12% recurrence probability, the real-world recurrence rate in similar patients is very close to 12%. Our scores don’t over- or under-estimate the risk.
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Consistency across all breast cancer subtypes. Whether the tumor is HR+, HER2+, or TNBC, Ataraxis Breast RISK maintains strong calibration, ensuring that a predicted percentage has a consistent clinical meaning across disease types.

Why calibration matters clinically: A well-calibrated model allows oncologists to act on the absolute value of the prediction, not just its relative position, making treatment escalation or de-escalation safer, clearer, and more evidence-based.

View a Sample Report

Explore our sample report and learn more about how predictions made by Ataraxis Breast RISK can help in recurrence risk assessment and making more personalized decisions about treatment.

See Report

Make the most informed call for your patients.

Get a clearer recurrence risk result without the wait or the gray zone

Legacy recurrence tests, such as the majority of genomic tests, can take weeks to get a result and still leave many patients in an unclear “intermediate” category. Ataraxis Breast RISK is designed to address those exact issues, and it can be used for early-stage breast cancer across:

  • All molecular subtypes, regardless of ER, PR, or HER2 status
  • Premenopausal women and postmenopausal women
  • Regardless of cancer presence in lymph nodes 

We start with the tissue your care team already collected during biopsy or surgery. Our advanced AI platform analyzes thousands of microscopic tumor features, along with basic clinical information, to estimate your personal risk of breast cancer recurrence.

Female doctor showing information on a tablet to a woman patient in a consultation.

I might want this test if...

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I have triple-negative (TNBC) or HER2+ breast cancer

I want a better sense of whether my risk of recurrence is lower or higher, and I want a prognostic tool validated across breast cancer subtypes.

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My genomic test result is unclear (e.g., "intermediate")

I want additional insight to help decide on treatment—especially if I'm premenopausal or have lymph node involvement.

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I am anxious and want to see quicker results

I want to reduce extra weeks of anxiety and get a clear result sooner, so I can start my treatment plan as soon as possible with my care team.

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I want the most accurate risk estimate possible

I want the most realistic recurrence risk estimate for my specific cancer type and feel confident that I am not being over-treated or under-treated.

How do we predict risk of recurrence?

ataraxis breast how it works infographicsataraxis breast risk how it works infographics

Ataraxis Breast was validated in patients like you

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Ataraxis Breast tests have been developed and validated using recent data of thousands of real patients from around the world. Our clinical studies show that Ataraxis Breast RISK, our test predicting risk of breast cancer recurrence, can distinguish between low and high risk in all patients with early-stage breast cancer, no matter their age, race, molecular subtype, or histology.

Choose the characteristics that best describe you. We’ll show evidence from our clinical validation study with patients like you.

Menopausal Status/Age
Ataraxis Breast RISK was validated on over 1,001 ER+ HER2- premenopausal breast cancer patients

Read more about Ataraxis’s clinical evidence

Empowering physicians with advanced multi-modal tools to improve treatment selection and patient outcomes.

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Wondering if this test could guide your care? Contact us—we’re happy to help.