Ancillary Studies

Over the years, numerous research studies have been built upon the Pathways Study of breast cancer survivors. Search our anciallary study table by key word or sort by column.

Name Grant Identification Principal Investigator/s Institution Description
Racial Disparities in the Initiation and Intensity of Adjuvant Therapy for Breast Cancer DOD BC043120 Al Neugut Columbia University

This grant, funded by the Breast Cancer Research Program of the Department of Defense, supported a Breast Cancer Center of Excellence examining factors contributing to disparities in receipt of adjuvant therapy, and consequences for prognosis and breast cancer care. Participants were recruited from the Pathways Study, New York-area hospitals, and the Henry Ford Health Systems in Detroit, MI. This study is also referred to as the B-QUAL Study.

Natural History and Cost Analysis of Lymphedema Secondary to Breast Cancer ACS RSG-06-209-01-LR Marilyn Kwan Kaiser Permanente Northern California

Funded by the American Cancer Society, the objectives of this grant are to examine the predictors and sequelae of breast-cancer-related lymphedema and its severity. This is an ancillary study with additional data collection from Pathways Study participants.

Using Physiological Age to Predict Chemotherapy Toxicity R01 CA124924 Jeanne Mandelblatt Georgetown University

This grant, funded by the National Cancer Institute, is examining functional status and its relation to chemotherapy administration, effectiveness, and toxicity. Participants are recruited from the Pathways Study and Columbia Presbyterian Medical Center in New York.

Adjuvant Breast Cancer Therapies: Race, Variations in Care and Survival ACS RSGT-114106 Dawn Hershman Columbia University

This American Cancer Society Grant enabled analyses on adjuvant hormone therapy adherence, discontinuation, and survival.

Genetics of Tamoxifen Response 14OB-0166 Elad Ziv University of California San Francisco

This grant, funded by the California Breast Cancer Research Program, investigated variations in CYP2D6 and related metabolism genes modulate effectiveness of tamoxifen in participants from the Pathways Study and other studies.

Molecular Profiles and Lifestyle Factors in Breast Cancer Prognosis R01 CA129059 Bette Caan Kaiser Permanente Northern California

This grant examined PAM50 molecular profiles in breast cancer, with participants from both the Pathways Study and Life After Cancer Epidemiology (LACE) Stuy.

Mammographic Density and Prognosis among Breast Cancer Intrinsic Subtypes R01 CA168893 Laurel Habel Kaiser Permanente Northern California

This project addresses whether breast density is associated with all or only some breast cancer subtypes, and whether density influences breast cancer prognosis and predicts response to hormonal therapy in a subset of LACE and Pathways participants included in the LACE competitive renewal.

Lifestyle and Molecular Factors of Bone Health in Breast Cancer Survivors R01 CA166701 Marilyn Kwan, Song Yao Kaiser Permanente Northern California, Roswell Park Cancer Institute

This project investigates the impact of modifiable lifestyle factors, germline genetic variations, and serum biomarkers on adverse skeletal outcomes among aromatase inhibitor (AI) users in the Pathways Study, as well as develops a prediction model for risk of fractures for postmenopausal breast cancer patients taking AIs.

Germline and Tumor Genomic Analyses of Breast cancer in Latinas R01 CA184585 Susan Neuhausen, Elad Ziv City of Hope, University of California San Francisco

This grant aims to identify breast cancer susceptibility genetic loci in Latina women. The Pathways Study will contribute to replication of the top 1,000 candidate genes discovered in other populations from whole-exome and targeted sequencing and expression analysis in germline and somatic DNA.

American Reinvestment and Recovery Act (ARRA) Grand Opportunity supplement to the Pathways Study 3R01CA105274-06S1 Lawrence Kushi Kaiser Permanente Northern California

This ARRA Grand Opportunity grant enabled assay of inflammatory and other biomarkers, and targeted genotyping, among Pathways Study participants who had been enrolled and contributed biospecimens at the time of assay.

Genome-wide Association Studies of Breast Cancer Prognosis & Treatment Outcomes X01 HG008335; 268201200008I-0-26800077-1 Lawrence Kushi Kaiser Permanente Northern California

This grant supported germline genome-wide assays through the NIH Center for Inherited Disease Research program, and was supported as a companion grant to U01 CA195565. Genotyping was conducted using the Illumina Multi-Ethnic Global Array, with additional custom content related to breast cancer from the Vanderbilt University Biobank (BioVU), for over 1.8 million genotyped SNPs. Genotype data are available through dbGaP (phs001534.v1.p1).

Predictors of CVD among breast cancer survivors in an integrated health system R01 CA214057 Marilyn Kwan, Heather Greenlee Kaiser Permanente Northern California, Fred Hutchinson Cancer Center

This grant examines risks of cardiovascular disease risk factors and outcomes in the Pathways Study cohort, with comparisons to CVD risk in a non-breast cancer cohort from KPNC.

Obesity, Chemotherapy Dosing, and Breast Cancer Outcomes R37 CA222793 Elizabeth Kantor Memorial Sloan Kettering Cancer Center

This grant examines associations between body size and chemotherapy dosing in breast cancer cases from KPNC and KP Washington. This grant was initially awarded as R01 CA222793.

Race Disparities in Social Networks, and Breast Cancer Treatment, Prognosis American Cancer Society Candyce Kroenke Kaiser Permanente Northern California

The project examines social network factors by race and treatment status, and social network effects on treatment and outcomes after breast cancer.

The Impact of Racial/Ethnic Discrimination and Segregation on Cancer Survivorship Breast Cancer Pilot Funds Salma Shariff-Marco Cancer Prevention Institute of California

Within the Pathways cohort, we project examined associations with racial/ethnic discrimination, quality of life (QoL) and residential segregation.

Cardiovascular Risk in Breast Cancer Survivors: An Integrated Analysis of Neighborhood, Behavioral, and Clinical Data R01 CA214057-S1 Salma Shariff-Marco University of California San Francisco

This is an administrative supplement to the Pathways Heart Study, studying neighborhood factors and CVD outcomes.

Social Networks and Disparities in Health Behaviors and Breast Cancer Outcomes in Immigrant Women R01 CA230440 Candyce Kroenke Kaiser Permanente Northern California

This grant is investigating immigrant status, social networks, and neighborhood characteristics in breast cancer outcomes in three prospective cohorts, including participants from the Pathways Study, the LACE Study, and the CHI Study.

Neighborhood and Allostatic Load Among Breast Cancer Survivors Administrative Supplement to U01CA195565 Salma Shariff-Marco University of California San Francisco

This study leverages the Pathways Study and novel machine learning methods to assess allostatic load from EHRs records, explore whether neighborhood factors impact survivorship outcomes through a stress pathway.

Healthful Dietary Patterns, Intermediate Biomarkers and Long-Term Breast Cancer Prognosis American Institute for Cancer Research Elizabeth Feliciano Kaiser Permanente Northern California

This grant examines plant-based dietary patterns and dietary inflammatory indices in relation to breast cancer outcomes in the Pathways Study.

Insights from Asian Populations into Disparities in Breast Cancer Prognosis and Outcomes R01 CA243188 Scarlett Lin Gomez, Lawrence Kushi, Song Yao University of California San Francisco (Lin Gomez); Kaiser Permanente Northern California (Kushi); Roswell Park (Yao)

This study is investigating multilevel factors (tumor genetics, treatment adherence, health behaviors and neighborhood factors) in relation to overall and breast cancer-specific mortality across several studies with Asian American breast cancer cases, including the Pathways Study.

Breast White Adipose Tissue Inflammation and Breast Cancer Outcomes R01 CA241409 Lawrence Kushi, Neil Iyengar Kaiser Permanente Northern California (Kushi); Memorial Sloan Kettering Cancer Center (Iyengar)

This study is investigating whether breast adipose tissue inflammation is associated with breast cancer outcomes, using Pathways Study surgical specimens.

Dietary Supplements and Breast Cancer Therapy Interactions in a Well-Characterized Cohort of Breast Cancer Patients 3U01 CA195565-05S1; Administrative supplement with funding from the NIH Office of Dietary Supplements Heather Greenlee Fred Hutchinson Cancer Center

This study is examining the use of dietary supplements and its effects on chemotherapy. (Not previously provided in this list).

An Electronic Health Record-Based Tool to Identify Newly Diagnosed Breast Cancer Patients at Risk of Low Social Support R01 CA253028 Candyce Kroenke Kaiser Permanente Northern California

This study is developing and testing an EHR-based algorithm to identify women with high risk of low social support, among those diagnosed with breast cancer; the Pathways Study will be a validation cohort.

Energy Balance, mTOR Pathway Signaling, and Breast Cancer Prognosis R37 CA248371 Ting-Yuan (David) Cheng University of Florida

This study is examining expression of proteins in the mTOR signaling pathway in tumor tissue on breast cancer prognosis, using TMAs created under Pathways Study infrastructure funding. This grant was initially awarded as R01 CA248371.

Assess Inflammatory Potential of Diet Among Breast Cancer Patients: Novel Index and Short-Form Questionnaire 2023 KPNC Community Health Award En Cheng Kaiser Permanente Northern California

This study will develop a dietary inflammatory index for breast cancer patients based on existing Pathways Study data, and will examine associations of the index with breast cancer outcomes. Based on the index, a brief inflammatory dietary screener will be developed and tested in breast cancer patients.

Relationships between parity, breastfeeding and ER- breast cancer in African American women: Elucidating the biologic underpinnings at the molecular and cellular level R01 CA225947 Christine Ambrosone, Michael Higgins, Julie Palmer Roswell Park (Ambrosone, Higgins); Boston University (Palmer)

This study is examining tumor DNA methylation characteristics in African American women diagnosed with breast cancer, including participants from the Women's Circle of Health and Black Women's Cohort Studies, as well as the Pathways Study. Tumor DNA methylation assays have been conducted by CIDR.

Tumor Immune Contexture and Breast Cancer Disparities: A Multi-Disciplinary Study in Women of African and European Ancestry R01 CA247281 Christine Ambrosone, Scott Abrams, Song Yao Roswell Park

This project is investigating whether breast tumor immune profiles differ between American women with genetic similarity to African populations (AA) differ from those with genetic similarity to European populations (EA), and whether these differences are associated with risk factors, tumor aggressiveness, and survival. Contributing studies include the Women's Circle of Health Study and the Pathways Study.

Long noncoding RNA regulations in breast cancer among African-American women R01 CA246688 Zhihong Gong Roswell Park

This study is examining whether long noncoding RNA, a novel class of regulatory molecules, may be associated with tumor aggressiveness in African American women. Contributing studies include the Women's Circle of Health Study and the Pathways Study.

NCI Confluence Project Intramural funding Peter Kraft, Montserrat Garcia-Closas Division of Cancer Epidemiology & Genetics, National Cancer Institute

The NCI Confluence Project is assembling the largest and most diverse study of genetics and breast cancer risk and prognosis, bringing together data and biospecimens for new genotyping if necessary, from numerous studies, including the Pathways Study.

Latin American Genomics Breast Cancer Consortium (LAGENO-BC) Unfunded Laura Fejerman University of California, Davis

LAGENO-BC is a consortium of research studies conducted in the US and countries in Central America and South America to examine genetic factors in breast cancer risk and prognosis. The Pathways Study is contributing data related to our Latina participants. LAGENO-BC is also participating in the NCI Confluence Project.