Towards
Personalized Care

The Personalized Adjuvant Treatment for HR+/HER2- breast cancer for young patients (Path-for-young) project aims to establish and implement a new standard of care for young women with hormone receptor (HR) positive, human epidermal growth factor receptor (HER)2 negative breast cancer.

25% to 50%young women with breast cancer diagnosis around the world.
70-80% of breast cancer are HR+/HER2-
25% to 50%young women with breast cancer diagnosis around the world.
70-80% of breast cancer are HR+/HER2-

Perspective from a Patient in OPTIMA

Optima-young
A New Approach to Breast Cancer Treatment in Young Women

Path-for-young is based on a clinical trial recruiting premenopausal patients with HR+/HER2- breast cancer. This clinical trial, called Optima-young, aims to demonstrate that premenopausal patients with high-risk HR+HER2- breast cancer and receiving optimal endocrine therapy can be stratified to forego adjuvant chemotherapy without detriment to clinical outcome and resulting in improved long-term quality of life. Click on the video to learn more about the Optima-young clinical trial.

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Participating countries

- in alphabetical order

Argentina, Australia, Belgium, Brazil, France, Greece, Ireland, Italy, Norway, New Zeland, Peru, Poland, Romania, Spain, UK

Patients enrolled in the study to date
- Last updated : 13 juin 2025 -

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Target Patients

4959

A Global Clinical Trial supporting the Path-for-young project to reduce chemotherapy for young women with breast cancer

Path-for-young is centered around a global, pragmatic randomized controlled trial that is focused on de-escalating chemotherapy among premenopausal patients with high-risk HR+HER2- breast cancer : the Optima-young clinical trial. 

The project will leverage the existing ongoing Optima clinical trial and expand it by running an Optima-young clinical trial across a global multidisciplinary consortium, gathering leading international cooperative groups and associated sites from Europe, Latin America, and Oceania. 

Countries icon

Participating countries

- in alphabetical order

Argentina, Australia, Belgium, Brazil, France, Greece, Ireland, Italy, Norway, New Zeland, Peru, Poland, Romania, Spain, UK

Patient co-creation
and representation

The Path-for-young project works to involve patients in a meaningful way throughout the project, from conception until dissemination of results. The main aims are understanding important aspects of the patient experience in a chemotherapy de-escalation trial, improving trial recruitment and implementation, ensuring that key patient needs are integrated into the trial development and conduct. The Path-for-young project has set up a working group that benefits from the expertise of several diverse clinical, academic, industrial and nonprofit partners to ensure that patients’ voices are taken into account in the project.