The WISDOM Study: Improving Breast Cancer Screening

The WISDOM Study is looking for women aged 30 to 74 in the United States to explore better ways to screen for breast cancer. Currently, many women receive annual mammograms (X-rays of the breast) starting at age 40, but this approach can lead to false alarms and unnecessary procedures. This study aims to see if a personalized screening plan, based on your individual risk factors, is more effective. You would either receive screening advice based on a comprehensive risk assessment (including a health questionnaire and a saliva sample for genetic testing, looking for genes like BRCA that influence breast cancer risk) or advice based on a basic risk assessment. Researchers will compare these approaches to see if they can reduce late-stage cancers and the number of biopsies (tissue removal for examination) needed over at least five years.

Study design
This interventional study plans to enroll 100,000 participants. It compares two different approaches to breast cancer screening advice.
What's involved
You would complete a health questionnaire and may provide a saliva sample for genetic testing. You would then receive a screening schedule recommendation.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for at least 5 years to measure late-stage cancer rates and biopsy rates.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT02620852

Women Informed to Screen Depending on Measures of Risk (Wisdom Study)

Recruiting
NAAges 30–74InterventionalScreening
University of California, San Francisco
~100,000 participants
Updated 2025-11-25 on ClinicalTrials.gov
What's tested:Complete a health questionnaireProvide a saliva sample for genetic testingScreening advice based on a comprehensive risk assessmentScreening advice based on a basic risk assessment

At a glance

Recruiting sites
9 of 11 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Late-stage cancer
Measured over 5 years (minimum)
+1 more outcome measured
Breast Cancer Screening
Breast Carcinoma in Situ
Breast Cancer
11 sites across 7 states
California5
Alabama1
Florida1
Illinois1
Louisiana1
New York1
South Dakota1
  • Laura Esserman, MD, MBA · PRINCIPAL_INVESTIGATOR · University of California, San Francisco

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  • Late-stage cancer5 years (minimum)

    Proportion of cancers diagnosed at Stage IIB or higher

  • Biopsy rate5 years (minimum)

    Rate of biopsies performed