Purpose: In spite of improvements of average benefit from adjuvant/neoadjuvant treatments, there are still individual patients with early breast cancer at high risk of relapse. We explored the association with outcome of robust gene clusterbased metagenes linked to proliferation, ER-related genes, and immune response to identify those high-risk patients.Experimental Design: A total of 3,847 publicly available geneexpression profiles were analyzed (untreated, N ¼ 826; tamoxifen-treated, N ¼ 685; chemotherapy-treated, N ¼ 1,150). Genes poorly performing in formalin-fixed samples were removed. Outcomes of interest were pathologic-complete response (pCR) and distant metastasis-free survival (DMFS). In ER the association with risk of relapse was not significant. Conclusions: We developed metagene-based predictors able to define low and high risk of relapse after adjuvant/neoadjuvant therapy. High-risk patients so defined should be preferably considered for trials with investigational agents.