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CTRI Number  CTRI/2024/05/066872 [Registered on: 06/05/2024] Trial Registered Prospectively
Last Modified On: 17/07/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Benefit of oral chemotherapy drug Capecitabine by comparing two different dose schedules with observation after standard treatment in triple negative Breast Cancer 
Scientific Title of Study   Evaluating the role of Adjuvant Capecitabine by comparing two different dose schedules with observation after standard treatment in triple negative Breast Cancer 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shailley 
Designation  Associate Professor 
Affiliation  Pt B D Sharma Postgraduate Institute of Medical Sciences 
Address  Regional Cancer Center Department of Radiation Oncology Pt B D Sharma Postgraduate Institute of Medical Sciences, Rohtak

Rohtak
HARYANA
124001
India 
Phone  8708536926  
Fax    
Email  pranjal.shailley@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shailley 
Designation  Associate Professor 
Affiliation  Pt B D Sharma Postgraduate Institute of Medical Sciences 
Address  Regional Cancer Center Department of Radiation Oncology Pt B D Sharma Postgraduate Institute of Medical Sciences, Rohtak

Rohtak
HARYANA
124001
India 
Phone  8708536926  
Fax    
Email  pranjal.shailley@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shailley 
Designation  Associate Professor 
Affiliation  Pt B D Sharma Postgraduate Institute of Medical Sciences 
Address  Regional Cancer Center Department of Radiation Oncology Pt B D Sharma Postgraduate Institute of Medical Sciences, Rohtak

Rohtak
HARYANA
124001
India 
Phone  8708536926  
Fax    
Email  pranjal.shailley@gmail.com  
 
Source of Monetary or Material Support  
Pt B D Sharma Postgraduate Institute of Medical Sciences,Rohtak(Haryana)-124001,India 
 
Primary Sponsor  
Name  Pt B D Sharma Postgraduate Institute of Medical Sciences 
Address  Regional Cancer Center Pt B D Sharma Postgraduate Institute of Medical Sciences,Rohtak(Haryana)-124001,India 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shailley  Pt. BD Sharma Postgraduate Institute of Medical Sciences  Outpatient clinic, Department of Radiation Oncology, Regional Cancer center,Pt. BD Sharma Postgraduate Institute of Medical Sciences
Rohtak
HARYANA 
8708536926

pranjal.shailley@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Biomedical Research Ethics Committee,Pt. B. D.Sharma PGIMS/UHS, Rohtak  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C509||Malignant neoplasm of breast of unspecified site,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Capecitabine in different schedule (group B)   Capecitabine 1000 mg/m2 day 1 to 14 followed by 1 week rest for 1 year  
Intervention  Comparing two different schedules of capecitabine groups (A and B) with observation group (C)  Capecitabine at a dose of 650 mg/m2 twice a day by mouth for 1 year without interruption (group A) after receiving Standard treatment for Triple negative Carcinoma Breast 
Comparator Agent  Observation (Group C)  No Adjuvant chemotherapy after standard Treatment in Triple negative Breast cancer patients 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  1)Patients with confirmed histopathological diagnosis of triple negative breast cancer (defined as estrogen or progesterone receptor 1+ or 2+ immunohistochemistry intensity in ≤ 10% cells and HER2-negative by immunohistochemistry and/or in situ hybridization)
2)Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤ 2 (Annexure I) and complete hemogram, renal and liver function tests are within normal limits
3)Patients who are able to give consent.
4)Patients must have completed work up and staging followed by treatment with standard chemotherapy and surgery and /or radiation therapy.
 
 
ExclusionCriteria 
Details  1)The presence of cancer in bilateral breasts or metastatic disease, other malignant conditions or synchronic multiple cancers.
2)ECOG PS 3 and above.
3)Patients’ refusal.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Comparison in disease-free survival  At the end of 1-,3- and 5-years 
 
Secondary Outcome  
Outcome  TimePoints 
Comparison in Overall survival and Adverse effects between three groups  At the end of 1-,3- and 5-years 
 
Target Sample Size   Total Sample Size="240"
Sample Size from India="240" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   15/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="5"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Breast cancer as per Globocan 2020 is the most common cancer globally and known for its heterogeneity.Triple negative breast cancer (TNBC) accounts for approximately 15% of breast cancer cases. Despite newer developments in neoadjuvant/adjuvant chemotherapy prognosis remains a big question mark with 25-35% of the patients developing metastasis within 5 years from diagnosis in TNBC patients. 
Capecitabine, a pro-drug of 5- fluorouracil, is an oral chemotherapeutic anti metabolite group of agent which is readily available and  its role after standard treatment is yet to establish.Thus we planned to study the benefit in terms of Disease-free and overall survival and adverse effects in TNBC patients.  
Studies are scarce in this context and no established dose schedule especially in India,the aim will be to compare three groups with two different schedules of Capecitabine with observation group. It is a single center randomized controlled trial and the primary end point will be disease-free survival and Secondary end points will include overall survival, and adverse events.

                                                                                       
 
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