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CTRI Number  CTRI/2024/11/076720 [Registered on: 12/11/2024] Trial Registered Prospectively
Last Modified On: 08/11/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Prognostics Biomarker study in triple negative breast cancer patient  
Scientific Title of Study   Vitamin D receptor (VDR), a prognostic biomarker in triple negative breast cancer patient: Pilot Study  
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 Jaishriram Rathored 
Designation  Associate Professor and Incharge CRL and Molecular Diagnostics  
Affiliation  Datta Meghe Institute of Higher Education and Research, Wardha 
Address  Department of Central Research Laboratory and Molecular Diagnostics Research and Development Division Research House Datta Meghe Institute of Higher Education and Research

Wardha
MAHARASHTRA
442001
India 
Phone  8319380593  
Fax    
Email  jaishriz@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jaishriram Rathored 
Designation  Associate Professor and Incharge CRL and Molecular Diagnostics  
Affiliation  Datta Meghe Institute of Higher Education and Research, Wardha 
Address  Department of Central Research Laboratory and Molecular Diagnostics Research and Development Division Research House Datta Meghe Institute of Higher Education and Research

Wardha
MAHARASHTRA
442001
India 
Phone  8319380593  
Fax    
Email  jaishriz@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jaishriram Rathored 
Designation  Associate Professor and Incharge CRL and Molecular Diagnostics  
Affiliation  Datta Meghe Institute of Higher Education and Research, Wardha 
Address  Department of Central Research Laboratory and Molecular Diagnostics Research and Development Division Research House Datta Meghe Institute of Higher Education and Research

Wardha
MAHARASHTRA
442001
India 
Phone  8319380593  
Fax    
Email  jaishriz@gmail.com  
 
Source of Monetary or Material Support  
Institutional Intramural Grant 
 
Primary Sponsor  
Name  Datta Meghe Institute of Higher Education and Research Wardha 
Address  Department of Central Research Laboratory and Molecular Diagnostics Research and Development Division Research House Datta Meghe Institute of Higher Education and Research Wardha 442001 Maharashtra India 
Type of Sponsor  Research institution and hospital 
 
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 Jaishriram Rathored  Acharya Vinoba Bhave Rural Hospital   Central Research Laboratory CRL and Molecular Diagnostics R and D Unit Research House DMIHER Sawangi wardha Maharashtra India
Wardha
MAHARASHTRA 
8319380593

jaishriz@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, DMIHER  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R978||Other abnormal tumor markers,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  NIL 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  1. Participants willing to give their written informed consent
2. Breast cancer patients who were admitted to AVBRH Hospital in Sawangi, Wardha, and who would visit the hospital for treatment or follow-up will be the Participants of this study.
3. Newly or old diagnosed Breast cancer (triple negative-ER, PR and Her2) or (triple positive-ER, PR and Her2) who received (at least six months prior to study registration) or who are receiving treatment (chemotherapy, radiation, and surgery) will be the study participant.
4. Female gender with age 18–65 years and whose body mass index (BMI) is in between 18 to 35 kg/m2 will be enrolled
5. Participants who did not get oral vitamin D3 supplements or intramuscular injections for a minimum of four months prior to study enrollment
6. Participants who agree to avoid from using food and herbal supplements while the intervention is conducted.
 
 
ExclusionCriteria 
Details  1. Past medical records pertaining to malabsorption syndrome, disorders related to calcium metabolism, gastrointestinal, renal, inflammatory, and other endocrinological conditions that could potentially impede the study; receiving weight loss medication
2. Pregnancy and lactation
3. Participants with a known seizure disorder
4. Participants with known symptomatic cardiac disease, such as arrhythmias or coronary
artery diseases.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Primary outcomes:
Outcome will be measured by evaluating the low VDR mRNA expression levels compare with both the groups to define as a predictive biomarker to ascertain the prognosis of a TNBC patient

Secondary Outcomes:
Secondary Outcomes will be evaluated by analyzing vitamin D levels and may be used to define vitamin D deficiency risk and enable individualized primary cancer prevention and therapy for better prognosis of TNBC patients.
 
1 year 
 
Secondary Outcome  
Outcome  TimePoints 
Recent studies provide evidence on the prognostic significance of VDR in breast cancer, and their conclusions imply that VDR expression could be employed as a predictive biomarker to ascertain the prognosis of a patient with breast cancer  2nd year 
 
Target Sample Size   Total Sample Size="24"
Sample Size from India="12" 
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   N/A 
Date of First Enrollment (India)   02/12/2024 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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  

Triple-negative breast cancer (TNBC) is an aggressive subtype of breast cancer, accounting for 10–15% of all cases and characterized by the absence of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2). TNBC patients often have a poor prognosis due to limited treatment options. Vitamin D receptor (VDR) has been implicated in cancer prognosis, with previous studies suggesting its potential role in modulating immune responses and tumor suppression. This pilot study aims to investigate the association between VDR mRNA expression, vitamin D levels, and their prognostic significance in TNBC patients. A cross-sectional design will be used to compare 12 triple-Negative breast cancer (TPBC) and 12 triple-positive breast cancer (TPBC) patients treated at AVBRH Cancer Hospital, Wardha.

 

The primary hypothesis suggests that VDR pathway activation and serum vitamin D levels could influence TNBC progression and prognosis. Additionally, the study explores the potential for VDR to enhance immune response and improve overall survival. By examining VDR mRNA expression and vitamin D levels, the study seeks to assess vitamin D deficiency risk and its implications for primary cancer prevention and treatment strategies.

 

Blood samples from participants will be analysed for VDR mRNA expression and vitamin D levels. Statistical analysis will be performed using SPSS, and results will be reported at a 95% confidence interval. The expected outcome is that low VDR expression and vitamin D deficiency will be associated with poor prognosis in TNBC patients, suggesting that VDR may serve as a prognostic biomarker. This research could provide a foundation for individualized treatment approaches based on vitamin D and VDR status in TNBC patients. 

 
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