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CTRI Number  CTRI/2024/07/071030 [Registered on: 23/07/2024] Trial Registered Prospectively
Last Modified On: 17/07/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Survey to assess the knowledge and practice of birth control methods among females with Breast cancer  
Scientific Title of Study   Awareness, attitude and practice of contraception among females with Breast cancer: A Hospital based survey 
Trial Acronym   
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 PGIMS,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 PGIMS,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 PGIMS,Rohtak

Rohtak
HARYANA
124001
India 
Phone  8708536926  
Fax    
Email  pranjal.shailley@gmail.com  
 
Source of Monetary or Material Support  
Pt B D Sharma PGIMS,Rohtak -124001,Haryana, India 
 
Primary Sponsor  
Name  Pt B D Sharma PGIMSRohtak 
Address  Regional cancer center,Department of Radiation Oncology,Pt B D Sharma PGIMS,Rohtak 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 B D Sharma Postgraduate Institute of Medical Sciences   Regional Cancer Center, Department of Radiation Oncology,Pt B D Sharma PGIMS,Rohtak
Rohtak
HARYANA 
8708536926

pranjal.shailley@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Biomedical Research Ethical committee  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  not applicable   not applicable  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Carcinoma Breast patients living with husband/sexual partner
Eastern Cooperative Oncology Group Performance status less than 2
Willing for informed consent 
 
ExclusionCriteria 
Details  Menstrual irregularities/Menopausal
History of Hysterectomy
Eastern Cooperative Oncology Group PS ≥ 2 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Knowledge about awareness, attitude and current practice of contraception in carcinoma breast patients  at Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Contraceptive counselling assessment  After questionnaire completion of sample size or 6 months 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   29/07/2024 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
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 is the most frequent cancer among females worldwide as per Globocan 2022. Approx. 645000 premenopausal breast cancer cases were diagnosed worldwide in 2018 which constitute 30.9% of total breast cancer cases.With increasing incidence and survival rates survivorship issues including motherhood and contraception, are increasingly being encountered in routine practice.Several studies that suggest increased rates of therapeutic abortion in any cancer survivor/patient in reproductive age group.Unintended pregnancy risk need to be shorten and ensure that they are planned when they are truly willing and in better health to bear pregnancy.
     Many a times less time is allotted to discuss regarding issues related to pregnancy and contraception. After diagnosis of cancer, psychological issues and other factors, female doesn’t want pregnancy. In a study based in France on 517 Breast cancer patients 15% pregnancies were unplanned and they found that these patients were less likely to have received fertility counseling (p=0.02) and contraceptive counseling (p=0.08) at the time of diagnosis. Multiple studies done internationally are suggestive of suboptimal counselling related to contraception.Thus there is high demand of effective and safe contraceptive method as well as counselling.There are multiple methods in use by general population with their advantages and disadvantages and also marked differences in efficacy during typical use. But there are limited guidelines by family planning societies on contraceptive use in cancer survivors and also they are not cancer specific. Which method is safest and easy to be used in this group is a big question/dilemma.Hormonal contraception is not indicated in such patients due to risk of thromboembolism and as it is itself predicted as risk factor for carcinoma breast. Behavioral and barrier methods have low efficacy. Depot medroxyprogesterone acetate is not recommended for patients with osteoporosis. In these women, the copper intrauterine device (IUD) seems to be a good choice. Schwarz et al also recommended the Copper T380A intrauterine device (IUD) as a highly effective, reversible, long-acting, hormone-free method for cancer survivors
       In India permanent method of contraception especially female sterilization is widely employed method with statistics suggesting that 37% of women in India aged between 15 and 49 are sterilized. But sterilization rate in breast cancer patients is not known in India. To the best of our knowledge no Indian data is available regarding contraceptive counseling as well as usage. Thus, we conducted this cross-sectional study in regional cancer center to know the awareness, attitude and most commonly utilized method. Contraceptive counseling present status will be assessed. 
     If we know about the particular Patients’ need family planning methods/contraceptive counseling can be promoted accordingly. Contraceptive clinic reference can be done in timely manner and risk of unwanted pregnancies can be prevented.The aim is to assess the knowledge and attitude towards contraception and current utilization practices so as to fill up the lacunae in current contraceptive counselling.
 
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