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CTRI Number  CTRI/2025/04/085799 [Registered on: 28/04/2025] Trial Registered Prospectively
Last Modified On: 27/04/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   A cross sectional study on loss of x chromosomes in cancer patients 
Scientific Title of Study   An observational study to estimate the prevalence of mLOX in women with hematological and solid malignancies 
Trial Acronym  mLOX study 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Uday Yanamandra 
Designation  Professor 
Affiliation  Armed Forces Medical College 
Address  Room no 10 Dept of internal medicine Armed Forces Medical College

Pune
MAHARASHTRA
411040
India 
Phone  8195035551  
Fax    
Email  udayj2yanamandra@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Uday Yanamandra 
Designation  Professor 
Affiliation  Armed Forces Medical College 
Address  Room no 10 Dept of Internal Medicine Armed Forces Medical College Pune

Pune
MAHARASHTRA
411040
India 
Phone  8195035551  
Fax    
Email  udayj2yanamandra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Uday Yanamandra 
Designation  Professor 
Affiliation  Armed Forces Medical College 
Address  Room no 10 Dept of internal medicine Armed Forces Medical College Pune

Pune
MAHARASHTRA
411040
India 
Phone  8195035551  
Fax    
Email  udayj2yanamandra@gmail.com  
 
Source of Monetary or Material Support  
Armed forces medical college 
 
Primary Sponsor  
Name  Armed Forces Medical College 
Address  Pune Sholapur highway Pune Maharashtra 411040 
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 
Uday Yanamandra  AFMC   Room no 10 Dept of internal medicine Armed Forces Medical College Pune
Pune
MAHARASHTRA 
8195035551

udayj2yanamandra@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D728||Other specified disorders of whiteblood cells,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All diagnosed patients with multiple myeloma as per IMWG criteria are eligible for inclusion 
 
ExclusionCriteria 
Details  premature ovarian failure
turner females
known sex chromosome disorders
hormone replacement therapy history
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To estimate mosaic loss of X chromosome in women with hematological and solid malignancies  Cross sectional study
Single time point evaluation 
 
Secondary Outcome  
Outcome  TimePoints 
to explore association between mLOX & age at onset of malignancies
To explore the association between mLOX age of menarche menopause in different malignancies 
baseline 
 
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)   10/05/2025 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   Mosaic loss of x chromosome of mLOX is the phenomenon that may predict the loss of one copy of a woman’s two x chromosomes with age . The x chromosome inactivation has evolved as a mechanism to compensate for gene dosage imbalances between XX female and XY males , although some genes are only partially inactivated including the tumor suppressor genes(ATRX, KDM5C) . mLOX along with age related types of CH are important pre clinical indicators of hematological cancer risk and identify mitotic mis segregation , autoimmunity , blood cell trait and cancer pre disposition genes as core etiological components for mLOX susceptibility and selection. This study aims to estimate the mosaic loss of x chromosome in women with hematological and solid malignancies , to explore the association between mLOX and age of onset of malignancies and to explore association between mLOX , age of menarche/menopause in different malignancies  
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