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CTRI Number  CTRI/2026/03/105549 [Registered on: 06/03/2026] Trial Registered Prospectively
Last Modified On: 05/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Expressiom of Programmed death ligand-1(PD-L1)and Forkhead Box P3 (FOXP3) in HER 2 NEU positive breast carcinoma and its association with clinico pathological parameters 
Scientific Title of Study   Expression of Programmed death ligand-1(PD-L1)and Forkhead Bos P3 (FOXP3) in HER 2 NEU positive breast carcinoma and its association with clinico pathological parameters 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Keerthi V 
Designation  Junior Resident 
Affiliation  Maulana Azad Medical College  
Address  Department of Pathology Maulana Azad Medical College Bahadur Shah Zafar Marg Delhi

Central
DELHI
110002
India 
Phone  9266940111  
Fax    
Email  keerthivaddara099@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shramana Mandal 
Designation  Director Professor  
Affiliation  Maulana Azad Medical College  
Address  Department of Pathology Maulana Azad Medical College Bahadur Shah Zafar Marg Delhi

Central
DELHI
110002
India 
Phone  9811686401  
Fax    
Email  shra_mana@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Keerthi V 
Designation  Junior Resident 
Affiliation  Maulana Azad Medical College  
Address  Department of Pathology Maulana Azad Medical College Bahadur Shah Zafar Marg Delhi

Central
DELHI
110002
India 
Phone  9266940111  
Fax    
Email  keerthivaddara099@gmail.com  
 
Source of Monetary or Material Support  
Planning branch Maulana Azad Medical College 
 
Primary Sponsor  
Name  Planning branch 
Address  Maulana Azad Medical College, Bhadur Shah ZAfar Marg, Delhi-110002 
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 
KEERTHI VADDARA  Maulana Azad Medical college  Maulana Azad Medical College, Bahadur Shah Zafar Marg, Delhi-110002
Central
DELHI 
9266940111

KEERTHIVADDARA099@GMAIL.COM 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics 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  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. All patients with a diagnosis of breast carcinoma showing Her 2 neu positivity
2. Patients aged 18 years and above. 
 
ExclusionCriteria 
Details  1. Patients who have received radiotherapy
2. Patients showing complete response to chemotherapy. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. To determine the proportion of cases showing PD-L1 positivity in Her 2 Neu positive cases of breast carcinoma.
2. To determine the proportion of cases showing FOXP3 positivity in Her 2 Neu positive cases of breast carcinoma. 
1. To determine the proportion of cases showing PD-L1 positivity in Her 2 Neu positive cases of breast carcinoma(baseline).
2. To determine the proportion of cases showing FOXP3 positivity in Her 2 Neu positive cases of breast carcinoma(baseline). 
 
Secondary Outcome  
Outcome  TimePoints 
To determine the proportion of cases showing FOXP3 & PD-L1 expression across various clinicopathological parameters such as tumour grade size & lymph node status in Her 2 neu positive cases of breast carcinoma  Before & after chemotherapy
Time between chemotherapy & modified radical mastectomy  
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   23/03/2026 
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)   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  


Title: Expression of PD-L1 and FOXP3 in HER2-positive Breast Carcinoma and its Association with Clinicopathological Parameters

Summary:

Breast carcinoma is the most common malignancy among women worldwide, with HER2-positive subtype representing an aggressive variant associated with poor prognosis and limited response in a subset of patients despite targeted therapies. The tumour immune microenvironment plays a crucial role in disease progression and treatment response, with Programmed Death-Ligand 1 (PD-L1) and Forkhead Box P3 (FOXP3) identified as key immunoregulatory markers. PD-L1 mediates immune evasion by inhibiting T-cell activation, while FOXP3 marks regulatory T cells that suppress antitumour immunity. Co-expression of these markers may signify an immunosuppressive phenotype contributing to therapeutic resistance.This cross-sectional study aims to evaluate the expression of PD-L1 and FOXP3 in HER2-positive post-chemotherapy breast carcinoma and correlate their expression with clinicopathological parameters including tumour grade, lymph node status, and size. Immunohistochemical analysis will be performed on resected specimens using monoclonal antibodies against PD-L1 and FOXP3, and results will be analyzed statistically.The findings are expected to enhance understanding of the immune landscape of HER2-positive breast carcinoma and may identify biomarkers predictive of therapeutic response and prognosis, particularly relevant for optimizing management in resource-limited settings such as India.

 
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