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CTRI Number  CTRI/2026/02/104473 [Registered on: 20/02/2026] Trial Registered Prospectively
Last Modified On: 31/07/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   A study to see if cancer is hereditary based on gene sequencing in cases except breast and ovarian cancers 
Scientific Title of Study   GENE-North: Germline Next-Generation Sequencing to Uncover Pathogenic and Familial Cancer Genes in Solid Cancers (other than Breast and Ovary) in North India 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  MOITRI BASU 
Designation  Scientific Officer 
Affiliation  Homi Bhabha Cancer Hospital and Research Centre 
Address  Molecular Laboratory Lab no. 401, 4th floor, PICU Building Homi Bhabha Cancer Hospital and Research Centre Inside SKMCH campus Umanagar Muzaffarpur

Muzaffarpur
BIHAR
842004
India 
Phone  09831272614  
Fax    
Email  moitrri_basu@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  MOITRI BASU 
Designation  Scientific Officer 
Affiliation  Homi Bhabha Cancer Hospital and Research Centre 
Address  Molecular Laboratory Lab no. 401, 4th floor PICU Building Homi Bhabha Cancer Hospital and Research Centre Inside SKMCH campus Umanagar Muzaffarpur


BIHAR
842004
India 
Phone  09831272614  
Fax    
Email  moitrri_basu@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  MOITRI BASU 
Designation  Scientific Officer 
Affiliation  Homi Bhabha Cancer Hospital and Research Centre 
Address  Molecular Laboratory Lab no. 401, 4th floor PICU Building Homi Bhabha Cancer Hospital and Research Centre Inside SKMCH campus Umanagar Muzaffarpur


BIHAR
842004
India 
Phone  09831272614  
Fax    
Email  moitrri_basu@yahoo.co.in  
 
Source of Monetary or Material Support  
Tata Memorial Centre Research Administration Council, Dr. E Borges Road, Parel, Mumbai - 400 012 India 
 
Primary Sponsor  
Name  TRAC 
Address  TATA MEMORIAL CENTRE Dr. E Borges Road, Parel, Mumbai - 400 012 India 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Moitri Basu  Homi Bhabha Cancer Hospital and Research Centre  Molecular Laboratory, Room No 401. 4th Floor, PICU Building SKMCH Campus, Uma Nagar, Muzaffarpur
Muzaffarpur
BIHAR 
09831272614

moitrri_basu@yahoo.co.in 
Dr Akhil Kapoor  Mahamana Pandit Madan Mohan Malaviya Cancer Centre Varanasi  1st Floor, Department of Medical Oncology, Mahamana Pandit Madanmohan Malaviya cancer centre, Sundar Bagiya, Near Nariya Gate, Varanasi Hindu University Campus, Varanasi, Uttar Pradesh-221005
Varanasi
UTTAR PRADESH 
7597364554

kapoorakhil1987@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Ethics Committee, Homi Bhabha Cancer Hospital and Research Centre  Approved 
Institutional Ethics Committee, MPMMCC Varanasi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C01||Malignant neoplasm of base of tongue, (2) ICD-10 Condition: C006||Malignant neoplasm of commissure of lip, unspecified, (3) ICD-10 Condition: C020||Malignant neoplasm of dorsal surface of tongue, (4) ICD-10 Condition: C002||Malignant neoplasm of external lip, unspecified, (5) ICD-10 Condition: C001||Malignant neoplasm of external lower lip, (6) ICD-10 Condition: C000||Malignant neoplasm of external upper lip, (7) ICD-10 Condition: C009||Malignant neoplasm of lip, unspecified, (8) ICD-10 Condition: C005||Malignant neoplasm of lip, unspecified, inner aspect, (9) ICD-10 Condition: C004||Malignant neoplasm of lower lip, inner aspect, (10) ICD-10 Condition: C008||Malignant neoplasm of overlappingsites of lip, (11) ICD-10 Condition: C003||Malignant neoplasm of upper lip, inner aspect, (12) ICD-10 Condition: C15-C26||Malignant neoplasms of digestive organs, (13) ICD-10 Condition: C00-C14||Malignant neoplasms of lip, oral cavity and pharynx, (14) ICD-10 Condition: C45-C49||Malignant neoplasms of mesothelial and soft tissue, (15) ICD-10 Condition: C30-C39||Malignant neoplasms of respiratory and intrathoracic organs, (16) ICD-10 Condition: C73-C75||Malignant neoplasms of thyroid and other endocrine glands, (17) ICD-10 Condition: C7A-C7A||Malignant neuroendocrine tumors, (18) ICD-10 Condition: C43-C44||Melanoma and other malignant neoplasms of skin, (19) ICD-10 Condition: C7B-C7B||Secondary neuroendocrine tumors,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Adults greater than or equal to 18 years with histologically confirmed solid cancers (non breast and ovary) (all subtypes and all stages) like renal cell carcinoma (RCC), colorectal, endometrial, pancreatic, prostate, thyroid, lung head-neck, rare tumors 
 
ExclusionCriteria 
Details  Inability to consent or inadequate DNA 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Pathogenic or likely pathogenic prevalence  After analysis of the sequencing result 
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of variants in syndrome-associated versus non-syndromic cancer genes  After analysis of the sequencing result and getting the clinical information 
Association of predictors of Pathogenic or likely pathogenic (age less than 45, bilateral/ or multifocal disease, histology, family history)  After analysis of the sequencing result and getting the clinical information 
Proportion of variants with potential therapeutic or preventive implications  After analysis of the sequencing result and getting the clinical information 
 
Target Sample Size   Total Sample Size="1400"
Sample Size from India="1400" 
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)   16/03/2026 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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  
In India breast and ovarian cancers have been the primary focus of germline testing but there is a growing body of evidence suggesting a significant hereditary component in other solid tumors such as renal cell carcinoma RCC colorectal endometrial pancreatic prostate thyroid lung head-neck rare tumors and gallbladder cancer GBC.

Renal cell carcinoma RCC and thyroid cancer are both known to have a hereditary component with 3 to 5 percent of RCC and up to 10 percent of differentiated thyroid cancers linked to pathogenic germline variants in cancer predisposition genes. While syndromic causes eg VHL FH FLCN in RCC RET in medullary thyroid carcinoma are well-characterised emerging evidence suggests that a significant proportion of patients even without classical high-risk features harbour pathogenic or likely pathogenic P/LP germline variants particularly in DNA damage response DDR and mismatch repair MMR genes.

Recent Indian data in advanced RCC demonstrate a 20 percent prevalence of germline P/LP variants of which nearly 80 percent would have been missed using conventional testing criteria. Comparable germline data for thyroid cancer in the Indian population are lacking.

Gallbladder cancer is notably more prevalent in the Gangetic belt Uttar Pradesh Bihar and North-East India. Although data is limited familial clustering and early-onset cases suggest potential germline predisposition possibly involving genes like TP53 BRCA1/2 MMR genes STK11 and CDKN2A. This warrants formal exploration.

Understanding the prevalence and spectrum of such variants in unselected patients across all stages is crucial for

Refining genetic testing guidelines relevant to the Indian population.

Identifying at-risk family members through cascade screening.

Exploring therapeutic implications for targeted therapies eg PARP inhibitors ICIs VEGF-TKIs RET inhibitors.

This multicentre study aims to evaluate the prevalence of germline pathogenic or likely pathogenic P/LP variants in unselected patients across a range of non-breast/ovary solid tumors.

Identifying at-risk family members through cascade screening.

Exploring therapeutic implications for targeted therapies eg PARP inhibitors ICIs VEGF-TKIs RET inhibitors.

This multicentre study aims to evaluate the prevalence of germline pathogenic or likely pathogenic P/LP variants in unselected patients across a range of non-breast/ovary solid tumors.

 
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