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CTRI Number  CTRI/2021/03/031926 [Registered on: 11/03/2021] Trial Registered Prospectively
Last Modified On: 10/03/2021
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Impact of artificial intelligence based scoring of hormone expression in breast cancer on treatment decision making.  
Scientific Title of Study   Validation of artificial intelligence (AI) based pathology solution in scoring of biomarker expression in breast cancer and its impact on clinical decision making in breast cancer therapy  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Brij Mohan Kumar Singh 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Pathology Kasturba Medical COllege, Manipal Basic Sciences Building Manipal

Udupi
KARNATAKA
576104
India 
Phone  9663984859  
Fax    
Email  brij.singh@manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Brij Mohan Kumar Singh 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Pathology Kasturba Medical COllege, Manipal Basic Sciences Building Manipal

Udupi
KARNATAKA
576104
India 
Phone  9663984859  
Fax    
Email  brij.singh@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Brij Mohan Kumar Singh 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Pathology Kasturba Medical COllege, Manipal Basic Sciences Building Manipal

Udupi
KARNATAKA
576104
India 
Phone  9663984859  
Fax    
Email  brij.singh@manipal.edu  
 
Source of Monetary or Material Support  
Applied Materials India PVT LTD. International technology park, Whitefield road, Bangalore-560066 Karnataka, India 
 
Primary Sponsor  
Name  Applied Materials India PVT LTD 
Address  International Technology Park Whitefield Road Bangalore Pin code 560066 Karnataka India 
Type of Sponsor  Other [Software solutions for diagnosis & prognosis of diseases] 
 
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 Brij Mohan Kumar Singh  Kasturba Hospital  Department of Pathology Kasturba Medical College, Manipal Basic Sciences Building Manipal Pincode 576104
Udupi
KARNATAKA 
9663984859

brij.singh@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and kasturba Hospital Institutional 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 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  80.00 Year(s)
Gender  Female 
Details  Female patients, post-surgery with diagnosed breast carcinoma subjected to immunohistochemical analysis of hormone receptors(ER, PR, Her2-neu and Ki67) on the breast specimen. 
 
ExclusionCriteria 
Details  Cases were consent could not be obtained  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Utility and effectiveness of computer assisted artificial intelligence (AI) based analysis to objectively quantify the biomarker expression in breast cancer.  4 months 
 
Secondary Outcome  
Outcome  TimePoints 
Impact of AI based scoring in deciding therapy modulation in patient diagnosed with breast cancer.  4 months 
 
Target Sample Size   Total Sample Size="75"
Sample Size from India="75" 
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)   15/03/2021 
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   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This is a prospective cross-sectional study that will be conducted on cases of breast carcinoma. Glass slides prepared from blocks containing tumour tissue would be stained by immunohistochemistry for ER, PR, and HER2/neu expressions and Ki 67. The IHC slides of ER, PR, HER2 neu and Ki 67 will be de-identified and coded. 4 pathologists will independently score ER, PR, Her 2/neu and Ki 67 expression.

The results of manual scoring will be compared with that of artificial intelligence (AI) based scoring. The scores of IHC expression of ER, PR, Her 2 and ki67 obtained manually from pathologists and AI-based algorithm will be provided to the blinded medical oncologist who will decide and chart out the treatment plan separately for both manual score and the AI-based score based on these biomarkers expression scores. The treatment plan for both arms will be compared to study the impact of the AI-based solutions on clinical decision making and planning of further treatment for a patient with breast cancer.

 
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