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CTRI Number  CTRI/2022/05/042779 [Registered on: 24/05/2022] Trial Registered Prospectively
Last Modified On: 25/05/2022
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Gene testing in triple negative breast cancer at two points: before and after chemotherapy 
Scientific Title of Study   Paired targeted genomic profiling of triple negative breast cancer to understand the mechanisms of chemoresistance and develop novel treatment targets 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Atul Batr 
Designation  Associate professor 
Affiliation  AIIMS 
Address  Room 160D First Floor IRCH AIIMS

South
DELHI
110029
India 
Phone  01129575043  
Fax    
Email  batraatul85@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Atul Batr 
Designation  Associate professor 
Affiliation  AIIMS 
Address  Room 160D First Floor IRCH AIIMS


DELHI
110029
India 
Phone  01129575043  
Fax    
Email  batraatul85@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Atul Batr 
Designation  Associate professor 
Affiliation  AIIMS 
Address  Room 160D First Floor IRCH AIIMS


DELHI
110029
India 
Phone  01129575043  
Fax    
Email  batraatul85@gmail.com  
 
Source of Monetary or Material Support  
ICMR 
 
Primary Sponsor  
Name  ICMR 
Address  ICMR . Ramalingaswami Bhawan, P.O. Box No. 4911. Ansari Nagar, New Delhi - 110029, India. 
Type of Sponsor  Government funding agency 
 
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 
Atul Batra  AIIMS New Delhi  Room 160 D, First Floor IRCH, AIIMS
South
DELHI 
01129575043

batraatul85@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics CommitteeAIIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C50||Malignant neoplasm of breast,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Female 
Details  Patients diagnosed with triple negative breast cancer
Non metastatic disease
Planned for neoadjuvant chemotherapy
Willing to participate in study 
 
ExclusionCriteria 
Details  Patients with prior history of cancer
Patients planned for upfront surgery 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Identification of targetable mutations in residual disease in triple negative breast cancer that were not initially present in the tumor cells and in germline  Six months 
 
Secondary Outcome  
Outcome  TimePoints 
Identifying the associations between differential mutations with disease-free survival of patients with triple negative breast cancer

Identification of genetic mutations associated with incomplete response to chemotherapy

Identification of new mutations that develop in recurrent disease
 
Six 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)   01/06/2022 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

It is expected that 232,832 patients will be diagnosed with breast cancer in India in 2025. Triple-negative breast cancer (TNBC) is a subtype that does not express estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2) andtherefore, such patients do not benefit from hormonal or HER2 directed


therapy.                                                                                                                             

The current standard of management of patients with TNBC more than 2 cm primary tumor size is neoadjuvant chemotherapy, followed by surgery and subsequently radiotherapy, as indicated. Despite this, around 50% of patients with TNBC will eventually developchemoresistance, recur systemically and succumb to cancer.

The mechanisms of chemoresistance in the residual tumor tissue are not known. To addressthis knowledge gap, we aim to compare the targeted genomic (germline and somatic) profiles   of baseline tumor samples with that of post-neoadjuvant chemotherapy surgical specimenfrom a prospective cohort of patients with TNBC.

 
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