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CTRI Number  CTRI/2023/12/060521 [Registered on: 19/12/2023] Trial Registered Prospectively
Last Modified On: 18/12/2023
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Blood-based lipidomic biomarker signature for breast cancer detection in women 
Scientific Title of Study   A pilot study evaluating the feasibility of BCAL’s blood-based lipidomic biomarker signature for breast cancer detection in women. 
Trial Acronym  BCAL-PRO-08 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Raghu Ram Pillarisetti 
Designation  Founding Director and Consultant Surgeon 
Affiliation  KIMS Hospital 
Address  KIMS-USHALAKSHMI Centre for Breast Diseases, KIMS Hospitals, Secunderabad - 500003 India

Hyderabad
TELANGANA
500003
India 
Phone  919849991405  
Fax    
Email  p.raghuram@hotmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Raghu Ram Pillarisetti 
Designation  Founding Director and Consultant Surgeon 
Affiliation  KIMS Hospital 
Address  KIMS-USHALAKSHMI Centre for Breast Diseases, KIMS Hospitals, Secunderabad - 500003 India

Hyderabad
TELANGANA
500003
India 
Phone  919849991405  
Fax    
Email  p.raghuram@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Raghu Ram Pillarisetti 
Designation  Founding Director and Consultant Surgeon 
Affiliation  KIMS Hospital 
Address  KIMS-USHALAKSHMI Centre for Breast Diseases, KIMS Hospitals, Secunderabad - 500003 India

Hyderabad
TELANGANA
500003
India 
Phone  919849991405  
Fax    
Email  p.raghuram@hotmail.com  
 
Source of Monetary or Material Support  
BCAL Diagnostics Ltd Suite 506, Level 5/50 Clarence St, Sydney NSW 2000 Australia 
 
Primary Sponsor  
Name  BCAL Diagnostics Ltd 
Address  11 Julius Ave Building 53 Floor 2, NORTH RYDE NSW 2113 Australia  
Type of Sponsor  Other [Start-up biotechnology company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nisha Hariharan  Indo-American Hospital  Road No 10, IAS Officers Quarters, Nandi Nagar, Banjara Hills 500034 India
Hyderabad
TELANGANA 
914023551235

dr.nishahariharan@gmail.com 
Dr Ram Pillarisetti  KIMS Hospital  1-8-31/1, Minister Rd, Krishna Nagar Colony, Begumpet, Secunderabad – 500003 Telangana India
Hyderabad
TELANGANA 
919849991405

p.raghuram@hotmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Basavatarakam Indo-American Cancer Hospital & Research Institute  Approved 
KIMS 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 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  90.00 Year(s)
Gender  Female 
Details  Able and willing to provide informed consent 
Women assigned female at birth (AFAB) 
Aged 30 years or older
Treatment naïve
Not on any hormone replacement therapy
Diagnosed with primary breast cancer, with no previous history of known cancer OR recently confirmed (radiological/pathological) benign breast lump with no previous history of known cancer OR no current or previous history of known cancer. 
 
ExclusionCriteria 
Details  Pregnant or breast feeding
Any acute or chronic condition that would limit the ability of the patient to participate in the study
Previous (or current) chemotherapy or radiotherapy treatment
Currently on hormone replacement therapy
Refusal to provide informed consent
Previous history of cancer  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Verification that the diagnostic performance of BCAL’s lipidomic biomarker signature using mass spectrometry, for the detection of breast cancer in fasted plasma collected from women 30 years of age is comparable to previous study performance.  Baseline only 
 
Secondary Outcome  
Outcome  TimePoints 
• Evidence for (or against) the collection, processing, storage & transport of samples from India into Australia for lipidomic testing and analysis  single blood collection at baseline 
 
Target Sample Size   Total Sample Size="291"
Sample Size from India="291" 
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)   08/01/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  01/10/2023 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="10"
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  

BCAL’s previous studies showed that the BCAL lipid signature assessed initially from plasma extracellular vesicles, and in the latest study directly from plasma could potentially effectively distinguish breast cancer cases from negative and positive controls (healthy and benign respectively). We are undertaking this study to confirm test performance across different racial and ethnically diverse populations. We are also evaluating the feasibility for having samples collected, processed, stored in India following established SOPs and transported to BCAL’s R&D facility in Australia for testing and analysis. The pilot is to ensure specimen integrity is upheld as a lead into larger-scale clinical validation studies.

We hypothesise that the BCAL breast cancer lipid signature accuracy (sensitivity and specificity) in detecting breast cancer from fasted plasma in AFAB women from India performs as expected and there is minimal to no impact on specimen integrity, should samples be tested and analysed from Australia.  

This study is a multi-center, prospective cohort study involving a single-point collection of whole blood specimens by venepuncture with associated data, under informed consent for testing and analysis at BCAL’s R&D facility in Sydney, Australia.

PRIMARY OBJECTIVES

·         To determine the accuracy (specificity and sensitivity) of the BCAL breast cancer lipid biomarker signature for the detection of breast cancer in women from India, >30 years of age, with and without breast cancer.

SECONDARY OBJECTIVES

·         To assess biospecimen integrity following collection, processing, and temporary storage and transport from India to Australia for lipidomic testing.


 
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