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CTRI Number  CTRI/2014/08/004920 [Registered on: 25/08/2014] Trial Registered Retrospectively
Last Modified On: 04/05/2016
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Diagnostic 
Study Design  Single Arm Study 
Public Title of Study   A Trial intended to study the role of sentinel node biopsy technique in women with breast cancer who have had prior surgery for a breast lump 
Scientific Title of Study   Validation of sentinel lymph node biopsy technique after prior lumpectomy in early breast cancer patients  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Paul Augustine 
Designation  Additional Professor 
Affiliation  Regional cancer centre  
Address  Regional cancer Centre, R-1, Jainagar, Medical College P.O. Trivandrum – 695011. Kerala, India.
R-1, Jainagar, Medical College P.O. Trivandrum – 695011. Kerala, India.
Thiruvananthapuram
KERALA
695011
India 
Phone  9447220035  
Fax  91-471-2447454  
Email  augustpaul@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sridhar D 
Designation  Mch Surgical Oncology Resident 
Affiliation  Regional cancer centre  
Address  Regional cancer Centre, R-1, Jainagar, Medical College P.O. Trivandrum – 695011. Kerala, India.
R-1, Jainagar, Medical College P.O. Trivandrum – 695011. Kerala, India.
Thiruvananthapuram
KERALA
695011
India 
Phone  9567170760  
Fax    
Email  dasusridhar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Paul Augustine 
Designation  Additional Professor 
Affiliation  Regional cancer centre  
Address  Regional cancer Centre, R-1, Jainagar, Medical College P.O. Trivandrum – 695011. Kerala, India.
R-1, Jainagar, Medical College P.O. Trivandrum – 695011. Kerala, India.
Thiruvananthapuram
KERALA
695011
India 
Phone  9447220035  
Fax  91-471-2447454  
Email  augustpaul@gmail.com  
 
Source of Monetary or Material Support  
Regional cancer center Medical college PO Trivandrum-695011 Kerala 
 
Primary Sponsor  
Name  Regional Cancer Centre Trivandrum  
Address  Regional Cancer Centre Medical College PO Trivandrum -695011 
Type of Sponsor  Research institution and hospital 
 
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 
Paul Augustine  Regional cancer center  Department of surgical oncology 3rd floor Medical College Campus PO, Thiruvananthapuram, Kerala 695011 0471 244 2541
Thiruvananthapuram
KERALA 
04712443290

augustpaul@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Human ethics committee, RCC Trivandrum  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Breast cancer patients-post lumpectomy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Literature data of sentinel lymph node biopsy technique in primary early breast cancer patients  Comparison of efficacy of sentinel lymph node biopsy technique in post lumpectomy early breast cancer patients in terms of identification and false negative rates with literature data of lymph node biopsy technique in primary early breast cancer patients 
Intervention  Sentinel lymph node biopsy  sentinel lymph node biopsy in post lumpectomy early breast cancer patients  
 
Inclusion Criteria  
Age From  14.00 Year(s)
Age To  80.00 Year(s)
Gender  Female 
Details  1)pT1,T2 tumours (based on the pathology report)
2)N0 breast cancers(clinically and radiologically)
3)Invasive breast adenocarcinoma
 
 
ExclusionCriteria 
Details  1)Prior axillary surgery/Non oncologic breast surgery/ biopsies other than excision or lumpectomy/surgery to the ipsilateral breast prior to 3 months
2)Prior irradiation to the breast or axilla
3)Performance status ECOG 3,4
4)Pregnant and lactating women
5)Neoadjuvant Chemotherapy
6)Known Allergy to Human serum Albumin , Isosulfan Blue
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To validate the efficacy of the sentinel node biopsy technique in post lumpectomy breast cancer patients in terms of
Identification rate
False negative rate 
To validate the efficacy of the sentinel node biopsy technique in post lumpectomy breast cancer patients in terms of
Identification rate
False negative rate 
 
Secondary Outcome  
Outcome  TimePoints 
To determine sensitivity ,specificity ,positive and negative predictive value of the technique by comparison to axillary dissection   2 years 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/04/2014 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
This is a single institutional , single arm , interventional study being conducted to test the efficacy of the sentinel lymph node biopsy technique in post lumpectomy  early breast cancer patients.The total number of patients will be 40 with the  duration being 2 years.The primary end point of the study will be sentinel node identification rate and false negative rate.The results will be compared with similar studies conducted in the  primary setting. Our ultimate aim is to use sentinel node biopsy technique as a staging tool for the axilla and eventually avoid the morbidity of axillary dissection  in this group of patients.    
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