A Prospective Evaluation of the Peri-operative Hypoxia in Breast Cancer
Hypoxia
1 other identifier
observational
500
1 country
1
Brief Summary
To understand the effects induced by acute hypoxia that sets in during surgery in breast cancer. To study this, clinical samples (Tumor biopsies) will be obtained during the surgery after partial devascularisation (sample B) and stored for future genomic and proteonomic evaluations.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2017
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 27, 2017
CompletedFirst Submitted
Initial submission to the registry
June 28, 2018
CompletedFirst Posted
Study publicly available on registry
January 9, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2025
CompletedSeptember 10, 2025
April 1, 2025
7.8 years
June 28, 2018
September 3, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Gene expression changes
The primary outcome measured will be gene expression changes during surgical resection. Messenger ribonucleic acid (mRNA) transcripts will be quantitated and their levels evaluated during different time-points of surgical resection, using high throughput omics technologies (Next generation sequencing, nanostring ncounter, qRT-PCR array).
The study aims to evaluate gene expression changes during surgical resection, which lasts for 30-90 minutes on an average. Thus, we have not planned a clinical follow-up or collection of data for the patients post sampling during surgical resection.
Secondary Outcomes (1)
Immunohistochemistry for other markers
The study aims to evaluate gene expression changes during surgical resection, which lasts for 30-90 minutes on an average. Thus, we have not planned a clinical follow-up or collection of data for the patients post sampling during surgical resection.
Study Arms (1)
Intra-operative tumour tissue biopsies
Intra-operative tumour tissue biopsies will be collected for all patients
Interventions
The changing pattern of gene expression during surgery has never been studied. This could be an effect of acute hypoxia that sets in the tumour during surgery or could be a surgical response. To study these changes happening in the tumour during surgery, we are taking serial biopsies during surgery, one at the beginning, one midway during surgery and one at the end of surgery. These samples will be snap frozen and stored at -80 deg celsius in biorepository for future analysis.
Eligibility Criteria
Women diagnosed with breast cancer at outpatient clinic
You may qualify if:
- Clinically diagnosis of breast cancer (by FNAC or Biopsy)
- Not received any chemotherapy or surgical intervention except core biopsy.
- Planed for Breast cancer surgery
- Willing to give consent for the study
You may not qualify if:
- Clinically diagnosis of Metastatic breast cancer
- Received any anticancer therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Tata Memorial Center
Mumbai, Maharashtra, 400012, India
Related Publications (3)
Semenza GL. Cancer-stromal cell interactions mediated by hypoxia-inducible factors promote angiogenesis, lymphangiogenesis, and metastasis. Oncogene. 2013 Aug 29;32(35):4057-63. doi: 10.1038/onc.2012.578. Epub 2012 Dec 10.
PMID: 23222717BACKGROUNDHockel M, Vaupel P. Biological consequences of tumor hypoxia. Semin Oncol. 2001 Apr;28(2 Suppl 8):36-41.
PMID: 11395851BACKGROUNDHoesel B, Schmid JA. The complexity of NF-kappaB signaling in inflammation and cancer. Mol Cancer. 2013 Aug 2;12:86. doi: 10.1186/1476-4598-12-86.
PMID: 23915189BACKGROUND
Biospecimen
Breast cancer tumor tissue
Study Officials
- PRINCIPAL INVESTIGATOR
Rajendra Badwe
Director, tata Memorial Centre
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director, Tata Memorial Centre and Professor, Department of Surgical Oncology
Study Record Dates
First Submitted
June 28, 2018
First Posted
January 9, 2019
Study Start
November 27, 2017
Primary Completion
September 30, 2025
Study Completion
November 30, 2025
Last Updated
September 10, 2025
Record last verified: 2025-04