Sweden Cancerome Analysis Network - Breast (SCAN-B) Coupled to Psychological Resilience

NCT ID: NCT03430492

Last Updated: 2025-03-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

985 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-02-15

Study Completion Date

2025-12-31

Brief Summary

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This study aims to define the association between psychological resilience and biomolecular signatures in cancer patients and to relate psychological resilience to prognosis, as this could potentially open up a novel avenue of therapeutic interventions, medical as well as psychosocial.

Detailed Description

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Individual patients differ in psychological response when receiving a cancer diagnosis. Given the same disease burden some patients master the situation well and others do experience a great deal of stress, depression and lowered quality of life. A patient's mental resistance after acquiring a threat, like a cancer diagnosis, called psychological resilience, is known to impact the outcome of the disease. Patients with high psychological resilience are likely to experience less stress reactions, and a better adaptation and management of the life threat and the demanding therapeutic interventions. How this phenomenon of mastering difficult situations is reflected also in bio-molecular processes is not much studied and how these have an impact on the cancer prognosis and the effectiveness of treatment is today not fully understood. However, there is evidence that expressing the emotions evoked is an important part of fighting cancer.

Our hypothesis is that patients displaying a high psychological resilience, according to a standardized method "The Connor-Davidson resilience scale" i.e. low stress reactions, low hopelessness and low fatigue, also present a specific pattern of biomolecular signatures in blood, represented by its epigenome, microRNA and proteomic patterns.

This project specifically aims to investigate if breast cancer patient´s psychological resilience can be coupled to bio-molecular parameters, using advanced "omics" and as a secondary aim, if it relates to prognosis and quality of life one year after diagnosis.

Conditions

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Breast Cancer

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed patients with primary breast cancer
* Patients consented to be included in the SCAN-B study at (Blekinge County Hospital, Central Hospital Växjö and Hallands Hospital Halmstad HBG??
* Oral and written consent for the SCAN-B Resilience study
* Age ≥ 18 years
* Patients that do understand the Swedish language (written and spoken)

Exclusion Criteria

* No diagnosis of breast cancer
* Not consented to be included in the SCAN-B study
* Do not understand the Swedish language
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Vinnova

OTHER_GOV

Sponsor Role collaborator

Mats Paulssons stiftelse, org. nr 802423-3150

UNKNOWN

Sponsor Role collaborator

Gunnar Nilsson's Cancer Foundation

OTHER

Sponsor Role collaborator

CREATE Health Cancer Centre

UNKNOWN

Sponsor Role collaborator

Lund University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carl AK Borrebaeck, Professor

Role: PRINCIPAL_INVESTIGATOR

Lund University

Locations

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Blekinge County Hospital

Karlskrona, Blekinge County, Sweden

Site Status

Hallands Hospital Halmstad

Halmstad, Halland County, Sweden

Site Status

Helsingborgs hospital

Helsingborg, Skåne County, Sweden

Site Status

Central Hospital Växjö

Vaxjo, Småland, Sweden

Site Status

Countries

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Sweden

References

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Saal LH, Vallon-Christersson J, Hakkinen J, Hegardt C, Grabau D, Winter C, Brueffer C, Tang MH, Reutersward C, Schulz R, Karlsson A, Ehinger A, Malina J, Manjer J, Malmberg M, Larsson C, Ryden L, Loman N, Borg A. The Sweden Cancerome Analysis Network - Breast (SCAN-B) Initiative: a large-scale multicenter infrastructure towards implementation of breast cancer genomic analyses in the clinical routine. Genome Med. 2015 Feb 2;7(1):20. doi: 10.1186/s13073-015-0131-9. eCollection 2015.

Reference Type BACKGROUND
PMID: 25722745 (View on PubMed)

Axelsson U, Ryden L, Johnsson P, Eden P, Mansson J, Hallberg IR, Borrebaeck CAK. A multicenter study investigating the molecular fingerprint of psychological resilience in breast cancer patients: study protocol of the SCAN-B resilience study. BMC Cancer. 2018 Aug 6;18(1):789. doi: 10.1186/s12885-018-4669-y.

Reference Type BACKGROUND
PMID: 30081937 (View on PubMed)

Mohlin A, Bendahl PO, Hegardt C, Richter C, Hallberg IR, Ryden L. Psychological Resilience and Health-Related Quality of Life in 418 Swedish Women with Primary Breast Cancer: Results from a Prospective Longitudinal Study. Cancers (Basel). 2021 May 6;13(9):2233. doi: 10.3390/cancers13092233.

Reference Type RESULT
PMID: 34066499 (View on PubMed)

Mohlin A, Axelsson U, Bendahl PO, Borrebaeck C, Hegardt C, Johnsson P, Rahm Hallberg I, Ryden L. Psychological Resilience and Health-Related Quality of Life in Swedish Women with Newly Diagnosed Breast Cancer. Cancer Manag Res. 2020 Nov 24;12:12041-12051. doi: 10.2147/CMAR.S268774. eCollection 2020.

Reference Type RESULT
PMID: 33269004 (View on PubMed)

Velickovic K, Borrebaeck CAK, Bendahl PO, Hegardt C, Johnsson P, Richter C, Ryden L, Hallberg IR. One-year recovery from breast cancer: Importance of tumor and treatment-related factors, resilience, and sociodemographic factors for health-related quality of life. Front Oncol. 2022 Aug 16;12:891850. doi: 10.3389/fonc.2022.891850. eCollection 2022.

Reference Type RESULT
PMID: 36052232 (View on PubMed)

Related Links

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Other Identifiers

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SCAN-B Resilience

Identifier Type: -

Identifier Source: org_study_id

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