Validity of Brain Metastasis Risk Predictive Model in Hormone Positive Breast Cancer Patients

NCT ID: NCT06729099

Last Updated: 2024-12-11

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

NOT_YET_RECRUITING

Total Enrollment

128 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-01-31

Study Completion Date

2027-06-30

Brief Summary

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This study aims to validate a prediction model of brain metastasis risk for females with HR+ breast cancer by using variables collected at diagnosis.

Detailed Description

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1. Data collection:

Age at BC diagnosis, tumor size, axillary adenopathy, clinical stage, HER2 status, Ki67 proliferation index and the modified Scarff-Bloom-Richardson grade of differentiation.
2. Analysis Plan:

Continuous variables as means and standard deviation (SD) if they follow a normal distribution; if not, as medians and IQR (interquartile range). Numbers and percentages display categorical variables.
3. Model validation:

The association between covariates and the diagnosis of brain metastases by performing logistic regression analyses; odds ratio (OR), 95 % confidence intervals (CI), and p-value will be estimated. Variables with a p-value \< 0.05 in the univariate logistic regression analysis will be further assessed in a multivariate logistic regression analysis.

For the clinical use of the model, we will use a score to each variable as that designed by Cacho-Díaz B. et. al. then, we will categorize patients into three risk groups according to the sum of the scores. We will employe a Cox regression analysis to assess each group's risk of developing brain metastases. Adjusted hazard ratios (aHRs), 95 % CIs, and p values will be evaluated.

Conditions

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Breast Cancer, Estrogen Receptor-Positive

Keywords

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breast cancer Hormonal receptor positive brain metastasis risk Prediction model

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Low-risk group

Brain metastasis risk prediction model score 0-4 points.

No interventions assigned to this group

Medium-risk group

Brain metastasis risk prediction model score 5-10 points.

No interventions assigned to this group

High-risk group

Brain metastasis risk prediction model score \>10 points.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Confirmed diagnosis of HR-positive primary invasive breast cancer.

Exclusion Criteria

1. Patients if they were diagnosed with brain metastases at the time of initial breast cancer diagnosis or within the subsequent three months.
2. Bilateral breast cancer.
3. Synchronic cancer (i.e., lung cancer, melanoma).
4. Paitents presenting neurologic symptoms without follow-up or lacking a contrast-enhanced magnetic resonance image (cMRI).
5. Incomplete clinicopathological information at the time of diagnosis.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Moheb Ibrahim Melek

Clinical oncology specialist

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Moheb I Moheb Ibrahim Melek, MSc in clinical oncology

Role: CONTACT

Phone: +201092655523

Email: [email protected]

Doaa Ali Gamal, MD in clinical oncology

Role: CONTACT

Phone: +201118118806

Email: [email protected]

Other Identifiers

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Predictive model

Identifier Type: -

Identifier Source: org_study_id