Epidemiology of TNBC in Asyut Clinical Oncology Department
- Conditions
- Breast Cancer
- Registration Number
- NCT05586659
- Lead Sponsor
- Assiut University
- Brief Summary
Epidemiological Study about behavior of TNBC in Clinical oncology department in 8 y in Asyut university hospital
- Detailed Description
Breast Cancer )BC) is the most Common malignancy in women in 2020, there were 2.3 million women diagnosed with breast cancer and 685.000 deaths globally. Breast cancer rates are 88% higher in developed countries compared to developing countries .
TNBC represents accounts for approximately 24% of all breast cancer in 2020 .While in Egypt it accounts for 11.05% according to Egyptian national BC (5). By gene expression profiling ,4 subtypes of TNBC emerged : luminal androgen receptor (LAR), mesenchymal stem-like (MSL), immunomodulatory (IM), basal-like (BL1 and BL2) . Most of cases are advanced with median survival about 14 months . Brain and visceral organs represent common sites of distant metastasis . So it is considered the worst prognosis . In addition , chemotherapy is only option in treatment with no available targeted options for decades. Now we have Immunotherapy (IO ) and PARP inhibitors in neoadjuvant (NAT) and metastatic setting For example : Key note 355 which add Pembrolizumab in NAT which lead to marked improvement in pathological complete response ( PCR ) And in high risk patient and have marked results in disease and event free survival(8) .Poly (ADP-ribase) poly merase -1 (PARP-1) inhibitors appear to particularly effective in BRCA 1/2 mutation carries (9) .As reviewed by rodleret al. emerging data suggest that BRCA 1/2 carriers with TNBC disease may respond favorably to cisplatin therapy .
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 50
- Age ≥ 18
- Male or female
- Diagnosed as TNBC from ( 2015- 2022 ) confirmed by pathology
- Adjuvant or metastatic
- Have other type of malignancy
- HER2 , ER, PR positive
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Incidence of TNBC Baseline Incidence of TNBC in clinical oncology department from 2015-2022
Behavior of the disease and stage baseline Behavior of the disease and stage of presentation
Types of treatment baseline Types of treatment
- Secondary Outcome Measures
Name Time Method DFS Baseline Disease free survival
OS Baseline overall survival
PFS Baseline progression free survival