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Surgery first vs chemotherapy first in early triple negative and HER2 positive breast cancer.

PRe-operative ChemoTherapy versus Surgery first with peri-operative interventions in Early triple negative and HER2 enriched breast- an open label, phase 3, randomized controlled trial (PRaCTiSE) - PRaCTiSE

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2024/02/063118
Enrollment
1600
Registered
2024-02-23
Start date
Unknown
Completion date
Unknown
Last updated
2026-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C509- Malignant neoplasm of breast of unspecified site

Interventions

Intervention1: Chemotherapy First: 1) To demonstrate an improvement in disease free survival in the â??Surgery first ? arm when compared to â??Preoperative chemotherapy arm ? in triple negative and HE

Sponsors

Tata Memorial Centre
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.Histologically proved breast carcinoma 2.Triple negative(ER, PgR, HER2-neu) and HER2-neu positive (ER/PgR +/-) 3.T1-2 (excluding T1a), N0-1 (non-metastatic) 4. > 18 years 5.ECOG 0-1 6.Written informed consent 7.Fit for surgery or chemotherapy

Exclusion criteria

Exclusion criteria: 1.Pregnant, lactating women 2.Previous h/o breast or any other non-skin malignancy 3.Previous treatment for excision biopsy/other cancer. 4.History of allergy to Inj. Lignocaine

Design outcomes

Primary

MeasureTime frame
Disease free survival Overall survival Timepoint: until 10 years

Secondary

MeasureTime frame
â?¢Breast cancer specific survival â?¢Local recurrence (IBTR) â?¢Regional recurrence â?¢Evaluation of pathological complete response in the pre-operative chemotherapy arm â?¢Cosmetic assessment after breast conservation surgery (BCCT-Core software) â?¢Evaluation of margin positive rate in the 2 arms â?¢QOL assessment (BREAST-Q) Timepoint: until 2 years

Countries

India

Contacts

Public ContactDr Shalaka Joshi

Tata Memorial Centre

drjoshishalaka@gmail.com24177000

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: May 30, 2026