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POC Medical Systems has developed a Point of Care system for the screening of breast cancer in the general population. Via a proprietary algorithm, the MammoAlertâ„¢ is expected to determine breast cancer's risk level for a subject by identifying the presence in plasma of known biomarkers. The present study aims to determine the Sensitivity and Specificity of the test in plasma samples of subjects of whom the status vis-Ã -vis breast cancer is known.
2400 subjects will be screened for breast cancer in seven enrolling sites across the country to ensure diverse ethnicity.
"Positive" subjects should be confirmed breast cancer positive by Mammography and/or biopsy. Breast cancer positive samples will be compared to the control group of samples obtained from women attending clinics for non-cancerous related pathology.
Both Positive and Negative Predictive Values will be evaluated to determine accuracy and sensitivity of the screening test.
Subjects whose known cancer positive or negative status do not match the test report will be followed up as appropriate, on case by case basis to identify false positive and false negative results.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Breast Cancer Positive | A 5cc blood sample will be collected from subjects who were screened for breast cancer at the treating facility and results were positive. MammoAlert Screening Test will be performed on plasma obtained from the blood sample. |
| |
| Breast Cancer Negative | A 5cc blood sample will be collected from subjects who were screened for breast cancer at the treating facility and results were negative. MammoAlert Screening Test will be performed on plasma obtained from the blood sample. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MammoAlert Screening Test | Other | Plasma obtained from blood samples will be analyzed with the MammoAlert Screening Test for the presence of known breast cancer bio-markers. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Screening performance (i.e., sensitivity and specificity) | Screening performance: comprises the sensitivity and specificity of MammoAlertâ„¢. It represents the performance of the diagnostic test and is therefore independent of the prevalence of the disease in the studied sample of patients. | Screening performance will be calculated at 4-months |
| Measure | Description | Time Frame |
|---|---|---|
| Predictive values & likelihood ratios | Positive predictive value: the probability that a subject has the disease given that the test result is positive will be estimated by: TP/(TP+FP). Negative predictive value: the probability that a subject does not have the disease given that the result of the test is negative will be estimated by TN/(TN+FN). Likelihood ratio (LR): the likelihood that a given test result would be expected in a patient with the target disorder compared to the likelihood that that same result would be expected in a patient without the target disorder. |
| Measure | Description | Time Frame |
|---|---|---|
| Accuracy of test | The probability that the test result reflects the true disease state will be estimated as the proportion of cases for which the test result is correct: (TP+TN)/(TP+FP+TN+FN). | Accuracy of test will be calculated at 4-months |
| Reproducibility |
Inclusion Criteria:
Exclusion Criteria:
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Women only
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The present study targets women of at least 18 years old
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| Name | Affiliation | Role |
|---|---|---|
| Raghu Ram Pillarisetti, MD | KIMS USHALAKSHMI Centre for Breast Diseases KIMS Hospitals | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| KIMS USHALAKSHMI Centre for Breast Diseases KIMS Hospitals | Hyderabad | Andhra Pradesh | 500003 | India | ||
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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Plasma
| Predictive values & likelihood ratios will be calculated at 4-months |
The ability of MammoAlertâ„¢ to reveal the same result when repeatedly performed on the same sample, assessed repeatedly by the same reader
| Reproducibility will be calculated at 4-months |
| Indo American Cancer Hospital and Research Institute |
| Hyderabad |
| Andhra Pradesh |
| 500034 |
| India |
| HCG MULTI Specialty Hospital HCG Cancer Center | Ahmedabad | Gujarat | 380006 | India |
| Manipal Hospital | Bangalore | Karnataka | 560017 | India |
| Amrita Institute of Medical Sciences and Research Centre | Kochi | Kerala | India |
| Tata Medical Center | Kolkata | West Bengal | 700160 | India |
| Maulana Azad Medical College University of Delhi & Associated Lok Nayak Hospital | New Delhi | 110002 | India |
| D017437 |
| Skin and Connective Tissue Diseases |