Official Title
Phenotype and Prognosis of Patients With Breast Cancer and Pathogenic Variants of TP53 (BREAST TP53)
Brief Title
Phenotype and Prognosis of Patients With Breast Cancer and Pathogenic Variants of TP53
Protocol ID
NCT04966923
Lead Sponsor
Instituto do Cancer do Estado de São Paulo
Brief Summary
A prospective and retrospective cohort study of patients with a documented pathogenic or
likely pathogenic variants of TP53 were identified using blood DNA colection and breast
cancer diagnosis by histological confirmation, between 1999 and 2022. All patients were
followed by the Hereditary Group of a single cancer center (Instituto do Cancer do Estado
de Sao Paulo). Patients were included if they had a histopathological diagnosis of
localized invasive carcinoma or in situ carcinoma of the breast and with localized
disease. Patients met Revised Chompret criteria, Li Fraumeni like syndrome,family member
of carrier TP53 or hereditary breast and ovarian syndrome for germline test.
Detailed Description
The primary outcome was progression free survival from specific breast cancer from
patients with BC and TP53 mutation versus BC and no pathogenic variants documented in
genetic test. We proposed 45 cases TP53 pathogenic carriers and localized breast cancer
diagnosed for each case included we will be selected 2 controls resulting in 90 control
patients, for control with no documented pathogenic variants in genetic test. With a
sample of 135 patients with distribution 2:1, considering a two-tailed alpha of 5%, the
study will have 80% power to identify a hazard hatio of 0.62 in the comparison of
progression-free survival between the groups.
Descriptive statistics will be used to summarize clinical characteristics and treatments
performed. Continuous variables may be compared between groups using T Student test or
Mann-Whitney test, in the case of normal and non-normal data distribution, respectively.
Categorical variables may be compared between groups using the Fisher exact test.
Progression-free survival will be estimated from the date of breast cancer diagnosis
until the date of progression or date of recurrence (in cases of localized disease
treated) of breast cancer. Death will not be considered as an event for progression-free
survival, since patients with PV TP53 may have an increased risk of deaths from other
neoplasms. The breast cancer specific survival will be estimated from the date of
diagnosis of breast cancer until the date of death from the breast cancer. Patients
without the specific events will be censored on the date of last follow-up.
The Kaplan-Meyer method will be used for survival estimates, comparing survival curves
with log-rank testing. The Cox regression model will be used for hazard-ratio calculation
and 95% confidence-interval. P value less than 0.05 will be considered statistically
significant. Statistical analyses will be performed through Stata program, version 15.1
(StataCorp, Texas, USA).
Study Period
-
Enrollment Count
135 participants
Eligibility Criteria
Inclusion Criteria:
- Breast cancer (histopathological diagnosis of localized invasive carcinoma or in
situ carcinoma of the breast) and documented germline pathogenic variants of TP53.
Exclusion Criteria:
- Patients with only other types of breast cancer such as sarcoma and phyllodes tumor
were excluded from the analysis.
- Metastatic Breast Cancer at diagnosis ("denovo")
Filters
Breast Cancer
TP53 R337H
Li-Fraumeni Syndrome
Prognosis Breast Cancer
COMPLETED
ADULT
OLDER_ADULT