About this trial
To explore the cognitive impairment caused by chemotherapy and endocrine therapy in premenopausal breast cancer patients and to find biomarkers with early predictive effect on this cognitive impairment by using multimodal integrated PET/MRI technology combined with psychobehavioral technology.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patients with primary stage I-II breast cancer.
Premenopausal women (menopausal status determined by National Comprehensive Cancer Network Breast Cancer Guidelines criteria).
No treatment other than surgery has been started (if neoadjuvant chemotherapy is required before surgery, enroll before chemotherapy starts).
Eastern Cooperative Oncology Group score of 0-1 points.
Disqualifiers
Central nervous system (CNS) disease, history of malignancy, chronic loss of consciousness, head trauma, and any disease affecting cognitive function.
Current or former epilepsy, dementia, or learning disabilities.
Past psychiatric history.
Past history of malignancy.
Trial population
Premenopausal patients with stage I-II breast cancer.
Trial design
Cohort
Prospective
Treatments tested in this trial
PET/MRI, psychobehavioral tests and questionnaires, serum biomarkers and stool sample
DeviceNeuroimaging data were collected by integrated PET/MRI machine, and collected the psychobehavioral data, the serum and stool samples of participants.
Treatment groups
Trial outcomes
Primary outcomes
Change of gray matter volume of whole brain
Gray matter volume will be measured with magnetic resonance imaging (high resolution T1-weighted image)
Change of white matter integrity of whole brain.
Fractional anisotropy, axial diffusivity and radial diffusivity will be measured with magnetic resonance imaging (diffusion tensor imaging)
Change of metabolism of glucose in the brain
Accumulation of 18F-fluorodeoxyglucose(18F-FDG) will be analyzed by time-related Positron emission tomography
Change of functional connectivity of whole brain
Functional connectivity will be measured with magnetic resonance imaging based on blood oxygen level dependence
Secondary outcomes
Change of the concentration of serum biomarkers.
The concentration of GFAP with pg/mL, S-100B with pg/mL,IL-6 with pg/mL, IL-8 with pg/mL, IL-10 with pg/mL, IL-1β with pg/mL, TNF-α with pg/mL, UCH-L1 with pg/mL, NSE with pg/mL, T-Tau with pg/mL, P-Tau with pg/mL, NFL with pg/mL, BDNF with pg/mL, and VEGF with pg/mL
Sponsors and contacts
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Tang-Du Hospital
Lead sponsor
Xi'an Jiaotong University
Collaborator