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CTRI Number  CTRI/2014/11/005227 [Registered on: 28/11/2014] Trial Registered Prospectively
Last Modified On: 27/11/2014
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   A study of thromboembolic events in patients of advanced stage lung cancer treated with platinum based chemotherapy. 
Scientific Title of Study   Prospective observational study of thromboembolic events in patients of advanced stage Non small cell lung cancer(NSCLC) treated with platinum based chemotherapy. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Amit Joshi  
Designation  Associate Professor and Medical Oncologist 
Affiliation  Tata Memorial Hospital 
Address  Tata memorial hospital Dr. E. Borges Marg, Parel, Mumbai – 400012

Mumbai
MAHARASHTRA
400012
India 
Phone  022-24177032  
Fax    
Email  dramit74@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shruti kate 
Designation  Senior resident  
Affiliation  Tata Memorial Hospital 
Address  Tata memorial hospital Dr. E. Borges Marg, Parel, Mumbai – 400012

Mumbai
MAHARASHTRA
400012
India 
Phone  7506117343  
Fax    
Email  drshruti_kate@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Amit Joshi  
Designation  Associate Professor and Medical Oncologist 
Affiliation  Tata Memorial Hospital 
Address  Tata memorial hospital Dr. E. Borges Marg, Parel, Mumbai – 400012

Mumbai
MAHARASHTRA
400012
India 
Phone  022-24177032  
Fax    
Email  dramit74@yahoo.com  
 
Source of Monetary or Material Support  
Tata Memorial Hospital Dr. E. Borges Marg, Parel, Mumbai – 400012  
 
Primary Sponsor  
Name  Tata Memorial Hospital 
Address  Tata Memorial Hospital Dr. E. Borges Marg, Parel, Mumbai – 400012  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Amit Joshi  Tata Memorial Hospital  Department of Medical Oncology , Uro-Oncology OPD,Room No 225 ,Homi Bhabha Block , Tata Memorial Hospital Dr. E. Borges Marg, Parel, Mumbai – 400012
Mumbai
MAHARASHTRA 
022-24177032

dramit74@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committees (IEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Advanced stage non small cell lung cancer (NSCLC) patients treated with platinum based chemotherapy.,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  INCLUSION CRITERIA:
Lung cancer patients (age >18 years) who are started on platinum based chemotherapy.
 
 
ExclusionCriteria 
Details  EXCLUSION CRITERIA:
1. Age <18 years
2. Patients in whom therapy is discontinued prior to completion of 6 weeks due to any reason.
3. Presence of any thromboembolic event before start of chemotherapy including deep venous thrombosis (DVT), pulmonary embolus, cerebrovascular accident, and unstable angina/myocardial infarction (MI).
4.Patients with bleeding diathesis, inherited coagulopathy, and those requiring therapeutic anticoagulation, regular nonsteroidal anti-inflammatory drugs, and aspirin.
5. Patients receiving angiogenesis inhibitor drug- bevacizumab.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
PRIMARY OUTCOME:
The overall incidence, timing, and characteristics of thromboembolic events (venous or arterial) in adult patients of advanced stage non small cell lung cancer treated with platinum-based chemotherapy.
 
At the baseline and end of the study(4 weeks from the last dose of chemotherapy) or earlier in case of development of a thromboembolic event . 
 
Secondary Outcome  
Outcome  TimePoints 
SECONDARY OUTCOME:
Secondary objectives are to analyze the prognostic value of baseline and treatment characteristics in predicting the occurrence of a thromboembolic events in patients of advanced stage non small cell lung cancer treated with platinum-based chemotherapy.
 
At the baseline and end of the study(4 weeks from the last dose of chemotherapy) or earlier in case of development of a thromboembolic event .
 
 
Target Sample Size   Total Sample Size="167"
Sample Size from India="167" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/12/2014 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

Aims/ Objectives of the study:

1. To determine the incidence of thromboembolic events including deep venous thrombosis (DVT), pulmonary embolus (PE), cerebrovascular accident, and unstable angina/myocardial infarction (MI) in patients of lung cancer treated with platinum-based chemotherapy.

2. To analyze the prognostic value of patients’ baseline and treatment characteristics in predicting occurrence of thromboembolic events in patients of lung cancer on platinum based chemotherapy.

Study methodology:

1.All patients will be evaluated at the baseline prior to start of chemotherapy by taking a detailed history  and detailed physical examination.

2.Baseline characteristics of the patients will be noted including sex, BMI ,performance status , hemoglobin, total leucocyte count, platelet count  and will be assigned to Khorana risk group (low , intermediate or high).

Factors for univariate analysis will be these:

1.    BMI ,Smoking ,DM , HTN ,Dyslipidemia ,Baseline hemoglobin, Baseline leucocyte count, Baseline platelet count, Presence of Central venous catheter,  Khorana risk score.

        3. All patients will be enquired for development of any thromboembolic event including at every visit with relevant history pertaining to deep venous thrombosis (DVT), pulmonary embolus (PE), cerebrovascular accident, and unstable angina/myocardial infarction (MI).

4. In the presence of a positive history relating to development of any thromboembolic event ,relevant diagnostic tests will be performed for confirmation of the diagnosis as per the treating physician’s decision.

5. A thromboembolic event will be considered associated with chemotherapy if it occurred between the time of the first dose of platinum based chemotherapy and 4 weeks after the last dose.



 
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