| CTRI Number |
CTRI/2024/05/066777 [Registered on: 03/05/2024] Trial Registered Prospectively |
| Last Modified On: |
30/04/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Surgical/Anesthesia |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Keloid relapse rate after surgery and application of steroid injection and silicon gel in North East India. |
|
Scientific Title of Study
|
Estimating recurrence rate after application of the triple therapy of surgical excision, adjuvant steroid injection and silicone gel sheet in treating keloid patients from the North East India; an outcome analysis. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Sumanjit S Boro |
| Designation |
Associate Professor |
| Affiliation |
All India Institute of Medical Sciences,Guwahati |
| Address |
Dept of Burns and Plastic Surgery, Room no-2026; All India Institute of Medical Sciences, Silbharal, Changsari, North Guwahati Part.
Kamrup ASSAM 781101 India |
| Phone |
9712909702 |
| Fax |
|
| Email |
sumanjitboro@aiimsguwahati.ac.in |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Sumanjit S Boro |
| Designation |
Associate Professor |
| Affiliation |
All India Institute of Medical Sciences,Guwahati |
| Address |
Dept of Burns and Plastic Surgery,Room No-2026; All India Institute of Medical Sciences, Silbharal, Changsari, North Guwahati Part.
Kamrup ASSAM 781101 India |
| Phone |
9712909702 |
| Fax |
|
| Email |
sumanjitboro@aiimsguwahati.ac.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Sumanjit S Boro |
| Designation |
Associate Professor |
| Affiliation |
All India Institute of Medical Sciences,Guwahati |
| Address |
Dept of Burns and Plastic Surgery, Room No-2026; All India Institute of Medical Sciences, Silbharal, Changsari, North Guwahati Part.
Kamrup ASSAM 781101 India |
| Phone |
9712909702 |
| Fax |
|
| Email |
sumanjitboro@aiimsguwahati.ac.in |
|
|
Source of Monetary or Material Support
|
| Intramural grant; All India institute of medical sciences;Silbharal Changsari, Guwahati, Assam 781101, India |
|
|
Primary Sponsor
|
| Name |
All India institute of medical sciences Guwahati |
| Address |
Silbharal, Changsari, North Guwahati Part, Kamrup District, Assam, 781101,India |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Sumanjit S Boro |
All India Institute of Medical Sciences, Guwahati |
Room No-2026; Dept of Burns and Plastic Surgery;Silbharal, Changsari, North Guwahati Part,Pin-781101 Kamrup ASSAM |
09712909702
sumanjitboro@aiimsguwahati.ac.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee, All India Institute of Medical Sciences, Guwahati |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
, (1) ICD-10 Condition: L918||Other hypertrophic disorders of the skin, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Triple therapy of surgical excision, adjuvant steroid injection and silicone gel sheet in management of keloid |
Surgery: -
-Surgical excision (intralesional/extra-lesional) will be done according to the keloid size and location.
-Intralesional excision: The excision is done within the limit of the keloid.
-Extra-lesional excision: Whole of the keloid is excised.
-Primary closure, skin graft application and flap reconstruction, all these will be considered as surgery.
-Steroid injection:
At the post operative period (after suture removal) a total of 4-10 mg intralesional injection of TAC (Triamcinolone acetonide) from a 10 mg/cc will be administered once every 4 weeks for a minimum of 3 injections.
-Silicone gel:
After suture removal, application of silicone gel sheet will be started. Application time ranges from 12 to 24 hours a day (minimum 12 hours/ day), while treatment duration is not less than 6 months.
|
|
|
Inclusion Criteria
|
| Age From |
1.00 Year(s) |
| Age To |
75.00 Year(s) |
| Gender |
Both |
| Details |
-Patient who want to get their keloid removed irrespective of size and location.
-Patients who earlier received other treatment modalities for their keloid except surgery.
-Keloids resulting in functional impairment.
|
|
| ExclusionCriteria |
| Details |
-Recurrence after previous surgery. |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Recurrence rates and patient satisfaction rates after combination therapy of surgical excision, steroid injection and silicone gel sheet application in treating keloid patients from North East India |
One year from the onset of the study. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
-In which age group,recurrence is more?
-In which gender, recurrence is more |
One year from the onset of the study. |
|
|
Target Sample Size
|
Total Sample Size="72" Sample Size from India="72"
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
|
Phase 4 |
|
Date of First Enrollment (India)
|
01/06/2024 |
| 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="1" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [sumanjitboro@aiimsguwahati.ac.in].
- For how long will this data be available start date provided 01-05-2024 and end date provided 01-05-2031?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - Nil
|
|
Brief Summary
|
The triple therapy regime is a standard
treatment option in the management of the keloid patients. There is no study
depicting the recurrence and patient satisfaction following triple therapy in
the North East Indian population. A prospective observational study
(descriptive study) will be done on the operated keloid patients in
AIIMS-Guwahati with adjuvant steroid and silicone gel application. Data will be
collected using a pre-formed standard Performa that captured patient particulars,
demography, patients complain, observers’ assessment, keloid severity score,
surgery related data, recurrence and finally patient satisfaction. Informed
consent will be taken in English, Hindi and Assamese language.
Few basic terms of the
project:
a) Recurrence of an excised
lesion will be defined as any indurated papule or nodule extending beyond the
borders of a healed scar line of a previously excised lesion.
b) Patient satisfaction scoring
will be categorised as (5-point Likert Scale)
-very unsatisfied (1),
unsatisfied (2), neutral (3), satisfied (4) and very satisfied (5)
Interventions:
a) Surgical excision
(intralesional/extra-lesional) will be done according to the keloid size and
location.
-Primary closure, skin graft
application and flap reconstruction, all these will be considered as surgery.
b) Steroid injection: At the post
operative period (after suture removal) a total of 4-10 mg intralesional
injection of TAC (Triamcinolone acetonide) from a 10 mg/cc will be administered
once every 4 weeks for a minimum of 3 injections.
c) Silicone gel: After suture
removal, application of silicone gel sheet will be started. Application time
ranges from 12 to 24 hours a day (minimum 12 hours/ day), while treatment
duration is not less than 6 months.
-Minimum follow up period of the study- 6 months |