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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  
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 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  
Status 
Not Applicable 
 
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
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. 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.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [sumanjitboro@aiimsguwahati.ac.in].

  6. 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.

  7. 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 
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