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CTRI Number  CTRI/2024/07/069961 [Registered on: 04/07/2024] Trial Registered Prospectively
Last Modified On: 21/06/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Comparison of vitamin D levels in patients with Oral squamous cell carcinoma and potentially malignant lesions  
Scientific Title of Study   Serum Vitamin D levels in patients with Oral squamous cell carcinoma and potentially malignant lesions - a comparative study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Srikanth G 
Designation  Professor & Head 
Affiliation  Manipal College of Dental Sciences, Manipal 
Address  Dept. of Oral & Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9535619076  
Fax    
Email  srikanth.mds@manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Srikanth G 
Designation  Professor & Head 
Affiliation  Manipal College of Dental Sciences, Manipal 
Address  Dept. of Oral & Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal


KARNATAKA
576104
India 
Phone  9535619076  
Fax    
Email  srikanth.mds@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Srikanth G 
Designation  Professor & Head 
Affiliation  Manipal College of Dental Sciences, Manipal 
Address  Dept. of Oral & Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal


KARNATAKA
576104
India 
Phone  9535619076  
Fax    
Email  srikanth.mds@manipal.edu  
 
Source of Monetary or Material Support  
Manipal College of Dental Sciences, Madhav Nagar, Manipal, Karnataka, India - 576104 
 
Primary Sponsor  
Name  Dr Srikanth G 
Address  Dept. of Oral & Maxillofacial surgery, Manipal College of Dental Sciences, Manipal, Karnataka, India - 576104. 
Type of Sponsor  Other [Self] 
 
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 Srikanth G  Manipal College of Dental Sciences  Room no. 4, Dept. of Oral & Maxillofacial Surgery, MCODS, Manipal
Udupi
KARNATAKA 
9986455201

srikanth.mds@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C148||Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Patients with no suspicion of Oral SCC or premalignant lesion visiting department of oral maxillofacial surgery who expresses their willingness to be part of the study and require Vitamin D assessment as a standard of care.
2. Patients visiting department of oral maxillofacial surgery with histologically diagnosed oral squamous cell cancer or potential malignant lesions. 
 
ExclusionCriteria 
Details  1. Patients with recurrent cancer or already under the treatment.
2. Participants who are under any type of vitamin D supplements/calcium in the last one year. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Vitamin D levels in patients with Oral SCC and Oral Potentially malignant lesions  Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
1. Comparison of histopathological grades of OSCC & Serum vitamin D levels.
2. Comparison of different potentially malignant lesions & Serum vitamin D levels.
3. Inter-group comparison of Vitamin D levels in Group A, B & C 
Baaseline 
 
Target Sample Size   Total Sample Size="81"
Sample Size from India="81" 
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)   05/07/2024 
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="0"
Months="6"
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 - NO
Brief Summary   Vitamin D deficiency is frequently observed in human cancer patients and a prognostic relevance could be shown for some entities. A low serum level of 25-hydroxy vitamin D, the principal form of circulating vitamin D, is the main marker of vitamin D deficiency and is studied to have a potent anti-neoplastic activity in the management of several human malignancies. Few systemic reviews are available which have observed that there exists a relationship between vitamin D and cancerous cells. It’s noted that this works by enhancing anti-proliferation and pro-apoptotic factors, as well as inhibition of cell-cycle promoters and growth factor signalling pathway., thus inhibiting cancer cell proliferation. Thus, Vitamin D is a pro-apoptotic factor and is a useful anti-neoplastic agent. Through this study we aim to validate this correlation and acknowledge the relationship if any between the prevalence of oral squamous cell carcinoma and serum vitamin D levels

Patients presenting to Department of oral maxillofacial surgery with a clinical diagnosis of oral squamous cell carcinoma (Group A) or potentially malignant lesion (Group B) will be included in this study. Cancer free healthy patients who are willing to be part of the study would be included as controls (Group C). Patients in Group A and Group B, as per protocol, require to be biopsied to have confirmatory diagnosis. Prior to biopsy these patients are sent for routine blood tests for evaluation of Complete blood picture, biochemistry analysis like blood glucose, serum electrolyte, etc. and bleeding and clotting time evaluation. During these blood sampling the patient will be asked for additional tests for Vitamin D analysis. Patients in Group C will comprise of patients with no suspected intra-oral lesion, however, undergoing any minor surgical procedure which will require prior blood tests.
Informed consent of the patients will be obtained. Information on age, sex, tobacco habit status would be collected. Histopathological differentiation would be recorded from oral squamous cell carcinoma. Type of potentially malignant lesion would also be recorded.
 
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