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CTRI Number  CTRI/2024/07/071022 [Registered on: 22/07/2024] Trial Registered Prospectively
Last Modified On: 22/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Comparing methods to contour organs at risk in Lung Cancer patients: Manual vs. Computerized Approach. 
Scientific Title of Study   Comparison of Manual Contouring and Atlas Based Autosegmentation in Patients of Lung Cancer. 
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 Dipti Singh 
Designation  Junior Resident 
Affiliation  Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh, India 
Address  Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12 , Chandigarh Pin : 160012

Chandigarh
CHANDIGARH
160012
India 
Phone  8840548919  
Fax    
Email  dipsthedr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Divya Khosla 
Designation  Associate Professor 
Affiliation  Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh, India 
Address  Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12 , Chandigarh Pin : 160012

Chandigarh
CHANDIGARH
160012
India 
Phone  9876638478  
Fax    
Email  dr_divya_khosla@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Divya Khosla 
Designation  Associate Professor 
Affiliation  Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh, India 
Address  Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12 , Chandigarh Pin : 160012

Chandigarh
CHANDIGARH
160012
India 
Phone  9876638478  
Fax    
Email  dr_divya_khosla@yahoo.com  
 
Source of Monetary or Material Support  
Room No. 54, Nehru hospital extension, department of radiotherapy and oncology, PGIMER, Chandigarh. 160012 
 
Primary Sponsor  
Name  Postgraduate Institute of Medical Education and Research Chandigarh 
Address  Room no 54, Nehru Hospital Extension, Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12 , Chandigarh Pin : 160012 
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 Dipti Singh  PGIMER, Chandigarh  Room No. 54, Nehru hospital extension, Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12 , Chandigarh Pin : 160012
Chandigarh
CHANDIGARH 
8840548919

dipsthedr@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PGIMER Institutional Ethics Committee , Chandigarh (Intramural)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C349||Malignant neoplasm of unspecifiedpart of bronchus or lung,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1) Histologically confirmed Non-small cell lung cancer (NSCLC)
patients who are referred for definitive treatment (chemoradiation
or SBRT).
2)ECOG 0, 1 or 2.
3)Ability to understand and the willingness to sign and informed consent. 
 
ExclusionCriteria 
Details  1) Patients who has metastatic disease.
2) Patients who has received prior Radiotherapy for lung cancer to thoracic region.
3) Pregnant or lactating females. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1) To create a new customised Atlas for Lung cancer patients.
2)To compare manual contouring with auto segmentation in terms of overall contouring time and accuracy using various evaluation metrics like DICE ratio, Hausdorff distance and Volume ratio. 
After completion of treatment. 
 
Secondary Outcome  
Outcome  TimePoints 
Dosimetric analysis between manually segmented contours and auto segmented contours by evaluating maximum and mean doses received by various Organs at Risk.  After 1 year. 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   15/08/2024 
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 - NO
Brief Summary   Radiation has an integral role  in all stages of lung cancer. In order to deliver therapeutic doses to the target while also protecting the Organs at Risk (OARs), a proper therapeutic plan must be developed which requires a highly precise Target volumes (TVs) and OARs delineation which can be a challenging task. Contouring is the essential and most important part of Radiotherapy treatment planning. However there is an option of Autosegmentation in various softwares. But it is not validated for lung cancer patients in India. This study will validate the auto segmentation softwares in terms of accuracy, time reduction and its application in clinical practice. The library created can then be outsourced and can be used as reference for other centres. 
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