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CTRI Number  CTRI/2024/09/074392 [Registered on: 25/09/2024] Trial Registered Prospectively
Last Modified On: 26/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study
Modification(s)  
Prospective observational study 
Study Design  Single Arm Study 
Public Title of Study   To compare the efficacy of different tests used for high risk Human Papilloma Virus detection in cases of Squamous cell carcinoma that have spread to neck lymph nodes 
Scientific Title of Study   Comparative analysis of qPCR, mRNA ISH and p16 IHC for detection of high risk HPV on fine needle aspirates and core needle biopsies in patients with metastatic squamous cell carcinoma in cervical lymph nodes 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
AIIMSA1765/25.07.2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Anju K T 
Designation  Junior Resident 
Affiliation  All India Institute of Medical Sciences New Delhi 
Address  Department of Otorhinolaryngology and Head and Neck Surgery Room No 4057 First floor Academic Block AIIMS New Delhi

South
DELHI
110029
India 
Phone  9497181833  
Fax    
Email  kaniyanthazath123@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anju K T 
Designation  Junior Resident 
Affiliation  All India Institute of Medical Sciences New Delhi 
Address  Department of Otorhinolaryngology and Head and Neck Surgery Room No 4057 First floor Academic Block AIIMS New Delhi

South
DELHI
110029
India 
Phone  9497181833  
Fax    
Email  kaniyanthazath123@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Chirom Amit Singh 
Designation  Professor, Department of Otorhinolaryngology and Head and Neck Surgery, AIIMS Delhi 
Affiliation  All India Institute of Medical Sciences New Delhi 
Address  Department of Otorhinolaryngology and Head and Neck Surgery Room No 4057 First floor Academic Block AIIMS New Delhi

South
DELHI
110029
India 
Phone  9999501928  
Fax    
Email  amitchirom@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences New Delhi, 110029 
 
Primary Sponsor  
Name  Dr Anju K T 
Address  Department of Otorhinolaryngology and Head and Neck Surgery Room No 4057 First floor Academic block AIIMS New Delhi 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Anju K T  All India Institute of Medical Sciences New Delhi  Department of Otorhinolaryngology and Head and Neck Surgery Room No 4057 4th floor, Academic block All India Institute of Medical Sciences New Delhi, 110029
South
DELHI 
9497181833

kaniyanthazath123@gmail.com 
Dr Anju K T  National Cancer Institute   Department of Head and Neck Surgery Room No 10, Ground floor Academic block National Cancer Institute NCI - AIIMS Badsa Jhajjar Haryana 124105
Jhajjar
HARYANA 
9497181833

kaniyanthazath123@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee for Post Graduate Research, AIIMS New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C108||Malignant neoplasm of overlappingsites of oropharynx, (2) ICD-10 Condition: C102||Malignant neoplasm of lateral wallof oropharynx, (3) ICD-10 Condition: C103||Malignant neoplasm of posterior wall of oropharynx, (4) ICD-10 Condition: C109||Malignant neoplasm of oropharynx,unspecified, (5) ICD-10 Condition: C01||Malignant neoplasm of base of tongue, (6) ICD-10 Condition: C090||Malignant neoplasm of tonsillar fossa, (7) ICD-10 Condition: C091||Malignant neoplasm of tonsillar pillar (anterior) (posterior), (8) ICD-10 Condition: C051||Malignant neoplasm of soft palate,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1) Patients with cervical lymph node metastasis from oropharyngeal cancer or Carcinoma of Unknown Primary Site
2) FNAC and Core Needle Biopsy available
3) FNAC should have adequate tissue in cell blocks
4) Informed and written consent obtained 
 
ExclusionCriteria 
Details  1) Non squamous histology
2) Inadequate material for immunohistochemistry and mRNA ISH in cell blocks and biopsies 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1)To assess HR HPV status in metastatic squamous cell carcinoma in cervical lymph nodes
2) To determine the ideal specimen to be obtained for determining HR HPV status in metastatic squamous cell carcinoma to cervical lymph nodes, FNAC v/s Core Needle Biopsy
3) To identify the best technique for detection of HR HPV in metastatic squamous cell carcinoma to cervical lymph nodes 
1 year 8 months 
 
Secondary Outcome  
Outcome  TimePoints 
1) To determine the prevalence of HR HPV in metastatic squamous cell carcinoma to cervical lymph nodes with or without a clinically or radiologically detected primary lesion in oropharynx  1 year 8 months 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   27/09/2024 
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="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   This is a prospective observational study comparing efficacy of pPCR, mRNA ISH and p16 IHC for detection of high risk HPV on fine needle aspirates and core needle biopsies in patients with metastatic squamouc cell carcinoma from oropharynx or unknown primary site to cervical lymph nodes that will be conducted in AIIMS New Delhi and NCI Jhajjar over a period of 2 years. Primary objectives includes assessment of HR HPV status in cervical lymph node metastasis, determination of ideal specimen and best techniqoe for the same. Secondary objective include determination of HR HPV prevalence in squamous cell carcinoma metastasising to cervical lymph nodes.
 
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