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CTRI Number  CTRI/2024/09/074468 [Registered on: 27/09/2024] Trial Registered Prospectively
Last Modified On: 25/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Preventive 
Study Design  Single Arm Study 
Public Title of Study   Role of G-CSF in preventing oral ulcers in cancer patients receiving radiation therapy.  
Scientific Title of Study   Effect of granulocyte colony stimulating factor (G-CSF) in prevention of radiation induced oral mucositis in patients receiving chemo-radiotherapy for head and neck 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  DEVAL GUPTA 
Designation  PG resident 
Affiliation  VMMC AND Safdarjung hospital 
Address  Room no. 266, 2nd floor, OPD building, VMMC and Safdarjung hospital, New Delhi

New Delhi
DELHI
110029
India 
Phone  9555577777  
Fax    
Email  DEVALGUPTA97@GMAIL.COM  
 
Details of Contact Person
Scientific Query
 
Name  DR Kapil Suri 
Designation  Professor 
Affiliation  VMMC AND Safdarjung hospital  
Address  Room no. 272, 2nd floor, OPD building, VMMC and Safdarjung hospital

New Delhi
DELHI
110029
India 
Phone  9810623205  
Fax    
Email  dudes@Live.in  
 
Details of Contact Person
Public Query
 
Name  DEVAL GUPTA 
Designation  PG resident 
Affiliation  VMMC AND Safdarjung hospital  
Address  VMMC and Safdarjung hospital, Ansari Nagar West New Delhi 110029

New Delhi
DELHI
110029
India 
Phone  9555577777  
Fax    
Email  DEVALGUPTA97@GMAIL.COM  
 
Source of Monetary or Material Support  
VMMC and Safdarjung Hospital  
 
Primary Sponsor  
Name  VMMC and Safdarjung hospital  
Address  SAFDARJUNG HOSPITAL ANSARI NAGAR WEST NEW DELHI- 110029 
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 DEVAL  VMMC and SAFDARJUNG HOSPITAL  Room no. 266, 2nd floor, OPD building, Deptt of radiation oncology, Safdarjung Hospital
New Delhi
DELHI 
01126190763

devalgupta97@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi-110029  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-C14||Malignant neoplasms of lip, oral cavity and pharynx,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  granulocyte-colony stimulating factor (G-CSF)   G-CSf will be administered daily on days of radiation therapy at 2 ug/kg dose subcutaneously  
Comparator Agent  N/A  N/A 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients having age more than 18 years, and are histologically proven case of squamous cell carcinoma of head and neck with ECOG performance status of 0-2.
Patients who have received a radiation dose of 10Gy to head and neck area during current chemo-radiotherapy treatment. 
 
ExclusionCriteria 
Details  Patients with recurrent or metastatic disease or second primary.
Prior irradiation to head and neck area.
History of anaphylaxis to G-CSF injection 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To ascertain the efficacy of granulocyte-colony stimulating factor (G-CSF) by
studying the incidence of grade III/IV oral mucositis, using RTOG criteria 
weekly during the course of radiation therapy 
 
Secondary Outcome  
Outcome  TimePoints 
To study the time of onset & duration for healing of grade III & IV oral mucositis.  Weekly during the course of radiation therapy  
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   22/10/2024 
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="6"
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  

It is an interventional study. Patients will have to give detailed clinical history and undergo clinical examination with evaluation of the primary tumour, nodes and metastasis. Radiation dose will be 66-70 Gy as total dose, with 2Gy in each fraction given over 5 consecutive days. Chemotherapy will be given as weekly intravenous cisplatin (40mg/m2) as per standard protocol. Patients who have received radiation dose of 10 Gy, will be administered 2µg/kg/day subcutaneously of granulocyte-colony stimulating factor (G-CSF) in the unirradiated normal skin daily till the end of radiation therapy. Patients will be assessed with daily clinical examination, to grade oral mucositis using RTOG criteria(8), and weekly blood tests.

 
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