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CTRI Number  CTRI/2024/07/071204 [Registered on: 24/07/2024] Trial Registered Prospectively
Last Modified On: 30/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Profile of Behavioral problems in children with cancer other than than Brain cancers 
Scientific Title of Study   Profile of Behavioral problems in Children with Non Central Nervous System Malignancies 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  MONISHA R 
Designation  POST GRADUATE RESIDENT 
Affiliation  Maulana Azad Medical College and Lok Nayak Hospital 
Address  Ward 19B, Department of Pediatrics, Maulana Azad Medical College and Lok Nayak Hospital 2,Bahadurshah Zafar Marg , New Delhi

New Delhi
DELHI
110002
India 
Phone  9606229791  
Fax    
Email  monisha3.1998@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Devendra Mishra 
Designation  Director Professor 
Affiliation  Maulana Azad Medical College and Lok Nayak Hospital 
Address  Department of Pediatrics, Maulana Azad Medical College and Lok Nayak Hospital 2,Bahadurshah Zafar Marg , New Delhi

New Delhi
DELHI
110002
India 
Phone  23233400  
Fax    
Email  drdmishra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Devendra Mishra 
Designation  Director Professor 
Affiliation  Maulana Azad Medical College and Lok Nayak Hospital 
Address  Department of Pediatrics, Maulana Azad Medical College and Lok Nayak Hospital 2,Bahadurshah Zafar Marg , New Delhi


DELHI
110002
India 
Phone  23233400  
Fax    
Email  drdmishra@gmail.com  
 
Source of Monetary or Material Support  
Maulana Azad Medical College and Lok Nayak Hospital, New Delhi 
 
Primary Sponsor  
Name  Maulana Azad Medical College and Lok Nayak Hospital 
Address  2,Bahadurshah Zafar Marg, New Delhi -02 
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 R MONISHA   Lok Nayak Hospital  Room no 517,Pediatric Medicine OPD,Fifth Floor,OPD building,Lok Nayak Hospital,New Delhi
New Delhi
DELHI 
9606229791

monisha3.1998@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MAULANA AZAD MEDICAL COLLEGE AND ASSOCIATED HOSPITAL Lok Nayak, G.I.P.M.E.R, Guru Nanak Eye Centre, New Delhi – 110002  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C910||Acute lymphoblastic leukemia [ALL],  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL  
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1.Children aged 2 years to 12 years
2.Children started on Chemotherapy and planning to continue the same from the department of paediatrics at Lok Nayak Hospital, New Delhi. 
 
ExclusionCriteria 
Details  1. children with pre existing diagnosed psychological illness
2. children with any neuromotor impairment at the time of assessment for behavioral problems 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Number of children developing behavioural problems within 6 weeks after diagnosis as per SDQ scale.  Within 6 weeks after diagnosis  
 
Secondary Outcome  
Outcome  TimePoints 
1.Number of children developing behavioural problems within 6 weeks after diagnosis as per CBCL
2.Number of children developing behavioural problems at 3 months after diagnosis as per CBCL and SDQ scale
3.Profile of behavioural problems and time interval from enrolment to onset of behavioural problems 
1.Within 6 weeks
2.Within 3 Months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/08/2024 
Date of Study Completion (India) 20/08/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 20/08/2025 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
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  

According to a recent National Cancer Registry Programme (NCRP) report in India, childhood cancers (0–14 year age group) accounted for 4.0% of all cancers. The age-adjusted cancer incidence rate in children is 203.1 per million in boys and 125.4 per millions in girls. Survival rate for childhood malignancies, specifically acute lymphoblastic leukemia (ALL), has improved during the past two decades with the introduction of new treatment modalities and chemotherapeutic agents.

Chemotherapy for ALL has a significant impact on the psychological status of both patients and their parents, with high prevalence of low self-esteem in patients and high degree of psychological stress in their parents. Failure in school performance, restricted group activity and less social relations have been shown to be significantly higher in children with ALL.

The patients have to cope up with illness, medication and its influence on their development. Consequently, large number of them have emotional disorders that influence the course and outcome of physical disorder. In a prominent hospital based study, it was found that 90%children with ALL had emotional disorders. All the disorders were mild to moderate in intensity and were perceived to be easily treatable .

Children with CNS malignancies experience depression , anxiety , psychosocioal problems due to the brain tumour , chemotherapy , radiation and intrathecal methotrexate .

The impact on behavioral development in children with malignancies, leads to behavioral and psychosocial problems in adulthood. There are limited studies regarding behavioral complications in children with non central nervous system malignancies.  This study aims to determine the behavioural problems at an early stage followed by early intervention and treatment.

There is paucity of literature on the profile of behavioral problems in children with non-central nervous system malignancies, especially from India.

This, Descriptive Cohort Study, will contribute in assessing the profile of behavioural problems in Children with Non central nervous system malignancies.

 
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