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CTRI Number  CTRI/2024/08/072273 [Registered on: 09/08/2024] Trial Registered Prospectively
Last Modified On: 14/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   A Study of side effects and quality of life in patients with oral cavity and oropharyngeal cancers undergoing radiotherapy. 
Scientific Title of Study   A study of oral mucositis, pain, xerostomia and quality of life in patients with oral cavity and oropharyngeal cancers undergoing radiotherapy 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
TPAC.NO. 825  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr M Likhitha 
Designation  Junior resident (1st Year), M.D.Radiotherapy 
Affiliation  Sri Venkateswara Institute of Medical Sciences 
Address  Department of Radiotherapy, Sri Venkateswara Institute of Medical Sciences, Alipiri road, Tirupati - 517507.

Chittoor
ANDHRA PRADESH
517507
India 
Phone  8179509518  
Fax    
Email  likhithamangiri333@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr B V Subramanian 
Designation  Professor and Head of the Department  
Affiliation  Sri Venkateswara Institute of Medical Sciences, Tirupati. 
Address  Department of Radiotherapy, Sri Venkateswara Institute of Medical Sciences, Alipiri road, Tirupati.

Chittoor
ANDHRA PRADESH
517507
India 
Phone  9849692950  
Fax    
Email  ravibalasubramanian@hotmail.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr B V Subramanian 
Designation  Professor and Head of the Department  
Affiliation  Sri Venkateswara Institute of Medical Sciences 
Address  Department of Radiotherapy, Sri Venkateswara Institute of Medical Sciences, Alipiri road, Tirupati.

Chittoor
ANDHRA PRADESH
517507
India 
Phone  9849692950  
Fax    
Email  ravibalasubramanian@hotmail.com  
 
Source of Monetary or Material Support  
Sri Venkateswara Institute of Medical Sciences, Alipiri road, Tirupati - 517507, Andhra Pradesh, India. 
 
Primary Sponsor  
Name  Sri Venkateswara Institute of Medical Sciences Tirupati 
Address  Sri Venkateswara Institute of Medical Sciences, Alipiri road, Tirupati.517507 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr M Likhitha  Sri Venkateswara Institute of Medical Sciences  Department of Radiotherapy, SVIMS cancer centre, Alipiri road, Tirupati, 517507.
Chittoor
ANDHRA PRADESH 
8179509518

likhithamangiri333@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Sri Venkateswara Institute of Medical Sciences  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 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Carcinoma of head and neck including oral cavity, oropharynx undergoing IMRT, VMAT and concurrent chemotherapy .
2.Patients of age group between 18-65 yrs.
3.Patient with ECOG 0-2.
4.Patients willing to sign an informed consent
 
 
ExclusionCriteria 
Details  1. Patients with previous history of radiation to head and neck.
2. Patients with known distant metastasis.
3. Patients with ECOG 3-4
4. Pregnant women and lactating mothers
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the toxicities in patients of head and neck cancer undergoing radiotherapy
1) pain,
2) oral mucositis
3) Xerostomia 
From Day 1 of treatment to 6 months after treatment completion. 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the quality of life  From Day 1 of treatment to 6 months after treatment completion. 
 
Target Sample Size   Total Sample Size="67"
Sample Size from India="67" 
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)   16/08/2024 
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="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
Modification(s)  

AIM AND OBJECTIVES

 AIM: To study the acute toxicities such as pain, mucositis  and late sequelae of radiotherapy such as xerostomia in patients receiving concurrent chemo radiotherapy in Head and Neck cancer and also to assess quality of life in same patients.

 

 OBJECTIVES:

PRIMARY OBJECTIVE:

To assess the toxicities in patients of head and neck cancer undergoing radiotherapy (i pain, ii.oral mucositis, iii. Xerostomia.)

SECONDARY OBJECTIVE:

To assess the quality of life.

SAMPLE SIZE: 

The calculated sample size is 67.

INCLUSION AND EXCLUSION CRITERIA

INCLUSION CRITERIA:

·   1. Carcinoma of head and neck including oral cavity, oropharynx undergoing IMRT, VMAT and concurrent chemotherapy .

·     2. Patients of age group between 18-65 yrs.

·     3. Patient with ECOG 0-2.

·   4. Patients willing to sign an informed consent.

EXCLUSION CRITERIA:

·     1. Patients with  previous history of radiation to head and neck.

·      2. Patients with known distant metastasis.

·      3. Patients with ECOG 3-4

4. 4. Pregnant women and lactating mothers


PATIENT EVALUATION:

All patients will be  evaluated before RT ,weekly during the course of treatment  and monthly for 3 months after radiotherapy for the acute toxicities(mucositis, pain, xerostomia, quality of life) and 6 months for late toxicities (xerostomia , quality of life).

Assessment of pain will be done by using Visual Analogue Scale. 

Assessment of mucositis and xerostomia and grading will be done according to RTOG-Early and Late Radiation Morbidity scoring scheme.

Assessment of Quality of life using EORTC QLQ H&N 35 Questionnaire.

Follow up of the patients was advised monthly for 3 months and 2 monthly for 6 months.

STATISTICAL ANALYSIS:

Data will be collected in the study proforma , entered in Microsoft Excel(Windows 11;Version 2021)and analyses will be done using the Statistical Package for Social Sciences(SPSS)for Windows software (version 26.0;SPSS Inc, Chicago) .Continuous variables will be presented in the form of mean, standard deviation, range, and categorical data will be presented in the form of number and percentage. Chi-Square test or Fischers  exact test  will be used for qualitative parameters. Student’s t-test will be used for quantitative variables. P value  <0.05 will be considered statistically significant

 
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