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CTRI Number  CTRI/2024/12/077848 [Registered on: 09/12/2024] Trial Registered Prospectively
Last Modified On: 04/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   Fast-track Surgery protocols in Gynaecologic Oncology- A feasibility study 
Scientific Title of Study   Enhanced Recovery After Surgery (ERAS) in Gynaecologic Oncology- A feasibility study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Karen K 
Designation  MCH trainee 
Affiliation  Christian Medical College, Vellore 
Address  Department of Gynaecologic Oncology, Christian Medical College, CMC main campus, Vellore.

Vellore
TAMIL NADU
632004
India 
Phone  9952614813  
Fax    
Email  karenkanagasabapathi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vinotha Thomas 
Designation  Associate Professor 
Affiliation  Christian Medical College, Vellore 
Address  Department of Gynaecologic Oncology, Christian Medical College, CMC main campus, Vellore.

Vellore
TAMIL NADU
632004
India 
Phone  9944141505  
Fax    
Email  thomasvinotha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Karen K 
Designation  MCH trainee 
Affiliation  Christian Medical College, Vellore 
Address  Department of Gynaecologic Oncology, Christian Medical College, CMC main campus, Vellore.


TAMIL NADU
632004
India 
Phone  9952614813  
Fax    
Email  karenkanagasabapathi@gmail.com  
 
Source of Monetary or Material Support  
Institutional fluid grant, Christian Medical College, Vellore, Tamil Nadu, India- 632004 
 
Primary Sponsor  
Name  Christian Medical College, Vellore 
Address  Christian Medical College, Vellore, 632004. 
Type of Sponsor  Private 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 Karen K  Christian Medical College  Room number 1, Department of Gynaecologic Oncology, ISSCC building 7th floor.
Vellore
TAMIL NADU 
9952614813

karenkanagasabapathi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL REVIEW BOARD CHRISTIAN MEDICAL COLLEGE THORAPADI POST BAGAYAM VELLORE Vellore Tamil Nadu  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C51||Malignant neoplasm of vulva, (2) ICD-10 Condition: C52||Malignant neoplasm of vagina, (3) ICD-10 Condition: C53||Malignant neoplasm of cervix uteri, (4) ICD-10 Condition: C54||Malignant neoplasm of corpus uteri, (5) ICD-10 Condition: C55||Malignant neoplasm of uterus, partunspecified, (6) ICD-10 Condition: C56||Malignant neoplasm of ovary, (7) ICD-10 Condition: C57||Malignant neoplasm of other and unspecified female genital organs, (8) ICD-10 Condition: C58||Malignant neoplasm of placenta, (9) ICD-10 Condition: D06||Carcinoma in situ of cervix uteri, (10) ICD-10 Condition: D07||Carcinoma in situ of other and unspecified genital organs, (11) ICD-10 Condition: D28||Benign neoplasm of other and unspecified female genital organs, (12) ICD-10 Condition: D27||Benign neoplasm of ovary, (13) ICD-10 Condition: D25||Leiomyoma of uterus, (14) ICD-10 Condition: D26||Other benign neoplasms of uterus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  85.00 Year(s)
Gender  Female 
Details  All patients diagnosed with malignancies and pre-invasive disease of the female genital tract (endometrium, ovary, peritoneum, fallopian tube and cervix) undergoing surgery. 
 
ExclusionCriteria 
Details  Benign disease; surgery done on emergency basis; ASA 3-4 (American Society of Anesthesiologists physical status classification status) 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To evaluate the compliance to implementing ERAS recommendations by ERAS society for patients with gynaecologic malignancies undergoing surgery  1 year 
 
Secondary Outcome  
Outcome  TimePoints 
A) To evaluate the compliance rate to individual ERAS protocols
B) To assess post-operative morbidity using Clavien-Dindo classification  
1 year 
 
Target Sample Size   Total Sample Size="190"
Sample Size from India="190" 
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)   15/12/2024 
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 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   Enhanced recovery after surgery initially termed as "fast track recovery" was first implemented in the 1990s in patients undergoing cardiopulmonary bypass and they found this method to be effective. However, the initial version of ERAS protocols in Gynaecologic oncology were published only in 2016 and the same was updated in 2019. The execution of ERAS recommendations results in reduction in post-operative metabolic stress and complications in addition to reduced hospital stay and cost. Though the protocols have shown clearcut benefits it requires multidisciplinary systematic approach in the per-operative care. 
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