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CTRI Number  CTRI/2025/01/079408 [Registered on: 24/01/2025] Trial Registered Prospectively
Last Modified On: 30/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device
Screening
Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Development of AI based point of care cytology screening tool for oral cancer 
Scientific Title of Study   Development of point of care cytology screening tool for Oral potentially malignant disorders and Oral squamous cell carcinoma using Deep learning Convolutional Neural Network 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrPreethi Sharma 
Designation  Assistant Professor 
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Department of Oral Pathology Sharad Pawar Dental College and Hospital Datta Meghe Institute of Higher Education and Research Sawangi (Meghe), Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  7020536570  
Fax    
Email  dr.preethisharma@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrPunit Fulzele 
Designation  Professor 
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Department of Pedodontics Sharad Pawar Dental College and Hospital Datta Meghe Institute of Higher Education and Research Sawangi (Meghe), Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  9890417646  
Fax    
Email  punitr007@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrPunit Fulzele 
Designation  Professor 
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Department of Pedodontics Sharad Pawar Dental College and Hospital Datta Meghe Institute of Higher Education and Research Sawangi (Meghe), Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  9890417646  
Fax    
Email  punitr007@gmail.com  
 
Source of Monetary or Material Support  
Indian Council of Medical Research (ICMR) 
 
Primary Sponsor  
Name  Indian Council of Medical Research (ICMR) 
Address  Indian Council of Medical Research Ansari Nagar, New Delhi-110029. 
Type of Sponsor  Government funding agency 
 
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 
DrPreethi Sharma  Datta Meghe Institute of Higher Education and Research  Department of Oral Pathology Sharad Pawar Dental College DMIHER Sawangi Wardha
Wardha
MAHARASHTRA 
7020536570

dr.preethisharma@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee DMIHER (DU)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K132||Leukoplakia and other disturbancesof oral epithelium, including tongue, (2) ICD-10 Condition: C148||Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx, (3) ICD-10 Condition: K135||Oral submucous fibrosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  pap smear/ oral exfoliative cytology   Conventional cytological analysis method performed by a specialist. The total duration is 20 minutes 
Intervention  Point of care cytology screening tool   Point of care cytology screening tool for Oral potentially malignant disorders and Oral squamous cell carcinoma. The total duration is 30 minutes  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Study subjects who have given written informed consent
Control group without tobacco habit
Subjects clinically diagnosed with OPMDS and OSCC 
 
ExclusionCriteria 
Details  Subjects who had undergone treatment for malignancy
Subjects with recurrence of OSCC
Subjects with co-existing malignancy
Immune-compromised subjects and those suffering from chronic debilitating diseases such as
diabetes, tuberculosis. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Development of point of care cytology screening tool and deep learning model for screening of OPMDs and OSCC.   Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Validation of the tool gaining acceptance among healthcare providers in remote setting areas.  Baseline 
 
Target Sample Size   Total Sample Size="900"
Sample Size from India="900" 
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 2 
Date of First Enrollment (India)   31/08/2025 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [punitr007@gmail.com].

  6. For how long will this data be available start date provided 01-01-2027 and end date provided 01-12-2030?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary
Modification(s)  

Title of the proposed research project: Development of point of care cytology screening tool for Oral potentially malignant disorders and Oral squamous cell carcinoma using Deep learning Convolutional Neural Network

Screening of oral potentially malignant disorders (OPMDs) such as Leukoplakia and oral squamous cell carcinoma (OSCC) in remote areas often rely on traditional techniques which can be time consuming, costly and inaccessible. There is also a shortage of trained healthcare professionals in these regions, leading to delays in screening and initiation of treatment. These limitations highlight the need for innovative, accessible and accurate screening tool that can be deployed in remote settings for early screening of oral cancer.

Novelty

The novelty lies in the convergence of mobile technology, AI-based screening, and portable microscopy to create a user-friendly screening tool for OPMDs and OSCC in low resourced remote setting. This approach enables real-time analysis of PAP smears directly on a smartphone, facilitating screening accuracy and timely intervention in low resourced areas given the doctor patient ratio is relatively poor.

 Objectives

1. To develop Deep learning convolutional neural network algorithm for screening of papanicoloau (PAP) stained smears of OPMDs and OSCC.

2. Training of dataset and validation of model

3. To Develop point of care cytology screening tool for screening of OPMDs and OSCC.

4. Clinical validation of the screening tool

Methods

1. Data Collection and Pre-processing

2. Training and Validation

3. Deployment and Integration

4. Clinical Validation

Expected Outcome: Development of point of care cytology screening tool and deep learning model for screening of OPMDs and OSCC.


 

 
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