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CTRI Number  CTRI/2025/03/081546 [Registered on: 03/03/2025] Trial Registered Prospectively
Last Modified On: 21/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   CXCR-4 and CD 133 Expression and Their Links to Prognosis in Oral Cancer 
Scientific Title of Study   Expression of C-X-C Chemokine Receptor-4 (CXCR-4) and Cluster of Differentiation 133 (CD 133) and its correlation with prognostic pathologic factors m resectable oral squamous cell carcinoma. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nirlipta Swain 
Designation  PG student 
Affiliation  Datta Meghe Institute of Higher Education and Research (DMIHER) 
Address  Department of Pathology, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra.

Wardha
MAHARASHTRA
442107
India 
Phone  8895249101  
Fax    
Email  nirliptaswain16@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Arvind Bhake 
Designation  Director Professor 
Affiliation  Datta Meghe Institute of Higher Education and Reserch (DMIHER) 
Address  Department of Pathology, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra.

Wardha
MAHARASHTRA
442107
India 
Phone  9822684255  
Fax    
Email  aravani@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Nirlipta Swain 
Designation  PG student 
Affiliation  Datta Meghe Institute of Higher Education and Reserch (DMIHER) 
Address  Department of Pathology, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra.

Wardha
MAHARASHTRA
442107
India 
Phone  8895249101  
Fax    
Email  nirliptaswain16@gmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institute of Higher Education and Reserch (DMIHER), Sawangi (Meghe), Wardha, Mahrashtra-442107 
 
Primary Sponsor  
Name  Datta Meghe Institute of Higher Education and Research (DMIHER) 
Address  Datta Meghe Institute of Higher Education and Research (DMIHER),Sawangi, Wardha, Maharashtra 442107 
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 Nirlipta Swain  Acharya Vinoba Bhave Rural Hospital campus  Department of Oral surgery, Siddharth Gupta Memorial Cancer Hospital, Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Higher Education and Research (DMIHER), Wardha
Wardha
MAHARASHTRA 
8895249101

nirliptaswain16@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Datta Meghe Institute of Higher Education and Research Institutional Ethics Committee  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,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  i. Cases diagnosed as OSCC of all three Broders grade on biopsy irrespective of gender and age.
ii. The patients whose surgical specimen is resected and submitted for histopathological examination, to surgical pathology section of Department of Pathology, JNMC, irrespective of surgery type.
 
 
ExclusionCriteria 
Details  i. The patients with inadequate clinical records.
ii. The patients undergoing resection surgery for recurrent tumors of squamous cell carcinoma.
iii. The patients who receive pre- operative chemotherapy or any other monoclonal antibody treatment.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
This study investigates the expression of CXCR-4 and CD 133 in oral squamous cell carcinoma (OSCC) tumor cells and examines their correlation with tumor grade, T stage, N stage, and overall TNM stage.  2 years 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="75"
Sample Size from India="75" 
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)   17/06/2026 
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="2"
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  

Background   

Oral Squamous Cell Carcinoma (OSCC) is a major health issue in India. The metastatic disease and local invasion of it adds to the gravity of morbidity and mortality. Past half a decade has bought out the publications on predictive immunoexpressions for tumor cell motility and tumor cell embolization. There are a few molecules which when expressed were found to be associated with wide metastatic disease of OSCC. Expression of CXC Chemokine Receptor 4 and CD 133 by now are the focus of research in OSCC as implied indicators of invasion and metastasis. Therefore a study is planned with following objectives-

The immunoprofiling of tumor cells of OSCC for CXCR- 4 and CD 133.

To find association of CXC4- 4 and CD 133 expression of OSCC with tumor grade, T stage, N stage, M stage and TNM stage.

 

Research Question

Do the expression of CXCR- 4 and CD 133 correlates with pathologic and prognostic factors.

 

Methodology

The study is an observational, cohort study conducted over a period of two years at Jawaharlal Nehru Medical College with cooperation from Siddharth Gupta Memorial Cancer Hospital under Acharya Vinoba Bhave Rural Hospital. The sample size is 75 which is calculated using Danial formula. It will include patients who have diagnosed with oral squamous cell carcinoma on all three Broder’s grade. The patients need to satisfy the specified inclusion and exclusion criteria. Tissue sections will be processed using standard methods. These sections will undergo Hematoxylin and Eosin staining following established procedures. Additionally, immunohistochemistry will be performed using commercially available CXCR-4 and CD 133 on the tumor sections using standard protocols. The presence of brown granules with cytoplasmic positivity will be evaluated, and intensity scores will be assigned. Immunohistochemistry positivity will be assessed specifically in the tumor cells. The statistical analysis will be performed using  SPSS software employing methods such as Student’s T test and Chi square test.

 

Conclusion

 

A conclusion will be drawn from the immunohistochemistry study results using CXCR-4 and CD 133 for detecting their immunoexpression and to correlate with tumor grade and TNM stage to determine the prognosis of the disease in resectable oral squamous cell carcinoma.

 
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