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CTRI Number  CTRI/2025/04/083831 [Registered on: 01/04/2025] Trial Registered Prospectively
Last Modified On: 29/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   This acceptability Study of Cyclophosphamide Powder for Oral Solution 30mg/mL in Paediatric Cancer Patients who are on Oral Cyclophosphamide Treatment 
Scientific Title of Study   A prospective, Multicenter, Open-label, Non-randomized, Acceptability Study of Cyclophosphamide Powder for Oral Solution 30 mg/ mL, (Manufactured by Intas Pharmaceuticals Limited, India) in Paediatric Cancer Patients who are on Oral Cyclophosphamide Treatment 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Protocol: 72189805, Version: 5.0, Date: 25 May 2023  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Naman Shah 
Designation  Senior General Manager 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Lambda House, Plot No. 38, Survey no. 388, Near Silver Oak Club,S. G. Highway, Gota, Ahmadabad, Gujarat, India.

Ahmadabad
GUJARAT
382481
India 
Phone  07940202389  
Fax  07940202021  
Email  namanshah@lambda-cro.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jogesh Mahajan 
Designation  Senior Vice President 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Lambda House, Plot No. 38, Survey no. 388, Near Silver Oak Club,S. G. Highway, Gota, Ahmadabad, Gujarat, India.

Ahmadabad
GUJARAT
382481
India 
Phone  07940202288  
Fax  07940202021  
Email  jogeshmahajan@lambda-cro.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jogesh Mahajan 
Designation  Senior Vice President 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Lambda House, Plot No. 38, Survey no. 388, Near Silver Oak Club,S. G. Highway, Gota, Ahmadabad, Gujarat, India.

Ahmadabad
GUJARAT
382481
India 
Phone  07940202288  
Fax  07940202021  
Email  jogeshmahajan@lambda-cro.com  
 
Source of Monetary or Material Support  
Intas Pharmaceuticals Ltd, Corporate Office, Near Sola Bridge, S.G. Highway, Thaltej, Ahmedabad, Gujarat, India - 380054 
 
Primary Sponsor  
Name  Intas Pharmaceuticals Limited 
Address  Corporate House, Near Sola Bridge, S.G. Highway, Thaltej, Ahmedabad, Gujarat, India. Pincode- 380054 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 11  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sameer Rastogi  AIIMS, Dr. BRA Institute Rotary Cancer Hospital  Department of Clinical research, Room No. NA, Dr. BRA Institute Rotary Cancer Hospital, IRCH, AIIMS.
New Delhi
DELHI 
9950985343

samdoc_mamc@yahoo.com 
DrSonali Mohapatra  All India Institiute of Medical Sciences  Department of Clinical research, Room No. NA, Sijua, Patrapada, Bhubaneswar, 751019
Khordha
ORISSA 
9438884061

docsonali17@gmail.com 
Dr Chinmay Doctor  Gujrat  Cancer Research Institute  Department of Clinical research, Room No. NA, Clinical Trial Wing, Room No. C - 112, 1st floor, The gujarat cancer & Research Institute , MP Shah Cancer hospital, Civil Hospita Campus, Asrawa - 380016
Ahmadabad
GUJARAT 
7567096603

chinmay.doctor@gcriindia.org 
Dr Arun Seshachalam  GVN Riverside Multispeciality Hospital  Department of Clinical research, Room No. NA, Thimmarayasamuthiram Trichy-Chennai NH-45, Thiruvanaikoil, 620005
Tiruchirappalli
TAMIL NADU 
9786220191

arunonco@gmail.com 
Dr Rajnish Nagarkar  HCG  Manavata Cancer Centre  Department of Clinical research, Room No. NA, HCG  Manavata Cancer Centre, Behind Shivang Auto, Mumbai Naka - 422002
Nashik
MAHARASHTRA 
9823061929

drraj@manavatacancercentre.cm 
Dr Hemant Menghani  Marengo CIMS Hospital  Department of Clinical research, Room No. NA, Plot No. 67/1, Opp. Panchamrut Bunglows, Nr. Shukan Mall, Off Science City Road, Sola – 380 060
Ahmadabad
GUJARAT 
7433811521

hemant.menghani@marengoasia.com 
Dr Prachi Jain  Max Superspeciality Hospital   Department of Clinical research, Room No. NA, Vaishali, )A Unit of Crosslay Remedies Limited) W -3, Sector -1 , Vaishali, Ghaziabad- Uttar Pradesh - 201012
Ghaziabad
UTTAR PRADESH 
8447808611

Prachi.Jain@maxhealthcare.com 
Dr PK Chaithanya  MNJ Institute of Oncology & regional cancer Centre   Department of Clinical research, Room No. NA, MNJ Institute of Oncology & regional cancer Centre , 3rd floor , Room No. 11, Red Hills,
Hyderabad
TELANGANA 
8897199994

mnjiorcchaithnya@gmail.com 
Dr Nita Radha Krishnan   Post Graduate Institute of child health  Department of Clinical research, Room No. NA, Indergarhi, Sector 30, Noida, Uttar Pradesh 201310
Gautam Buddha Nagar
UTTAR PRADESH 
9999041524

nitaradhakrishnan@yahoo.com 
Dr Shweta Bansal  Sir H N Relaince Foundation Hospital and Research Centre  Department of Clinical research, Room No. NA, Raja RammohanRoy Road, Prathana Samaj, Girgaon, Mumbai - 400004.
Mumbai
MAHARASHTRA 
9920266062

Shweta.Bansal@rfhospital.org 
Dr Anand KC  Sri Shankara Cancer Hospital and Research Center  Department of Clinical research, Room No. NA, 1st Cross, Shankara Matt Premises, Shankarapuram, Basavanagudi, 560004
Bangalore
KARNATAKA 
9987463435

anand.kc@sshrc.org 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 11  
Name of Committee  Approval Status 
Aram Hospital Institutional Ethics Committee, Dr.  Arun Seshachalam  Approved 
Ethics Committee of CIMS, Dr. Hemant Menghani  Approved 
GCRI GCS Ethics Committee, The Gujarat Cancer and Research Institute, Dr. Chinmay Doctor  Approved 
IEC of Sir H N Reliance Foundation Hospital and RC, Dr. Shweta Bansal  Submittted/Under Review 
Institute Ethics Committee All India Institute of Medical Sciences, Dr. Sameer Rastogi  Approved 
Institutional Ethics Committee Post Graduate Institute of child health, Dr. Nita Radha Krishnan   Approved 
Institutional Ethics Committee, Dr. Prachi Jain  Approved 
Institutional Ethics Committeee, AIIMS Bhubneswar, Dr.Sonali Mohapatra  Approved 
ManavataClinicalResearchInstitute Ethics Committee, Dr.  Rajnish Nagarkar  Submittted/Under Review 
MNJIORCC Ethics Committee, Dr. P.K Chaithanya  Approved 
Sri Shankara Cancer Hospital and Research Centre, Dr. Anand K.C  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Cyclophosphamide Powder for Oral Solution 30 mg/mL  Dose: 30mg/ml. Route of Administration: Oral. Frequency: Once daily monotherapy for 10 consecutive days (5 days per treatment phase) in two consecutive treatment phase. The individual dose should be based on the subject’s body surface area and prescribed according to local clinical practice and guidelines. Timing of dosing: Preferably in morning and at the same time of the day. 
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  3.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  1) Male or female paediatric subjects from 3 to less than 18 years at the time of signing consent.
2) Subjects with documented histologically or cytologically confirmed malignant disease requiring cyclophosphamide treatment (oral cyclophosphamide as monotherapy or as part of combination therapy) and who are already receiving Cyclophosphamide by dissolving/crushing the tablet.
3) Able to give assent for participation in the trial based on their mental ability/actual age. Moreover parents/care givers/legally-authorized representatives (LAR) have to give written informed consent for respective subjects. Such parents/care givers/LARs should be able to understand and comply with protocol requirements, instructions and protocol-stated restrictions. For illiterate individuals, verbal consent should be obtained in the presence of and be countersigned by a literate witness.
4) If subjects are already on radiotherapy, a gap of 28 days (4 weeks) must be maintained between the last day of radiotherapy and the day of screening.
5) A life expectancy of at least 3 months.
6) Recovery from any toxic effects of previous chemotherapy as judged by the Investigator at the time of screening.
7) Able to intake food and medication at the time of screening.
8) Karnofsky Performance Score greater than 50 for subjects greater than or equal to 16 to less than 18 years of age OR Lansky score greater than 50 for subjects greater than 3 to less than 16 years of age.
9) Adequate bone marrow function, renal function and hepatic function at the screening visit.
10) A female subject is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies: • Is a WOCBP and using a contraceptive method that is highly effective (with a failure rate of less than 1 percentage per year), preferably with low user dependency when used consistently and correctly, as described in Appendix 4 during the intervention period and for at least 12 months after the last dose of study intervention and agrees not to donate eggs (ova, oocytes) for the purpose of reproduction during the study and for a period of at least 12 months after the last dose of study intervention. The investigator should evaluate the effectiveness of the contraceptive method in relationship to the first dose of study intervention. • A WOCBP must have a negative serum pregnancy test at screening; and negative urine pregnancy test before the first dose of study intervention at baseline visit. • If a urine test cannot be confirmed as negative (e.g., an ambiguous result), a serum pregnancy test is required. In such cases, the subject must be excluded from participation if the serum pregnancy result is positive. • Additional requirements for pregnancy testing during and after study intervention are located in Appendix 8.2.8. • The investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy. 
 
ExclusionCriteria 
Details  1) Known hypersensitivity to study drugs or any of ingredients of the formulation.
2) Subject in need of receiving the study medication via nasogastric tube.
3) Any other condition that, in the investigator’s judgment, might increase the risk to the subject or decrease the chance of obtaining satisfactory data needed to achieve the objectives of the study.
4) The receipt of an investigational medicinal product within a period of 30 days prior to the first dose of investigational medicinal product for the current study. Elimination half-life of the study drug should be taken into consideration for inclusion of the subject in the study.
5) Abnormal baseline findings considered by the investigator to indicate conditions that might affect study endpoints.
6) Female subjects of childbearing potential with positive serum beta-human chorionic gonadotropin (beta-hCG) at the time of screening.
7) Pregnant or lactating subject.
8) Subjects or their caregivers unable to carry out study assessments and comply with the requirements of the protocol.
9) Currently known active case of positive for COVID-19 infection.
10) Active ulceration of the oral mucosa. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the overall acceptability of Cyclophosphamide Powder for Oral Solution  Overall acceptability will be assessed according to the rating scales, within 10 minutes after dosing 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the taste and smell acceptability of Cyclophosphamide Powder for Oral Solution  Taste and smell acceptability will be assessed according to the rating scales, within 10 minutes after dosing 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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/ Phase 3 
Date of First Enrollment (India)   14/04/2025 
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="0"
Months="1"
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   This is a acceptability study which will be conducted in Paediatric Cancer Patients who are on Oral Cyclophosphamide Treatment to evaluate the overall acceptability and evaluate the taste and smell acceptability of Cyclophosphamide Powder for Oral Solution. 
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