| CTRI Number |
CTRI/2025/07/090676 [Registered on: 10/07/2025] Trial Registered Prospectively |
| Last Modified On: |
10/07/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Comparative analysis of the the benefits of intervention with normothermic intraperitoneal chemotherapy in primary cytoreductive surgery for participants with advanced epithelial ovarian cancer- A Pilot study |
|
Scientific Title of Study
|
Comparative analysis of normothermic intraperitoneal chemotherapy in primary cytoreductive surgery for advanced epithelial ovarian cancer- A Pilot 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 |
Dr Devika J Kamat |
| Designation |
MCh fellow |
| Affiliation |
AIIMS Rishikesh |
| Address |
Dept of Obs and Gyn
AIIMS Rishikesh
Uttarakhand
Dehradun UTTARANCHAL 249202 India |
| Phone |
09850677033 |
| Fax |
|
| Email |
devika.kamat@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Prof Shalini Rajaram |
| Designation |
Professor and Guide |
| Affiliation |
AIIMS Rishikesh |
| Address |
Dept of Obs and Gyn
AIIMS Rishikesh
Uttarakhand
Dehradun UTTARANCHAL 249202 India |
| Phone |
9810704434 |
| Fax |
|
| Email |
rajaram.shalini@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Prof Shalini Rajaram |
| Designation |
Professor and Guide |
| Affiliation |
AIIMS Rishikesh |
| Address |
Dept of Obs and Gyn
AIIMS Rishikesh
Uttarakhand
Dehradun UTTARANCHAL 249202 India |
| Phone |
9810704434 |
| Fax |
|
| Email |
rajaram.shalini@gmail.com |
|
|
Source of Monetary or Material Support
|
| All India Institute of Medical Sciences Rishikesh
Virbhadra road, Rishikesh
Uttarakhand India 249202 |
|
|
Primary Sponsor
|
| Name |
All India Institute of Medical Sciences Rishikesh |
| Address |
AIIMS, Virbhadra road, Rishikesh -249202 |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Devika J Kamat |
All India Institute of Medical Sciences Rishikesh |
Dept of Obs & Gyn
AIIMS Rishikesh Dehradun UTTARANCHAL |
09850677033
devika.kamat@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| AIIMS Rishikesh IEC |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: C569||Malignant neoplasm of unspecifiedovary, (2) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
normothermic intraperitoneal chemotherapy administration during primary cytoreduction surgery |
Eligible patients of advanced epithelial ovarian malignancy who have achieved optimum cytoreduction during primary cytoreduction surgery will receive normothermic intraperitoneal cisplatin at 100mg/sqm chemotherapy at the end of surgery for 60 minutes in a single sitting followed by the standard adjuvant IV chemotherapy with carboplatin and paclitaxel q21d |
| Comparator Agent |
primary cytoreduction surgery |
eligible patients will undergo primary complete cytoreduction surgery and not receive intraperitoneal chemotherapy at the end of surgery followed by the standard adjuvant IV chemotherapy with carboplatin and paclitaxel q21d |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Female |
| Details |
1) Epithelial ovarian or fallopian tube or primary peritoneal cancer FIGO 2023 stage III to IVA clinically or radiologically
2)Optimum cytoreduction i.e. R0 or R1(no macroscopic disease visible) achievable during upfront cytoreduction
3)Good performance score, ECOG 2 or less |
|
| ExclusionCriteria |
| Details |
1)Non epithelial cancer or borderline ovarian cancer
2)FIGO 2023 Stage I or II or IVB of epithelial ovarian, fallopian tube or primary peritoneal cancer
3)Serious intercurrent illness or medical condition
4)No prior diagnosis or treatment of any other cancer within last five years
5) ECOG 3 or more
6) Diffuse infiltration of stomach, dueodenum, head or middle of pancrease
7)Involvement of celiac trunk, hepatic arteries, left gastric artery, liver hilum, lung parenchyma metastasis, unresectable lymph nodes or brain metastasis
|
|
|
Method of Generating Random Sequence
|
Random Number Table |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
1)Intraoperative adverse events graded according to Common terminology criteria for adverse events CTCAE 5.0.
2)Postoperative adverse events (within 30 days) according to Clavien Dindo classification
3)Duration of hospital stay in days
4)Preoperative and post-surgery CA-125(U/ml) values after four weeks in both groups.
|
30 days, 60 days, 6 months and 12 months from the date of surgery |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. To calculate the delay in days from the day of surgery until 1st cycle of adjuvant intravenous chemotherapy
2. To calculate the disease recurrence rate from the time of surgery up to 12 months during follow-up
3. Quality of life as determined by EQ5D5L questionnaire
|
30 days, 60 days, 6 months and 12 months from the date of surgery |
|
|
Target Sample Size
|
Total Sample Size="25" Sample Size from India="25"
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)
|
25/07/2025 |
| 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="1" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| 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 - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [devika.kamat@gmail.com].
- For how long will this data be available start date provided 07-07-2025 and end date provided 07-07-2027?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
The trial is a randomised open label pilot exploratory study on comparative analysis of intraperitoneal administration of normothermic chemotherapy primary cytoreductive surgery in patients with advanced ovarian malignancy. Primary outcome is to compare intraoperative and postoperative events in both the arms. Secondary obejctives are to compare the recurrent rates and the time to subsequent adjuvant treatment and quality of life in both the arms. Study is based on the hypothesis that morbidity and complication rates are not increased with improvement in recurrence rates with the addition of a single sitting of normothermic intraperitoneal chemotherapy |