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CTRI Number  CTRI/2015/11/006392 [Registered on: 30/11/2015] Trial Registered Prospectively
Last Modified On: 14/06/2016
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Prospective 
Study Design  Other 
Public Title of Study   Study to find the distress, expectations, preferences and QOL in patients treated with palliative chemotherapy in Head and neck cancers  
Scientific Title of Study   A prospective observational study to assess the expectations, preferences, distress and QOL in patients undergoing palliative chemotherapy in Head and neck cancers 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
183  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vijay Patil 
Designation  Asst professor 
Affiliation  Tata Memorial Hospital 
Address  11th Floor Homi Bhabha Block Tata Memorial Hospital, Dr E Borges Road, Parel
11th Floor Homi Bhabha Block Tata Memorial Hospital, Dr E Borges Road, Parel
Mumbai
MAHARASHTRA
400012
India 
Phone  02224176314  
Fax    
Email  vijaypgi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vijay Patil 
Designation  Asst professor 
Affiliation  Tata Memorial Hospital 
Address  11th Floor Homi Bhabha Block Tata Memorial Hospital, Dr E Borges Road, Parel
11th Floor Homi Bhabha Block Tata Memorial Hospital, Dr E Borges Road, Parel
Mumbai
MAHARASHTRA
400012
India 
Phone  02224176314  
Fax    
Email  vijaypgi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vijay Patil 
Designation  Asst professor 
Affiliation  Tata Memorial Hospital 
Address  11th Floor Homi Bhabha Block Tata Memorial Hospital, Dr E Borges Road, Parel
11th Floor Homi Bhabha Block Tata Memorial Hospital, Dr E Borges Road, Parel
Mumbai
MAHARASHTRA
400012
India 
Phone  02224176314  
Fax    
Email  vijaypgi@gmail.com  
 
Source of Monetary or Material Support  
Tata Memorial hospital 
 
Primary Sponsor  
Name  Tata Memorial Centre 
Address  Dr E Borges Road, Parel, Mumbai 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vijay Patil  Tata MemorialHospital  Room no 204 HBB 2nd Floor Tata Memorial Hospital, Dr E Borges Road, Parel, Mumbai Mumbai MAHARASHTRA
Mumbai
MAHARASHTRA 
02224176314

vijaypgi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Name of Committee Approval Status Date of Approval Approval Document Is IEC? Institutional Ethics Committe   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  patients must have histologically confirmed squamous cell cancers of the Head and neck region warranting palliative chemotherapy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NA  NA 
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Participants must have histologically confirmed squamous cell cancers of the Head and neck region warranting palliative chemotherapy
2. Age : Any age above 18 years. No maximum age.
3. ECOG performance status ≤2
4. Life expectancy of less than 12 months with standard palliative treatments.
5. Participants must have normal organ and marrow function as defined below:
a. Leukocytes ≥3,000/mcL
b. Platelets ≥100,000/mcL
c. Total bilirubin < 1.5 times normal
d. AST(SGOT)/ALT(SGPT) ≤2.5 × institutional upper limit of normal
e. Calculated Creatinine clearance > 30 ml/min
6. Both men and women of all races and ethnic groups are eligible for this trial
7. Ability to understand Hindi, Marathi or English language
8. Ability to understand and the willingness to sign a written informed consent document.
 
 
ExclusionCriteria 
Details  1. Uncontrolled intercurrent illness including, but not limited to, hypertension, tuberculosis, diabetes, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, renal failure (on dialysis) or psychiatric illness/social situations that would limit compliance with study requirements. Patients should be considered physiologically fit to withstand major cancer surgery.
2. Pregnant women and breastfeeding women are excluded from this study
3. HIV-positive, Hepatitis B and C seropositive patients are excluded from this study.
4. Patients with previous history of other cancers.
5. Patients who have been started on palliative chemotherapy regimen. ( Patients who have received previous palliative chemotherapy and awaiting start of second line chemotherapy are not excluded)
ECOG PS 0-2
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The percentage of patients opting for increase in survival as the primary expectation from chemotherapy  Day 1 
 
Secondary Outcome  
Outcome  TimePoints 
1. The preferences for chemotherapy
2. Identify patients having high distress scores ( score 4 or more) and factors associated with it
1. Factors studied would be age (above or below 70 years), sex( Male/Female), socioeconomic status ( Above poverty line/ Below poverty line) and residential address ( Mumbai / Rest of Maharashtra / Rest of India).
3. To asses proportion of patients having improvement in QOL at 2 months with palliative chemotherapy
 
1.Day 1
2.Time point : Day 1
3.2 month
 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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)   30/11/2015 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   None 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This is a prospective observational single arm study in 200 patients,  newly started on palliative chemotherapy in Head and neck cancers.  These patients would be administered three short questionnaires; NCCN distress thermometer, Chemotherapy expectations and preference questionnaire  and FACT H&N questionnaire at baseline. The first 2 proformas would be filled by the interviewer while the 3rd proforma (FACT) will be self administered by the patient. These patients would receive there palliative chemotherapy according to institutional guidelines. Then again at 2 monthly intervals for 6 months  FACT H&N  questionnaire would be administered. The primary expectation of patients for chemotherapy, their preferences for it , the baseline distress levels, the compliance for the 3 questionnaires and the improvement in QOL at 2 months would be studied.   
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