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CTRI Number  CTRI/2025/10/096575 [Registered on: 29/10/2025] Trial Registered Prospectively
Last Modified On: 28/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   Study to understand the pattern of spread of Esophageal Cancer to regional lymph nodes 
Scientific Title of Study   Distribution of lymph node metastasis in Carcinoma Esophagus 
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 Neethu Tomy 
Designation  SR, Department of Surgical Oncology, KMC Manipal 
Affiliation  KMC Manipal 
Address  Shirdi Sai Baba Cancer Hospital and Research center, Department of Surgical Oncology, KMC Manipal

Udupi
KARNATAKA
576104
India 
Phone  9400142795  
Fax    
Email  neethukozhamthadathil@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Naveena AN 
Designation  Head of The Department, Department of Surgical Oncology 
Affiliation  KMC Manipal 
Address  Shirdi Sai Baba Cancer Hospital and Research center, Department of Surgical Oncology, KMC Manipal

Udupi
KARNATAKA
576104
India 
Phone  9969523579  
Fax    
Email  naveenkumar.an@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Ananth S Mathad 
Designation  Assistant Professor, Department of Surgical Oncology 
Affiliation  KMC Manipal 
Address  Shirdi Sai Baba Cancer Hospital and Research center, Department of Surgical Oncology, KMC Manipal

Udupi
KARNATAKA
576104
India 
Phone  9900730715  
Fax    
Email  ananth.mathad@manipal.edu  
 
Source of Monetary or Material Support  
KMC, Manipal,Tiger circle road, Madhav Nagar Karnataka, INDIA PIN- 576104 
 
Primary Sponsor  
Name  DR. Anil K Bhatt 
Address  KMC Manipal,Tiger Circle Road, Madhav Nagar, Manipal, Karnataka 
Type of Sponsor  Private medical college 
 
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 Neethu Tomy  Kasturba Medical College  Room no. 2, Department of Surgical Oncology,Shirdi Sai Baba Cancer Hospital, Manipal Karnataka, India- 576104
Udupi
KARNATAKA 
9400142795

neethu.kmcmpl2023@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Katurba Medical College and Kasturba Hospital Institutional Ethics Committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C158||Malignant neoplasm of overlappingsites of esophagus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Primary scc of thoracic esophagus - mid and lower
2.Surgically resectable tumor ( cT1-4a, N0-3, M0 ) 
 
ExclusionCriteria 
Details  Previous esophageal surgery 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Clinical distribution of lymph node metastasis in thoracic esophageal SCC.
 
At the time of presentation to OPD 
 
Secondary Outcome  
Outcome  TimePoints 
Lymph node yield and lymph node metastasis as per lymph node station in patients who are treated with or without NACT, post surgery  At the time of definitive surgery 
 
Target Sample Size   Total Sample Size="81"
Sample Size from India="81" 
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)   10/11/2025 
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="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   The survival rate following esophageal resection is a median of 25 - 74 months, and an important parameter for survival is lymph node status. The distribution of lymph node metastasis depends on tumor characterestics such as location, histology, T stage, and neoadjuvant treatment. If a distribution pattern of lymph node metastasis of esophageal carcinoma can be identified, optimal neoadjuvant and surgical treatment can be determined. 
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