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CTRI Number  CTRI/2025/10/096266 [Registered on: 21/10/2025] Trial Registered Prospectively
Last Modified On: 17/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Head and Neck Cancer: A Study on the Psychosocial and Financial Distress in Patients. 
Scientific Title of Study   Assessment of psychosocial and financial distress among patients with head and neck cancer. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aashka Karkera 
Designation  Student 
Affiliation  NGSM Institute of Pharmaceutical Sciences 
Address  Department of Pharmacy Practice, NGSM Institute of Pharmaceutical Sciences, Deralakatte, Mangaluru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  7204203943  
Fax    
Email  aashkakarkera2004@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Uday Venkat Mateti 
Designation  Associate Professor 
Affiliation  NGSM Institute of Pharmaceutical Sciences 
Address  Department of Pharmacy Practice, NGSM Institute of Pharmaceutical Sciences, Deralakatte, Mangaluru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8152977460  
Fax    
Email  udayv@nitte.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Uday Venkat Mateti 
Designation  Associate Professor 
Affiliation  NGSM Institute of Pharmaceutical Sciences 
Address  Department of Pharmacy Practice, NGSM Institute of Pharmaceutical Sciences, Deralakatte, Mangaluru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8152977460  
Fax    
Email  udayv@nitte.edu.in  
 
Source of Monetary or Material Support  
Nitte (Deemed to be University), NGSM Institute of Pharmaceutical Sciences, Deralakatte, Mangaluru 575018 
 
Primary Sponsor  
Name  NGSM Institute of Pharmaceutical Sciences, NITTE (Deemed To Be University) 
Address  Deralakatte, Mangaluru 575018 
Type of Sponsor  Other [Educational Institution] 
 
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 Vijith Shetty  Justice K.S. Hegde Charitable Hospital  Department of Oncology, Deralakatte, Mangaluru
Dakshina Kannada
KARNATAKA 
8861796017

drvijithshetty@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NSGM Institute of Pharmaceutical Sciences Institutional Ethics Committee (NGSMIPS-IEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-C14||Malignant neoplasms of lip, oral cavity and pharynx,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Patients above 18 years old.
2. Patients who have had at least 1 cycle of chemotherapy. 
 
ExclusionCriteria 
Details  1. Newly diagnosed patients.
2. Critically sick adult cancer patients who were unable to respond and had no attendants during the data collection period.
3. Patients diagnosed with multiple malignancies or those other than HNC. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the financial and psychosocial distress among HNC patients.  Outcome will be measured at baseline. 
 
Secondary Outcome  
Outcome  TimePoints 
To compare financial & psychosocial distress scores between various factors.  Outcome will be measured at baseline. 
To find the relationship between financial & psychosocial distress.  Outcome will be measured at baseline. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   01/11/2025 
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="0"
Months="6"
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  

INTRODUCTION

Head and neck cancers (HNC) consists of a diverse group of cancers primarily affecting the nasal, oral, pharyngeal, laryngeal and upper oesophageal tract. Tobacco use and alcohol use are the well-established risk factors, alongside oncogenic viruses such as Epstein-Barr Virus and the human papilloma virus (HPV). HNC chiefly follows squamous histology which may affect multiple anatomical sites, leading to sequential malignant development.

Unlike other cancers, HNC affects complex functional anatomy performing crucial responsibilities like vision, hearing, balance, olfaction, gustation, communication, endocrine and cosmesis. Impairment or visible disfigurement of the anatomy during the course of illness is known to distress HNC patients. The association of body-image perception to interpersonal relationships and social communication leads to altered psychosocial needs. Additionally, HNC utilizes complex multi-disciplinary procedures, spanning across histological examination, radiographic imaging, biopsies, surgery, radiotherapy and chemotherapy.

An assessment of the psychosocial and financial aspects in HNC patients is essential in understanding the mental state of the patient and the financial impact of the disease.

OBJECTIVES OF THE STUDY

The study aims to assess the financial and psychosocial distress among HNC patients, find the relationship between financial and psychosocial distress and compare financial and psychosocial distress scores between various factors.

METHODOLOGY

This prospective study will be conducted at the Department of Oncology, Justice KS Hegde Hospital, Deralakatte, Mangaluru. The sample size is approximated to be 60 participants. Ethical approval will be obtained, and participants will provide written consent. The study will span 6 months from September 2025 to February 2026 and include all HNC patients above 18 years of age and have had at least 1 round of treatment, with certain exclusion such as newly diagnosed patients, critically sick adult cancer patients who were unable to respond and had no attendants during the data collection period and patients diagnosed with multiple malignancies or those other than HNC. FACIT-COST and Distress Thermometer will be used as measures of financial and psychosocial distress, respectively, for which permission has been obtained.

STATISTICAL ANALYSIS

Quantitative data will be expressed as Mean ± SD or Median (IQR). Qualitative data will be expressed as frequency and percentage. Spearman Rank Correlation/Pearson Correlation will be used to find the relationship between financial and psychosocial distress scores. Independent t-test/Mann-Whitney U test or one-way ANOVA/Kruskal-Wallis test will be used to compare the scores between selected features. Tukey post-hoc comparison test will be used for multiple comparisons. SPSS software version 29 will be used for statistical analysis.

 
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