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CTRI Number  CTRI/2025/12/098846 [Registered on: 10/12/2025] Trial Registered Prospectively
Last Modified On: 10/12/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   The role of Artificial Intelligence in Cancer Management 
Scientific Title of Study   Evaluating the concordance between AI-based Large Language Model recommendations and Virtual Molecular Tumor Board expert consensus for solid tumor cases in India 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr S Arun Seshachalam 
Designation  Medical and Paediatric Oncologist  
Affiliation  Dr GVN Cancer Institute GVN Riverside Hospital Tiruchirappalli Tamil Nadu 
Address  Dr GVN Cancer Institute GVN Riverside Hospital Trichy Chennai NH 45 Thimmarayasamuthiram Thiruvanaikoil Tiruchirappalli Tamil Nadu

Tiruchirappalli
TAMIL NADU
620005
India 
Phone  9786220191  
Fax    
Email  dr.arunseshachalamtalks@gmail.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr S Arun Seshachalam 
Designation  Medical and Paediatric Oncologist  
Affiliation  Dr GVN Cancer Institute GVN Riverside Hospital Tiruchirappalli Tamil Nadu 
Address  Dr GVN Cancer Institute GVN Riverside Hospital Trichy Chennai NH 45 Thimmarayasamuthiram Thiruvanaikoil Tiruchirappalli Tamil Nadu

Tiruchirappalli
TAMIL NADU
620005
India 
Phone  9786220191  
Fax    
Email  dr.arunseshachalamtalks@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Dr S Arun Seshachalam 
Designation  Medical and Paediatric Oncologist  
Affiliation  Dr GVN Cancer Institute GVN Riverside Hospital Tiruchirappalli Tamil Nadu 
Address  Dr GVN Cancer Institute GVN Riverside Hospital Trichy Chennai NH 45 Thimmarayasamuthiram Thiruvanaikoil Tiruchirappalli Tamil Nadu

Tiruchirappalli
TAMIL NADU
620005
India 
Phone  9786220191  
Fax    
Email  dr.arunseshachalamtalks@gmail.com   
 
Source of Monetary or Material Support  
Dr. GVN Cancer Institute, GVN Riverside Hospital 
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Private hospital/clinic 
 
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 S Arun Seshachalam  GVN Riverside Hospital  Medical Oncology Department, Dr. GVN Cancer Institute, GVN Riverside Hospital, Trichy Chennai NH 45, Thimmarayasamuthiram, Thiruvanaikoil, Tiruchirappalli, Tamil Nadu 620005
Tiruchirappalli
TAMIL NADU 
9786220191

dr.arunseshachalamtalks@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE GVN RIVERSIDE HOSPITAL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Age 18.00 to 80.00 years. The subject should have solid tumors.  
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Concordance rate between AI and expert vMTB recommendations  Within 8 weeks after presenting the case in the Virtual Molecular Tumour Board 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   21/12/2025 
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   This prospective, blinded, cross-sectional study evaluates the concordance between treatment recommendations generated by large language model (LLM)–based decision-support tools and expert consensus from the Tamil Nadu Medical and Pediatric Oncologist Society (TAMPOS) Virtual Molecular Tumor Board (vMTB) for precision oncology cases in India. Consecutive de-identified solid tumor cases discussed at vMTB sessions (September–December 2025) will be analyzed. AI tools will undergo extraction validation, reproducibility testing (two-run protocol with escalation to a third run if inconsistent), and blinded concordance scoring across pathway, therapy, and evidence level dimensions. The primary hypothesis is that LLM systems will meet predefined concordance thresholds (~90% for high-evidence and ~40% for low-evidence recommendations), consistent with international benchmarking studies (Sunami et al., 2024). 
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