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CTRI Number  CTRI/2025/12/099382 [Registered on: 18/12/2025] Trial Registered Prospectively
Last Modified On: 18/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   Quality of Life in Head and Neck Cancer Participants After Neck Surgery, and Ultrasound Accuracy for Detecting hidden Lymph Node Spread. 
Scientific Title of Study   To study the quality of life in Head and Neck Squamous cell carcinoma patients undergoing neck node dissection, with secondary analysis of diagnostic accuracy and reliability of USG based Node-RADS in clinically N0 neck. 
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 Avni Agrawal 
Designation  Junior Resident 
Affiliation  Kasturba Medical College , Manipal (MAHE) 
Address  Department of Otorhinolaryngology,Room No. 3 Kasturba Medical College Manipal, Madhavnagar, Manipal, Udupi, Karnataka -576104

Udupi
KARNATAKA
576104
India 
Phone  9810197684  
Fax    
Email  avniagrawal0501@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rohit Singh 
Designation  Professor and Head of the Department 
Affiliation  KASTURBA MEDICAL COLLEGE MANIPAL (MAHE) 
Address  Kasturba Medical College Manipal (MAHE), Karnataka

Udupi
KARNATAKA
576104
India 
Phone  9900405817  
Fax    
Email  rohit.singh@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Rakshita Samanth 
Designation  Assisttant Professor 
Affiliation  Kasturba Medical College , Manipal (MAHE) 
Address  Department of Otorhinolaryngology,Room No. 3 Kasturba Medical College Manipal, Madhavnagar, Manipal, Udupi, Karnataka -576104

Udupi
KARNATAKA
576104
India 
Phone  9964084896  
Fax    
Email  rakshitha.samanth@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  ICMR 
Address  V. Ramalingaswami Bhawan, P.O. Box No. 4911Ansari Nagar, New Delhi - 110029, India 
Type of Sponsor  Government funding agency 
 
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 Avni Agrawal  Kasturba Medical College and Kasturba Hospital, Manipal (MAHE)  Department of Otorhinolaryngology,Room No. 3 Kasturba Medical College Manipal, Madhavnagar, Manipal, Udupi, Karnataka -576104
Udupi
KARNATAKA 
09810197684

avniagrawal0501@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee-2 (Student Research)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C10||Malignant neoplasm of oropharynx,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Scheduled to receive neck dissection (along with surgical treatment of primary tumor)
Not received any neo-adjuvant treatment chemotherapy or radiotherapy

 
 
ExclusionCriteria 
Details  Recurrent disease
Previous neck trauma, neck surgery, radiation to the neck
Neurological illness, congenital malformations of the neck
Cognitive impairment or inability to complete questionnaires
Known shoulder pathology
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
QoL changes after neck dissection after 1 month and 3 months of surgery
 
QoL changes after neck dissection after 1 month and 3 months of surgery  
 
Secondary Outcome  
Outcome  TimePoints 
Diagnostic Accuracy & reliability of USG guided FNAC after 10 days of surgery by correlating it with the final histopathology report  Diagnostic Accuracy & reliability of USG guided FNAC after 10 days of surgery by correlating it with the final histopathology report 
 
Target Sample Size   Total Sample Size="97"
Sample Size from India="97" 
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)   31/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  31/12/2025 
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 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  

HNSCC represents a significant proportion of cancer burden in India, accounting for approximately 40% of all malignancies. Neck dissection remains a vital component of curative treatment but is often associated with long-term morbidity affecting overall QoL. Despite its widespread use, there is limited prospective data in the Indian population regarding post-operative QoL outcomes and their predictors. Additionally, while Node-RADS is a novel radiological scoring system for lymph node assessment, its diagnostic accuracy and clinical reliability, especially in clinically N0 necks, have not been thoroughly validated. This study will be the first study to address these crucial gaps by evaluating both functional QoL outcomes and the diagnostic performance of imaging tools like Node-RADS and USG-guided FNAC. As the first prospective study of its kind in the Indian context, it has the potential to standardize neck node evaluation protocols and enhance individualized care, ultimately improving long-term outcomes and resource utilization in oncology practice

 
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