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CTRI Number  CTRI/2025/10/095516 [Registered on: 01/10/2025] Trial Registered Prospectively
Last Modified On: 29/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Mild electrical stimulation to brain for people with head and neck cancer who have swallowing difficulty 
Scientific Title of Study   Effect of transcranial direct current stimulation on dysphagia in patients with head and neck cancer - A randomized controlled trial 
Trial Acronym  NIl 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Samiksha ketkale 
Designation  PG student 
Affiliation  KLE institute of physiotherapy 
Address  KLEs Dr. Prabhakar Kore Hospital and Medical Research Center, Room no. 39, Sagar Floor, Advanced physiotherapy center, Department of Neurophysiotherpy, Belgaum, Karnataka

Belgaum
KARNATAKA
590010
India 
Phone  7972148476  
Fax    
Email  samiksha15ketkale@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Samiksha ketkale 
Designation  PG student 
Affiliation  KLE institute of physiotherapy 
Address  KLEs Dr. Prabhakar Kore Hospital and Medical Research Center, Room no. 39, Sagar Floor, Advanced physiotherapy center, Department of Neurophysiotherpy, Belgaum, Karnataka

Belgaum
KARNATAKA
590010
India 
Phone  7972148476  
Fax    
Email  samiksha15ketkale@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sanjiv Kumar 
Designation  Professor 
Affiliation  KLE institute of physiotherapy 
Address  KLEs Dr. Prabhakar Kore Hospital and Medical Research Center, Room no. 39, Sagar Floor, Advanced physiotherapy center, Department of Neurophysiotherpy, Belgaum, Karnataka

Belgaum
KARNATAKA
590010
India 
Phone  9448745648  
Fax    
Email  sanjiv3303@rediffmail.com  
 
Source of Monetary or Material Support  
KLEs Dr. Prabhakar kore Hospital and Medical Research center belagavi, karnataka. 590010 
 
Primary Sponsor  
Name  Samiksha ketkale 
Address  KLEs Dr. Prabhakar Kore Hospital and Medical Research Center, Room no. 39, Sagar Floor, Advanced physiotherapy center, Department of Neurophysiotherpy, Belgaum, Karnataka 
Type of Sponsor  Other [self] 
 
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 Samiksha Ketkale  KLEs Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi.  KLEs Dr. Prabhakar Kore Hospital and Medical Research Center, Room No. 39, Sagar Floor, Advanced Physiotherapy Centre, Department of Neurophysiotherapy, Belgaum, Karnataka.
Belgaum
KARNATAKA 
7972148476

samiksha15ketkale@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Research and ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C148||Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Sham tDCS + Conventional exercises  Training frequency- 5 sessions per week Training duration- 20 minutes Number of weeks- 2 weeks Exercises- 30 minutes per session 
Intervention  tDCS + conventional exercises  Training frequency- 5 sessions per week Training duration- 20 minutes Number of weeks- 2 weeks Exercises- 30 minutes per session 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Patients diagnosed with head and neck cancer for the first time who is undergoing any cancer therapy treatment and suffering from dysphagia in the age group of 18-75 years of both gender and willing to participate.
2. EAT10 self-administered questionnaire score 3-15 (score more than 15 is more severe swallowing difficulty)
 
 
ExclusionCriteria 
Details  1. Patient with cognitive impairment
2. Presence of implanted metal or electronic medical devices
3. Skin problems (e.g. dermatitis, psoriasis)
4. Patients who are on artificial feeding
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Centralized 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Functional oral intake scale  10 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
Dysphagia handicap index  10 minutes 
Dysphagia outcome severity scale  10 minutes 
 
Target Sample Size   Total Sample Size="22"
Sample Size from India="22" 
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   Phase 1/ Phase 2 
Date of First Enrollment (India)   15/10/2025 
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 Yet Recruiting 
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  
Effect of Transcranial Direct Current Stimulation on Dysphagia in Patients with Head and Neck Cancer – A Randomized Controlled Trial 

This study addresses swallowing difficulties that commonly occur after cancer treatment, which can severely affect nutrition and quality of life. Since current therapies often fail to restore normal swallowing, there is a need to explore newer non-invasive brain stimulation methods like tDCS, which has shown promising results in neurogenic dysphagia but is less studied in cancer-related cases. The aim of this study is to evaluate the effect of tDCS on dysphagia in head and neck cancer patients, using scales such as FOIS, DHI, and DOSS. For this, 22 participants will be randomly assigned into two groups: one receiving tDCS with conventional exercises and the other receiving sham stimulation with conventional exercises. Assessments will be done before and after the intervention to compare outcome measures.
 
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