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CTRI Number  CTRI/2025/10/095729 [Registered on: 08/10/2025] Trial Registered Prospectively
Last Modified On: 14/11/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Unmet Care Needs in Elderly Cancer Patients in India 
Scientific Title of Study   Unmet Supportive Care Needs among Indian Geriatric Cancer Patients 
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 Vanita Noronha 
Designation  Professor 
Affiliation  Tata Memorial Centre 
Address  Tata Memorial Centre,, Homi Bhabha Building,303, 3rd floor, Department of Medical Oncology, Dr. Ernest Borges Road, Parel, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  09769328047  
Fax  --  
Email  vanita.noronha@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vanita Noronha 
Designation  Professor 
Affiliation  Tata Memorial Centre 
Address  Tata Memorial Centre,, Homi Bhabha Building,303, 3rd floor, Department of Medical Oncology, Dr. Ernest Borges Road, Parel, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  09769328047  
Fax  --  
Email  vanita.noronha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vanita Noronha 
Designation  Professor 
Affiliation  Tata Memorial Centre 
Address  Tata Memorial Centre,, Homi Bhabha Building,303, 3rd floor, Department of Medical Oncology, Dr. Ernest Borges Road, Parel, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  09769328047  
Fax  --  
Email  vanita.noronha@gmail.com  
 
Source of Monetary or Material Support  
Tata Memorial Hospital,Dr. E. Borges Road, Parel, Mumbai 400012 
 
Primary Sponsor  
Name  Tata Memorial Hospital 
Address  Tata Memorial Hospital,Dr. E. Borges Road, Parel, Mumbai 400012 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
Not Applicable  Not Applicable  
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mahati Chittem  Indian Institute of Technology Hyderabad (IITH)  Department of Liberal Arts Room number: 308 Sangareddy, Kandi 502285 Telangana
Hyderabad
TELANGANA 
897890111

mahati@la.iith.ac.in 
Dr Akhil Kapoor  Mahamana Pandit Madan Mohan Malaviya Cancer Centre  Department of Medical Oncology, OPD No. 28, Ground floor, DNT Block, Sundar Bagiya, Near Nariya Gate, Banaras Hindu University Campus, Varanasi (U.P.) 221005 India
Varanasi
UTTAR PRADESH 
7597364554

kapoorakhil1987@gmail.com 
Dr Varun Rajan  Medical Trust Hospital, Kochi  Department of Medical Oncology, East Annexe 4th floor, M.G.Road, Cochin, Kerala -682016
Ernakulam
KERALA 
9446805593

varunacme@yahoo.co.in 
Dr Vanita Noronha  Tata Memorial Centre  Tata Memorial Centre,, Homi Bhabha Building,303, 3rd floor, Department of Medical Oncology, Dr. Ernest Borges Road, Parel, Mumbai 400012
Mumbai
MAHARASHTRA 
02224176214

vanita.noronha@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
Institutional Ethics Committee  Approved 
Institutional Ethics Committee, MTH  Approved 
Institutional Ethics Committee-I  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D499||Neoplasm of unspecified behavior of unspecified site,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not Applicable   Not Applicable  
Intervention  Quantitative Component (Questionnaires) & Interview   1. Quantitative Component (Questionnaires): Camberwell Assessment of Need Short Appraisal Schedule – Patient (CANSAS-P) Measures met, unmet, and under-met supportive care needs across domains (physical, psychological, social, daily living). Medical Outcomes Study Social Support Survey (MOS-SSS) Evaluates perceived social support (emotional, informational, tangible, affectionate). EORTC QLQ-ELD14 Measures health-related quality of life specific to elderly cancer patients. 2. Qualitative Component (Interview): Semi-structured, one-on-one interviews exploring patients’ lived experiences regarding logistical, financial, informational, emotional, and social needs. Conducted in hospital settings by trained researchers. Audio-recorded, transcribed, and analyzed using Thematic Network Analysis (TNA). 1. Self-administered or interviewer-assisted survey (approx. 25–30 minutes). 2. Approx. 45–60 minutes total (questionnaire + interview). 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Geriatric patients aged 60 years and over, currently being treated for any type of cancer
at a hospital and are at any stage of their treatment.

2. Patients who are fluent in spoken Hindi, English or local/regional language (e.g.,
Marathi, Bihari). 
 
ExclusionCriteria 
Details  1. Patients who are partially aware or unaware of their diagnosis.
2. Patients who score 23 or lower on standardized cognitive assessments, indicating cognitive
impairment.
3. Patients who have an active untreated psychiatric disorder. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To identify and assess the unmet supportive care needs of geriatric cancer patients and their association with health-related quality of life (HRQoL).

Specific variables measured:

Number and type of unmet needs across physical, emotional, informational, social, and financial domains (measured using Camberwell Assessment of Need Short Appraisal Schedule – Patient).

HRQoL scores (measured using EORTC QLQ-ELD14).

Social support levels (measured using MOS Social Support Survey). 
at baseline & during follow up  
 
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)   20/10/2025 
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="2"
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  

Cancer among older adults in India presents unique challenges, including late diagnoses, limited specialized care, and difficulties in accessing treatment. Older cancer patients often face not just the physical burden of cancer but also emotional distress, financial strain, and social isolation. Many of these patients have unmet supportive care needshelp that goes beyond medical treatment to improve their quality of life.

Older cancer patients represent the largest group in oncology, yet they often experience worse outcomes due to gaps in care. They may struggle with daily activities, managing side effects, and coping with mental health issues like depression and anxiety. Having access to information, financial assistance, transportation, and emotional support can significantly improve their well-being. However, many of these needs remain unmet, leading to lower treatment adherence and poorer quality of life.

This study aims to:

  • Identify the unmet supportive care needs of older cancer patients.
  • Examine how these needs impact their healthrelated quality of life.
  • Provide insights to improve care and develop better healthcare policies.

The study will include 92 geriatric cancer patients from hospitals in India.

Participants will answer questionnaires about their physical, emotional, and social well-being.

Some participants will also take part in interviews to share their experiences in greater detail.

Statistical and qualitative methods will be used to analyze the findings.

The study will help identify critical areas where older cancer patients need more support. By understanding these needs, healthcare providers can design better services, improve patient outcomes, and advocate for supportive care policies at a national level. 
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