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CTRI Number  CTRI/2018/05/013936 [Registered on: 17/05/2018] Trial Registered Retrospectively
Last Modified On: 17/05/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Turmeric Oral Rinse in Oral Mucositis 
Scientific Title of Study   An Open Label, Clinical Study to Evaluate the Efficacy and Safety of Turmeric Oral Rinse in Oral Mucositis During Cancer Chemotherapy and Radiotherapy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
HDC/CP/PP/2016/10; Version 01; Date:22.01.2016  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Kirthi Koushik 
Designation  Radiation Oncologist 
Affiliation  M.S.Ramaiah Hospital 
Address  Department of Radiation Oncology, Post, New BEL Road, Bangalore

Bangalore
KARNATAKA
560054
India 
Phone  09901845412  
Fax    
Email  kirthi.koushik@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kirthi Koushik 
Designation  Radiation Oncologist 
Affiliation  M.S.Ramaiah Hospital 
Address  Department of Radiation Oncology,New BEL Road, Bangalore

Bangalore
KARNATAKA
560054
India 
Phone  09901845412  
Fax    
Email  kirthi.koushik@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Padmanabha 
Designation  Research Associate 
Affiliation  The Himalaya Drug Company 
Address  Department of Clinical Pharmacology, Makali, Bangalore
Makali, Bangalore
Bangalore
KARNATAKA
562123
India 
Phone  09901845412  
Fax    
Email  dr.padmanabha@himalayawellness.com  
 
Source of Monetary or Material Support  
Hospital and Institutional facilities Aspects: M.S. Ramaiah Medical College and Hospitals Ethics Committee  
 
Primary Sponsor  
Name  The Himalaya Drug Company 
Address  The Himalaya Drug Company Research and Development, Makali, Bangalore – 562 162 
Type of Sponsor  Pharmaceutical industry-Global 
 
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 Kirthi Koushik  M S Ramaiah Medical College and Hospital  Room No: 02; M.S. Ramaish Advanced Learning Centre, Post,New BEL Road,
Bangalore
KARNATAKA 
09901845412

kirthi.koushik@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
M.S. Ramaiah Medical College and Hospitals Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Subjects with head and neck cancer scheduled to receive chemotherapy or radiotherapy as standard care and with history or prone to develop oral mucositis during cancer chemotherapy or radiotherapy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Turmeric Oral Rinse  subjects will be advised to use 10 ml of oral rinse for 1 minute 4 times daily for a period of 6 weeks starting from day 1 of standard anticancer care. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1 Subjects with confirmed histopathologically with head and neck cancer (according to TNM classification) preferably oropharyngeal scheduled to receive chemotherapy or radiotherapy as a standard care.
2 Subjects with history or prone to develop oral mucositis during cancer chemotherapy or radiotherapy.
3 Subjects aged >18 years of either the sex.
4 Subjects willing to give a written informed consent and follow the schedule of the study as per the protocol. 
 
ExclusionCriteria 
Details  1 Has participated in a similar clinical investigation in the past four weeks.
2 Severe uncontrolled systemic disorders, diabetes, Hypertension, or genetic and endocrinal disorders.
3 Has used a similar product in the past four weeks.
4 Subjects who refused to sign informed consent.
5 Pregnant and lactating women.
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Mucositis Assessment:
Condition of the patient’s mouth is assessed at weekly intervals, as per the World Health Organisation grading of mucositis  
At entry, end of 1st week, end of 2nd week, end of 3rd week, end of 4th week, end of 5th week and end of 6th week 
 
Secondary Outcome  
Outcome  TimePoints 
Number of ulcers  At entry, end of 1st week, end of 2nd week, end of 3rd week, end of 4th week, end of 5th week and end of 6th week 
Location of ulcers  At entry, end of 1st week, end of 2nd week, end of 3rd week, end of 4th week, end of 5th week and end of 6th week 
Burning sensation  At entry, end of 1st week, end of 2nd week, end of 3rd week, end of 4th week, end of 5th week and end of 6th week 
Difficulty in chewing  At entry, end of 1st week, end of 2nd week, end of 3rd week, end of 4th week, end of 5th week and end of 6th week 
Difficulty in drinking  At entry, end of 1st week, end of 2nd week, end of 3rd week, end of 4th week, end of 5th week and end of 6th week 
Difficulty in opening the mouth  At entry, end of 1st week, end of 2nd week, end of 3rd week, end of 4th week, end of 5th week and end of 6th week 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   08/06/2016 
Date of Study Completion (India) 13/12/2016 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

The study is an  open label Clinical Study to Evaluate the Efficacy and Safety of Turmeric Oral Rinse in Oral Mucositis during Cancer Chemotherapy and Radiotherapy. Forty subjects who fulfil the inclusion criteria will be selected. The subjects will be advised to use 10 ml of oral rinse to rinse/swish the mouth for 1 minute four times a day from day 1 of standard care. The subjects will be instructed to attend for follow up at the end of every week for 6 weeks. The primary outcome measures are Clinical assessments of Mucositis as per the World Health Organisation grading.

 Outcome measures will be measured at entry, end of 1st week, end of 2nd week, end of 3rd week, end of 4th week, end of 5th week and end of 6th week. 

Clinical symptoms like sore throat, number of ulcer, burning sensation, pain, difficulty in chewing, difficulty in drinking and mucositis grading along with PROMS (patient reported outcome measures) were evaluated at each interval. Significant positive outcome was reported both subjectively and objectively with delay in the onset of symptoms and less severe manifestation of oral mucositis with an improvement in quality of life. No adverse effects reported that prompted discontinuation of study medication. Overall compliance to study medication was good.

 
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