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CTRI Number  CTRI/2026/02/102928 [Registered on: 03/02/2026] Trial Registered Prospectively
Last Modified On: 03/02/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Guidelines for radiation dose reporting in rectal cancer 
Scientific Title of Study   GI GEC rectal brachy dose reporting project 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rahul Krishnatry 
Designation  Professor 
Affiliation  Tata Memorial 
Address  Room No. 1125,HBB,Department of Radiation Oncology , Tata Memorial Centre, Parel Mumbai , Maharashtra, 400012 , India

Mumbai
MAHARASHTRA
400012
India 
Phone  02224177028  
Fax    
Email  krishnatry@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Rahul Krishnatry 
Designation  Professor 
Affiliation  Tata Memorial 
Address  Room No. 1125,HBB,Department of Radiation Oncology , Tata Memorial Centre, Parel Mumbai , Maharashtra, 400012 , India

Mumbai
MAHARASHTRA
400012
India 
Phone  02224177028  
Fax    
Email  krishnatry@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Rahul Krishnatry 
Designation  Professor 
Affiliation  Tata Memorial 
Address  Room No. 1125,HBB,Department of Radiation Oncology , Tata Memorial Centre, Parel Mumbai , Maharashtra, 400012 , India

Mumbai
MAHARASHTRA
400012
India 
Phone  02224177028  
Fax    
Email  krishnatry@gmail.com  
 
Source of Monetary or Material Support  
Tata Memorial Centre, parel,Mumbai,Maharashtra India pin 400012 
 
Primary Sponsor  
Name  Maastricht Radiation Oncology Maastro Clinic 
Address  Dr. Tanslaan 12, Maastricht, The Netherlands. Pin:6229ET 
Type of Sponsor  Research institution and hospital 
 
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 Rahul Krishnatry   Tata Memorial Centre  Room 1125, Department of Radiation Oncology , TMH , Parel , Mumbai , Maharshtra, India 400012 Mumbai MAHARASHTRA
Mumbai
MAHARASHTRA 
02224177028

krishnatry@gmail.com  
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee-I, Tata Memorial Centre, Mumbai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D||Radiation Therapy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Rectal cancer patients who have been treated with rectal high dose rate brachytherapy at participating centers.
Availability of complete treatment planning data including dose volume histogram information.
Treatment plans generated using clinically approved treatment planning systems.
Cases where target and relevant structures are delineated according to the specified delineation guideline or can be updated accordingly. 
 
ExclusionCriteria 
Details  Cases with incomplete or missing treatment planning or dose volume histogram data.
Treatment plans not suitable for dose volume histogram analysis due to technical limitations.
Cases where required delineation structures are unavailable and cannot be reconstructed or updated. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Identification of robust dose volume and depth dose metrics for rectal high dose rate brachytherapy that are sensitive to clinically relevant variations in dose distribution and remain stable across contouring variability and treatment planning system differences  Not applicable 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate inter-centre variability in contemporary clinical practice; assess the sensitivity of dosimetric outcomes to unavoidable target delineation uncertainties; examine susceptibility to variations in DVH calculation methods, treatment planning system software, & minor source positional deviations; & determine the feasibility of categorizing robust dosimetric metrics into entry-level, advanced-level, & research-level dose reporting frameworks  Not applicable 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="20" 
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)   06/04/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  07/04/2026 
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  

This study aims to identify robust dose volume and depth dose metrics for dose reporting in rectal high dose rate brachytherapy. The primary purpose of the protocol is to evaluate dosimetric parameters that are sensitive to clinically relevant variations in dose distribution while remaining stable against unavoidable delineation uncertainties, contouring variability, and differences between treatment planning systems.

The study will collect and analyze dose volume histogram based parameters from rectal brachytherapy treatment plans generated at multiple centers using different applicators and planning systems. Candidate metrics will be assessed for their ability to reflect differences between treatment plans and patients, as well as their robustness to contouring variation and dose calculation differences.

The underlying hypothesis of the study is that a limited set of dose volume metrics can be identified that consistently represent dose distribution characteristics in rectal high dose rate brachytherapy and can be reliably recorded and reported across centers. The findings of this study are expected to support the development of standardized dose reporting guidelines and facilitate improved consistency in clinical practice and future research.

 
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