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CTRI Number  CTRI/2026/02/105023 [Registered on: 27/02/2026] Trial Registered Prospectively
Last Modified On: 27/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Retrospective Study 
Study Design  Other 
Public Title of Study   Results of advanced radiation treatment in oral cavity cancer patients. 
Scientific Title of Study   VMAT for Oral Cavity Cancers Outcomes Analysis. 
Trial Acronym  VOCAL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Umesh Mahantshetty 
Designation  Professor 
Affiliation  Homi Bhabha Cancer Hospital and Research Centre, Aganampudi, Gajuwaka mandalam ,Visakhapatnam 
Address  Room no.104, Department of Radiation oncology , Radiation block, Homi Bhabha Cancer Hospital and Research Centre, Aganampudi , Gajuwaka Mandalam , Visakhapatnam

Visakhapatnam
ANDHRA PRADESH
533053
India 
Phone  9819885774  
Fax    
Email  drumeshm@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pokuru Dolly Meghana  
Designation  PG Resident  
Affiliation  Homi Bhabha Cancer Hospital and Research Centre, Aganampudi, Gajuwaka mandalam , Visakahapatnam 
Address  Room no.105, Department of Radiation oncology , Radiation block, Homi Bhabha Cancer Hospital and Research Centre, Aganampudi , Gajuwaka Mandalam , Visakhapatnam

Visakhapatnam
ANDHRA PRADESH
533053
India 
Phone  7337280645  
Fax    
Email  drdollymeghana@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Umesh Mahantshetty 
Designation  Professor 
Affiliation  Homi Bhabha Cancer Hospital and Research Centre, Aganampudi, Gajuwaka mandalam ,Visakhapatnam 
Address  Room no.104, Department of Radiation oncology , Radiation block, Homi Bhabha Cancer Hospital and Research Centre, Aganampudi , Gajuwaka Mandalam , Visakhapatnam

Visakhapatnam
ANDHRA PRADESH
533053
India 
Phone  9819885774  
Fax    
Email  drumeshm@gmail.com  
 
Source of Monetary or Material Support  
Homi Bhabha Cancer Hospital and Research Centre, Unit of Tata Memorial Centre, Aganampudi, Gajuwaka mandalam, Visakhapatnam , Andhra Pradesh ,India, pincode 530053 
 
Primary Sponsor  
Name  Homi Bhabha Cancer Hospital and Research Centre 
Address  Aganampudi, Gajuwaka Mandalam , Visakhapatnam , Andhra Pradesh , 530053 
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 Pokuru Dolly Meghana   Homi Bhabha Cancer Hospital and Research centre  Room no 104, Radiation oncology department, Radiation block, Aganampudi, Gajuwaka Mandalam, Visakhapatnam ,Andhra Pradesh , India, pincode 530053
Visakhapatnam
ANDHRA PRADESH 
7337280645

drdollymeghana@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
HBCHRC Ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C039||Malignant neoplasm of gum, unspecified, (2) ICD-10 Condition: C009||Malignant neoplasm of lip, unspecified, (3) ICD-10 Condition: C029||Malignant neoplasm of tongue, unspecified, (4) ICD-10 Condition: C059||Malignant neoplasm of palate, unspecified, (5) ICD-10 Condition: C060||Malignant neoplasm of cheek mucosa, (6) ICD-10 Condition: C062||Malignant neoplasm of retromolar area,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  0.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  histologically proven primary oral cavity squamous cell cancer who had undergone curative surgery and adjuvant VMAT based radiation therapy at HBCHRC , Visakhapatnam 
 
ExclusionCriteria 
Details  Patients who are operated outside of HBCHRC, Visakhapatnam
Patients with history of prior malignancy in head neck region
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To analyse patterns of disease failure after adjuvant VMAT based radiation therapy in oral cavity squamous cancer patients from january 1st 2020 to december 31st 2024  2 years 
 
Secondary Outcome  
Outcome  TimePoints 
To assess survival outcomes : Disease free survival (DFS), Overall survival (OS), Locregional recurrence Free survival(LRRFS)
To asesss documented acute and chronic toxicities
To assess prognostic factors associated with DFS, OS, LRRFS 
2 years 
 
Target Sample Size   Total Sample Size="250"
Sample Size from India="250" 
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)   24/03/2026 
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 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   Oral cavity cancers constitute major oncological burden globally, particularly India and require multidisciplinary management involving surgery, radiotherapy and chemotherapy .
Despite multidisciplinary approach, oral  cavity squamous cell cancers continues high rates of locoregional recurrence

This retrospective observational study aims to evaluate patterns of failure , toxicities and clinical outcomes in patients of oral cavity squamous cell cancers  who received Adjuvant VMAT based radiation therapy  at Homi Bhabha cancer Hospital and Research Centre (HBCHRC),Visakhapatnam between January 1st 2020 and December 31st 2024.

Data will be collected from Electronic medical records (EMR), Radiation Oncology Information Systems(ROIS) including demographic details, diagnostic workup, surgical and pathological findings, treatment details, toxicities, and disease outcomes.
Primary objective of  Patterns of failure will be evaluated according to MD Anderson criteria. and secondary objectives such as Survival outcomes  and treatment related toxicities will be analysed.

The findings are expected to provide real world evidence and guide future institutional protocols and research initiatives.
 
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