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CTRI Number  CTRI/2018/01/011296 [Registered on: 12/01/2018] Trial Registered Retrospectively
Last Modified On: 11/01/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Radiation Therapy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Therapy used for Carcinoma Gallbladder after Surgery 
Scientific Title of Study   Adjuvant Chemotherapy versus Adjuvant Chemotherapy/Radiotherapy for Carcinoma Gallbladder- A Randomized Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shivendra Singh 
Designation  Senior consultant 
Affiliation  Rajiv Gandhi Cancer Institute and Research Centre 
Address  Room no. 3054, D Block, Ground floor, Rajiv Gandhi Cancer Institute and Research Centre, Rhini, Sector-5, Delhi. Pncode- 110085

North West
DELHI
110085
India 
Phone  9818975024  
Fax    
Email  singh.shivendra@rgcirc.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shivendra Singh 
Designation  Senior consultant 
Affiliation  Rajiv Gandhi Cancer Institute and Research Centre 
Address  Room no. 3054, D Block, Ground floor, Rajiv Gandhi Cancer Institute and Research Centre, Rhini, Sector-5, Delhi. Pncode- 110085

North West
DELHI
110085
India 
Phone  9818975024  
Fax    
Email  singh.shivendra@rgcirc.org  
 
Details of Contact Person
Public Query
 
Name  Dr Shivendra Singh 
Designation  Senior consultant 
Affiliation  Rajiv Gandhi Cancer Institute and Research Centre 
Address  Room no. 3054, D Block, Ground floor, Rajiv Gandhi Cancer Institute and Research Centre, Rhini, Sector-5, Delhi. Pncode- 110085
Ro
North West
DELHI
110085
India 
Phone  9818975024  
Fax    
Email  singh.shivendra@rgcirc.org  
 
Source of Monetary or Material Support  
Rajiv Gandhi Cancer Institute and Research Centre, Delhi.  
 
Primary Sponsor  
Name  Dr Shivendra Singh 
Address  Room no. 3054, D Block, Ground floor, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Sector-5, Delhi. Pincode- 110085 
Type of Sponsor  Other [PRINCIPAL INVESTIGATOR] 
 
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 Shivendra Singh  Rajiv Gancdhi Cancer Institute and Research Centre  Room No. 3054; Ground Floor;Surgical Oncology Department;D block;Rajiv Gandhi Cancer Institute and Research Centre;Sector 5; Rohini; Delhi 110085 North West DELHI
North West
DELHI 
9818975024

singh.shivendra@rgcirc.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institution Review Board of Rajiv Gancdhi Cancer Institute and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Operated for Carcinoma Gallbladder,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Adjuvant chemotherapy with Injection Gemcitabine 1g/m2  Adjuvant chemotherapy with Injection Gemcitabine 1g/m2 on day 1 and Day 8 of 21 day cyclefor 6 cycles starting 3 weeks post surgery. 
Intervention  Adjuvant concurrent chemoradiotherapy  External beam radiotherapy (50.4Gy @ 1.8Gy for 28 fraction ). Radiation area will include GB fossa;adjacent liver and regional lymphnodes. Chemotherapy given concurently will be injection fluracil 750mg/m2 on day 1-5 and last 5 days of radiotherapy concurrently 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  All resectable Ca GB patients who have undergone R0 resection for Ca GB; Those who have not recieved neoadjuvant treatment; those who donot have stage IV disease. 
 
ExclusionCriteria 
Details  Metastatic disease; R1 resection for Ca GB; Stage IVb disease; Those who have recieved neoadjuvant treatment; Refused consent for adjuvant treatment. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Overall survival; Recurrence free survival  6 month; 1 year; 3 year; 5 year 
 
Secondary Outcome  
Outcome  TimePoints 
Pattern of recurrence; Toxicity/Complication of chemotherapy and Chemoradiotherapy  in 30 days of completion of therapy;6month; 1 year; 3 year; 5 year. 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   29/12/2014 
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="4"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   Not published  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The study is a prospective , double arm, single centric, randomized control  trial  to compare the benefits  of  adjuvant Chemotherapy versus adjuvant Chemotherapy/Radiotherapy for Carcinoma Gallbladder in  150 consecutive patients of  potentially resectable GBC (Gall bladder cancer) who achieved R0 resection and did not recieve any neoadjuvant treatment. Our hypothesis is that patients who recieved adjuvant concurrent chemoradiation  have superior overall survival. Our primary outcome would be to measure overall survival and recurrence free survival, and secondary outcome would be to know about the pattern of recurrence and study toxicity/complications of chemotherapy and chemoradiotherapy. Patients will be randomized to either arm after completion of 3 weeks from  surgery. At present there is no standard protocol for adjuvant treatment after curative resection of gall bladder cancer in literature. 
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