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CTRI Number  CTRI/2017/12/010805 [Registered on: 07/12/2017] Trial Registered Retrospectively
Last Modified On: 09/12/2017
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   Outcomes of Stage III and IV Larynx (air pipe) and Hypopharynx (food pipe) Cancers treated with Chemotherapy and Radiation only 
Scientific Title of Study   Definitive Volumetric Modulated Arc Therapy(VMAT) for Locally Advanced Laryngeal and Hypopharyngeal Squamous Cell Carcinoma: Clinical Outcomes and Toxicity Analysis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Fathima Almas 
Designation  Junior Resident  
Affiliation  KMC Manipal 
Address  Department of Radiotherapy and Oncology Shirdi Sai Cancer Hospital Manipal

Udupi
KARNATAKA
576104
India 
Phone  8197132016  
Fax    
Email  fathimaalmas25@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Donald Fernandes 
Designation  Professor 
Affiliation  KMC Manipal 
Address  Department of Radiotherapy and Oncology Shirdi Sai Cancer Hospital Manipal

Udupi
KARNATAKA
576104
India 
Phone  08202922657  
Fax    
Email  donaldjf@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Fathima Almas 
Designation  Junior Resident  
Affiliation  KMC Manipal 
Address  Department of Radiotherapy and Oncology Shirdi Sai Cancer Hospital Manipal

Udupi
KARNATAKA
576104
India 
Phone  8197132016  
Fax    
Email  fathimaalmas25@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Kasturba Hospital Manipal 
Address  Manipal, Udupi, Karnataka 
Type of Sponsor  Private medical college 
 
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 
Fathima Almas  Shirdi Sai Cancer Center, KMC Manipal  Department of Radiotherapy and Oncology,Shirdi Sai Cancer Center, KMC Manipal
Udupi
KARNATAKA 
8197132016

fathimaalmas25@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Kasturba Hospital, Manipal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Stage III or IV laryngeal or hypopharyngeal SCC,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Patients with hypopharyngeal and laryngeal SCC (except T1N0 and T2N0 Glottic cancers), Stages III – IV (AJCC) treated with definitive VMAT 
 
ExclusionCriteria 
Details  1. Patients with laryngeal and hypopharyngeal tumors with histology other than SCC
2. Patients with Stage I/II tumors
3. Patients with distant metastasis
4. Patients undergoing upfront laryngectomy
5. Initial Karnofsky Performance Status (KPS) less than 60%
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To report the loco-regional control (LRC) rate of locally advanced laryngeal and hypopharyngeal cancers treated using definitive VMAT (+ chemotherapy)  Assessment at 3 monthly intervals 
 
Secondary Outcome  
Outcome  TimePoints 
1. To report the median laryngectomy free survival on follow-up
2. To report the median distant metastasis free survival on follow-up
3. To report the incidence rate of residual disease at the end of treatment.
4. To report the median overall survival on serial follow-up
5. To report the incidence of acute toxicity with VMAT based IMRT
6. To report the incidence of late toxicity with VMAT based IMRT 
6 months 
 
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)   13/09/2017 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
Our objectives of this study are to document the loco-regional control rate and the
incidence of acute and late toxicities with definitive VMAT (+ chemotherapy) in locally
advanced laryngeal and hypopharyngeal cancers. With our analysis we hope to add to the
body of knowledge pertaining to the treatment of laryngeal and hypopharyngeal cancers
using the VMAT technique.
 
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