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CTRI Number  CTRI/2020/10/028762 [Registered on: 29/10/2020] Trial Registered Prospectively
Last Modified On: 20/10/2020
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   A Study That Correlates The Diversity Of Micro-Organisms In Rectum Of Rectal Cancer Patients With The Clinical And Pathological Variables Of The Patient. 
Scientific Title of Study   Clinico Pathological Correlation Of Diversity And Quantity Of Rectal Microbiota In Rectal Cancer Patients - A Metagenome Analysis. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chandramohan K 
Designation  Additional Professor 
Affiliation  Regional Cancer Centre, Trivandrum. 
Address  Dept. Of Surgical Oncology, RCC Trivandrum.

Thiruvananthapuram
KERALA
695011
India 
Phone  9895774393  
Fax    
Email  dr.chandramohan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chandramohan K 
Designation  Additional Professor 
Affiliation  Regional Cancer Centre, Trivandrum. 
Address  Dept. Of Surgical Oncology, RCC Trivandrum.

Thiruvananthapuram
KERALA
695011
India 
Phone  9895774393  
Fax    
Email  dr.chandramohan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jino Sebastian  
Designation  Mch Surgical Oncology Trainee 
Affiliation  Regional Cancer Centre Trivandrum  
Address  Dept. of Surgical Oncology, RCC Trivandrum.

Thiruvananthapuram
KERALA
695011
India 
Phone  9496829467  
Fax    
Email  jinosebastian27@gmail.com  
 
Source of Monetary or Material Support  
Dept of Surgical Oncology, old building, 4 th floor, Regional Cancer Centre, Trivandrum, kerala, india 
 
Primary Sponsor  
Name  Regional Cancer CentreTrivandrum  
Address  Regional Cancer Centre, Trivandrum, Kerala 
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 Jino Sebastian   Regional Cancer Centre  Division of Chest and Gastro Oncology, Dept of surgical oncology, 4th floor, old building.
Thiruvananthapuram
KERALA 
09496829467

jinosebastian27@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Human Ethics Committee, RCC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C20||Malignant neoplasm of rectum,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Diagnosis was confirmed by biopsy and histologic analysis 
 
ExclusionCriteria 
Details  1. Intestinal obstruction
2. Received Bowel preparation within past 14 days
3. Patients received preoperative chemotherapy or radiation therapy
4. Known lactose intolerance
5. Immunodeficiency
6. Inflammatory bowel disease
7. Received antibiotics with in past 3 months before sample collection
8. Evidence of infection
9. Probiotics or prebiotics usage within 2 weeks 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To study the pattern and diversity of colonic microbiota in rectal cancer patients.
To correlate clinico-pathological variables to colonic microbiota in rectal cancer patients
 
At one month, six month and 1 year. 
 
Secondary Outcome  
Outcome  TimePoints 
To study the influence of colonic microbiota in immediate outcome of surgical treatment in rectal cancer patients
 
18 months 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   02/11/2020 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Colorectal cancer (CRC) , is the third most common cancer in the world. The human gastrointestinal tract harbors approximately 1000 species of bacteria totaling 1014 cells, which is more than 10-fold the number of eukaryotic human cells . At present, there is substantial evidence suggesting that several environmental factors markedly affect the intestinal microbiota composition . And there is unequivocal evidence linking gut dysbiosis to CRC development. Accumulated studies show that several bacterial species seem to involve in pathogenesis of CRC , Streptococcus Gallolyticus (Formerly Streptococcus bovis) is present approximately 20–50% of colon tumors and less than 5% in the normal colon. Fusobacterium nucleatum is found over- represented in tumour micro-environment.

The exact composition of intestinal microbiota and its function in CRC progression remain unknown because the overall structure of microbiota in CRC patients has not been completely elucidated. Higher tissue and faecal concentrations of the bacteria have been associated with the later stages of CRC. In this study we are looking into the quantity and diversity of microbiota in rectal cancer patients and its correlation with tumour stage. 

 
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