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CTRI Number  CTRI/2021/05/033534 [Registered on: 11/05/2021] Trial Registered Prospectively
Last Modified On: 10/05/2021
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   Hypothyroidism following radiotherapy in patients with head and neck cancer. 
Scientific Title of Study   Hypothyroidism following definite radiotherapy in patients with head and neck cancer; prospective observational study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Siddharth Vats 
Designation  Associate Professor 
Affiliation  IGMC Shimla 
Address  Room no. 23, 3rd floor, TCCC , IGMC Shimla

Shimla
HIMACHAL PRADESH
171001
India 
Phone  9418458100  
Fax    
Email  drsiddharthvats@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Siddharth Vats 
Designation  Associate Professor 
Affiliation  IGMC Shimla 
Address  Room no. 23, 3rd floor, TCCC , IGMC Shimla

Shimla
HIMACHAL PRADESH
171001
India 
Phone  9418458100  
Fax    
Email  drsiddharthvats@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Siddharth Vats 
Designation  Associate Professor 
Affiliation  IGMC Shimla 
Address  Room no. 23, 3rd floor, TCCC , IGMC Shimla

Shimla
HIMACHAL PRADESH
171001
India 
Phone  9418458100  
Fax    
Email  drsiddharthvats@gmail.com  
 
Source of Monetary or Material Support  
IGMC Shimla 
 
Primary Sponsor  
Name  Indira Gandhi Medical College Shimla 
Address  Member Secretary, Institutional Ethics Committee, IGMC Shimla 
Type of Sponsor  Government 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 
Dr Shabnum Thakur  IGMC Shimla  Room no. 23 , third floor, Tertiary care cancer hospital, IGMC Shimla 1771001
Shimla
HIMACHAL PRADESH 
9459830966

thakurshabnum7@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee IGMC Shimla  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C01||Malignant neoplasm of base of tongue, (2) ICD-10 Condition: C090||Malignant neoplasm of tonsillar fossa, (3) ICD-10 Condition: C052||Malignant neoplasm of uvula, (4) ICD-10 Condition: C100||Malignant neoplasm of vallecula, (5) ICD-10 Condition: C12||Malignant neoplasm of pyriform sinus, (6) ICD-10 Condition: C139||Malignant neoplasm of hypopharynx,unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  a. all consecutive patients of head and neck confirmed on histopathology visiting regional cancer centre of IGMC planned to undergo definitive radiotherapy and who are free of hypothyroidism at base line consenting to participate following informed consent would be enrolled in the study. The subsites included will be oral cavity, oropharynx, hypo-pharynx and larynx .
 
 
ExclusionCriteria 
Details  Patients with hypothyroidism at base line and patients who are not been treated with curative intent. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
incidence of radiation induced hypothyroidism  At base line and one year after completion of radiotherapy 
 
Secondary Outcome  
Outcome  TimePoints 
To identify risk factors for radiation induced hypothyroidism
 
At base line and one year after completion of radiotherapy 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   17/05/2021 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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  
Head and neck cancers are one of the common cancers seen in state of Himachal Pradesh. The treatment consists of surgery and radiotherapy with or without chemotherapy. Definitive radiotherapy for head and neck cancer results in radiation of exposed part of Thyroid gland. The reported prevalence of incident hypothyroidism varies from17 to 47%9. The variability of radiation induced hypothyroidism could be related to varied dose of radiation, volume of thyroid gland exposed, ethnicity, geographical conditions related to iodine contend of the soil, endemicity of hypothyroidism, autoimmune status of the individuals. Development of hypothyroidism carries the risk of  poor wound healing and recovery. Therefore determining the radiation induced hypothyroidism and it’s risk determinants in our patient population is of great importance in developing informed protocols for screening and early detection of high risk patients of head and neck cancers following definitive radiotherapy to reduce morbidity.The contemporary data on radiation induced hypothyroidism and risk factors in patients with head and neck cancers undergoing definitive radiotherapy is limited to develop evidence based screening protocol for detection of radiation induced hypothyroidism.Thus we propose to determine the incidence of hypothyroidism and its risk factors among patients of head and neck cancer undergoing definitive radiotherapy free of hypothyroidism at baseline in prospective observational study. The findings of the study would help in developing evidence based protocol for screening high risk patients for radiation induced hypothyroidism using the limited resources rationally.
 
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