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CTRI Number  CTRI/2021/05/033603 [Registered on: 13/05/2021] Trial Registered Prospectively
Last Modified On: 11/05/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Effect of coconut oil application among patient with radiation induced xerostomia]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Topical coconut oil application to improve xerostomia related quality of life. 
Scientific Title of Study   "Effect of topical coconut oil application versus standard supportive care on xerostomia related quality of life among patient with radiation induced xerostomia in H&N cancer patient in a tertiary care cancer Centre. A randomised control 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 Meera Sharad Achrekar 
Designation  Professor & Deputy Nursing Superintendent 
Affiliation  Tata Memorial Hospital 
Address  Advance Centre for Treatment, Research & Education in Cancer, Tata Memorial Centre sector 22 Kharghar, Navi Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  9769993848  
Fax    
Email  meeraachrekar@hotmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Meera Sharad Achrekar 
Designation  Professor & Deputy Nursing Superintendent 
Affiliation  Tata Memorial Hospital 
Address  Advance Centre for Treatment, Research & Education in Cancer, Tata Memorial Centre sector 22 Kharghar, Navi Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  9769993848  
Fax    
Email  meeraachrekar@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Hinal Bhimrao Waghmare 
Designation  2nd year Msc Nursing  
Affiliation  Homi Bhabha National University 
Address  Tata Memorial Hospital college of nursing. 13th floor HBB block Nursing Education department. Dr. E borges marg parel, Mumbai 12
Tata memorial Hospital college of nursing 13th floor HBB block Nursing Education department. Dr. E Borges Marg parel,Mumbai 12
Mumbai
MAHARASHTRA
400012
India 
Phone  9130223711  
Fax    
Email  hinalwaghmare2994@gmail.com  
 
Source of Monetary or Material Support  
Tata Memorial Hospital, Dr. Borges road Parel, Mumbai-400012 
 
Primary Sponsor  
Name  Tata Memorial Centre 
Address  Dr E borges Road, Parel, Mumbai-400012 Maharashtra India. 
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 Meera Sharad Achrekar  Tata Memorial Hospital   Head & Neck radiation OPD Room no. 206 Homi Bhabha block 2nd floor Head & Neck OPD Annex building Tata Memorial Hospital, Dr. E. Borges road, Parel, Mumbai 400012
Mumbai
MAHARASHTRA 
9769993848

meeraachrekar@hotmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C148||Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Coconut oil application   Participant will be selected according to the inclusion & exclusion criteria. They will be randomly divided into Arm A (Experimental arm). Arm B (control arm) by computer generated randomization table. Participants in arm A (study arm) will receive topical coconut oil (Patanjali roasted coconut oil)application & standard supportive care after completion of radiation therapy this should be followed for 6 month. The coconut oil has to used 4 time in a day that is 3 ml of oil has to apply to entire oral cavity with standard supportive care which include ( 2 time brushing in morning and before going to sleep at night, salt soda water gargle that is 100ml water and 1 pinch of sodium bicarbonate powder.) this also followed for 4 times in a day. Participant will assess by the RTOG grading scale and UOW-QOL questionnaire to grade the xerostomia related quality of life. The follow- up will be taken every 3 month and weekly video calling assessment will be done.  
Comparator Agent  Standard supportive care  Participant will be selected according to the inclusion & exclusion criteria. They will be randomly divided into Arm A (Experimental arm). Arm B (control arm) by computer generated randomization table. Participants in arm B (control arm participant Standard supportive care which include ( 2 time brushing in morning and before going to sleep at night, salt soda water gargle that is 100ml water and 1 pinch of sodium bicarbonate powder.) this also followed for 4 times in a day. Participant will assess by the RTOG grading scale and UOW-QOL questionnaire to grade the xerostomia related quality of life. The follow- up will be taken every 3 month and weekly video calling assessment will be done.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1 Age > 18 year & < 65 years of head & neck cancer.
2 After completion of radiation therapy treatment. (Radical radiotherapy).
3 Present at the time of data collection.
4 Willing to participate.
- Patient who can follow the instruction. 
 
ExclusionCriteria 
Details  1 Patients having allergy to coconut oil.
2 Patient receiving palliative radiation therapy.
3 Patient with distant metastasis.
4 Not willing to participate. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To compare the xerostomia related quality of life among patient with coconut oil application with standard supportive care versus standard supportive care.  Participant will be followed by in every 3 month and weekly video calling assessment by RTOG grading scale and UOW-QOL to assess xerostomia related QOL. 
 
Secondary Outcome  
Outcome  TimePoints 
1. To assess the xerostomia related quality of life among patients with xerostomia before & after topical application of coconut with SSC.
2. To assess the xerostomia related quality of life among patient with xerostomia before & after SSC. 
Participants will be followed up for every 3 month that is for 6 month and weekly video calling assessment by using RTOG grading scale and university of Washington QOL to assess the xerostomia related QOL.  
 
Target Sample Size   Total Sample Size="234"
Sample Size from India="234" 
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)   31/05/2021 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Head & Neck cancers contribute to around 25% of total patients suffering from cancer in India. The burden of head & neck cancers to a large extent can be attribute to abuse of different forms of tobacco used by both Indian males & females. Xerostomia thus is a common feature encountered during & after radiotherapy. The salivary secretion progressively decreases with increase in radiation dose beyond 50Gy. For cure in head & neck cancer doses more than 60Gy are needed though the tolerance of normal organs e.g. salivary glands varies between 32Gy to 40Gy. Out of all the radiation reactions xerostomia is one of the commonest & most troublesome.
Coconut oil, it is derived from the derived from the dried kernel of fatty ripe coconut.  The mechanism of xerostomia relief from coconut oil may be related to its ability to "coat " the mouth, forming a barrier to keep mucosal surface moist. So with this study i would assess the effect of topical of coconut oil application on xerostomia related quality of life among patient with radiation induced xerostomia in H&N cancer.

 
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