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CTRI Number  CTRI/2021/10/037452 [Registered on: 21/10/2021] Trial Registered Prospectively
Last Modified On: 10/09/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of two groups of anti cancer drugs for treatment of Retinoblastoma, a tumour of eye 
Scientific Title of Study   Vincristine and Topotecan versus Carboplatin, Etoposide and Vincristine based chemotherapy for ocular salvage in Gr D Intraocular Retinoblastoma: a randomised, open label trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prashant Prabhakar 
Designation  DM Resident 
Affiliation  AIIMS New Delhi 
Address  Division of Pediatric oncology Department of Pediatrics AIIMS, New Delhi

South
DELHI
110029
India 
Phone  8800719116  
Fax    
Email  prashant15prabhakar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prashant Prabhakar 
Designation  DM Resident 
Affiliation  AIIMS New Delhi 
Address  Division of Pediatric oncology Department of Pediatrics AIIMS, New Delhi

South
DELHI
110029
India 
Phone  8800719116  
Fax    
Email  prashant15prabhakar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Rachna Seth 
Designation  Professor and chief 
Affiliation  AIIMS New Delhi 
Address  Division of Pediatric oncology Department of Pediatrics AIIMS, New Delhi

South
DELHI
110029
India 
Phone  9971188687  
Fax    
Email  drrachnaseth1967@gmail.com  
 
Source of Monetary or Material Support  
AIIMS New Delhi 
 
Primary Sponsor  
Name  AIIMS New Delhi 
Address  Division of Pediatric oncology Department of Pediatrics AIIMS, New Delhi 
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 
Prashant Prabhakar  AIIMS New Delhi  Division of Paediatric Oncology Department of Paediatrics Room no C5 Day care
South
DELHI 
8800719116

prashant15prabhakar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIMS IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C692||Malignant neoplasm of retina,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Carboplatin,Etoposide,vincristine  Chemotherapy will be given for 6 cycles.The duration of each cycle is 5 days and it will be repeated every 21 days. Total duration of study is 2 years 
Intervention  Vincristine,Topotecan  Chemotherapy agents will be given for 6 cycles. The duration of each cycle is 5 days and it will be repeated every 21 days. Total duration of study is 2 years 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1.All cases of newly diagnosed Unilateral Group D Intraocular Retinoblastoma
2. All cases of newly diagnosed bilateral Intraocular Retinoblastoma with at least one
eye with Group D Intraocular Retinoblastoma
3. Age less than 12 years 
 
ExclusionCriteria 
Details  1.Received any prior anti-neoplastic or local ophthalmic therapy
2. Group E Intraocular retinoblastoma
3. Relapsed cases 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To compare treatment failure rate between Vincristine and Topotecan (VT)
combination and Carboplatin, Etoposide and Vincristine (CEV) combination
chemotherapy after 6 cycles of chemotherapy in children aged less than 12 years with Group
D Intraocular retinoblastoma 
To compare treatment failure rate between Vincristine and Topotecan (VT)
combination and Carboplatin, Etoposide and Vincristine (CEV) combination
chemotherapy after 6 cycles of chemotherapy in children aged less than 12 years with Group
D Intraocular retinoblastoma 
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare vision salvage in both the groups
2. To compare the toxicity profile between both the groups 
6 months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   01/11/2021 
Date of Study Completion (India) 31/08/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   patients will be divided into two groups based on randomisation and they will receive one of the two treatment arms based on allocation. after two cycles of chemotherapy they will undergo evaluation under anaesthesia to look for tumour regression. After 6 cycles of chemotherapy children in both group will be compared for ocular salvage and toxicity 
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