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CTRI Number  CTRI/2022/01/039478 [Registered on: 17/01/2022] Trial Registered Prospectively
Last Modified On: 15/01/2022
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Study evaluating Symptom and Distress screening tools in initiating early supportive care in cancer patients treated with curative radiation therapy 
Scientific Title of Study   Prospective study evaluating the role of Symptom and Distress screening tools in initiating early supportive care in cancer patients treated with curative intent radiation therapy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Debnarayan Dutta 
Designation  HOD and Professor 
Affiliation  Amrita Institute of Medical Sciences 
Address  Room Number-6, Block A, Department of Radiation Oncology, Amrita Institute of Medical Sciences, Ponekkara P.O., Kochi, Kerala

Ernakulam
KERALA
682041
India 
Phone  9884234290  
Fax    
Email  duttadeb07@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Debnarayan Dutta 
Designation  HOD and Professor 
Affiliation  Amrita Institute of Medical Sciences 
Address  Room Number-6, Block A, Department of Radiation Oncology,Amrita Institute of Medical Sciences, Ponekkara P.O., Kochi, Kerala

Ernakulam
KERALA
682041
India 
Phone  9884234290  
Fax    
Email  duttadeb07@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Debnarayan Dutta 
Designation  HOD and Professor 
Affiliation  Amrita Institute of Medical Sciences 
Address  Room Number-6, Block-A, Department of Radiation Oncology, Amrita Institute of Medical Sciences, Ponekkara P.O., Kochi, Kerala

Ernakulam
KERALA
682041
India 
Phone  9884234290  
Fax    
Email  duttadeb07@gmail.com  
 
Source of Monetary or Material Support  
Amrita Institute of Medical Sciences 
 
Primary Sponsor  
Name  Debnarayan Dutta 
Address  Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita Nagar, Ponekkara P.O, Kochi, Kerala - 682041 
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 
Dr Debnarayan Dutta  Amrita Institute of Medical Sciences  Room Number-6,Block A,Department of Radiation Oncology, Ponekkara P.O., Kochi, Kerala - 682041
Ernakulam
KERALA 
9884234290

duttadeb07@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institution Review Board, Amrita Institute of Medical Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  All consecutive patients diagnosed with non metastatic cancer of any site planned for treatment with radical intent radiation therapy  
 
ExclusionCriteria 
Details  Previous radiation therapy
Patients planned for treatment with 10 fractions or less
Patients with multiple distant metastases
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine mean change in Total ESAS-r score from baseline to RT completion or follow up visit (3 month)  3 month after RT completion 
 
Secondary Outcome  
Outcome  TimePoints 
- To determine mean change in QOL scores (FACT- G , TOI scores) from baseline to 1 or 3 months post RT  3 months 
- To determine proportion of patients with moderate to severe distress during radiation therapy   End of treatment 
- To determine the proportion of asymptomatic patients on radiation therapy requiring supportive care based on distress score changes  End of treatment 
- To determine most frequent distressing symptom   End of treatment 
- To determine mean timing of maximum distress from baseline to 6 months post RT  6 months 
- To determine the mean change in Anxiety & depression score from baseline to 1 / 3 months post RT  3 months 
- To determine the mean change in symptom score because of supportive care using ESAS tool   6 months 
 
Target Sample Size   Total Sample Size="500"
Sample Size from India="500" 
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)   17/01/2022 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

It is well known that patients diagnosed with cancers experience significant levels of distress. Surveys have shown that 20-50% of patients show significant distress.

A landmark randomised study concluded that patients with metastatic non–small-cell lung cancer, early palliative care ledto significant improvements in both quality of life and mood when compared to patients receiving standard care. [1]

 

Various distress screening tools have been used to objectively detect significant levels of distress. The Edmonton Symptom assessment scale has been widely used in for many years. [ 2 . 4 , 5 ] The NCCN Distress thermometer scale has also been recently found to be a simple method to identify patients at high risk for distress.  [ 3]

 

The use of these distress screening tools is expected to help screen and identify cancer patients with significant psychosocial as well as physical distress, so that early initiation of supportive care can be implemented. This timely intervention could lead to improvement in well being and quality of life of patient.

 
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