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CTRI Number  CTRI/2022/03/041256 [Registered on: 22/03/2022] Trial Registered Prospectively
Last Modified On: 27/12/2022
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Evaluation of circulating tumour cells in patients with tumour free lymphnodes in oral tongue carcinoma 
Scientific Title of Study   Evaluation of molecular expression of pre metastatic lymph nodes and to corelate with circulating tumour cells in oral tongue tumours  
Trial Acronym  CTC Trail  
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rajalakshmi G 
Designation  Principal Investigator (DHR Funding-Women Scientist Scheme)) 
Affiliation  Amrita Institute of Medical Sciences  
Address  Head and Neck Oncology(Room 13) ,Tower 1 4th Floor Amrita Institute of Medical Sciences Kochi.

Ernakulam
KERALA
682041
India 
Phone  08606469099  
Fax    
Email  drraji14@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Subramania Iyer 
Designation  Professor and Head 
Affiliation  Amrita Institute of Medical Sciences 
Address  Head and Neck Oncology ,Room no 9 Tower 1 4th floor Amrita Institute of Medical Sciences,Ponekkara Kochi

Ernakulam
KERALA
682041
India 
Phone    
Fax    
Email  subu.amrita@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajalakshmi 
Designation  Research Associate /Principal Investigator (DHR Funding) 
Affiliation   
Address  Head and Neck Oncology Room 13, Tower 1 - 4th floor Kochi Amrita Institute of Medical Sciences ,Kochi.

Ernakulam
KERALA
682041
India 
Phone  08606469099  
Fax    
Email  drraji14@gmail.com  
 
Source of Monetary or Material Support  
Department of Health Research, GoI -Grant Technically Approved 
 
Primary Sponsor  
Name  Amrita Institute of Medical Sciences 
Address  Amrita Institute of Medical Sciences Kochi 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
Department of Health Research  Department of Health Reaserch IRCS Building NewDelhi 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr RajalakshmiG  Amrita Institute of Medical Sciences  Amrita Institute of Medical Sciences -Amrita Vishwa Vidhyapeetham Ponekkara Kochi
Ernakulam
KERALA 
8606469099

drraji14@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Amrita Institute of Medical Sciences  Approved 
ECASM AIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C029||Malignant neoplasm of tongue, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Tongue Squamous Cell Carcinoma with no previous history of treatment other than diagnostic biopsy. 
 
ExclusionCriteria 
Details  Second Primary Tumours ,Recurrent Tumours 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Evaluation of circulating tumour cells and to compare with the molecular markers of tumour free lymphnodes  5ml of peripheral blood to be taken before surgery. 
 
Secondary Outcome  
Outcome  TimePoints 
Evaluate of circulating tumour cells and corelate with the prognosis of OTSCC patients  2 year follow up 
 
Target Sample Size   Total Sample Size="97"
Sample Size from India="97" 
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)   25/03/2022 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
Annual estimated incidence of oral cancer is 2, 75,000 and out of these 2/3rds occurs in the developing countries. In India more than one million new oral cancer cases are being detected annually of which 92% are Oral Squamous Cell Carcinomas (OSCC). Cancers of floor of mouth and tongue constitute about 50 percent of oral cancers in India.It is found that individuals under the age of 35yr with oral cancer (OC) 52% had OTSCC with a higher male preponderance (2.3:1). Added to this were the facts that 40% of these young individuals did not report any abusive habits, had poor quality of life with high morbidity, and increased healthcare and social burden as the lower socio-economic strata were more afflicted.
Cancer metastasis has been a scorching topic for its high mortality and recent researches has shown that premetastatic niche and metastatic niche are the 2 crucial steps in cancer metastasis, assisting cancerous cells infiltration, survival, and colonization at target sites.This study focus on the concept of premetastatic niche and considering CTCs as potential metastatic seeds which can form metastatic colonization in future. Study will assign the role of the probability of Circulating Tumor Cells as a real time monitor of tumor evolution. It also guide in developing therapies to prevent or eradicate metastases before reaching an incurable stage. This may substantiate the efficacy of liquid biopsy (CTC) which is a noninvasive method.
This study ultimately aims in improving the survival rates and preventing the tumour metastasis .
 
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