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CTRI Number  CTRI/2022/08/045074 [Registered on: 30/08/2022] Trial Registered Prospectively
Last Modified On: 24/08/2022
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Association between the microbiome and oral cancer; a comparative study from South India. 
Scientific Title of Study   Association between the microbiome and oral cancer; a comparative study from South India. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anirudh Jeedigunta 
Designation  Medical student 
Affiliation  Kasturba Medical College, Manipal MAHE 
Address  Kasturba Medical College, Tiger Circle Road, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  09740394228  
Fax    
Email  anirudh.jeedigunta@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Devaraja K 
Designation  Associate professor ( Department of Otorhinolaryngology) 
Affiliation  Kasturba Medical College, Manipal MAHE 
Address  Department of ENT, New OPD block,Kasturba Hospital ,Tiger Circle Road, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9999662597  
Fax    
Email  devaraja.k@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Anirudh Jeedigunta 
Designation  Medical student 
Affiliation  Kasturba Medical College, Manipal MAHE 
Address  Kasturba Medical College, Tiger Circle Road, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  09740394228  
Fax    
Email  anirudh.jeedigunta@learner.manipal.edu  
 
Source of Monetary or Material Support  
Department of Cell and Molecular Biology, Manipal School of Life Sciences 
ICMR - Short term Studentship 
 
Primary Sponsor  
Name  Anirudh Jeedigunta 
Address  College Office, UG Section Kasturba Medical College, Manipal Manipal Academy of Higher Education Manipal, India-576104 
Type of Sponsor  Other [Investigator-Initiated] 
 
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 
Anirudh Jeedigunta  Kasturba Medical College Manipal  Department of ENT OPD,4th floor New OPD block,Kasturba Hospital ,Tiger Circle Road, Madhav Nagar, Manipal
Udupi
KARNATAKA 
9740394228

anirudh.jeedigunta@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-C14||Malignant neoplasms of lip, oral cavity and pharynx,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Treatment naïve cases of oral cancer hailing from South India, irrespective of the gender of patient and site or stage of oral cancer, who would be managed at the tertiary care hospital attached to our medical school 
 
ExclusionCriteria 
Details  Patients aged less than 18 years, Human Immunodeficiency Virus
infection, pre-existing local mucosal diseases or autoimmune diseases, and recipients of
chemotherapy or any other medications that would alter the oral microbiome. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The outcome measure used to compare the microbial profile between the study specimen and control specimen is the relative abundance of various bacteria.  The surgical samples will be collected, stored and subsequently analysed for its microbial profile at a single time point (cross-sectional study) 
 
Secondary Outcome  
Outcome  TimePoints 
Not Applicable  Not Applicable 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   05/09/2022 
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="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not published as of yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Title of the Project - Association between microbiome and oral cancer ; a comparative study from South India

There have been many recent studies linking dysbiosis of the oral microbiome with oral carcinogenesis. This creates potential clinical implications with regards to the prognostic, therapeutic and preventive aspects of the management of oral cancer. Just like the Human papilloma virus in oropharyngeal cancer, the oral microbiome profile, or a specific few bacteria may eventually serve as prognostic markers in oral cancer, which can help in improvisation of therapeutic strategies . There have been many studies published related to this topic but to our knowledge there have been no studies profiling this association in the South Indian population with the characteristics of the oral microbiome depending on the local dietary habits and tobacco consumption practices. As a stepping stone towards the objective of profiling microbiomes of local populations in multiple communities, in order to validate its role in oral carcinogenesis, this pilot study evaluates the relative microbial abundance between oral cancer and matched normal tissue in a small cohort of South Indian patients.

Objectives of the study -
- To define oral microbiota associated with oral cancer tissue in South Indian patients and to analyse the oral microbial profile as per smokeless tobacco usage and size/ location of tumour in oral cavity
- This study will help establish oral microbiome profile in normal tissue and oral cancer in a cohort of South Indian Population for the first time. Also, this study will help in understanding the association between oral dysbiosis and carcinogenesis in our set of patients who have a particular risk profile
- Th results of this study are likely to serve as reference data for more extensive and hypothesis driven studies to be conducted in the future.


Description of procedure - For this study , both study specimen and the corresponding  matched normal sample (normal mucosa on the contralateral side) will be collected from the same patient on the surgical table, just before full surgical excision is initiated. The specimens would be stored in a preservation solution and transported to the life sciences lab within the same campus. In the life sciences lab, the genomic DNA would be extracted from the tissue specimens using a DNA extraction kit. The extracted DNA would be amplified, sequenced and analysed.















 
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