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CTRI Number  CTRI/2022/09/045315 [Registered on: 07/09/2022] Trial Registered Prospectively
Last Modified On: 31/08/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Medical Device 
Study Design  Single Arm Study 
Public Title of Study   A clinical study to assess the Feasibility Study of the Tumour Specific Electroporation (TSE) Technique in Patients with Locally Advanced or Recurrent Head & Neck Cancer 
Scientific Title of Study   A Clinical Applicability Study of the Tumour Specific Electroporation Technique for Patients with Locally Advanced or Recurrent Head & Neck Cancer Using IQwave 3.0 CE. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jeewan Ram Vishnoi 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences, Jodhpur 
Address  Department of Surgical Oncology, OPD Block, All India Institute of Medical Sciences, Jodhpur

Jodhpur
RAJASTHAN
342005
India 
Phone  09455061569  
Fax    
Email  drjvishnoi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Jeewan Ram Vishnoi 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences, Jodhpur 
Address  Department of Surgical Oncology, OPD Block, All India Institute of Medical Sciences, Jodhpur


RAJASTHAN
342005
India 
Phone  09455061569  
Fax    
Email  drjvishnoi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Jeewan Ram Vishnoi 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences, Jodhpur 
Address  Department of Surgical Oncology, OPD Block, All India Institute of Medical Sciences, Jodhpur


RAJASTHAN
342005
India 
Phone  09455061569  
Fax    
Email  drjvishnoi@gmail.com  
 
Source of Monetary or Material Support  
India Sweden Healthcare Innovation Centre, AIIMS Jodhpur 
Scandinavian ChemoTech AB  
 
Primary Sponsor  
Name  India Sweden Healthcare Innovation Centre 
Address  All India Institute of Medical Sciences, Basni Phase 2, Jodhpur 
Type of Sponsor  Other [India-Sweden Collaboration ] 
 
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 
Jeewan Ram Vishnoi  Department of Surgical Oncology, AIIMS Jodhpur  Department of Surgical Oncology, All India Institute of Medical Sciences, Jodhpur
Jodhpur
RAJASTHAN 
919455061569

drjvishnoi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIMS Jodhpur IEC  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 
Comparator Agent  Not Applicable  Not Applicable 
Intervention  Tumour Specific Electroporation   Tumour Specific Electroporation Technique for patients with locally advanced or recurrent Head & Neck cancer using IQwave 3.0 CE. Patients who meet the eligibility criteria shall be enrolled on this study. Each patient will be subjected to receive a minimum of two (2) cycles of TSE treatments with an interval of 7-14 days between two treatments during a total study duration of 12 months (including follow-up). 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Patients greater than or equal to 18 years of age.
2. Any gender of the patient
3. Histologically confirmed, Recurrent or progressive locally advanced Head & Neck cancers.
4. Primary tumors do not respond to the available standard of care treatments or are exhausted from chemotherapy and radiation, and are not amenable to surgery.
5. Patients with primary tumors but medically unfit for any standard treatment
6. Patient in a physical condition suitable for general anesthesia/local anesthesia
7. A life expectancy of at least six months.
8. Patients with an ECOG performance of less than 3.
9. Signed informed consent document. 
 
ExclusionCriteria 
Details  1. Patients who have an extensive and rapidly progressive disease with poor performance status (ECOG > 3) and with a life expectancy of fewer than 3 months.
2. Patients with tumors seated deeper than three cm from the surface of the skin.
3. Patients who, for medical reasons, cannot be given bleomycin.
4. Patients with pre-existing pulmonary disease (COPD).
5. Patients with implanted devices such as pacemakers or insulin pumps.
6. If the tumors are located or directly attached to larger blood vessels. (Read IFU of IQwave electroporation device for more information).
7. Patients with brain metastases treated with surgery and or/radiotherapy who have progressive disease in the brain.
8. Pregnant or lactating women.
9. A prior cumulative dose of bleomycin exceeding 400 U.
10. Less than 14 days from previous cancer treatment (either local or systemic).
11. Chronic renal failure (Sr. Creatinine > 150 µmol/L).
12. An inadequate liver function is defined as:
a. AST or ALT greater than 2.5 x ULN in the absence of liver metastases or greater than 5 in the presence of liver metastases.
b. Bilirubin greater than 2 x ULN (except in the case of Gilberts Syndrome)
13. Inadequate bone marrow reserve is defined as:
a. White blood cell counts less than 3 x 10 /l or Neutrophil count less than 1.5 x 10/ l.
14. Patient unable, unwilling, or not in a mental stage to comply with the study protocol. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate tumor size reduction after treatment with Tumour Specific Electroporation using the Electroporation device system, IQwave 3.0 CE.   1. 3 months
2. 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
To measure the improvement of the patient’s quality of life (QOL) and to assess the patient’s immunological response after treatment with Tumour Specific Electroporation using the Electroporation device system, IQwave 3.0 CE.  6 months after first treatment 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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   Phase 2 
Date of First Enrollment (India)   13/09/2022 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [drjvishnoi@gmail.com].

  6. For how long will this data be available start date provided 01-11-2024 and end date provided 01-11-2028?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

This is an academic-driven project. India-Sweden Healthcare Innovation Centre has onboarded its technology partner Scandinavian ChemoTech AB. This is a post-market clinical follow-up study (PMCF), a single-arm, non-randomized study with 30 patients presented with locally advanced head and neck cancer, aiming to reduce tumor size and improve the patient’s quality of life (QOL). Patients who meet the eligibility criteria shall be enrolled in this study. Each patient will be subjected to receive a minimum of two cycles of TSE treatments.

 
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