| CTRI Number |
CTRI/2024/03/064106 [Registered on: 13/03/2024] Trial Registered Prospectively |
| Last Modified On: |
08/03/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Surgical/Anesthesia Preventive Dentistry |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Local application of drug 5- FLUOROURACIL as a Medication THERAPY following removal of tumour called AMELOBLASTOMA |
|
Scientific Title of Study
|
5- Fluorouracil as a novel adjunctive therapy for conservative management of Ameloblastoma – a randomized control trial |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Varsha Manekar |
| Designation |
Associate Professor |
| Affiliation |
Government Dental College and Hospital, Nagpur |
| Address |
Department of OMFS GDCH GMC campus
Medical Square Nagpur
Nagpur MAHARASHTRA 440003 India |
| Phone |
9823077626 |
| Fax |
|
| Email |
varshamanekar67@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Priyanka Shetty |
| Designation |
Post graduate |
| Affiliation |
Government Dental College and Hospital, Nagpur |
| Address |
Department of OMFS GDCH GMC campus
Medical Square Nagpur
Nagpur MAHARASHTRA 440003 India |
| Phone |
7710978206 |
| Fax |
|
| Email |
shettypriyanka424@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Priyanka Shetty |
| Designation |
Post graduate |
| Affiliation |
Government Dental College and Hospital, Nagpur |
| Address |
Department of OMFS GDCH GMC campus
Medical Square Nagpur
MAHARASHTRA 440003 India |
| Phone |
7710978206 |
| Fax |
|
| Email |
shettypriyanka424@gmail.com |
|
|
Source of Monetary or Material Support
|
| Prinicipal Investigator, Department of OMFS, GDCH Nagpur |
|
|
Primary Sponsor
|
| Name |
Dr Priyanka Shetty |
| Address |
Department of OMFS, GDCH, GMC campus, Medical square, Nagpur |
| Type of Sponsor |
Other [Individual Sponser] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Priyanka Shetty |
Department of OMFS |
Room no. 116/106, 1st floor, Department of OMFS GDCH GMC campus
Medical Square Nagpur Nagpur MAHARASHTRA |
7710978206
shettypriyanka424@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Commitee, GDCH, Nagpur |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
5% 5-Fluorouracil |
After enucleation of the tumor the walls of the cavity were coated with 5% 5-Fu cream and the cavity was packed with tape gauze soaked with glycerine + 5% lignocaine gel + 5% 5-FU solution (500mg/10 ml) with the end exposed and the cavity was regularly changed and packed for 7 days and after that the cavity was sutured back. |
| Comparator Agent |
Modified Carnoys Solution |
After enucleation, the cavity was packed with tape gauze soaked with modified carnoys solution for 3 mins and then the pack was removed and the cavity was sutured back |
|
|
Inclusion Criteria
|
| Age From |
16.00 Year(s) |
| Age To |
70.00 Year(s) |
| Gender |
Both |
| Details |
1) All the Histopathologically diagnosed cases of Ameloblastoma reporting in OPD.
2) All patients willing and fit for surgery.
3) All the cases who are undergoing treatment for the 1st time. |
|
| ExclusionCriteria |
| Details |
1) Patients with diagnosis other than Ameloblastoma reporting in OPD
2) Patients unwilling and unfit for surgery.
3) Patients who are lost to follow up.
4) Recurrent cases or Aggressive Case of Ameloblastoma. |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
An Open list of random numbers |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
1) Nerve Paresthesia
2) Radiographic Healing of lesion
3) Recurrence of lesion |
1) Nerve Paresthesia - pre-op, post-op, 1 month, 3 months, 6 months, 1 year, 1 year 6 months, 2 years.
2) Radiographic Healing of lesion - pre-op, post-op, 1 month, 3 months, 6 months, 1 year, 1 year 6 months, 2 years.
3) Recurrence of lesion - pre-op, post-op, 1 month, 3 months, 6 months, 1 year, 1 year 6 months, 2 years |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Volumetric Analysis of the cavity following excision. |
Pre-op - S0
6 months post -op - S1
12 months post-op - S2 |
|
|
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 4 |
|
Date of First Enrollment (India)
|
01/04/2024 |
| 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="1" Days="2" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Ameloblastoma is a benign aggressive lesion which has been known to expand beyond its margins and cause bone perforation and affect adjacent structures as well causing facial swelling. Various treatment modalities have been suggested to manage such a conditionm including currettage, decompression and enucleation with adjuvant therapies like carnoy’s solution, cryotherapy and electrocautery. All of these treatment modalities couldn’t limit the recurrecne of these lesions. Resection is the only modality which offers least amount of recurrence but it causes facial disfigurement which requires reconstruction which again is an expensive procedure. Recent studies suggested the connection between sonic hegdehog pathway and ameloblastoma and downregulating effect of 5-FU on the sonic hegdehog pathway. 5-FU is a chemotherapeutic drug and has found to have been effective in the management of Ameloblastic carcinoma and Malignant Ameloblastona. There is a scarcity of literature discussing the rationality of using 5-FU in the conservative management of Ameloblastomna. Furtehr studies are required to study the effects of 5-FU in the conservative management of Ameloblastoma of the jaws and the protocol to use 5-FU in the management of Ameloblastoma. |