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CTRI Number  CTRI/2023/05/052619 [Registered on: 15/05/2023] Trial Registered Prospectively
Last Modified On: 12/05/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Determination of cox2 expression in colorectal carcinoma predicts the recurrence rate after surgical resection or adjuvant therapy, the goal of this study is to assess the effectiveness of cox2 as a prognostic marker in colorectal carcinoma by using immunohistochemistry. 
Scientific Title of Study   To study the utility of COX2 as immunohistochemical prognostic marker in comparison to various histopathological parameters and TNM staging in colorectal carcinoma 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sunita Vagha 
Designation  Professor and Head of the Department 
Affiliation  JNMC.SWANGI MEGHE.WARDHA 
Address  JNMC. Department of Pathology Histopathology lab
Wardha
Wardha
MAHARASHTRA
442001
India 
Phone  9860244638  
Fax    
Email  sunitavagha@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sunita Vagha 
Designation  Professor and Head of the Department 
Affiliation  JNMC.SWANGI MEGHE.WARDHA 
Address  Datta Meghe Institute of Medical Science Department of pathology JNMC. SAWANGI, MEGHE.WARDHA
Wardha
Wardha
MAHARASHTRA
442001
India 
Phone  9860244638  
Fax    
Email  sunitavagha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sreetama Mukherjee 
Designation  2nd year Junior Resident 
Affiliation  Jawaharlal Nehru Medical College 
Address  Datta Meghe Institute of Medical Science. Department of Pathology. Histopathology lab.JNMC Sawangi,wardha
Wardha
Wardha
MAHARASHTRA
442001
India 
Phone  9831554897  
Fax    
Email  sreetama45@gmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institue of Medical Science.JNMC.Sawangi,Wardha 
 
Primary Sponsor  
Name  Datta Meghe institute of Medical Science 
Address  Datta Meghe institute of Medical Science.JNMC Sawangi Meghe.Wardha 
Type of Sponsor  Other [DEEMED TO BE UNIVERSITY] 
 
Details of Secondary Sponsor  
Name  Address 
Sreetama Mukherjee  Datta Meghe Institute of Medical Science,JNMC Sawangi,Wardha 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Sreetama Mukherjee  Acharya Vinoba Bhave Rural Hospital  Acharya Vinoba Bhave Rural Hospital Department of pathology. Histopathology Lab
Wardha
MAHARASHTRA 
9831554897

sreetama45@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
INSTITUTIONALETHICSCOMMITTEE  Approved 
INSTITUTIONALETHICSCOMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C189||Malignant neoplasm of colon, unspecified, (2) ICD-10 Condition: C189||Malignant neoplasm of colon, unspecified, (3) ICD-10 Condition: C189||Malignant neoplasm of colon, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1.All cases diagnosed as colorectal carcinoma on histopathology.
2.All colectomy/Hemicolectomy/ Proctocolectomy resection specimens.
3.Primary cases of colorectal carcinoma without any history of previous treatment.
4.All patients presenting with colorectal carcinoma arising Denovo. 
 
ExclusionCriteria 
Details  1.All inflammatory lesions, and other malignancies of the gastrointestinal tract.
2.All biopsy specimens.
3.All treated cases of colorectal carcinoma and cases with recurrence
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Immunohistochemical analysis in determining cox2 expression used as a prognostic marker in colorectal carcinoma in correlation with TNM staging.   3 YEARS 
 
Secondary Outcome  
Outcome  TimePoints 
It can be used to identify patients with poor clinical outcomes and those who will benefit from early diagnosis.  3 YEARS 
 
Target Sample Size   Total Sample Size="65"
Sample Size from India="65" 
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)   15/06/2023 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
ABSTRACT
Introduction: The most prevalent neoplasm of the gastrointestinal system is colorectal carcinoma. After lung and breast carcinoma, malignant colorectal cancer appears to be characterized by inflammation. Among the numerous recognized indicators of inflammation, Cyclooxygenase-2 (COX-2) has been identified as playing a key role in the early phases of carcinogenesis. The link between higher expression of COX-2 and the early stages of carcinogenesis and cancer development implies that COX-2 might be a target for precancerous colorectal lesion imaging.
Aim: To assess the expression of COX-2 in colorectal carcinoma and the association with histopathological prognostic markers and Tumour Node Metastasis (TNM) staging.
Materials and Methods: The current study is an observational, cross-sectional, retrospective, and prospective study that will take place in the Histopathology and Immunohistochemistry unit of the Department of Pathology, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India, between the years of 2021 and 2024. The study included approximately 60-65 resected specimens from confirmed and planned ColectomyHemicolectomy, and Proctocolectomy specimens received in the Department of General Pathology, JNMC. Observations and results will be collected from the immunohistochemistry study by using COX-2 as a prognostic marker in colorectal carcinoma and correlating it with the TNM staging. Statistical analysis will be made by chi-square test and regression analysis.
 
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