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CTRI Number  CTRI/2024/10/075773 [Registered on: 24/10/2024] Trial Registered Prospectively
Last Modified On: 17/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Quality of Life and Emotional Well-being in Patients with cancer metastasis associated compression of spinal cord 
Scientific Title of Study   Assessment of Quality of Life and Emotional well-being in Patients diagnosed with Metastatic Spinal Cord Compression Presenting to the Palliative Medicine Department in a Tertiary Care Centre: A Prospective Observational Study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Anjali P Govind 
Designation  Junior Resident , AIIMS New Delhi 
Affiliation  AIIMS , New Delhi 
Address  Palliative Care Unit Room No. 154 DR BRA IRCH, All India Institute Of Medical Sciences Ansari Nagar New Delhi South West DELHI 110029 India

New Delhi
DELHI
110029
India 
Phone  7022889298  
Fax    
Email  agovind.964@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anuja Pandit  
Designation  Assistant Professor  
Affiliation  AIIMS, NEW DELHI 
Address  Palliative Care Unit Room No. 154 DR BRA IRCH, All India Institute Of Medical Sciences Ansari Nagar New Delhi South West DELHI 110029 India

New Delhi
DELHI
110029
India 
Phone  9710030457  
Fax    
Email  anujapandit@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Anjali P Govind 
Designation  Junior resident , Palliative Medicine  
Affiliation  AIIMS, New Delhi  
Address  Palliative Care Unit Room No. 154 DR BRA IRCH, All India Institute Of Medical Sciences Ansari Nagar New Delhi South West DELHI 110029 India

New Delhi
DELHI
110029
India 
Phone  7022889298  
Fax    
Email  agovind.964@gmail.com  
 
Source of Monetary or Material Support  
Department Of Onco-Anaesthesia And Palliative Medicine, DR BRA IRCH, AIIMS, New Delhi PIN code: 110029 New Delhi India  
 
Primary Sponsor  
Name  Dr BRA IRCH AIIMS New Delhi 
Address  DR BRA IRCH All India Institute Of Medical Sciences Ansari Nagar New Delhi 110029 
Type of Sponsor  Research institution and hospital 
 
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 
Dr Anjali P Govind   All India Institue of Medical Sciences, New Delhi  Room 154 1st floor , DR BRA IRCH New Delhi 110029 South West DELHI
New Delhi
DELHI 
7022889298

agovind.964@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee For Post Graduate Research, AIIMS, New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil Not available   Nil Not available  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  All patients diagnosed with metastatic spinal cord compression presenting to the Palliative Medicine department during the time period of the study.
All consenting adult patients
 
 
ExclusionCriteria 
Details  1.Patients who do not understand Hindi or English
2.Patients in altered mental sensorium
3. Patients with age less than 18 years
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To assess emotional well being in patients diagnosed with MSCC at the time of presentation, at 10 days & at 1 month in a tertiary cancer care centre in India  10 days & 1 month  
 
Secondary Outcome  
Outcome  TimePoints 
To assess the quality of life in MSCC patients diagnosed at the time of presentation, 10 days & 1 month in a tertiary cancer centre in India
To assess the survival, performance status, pain, mobility and place of care in patients diagnosed with MSCC at the time of presentation, 10 days and 1 month
 
10 days & 1 month  
 
Target Sample Size   Total Sample Size="106"
Sample Size from India="106" 
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)   29/10/2024 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   After getting clearance from the Institute Ethics Committee, patients attending the pain and palliative care department with a diagnosis of Metastatic spinal cord compression will be recruited in the study. Patients will be explained about the study protocol and informed consent will be taken. The patient’s demographic data including the age, gender, primary cancer, treatment history, duration of disease, details of analgesics, specific symptoms of MSCC , if any treatment was given for the same etc. will be recorded in a predesigned proforma.
 Patient will be asked in detail about the various complaints which impact the QOL or the outcome using a questionnaire-based validated scale of European Organization for Research and Treatment of Cancer general cancer QOL Score 30 (EORTC QLQ C-30) .Emotional well being will be assessed using Hospital anxiety and depression score.
 Patients will continue to receive therapy deemed necessary by the oncologists. The treatment being received will be noted.
All patients recruited in the study will be assessed at baseline using EORTC-QLQ 30, HADS, KPS and NRS, and also on their follow up visits at 10 days and 1st month. The patient’s treatment and analgesics will also be recorded at their follow up visits. Their mobility, bladder control, place of care will also be noted. Complete privacy and anonymity will be maintained while filling up the questionnaire.

Statistical analysis
Data will be analysed using STATA 14 and SPSS 16. Baseline, patient characteristics will be summarised with mean (SD) or median (25th – 75th percentile) for continuous as well as ordinal variable, Number in percentage or categorical.
The proportion of well being (Score >/=9) at 1 month will be reported with percentage along with 95% confidence interval.
If data of well being score or Quality of Life is normally distributed then we apply the linear mix model with suitable covariance structure. Else non parametric method Friedman followed by Wilcoxon signed rank test. Similarly, for NRS score and performance status at different point will be assessed using Friedman followed by Wilcoxon signed rank and p value adjusted as per Boneferroni correction. P value <0.05 will be considered as significant.


 
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