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A study on carcinoma of oral cavity undergoing surgery and then treated with radiation therapy with lesser number of treatment fractions

Phase 2
Conditions
Health Condition 1: C060- Malignant neoplasm of cheek mucosaHealth Condition 2: C049- Malignant neoplasm of floor of mouth, unspecifiedHealth Condition 3: C039- Malignant neoplasm of gum, unspecifiedHealth Condition 4: C029- Malignant neoplasm of tongue, unspecified
Registration Number
CTRI/2023/02/049519
Lead Sponsor
Dr RMLIMS Lucknow
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Post-operative patients (age 18-80 years) of oral cavity squamous cell carcinoma (excluding lip).

2. Karnofsky performance status 70 or above

3. One or more of the following risk factors: pT3/pT4, Node positive, Close margin (1-5mm), Perineural invasion present, Lympho-vascular invasion present, depth of invasion >= 4mm for tongue and >=7 mm for buccal mucosa

4. Patients with indications for chemo-radiation but who are

5. unfit for chemotherapy due to associated comorbid conditions or poor GC

6. unwilling to undergo chemotherapy

Exclusion Criteria

1. Patients with absolute indications for concurrent chemo-radiotherapy (margin positive disease, extra-capsular extension)

2. Patients who have received neoadjuvant chemotherapy.

3. Any histopathology other than SCC

4. Previous radiotherapy to the head and neck region

5. Patients with absolute indications for concurrent chemoradiotherapy.

6. Synchronous or metachronous malignancy

7. Pregnant or lactating women

8. Uncontrolled concurrent illness like DM, HTN

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To assess the acute toxicity in the patients of post-operative oral cavity Squamous Cell Carcinoma (OCSCC) treated with Hypo-fractionated intensity modulated radiotherapy. <br/ ><br> <br/ ><br>Timepoint: During radiotherapy, acute toxicity will be assessed at every week (Week 1- Week 5), then every 2 weekly for 2 months and then at 3 months after completion of radiotherapy <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
To evaluate the efficacy in terms of loco-regional control (LRC) and late toxicity in the patients of post-operative oral cavity Squamous Cell Carcinoma (OCSCC) treated with Hypo-fractionated intensity modulated radiotherapy. <br/ ><br>Timepoint: Late toxicity will be evaluated starting from 3 months after completion of radiotherapy and will be assessed at 3 months, 6 months, 12 months, 18 months and 24 months from the date of completion of radiotherapy <br/ ><br>Loco-regional control will be assessed at 18 months and 24 months after completion of radiotherapy
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