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Title

Phase IIb/III study to determine efficacy of Curcumin and Metformin to reduce the incidence of second primary tumours of aero-digestive tract in patients with history of head and neck squamous cell carcinoma..

Study design / Type : A phase IIb/III, placebo-controlled, double-blind randomized clinical trial.

Investigators
 Dr Moni Abraham Kuriakose
Participating Centres
 
  1. Mazumdar Shaw Medical Centre, Banglore
  2. Kailash Cancer Hospital and Research Centre, Goraj-Vadodara
  3. Cancer institute-WIA- Chennai
  4. Tata medical Centre, Mumbai
  5. Amritha Institute of Medical Science,Kochi
  6. Cachar Cancer Hospital and Research Centre, Assam
  7. North East Cancer Hospital and Research Institute, Assam
  8. All India Institute of Medical Science, Delhi
  9. Malabar Cancer Centre, Thalassery-Kerela
  10. HCG cancer Centre, Ahmedabad
  11. Institute of Medical Science and SUM hospital, Bhubaneshwar
  12. Sri Shankara Cancer Hospital and Research Centre, Bangalore
  13. Sher-i-Kashmir Institute of Medical Science, Srinagar
  14. HCG Multispeciality Hospital-Bhavnagar
  15. PGIMER-Chandigarh
  16. Aster MIMS, Kannur
  17. Zydus Hospital--Ahmedabad
Number of participants
 1500
Status
Ongoing
Synopsis
This trial is intended to determine the efficacy of Curcumin  and metformin to reduce the incidence of second primary tumours of aero-digestive tract in patients with history of head and neck squamous cell carcinoma, who have completed curative intent treatment. The trial design is Phase IIb/III, with a target total sample size of 1500 subjects. Phase IIb sample size would be 200; these 200 subjects and the remaining 1300 subjects would then proceed into the Phase III part of the trial.

The total number of participating centers would be 11, out of which approximately 4-5 centers would be part of Phase IIb.

The study also aims to understand the therapeutic benefit of Curcumin  and Metformin in lowering recurrence of primary tumor; efficacy of Curcumin  and Metformin towards regression of existing oral premalignant lesions or reduction in occurrence of new oral premalignant lesions; long term safety and effectiveness of Curcumin and Metformin, as well as the clonality and molecular basis of second primary tumor development.

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