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Patients with localised resectable oral cavity cancer not having a good response to chemotherapy will be randomised to receive oral methotrexate versus placebo after surgery.

Adjuvant methotrexate for poor chemo-responders in localized resectable oral cavity carcinoma- A double blind placebo controlled phase 3 randomized trial Post-ORAL study - Post-ORAL study

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/05/087717
Enrollment
185
Registered
2025-05-27
Start date
Unknown
Completion date
Unknown
Last updated
2025-06-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C00-C14- Malignant neoplasms of lip, oral cavity and pharynx

Interventions

Intervention1: Adjuvant methotrexate: Oral Methotrexate 15mg per m2 weekly for 52 weeks Control Intervention1: Placebo: Placebo weekly for 52 weeks

Sponsors

AIIMS New Delhi
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Inclusion criteria as per protocol

Exclusion criteria

Exclusion criteria: Have second cancers Have had any other malignancies in past Have creatinine clearance less than 60 mL per min Has had any progression post surgical resection and or post operative radiation Methotrexate ineligible patients Unstable angina within 3 weeks, or with a history of myocardial infarction within last 6 months Pregnant or breastfeeding females or those not willing for contraception Post resection margin close margin or positive margin Evidence of any extra-nodal extension in post-surgical specimen

Design outcomes

Primary

MeasureTime frame
Disease free survivalTimepoint: At 2 years

Secondary

MeasureTime frame
Overall survival in both armsTimepoint: At 2 years;Disease specific survival in both armsTimepoint: At 2 years;Locoregional control in both armsTimepoint: At 2 years;Disease free survival in both arms with respect to subsets receiving two drugs versus three drugs neo-adjuvant chemotherapyTimepoint: At 2 years;Adverse events (NCI CTCAE version 5.0) in both armsTimepoint: At 2 years

Countries

India

Contacts

Public ContactAkash Kumar

NCI Jhajjar

akashjha08@yahoo.com01251274776

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026