| CTRI Number |
CTRI/2024/04/066241 [Registered on: 24/04/2024] Trial Registered Prospectively |
| Last Modified On: |
16/04/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Cross Sectional Study |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Screening of Liver Fibrosis Using APRI and FIB4 score in Individial With Diabetes Type 2 in Medicine Department of Sir Takhtsinhji Hospital Bhavnagar |
|
Scientific Title of Study
|
Assessment Of Association Between APRI Score And FIB4 Score With Liver Fibrosis Among Diabetes Type 2 Patients In Medicine Department Of Sir Takhtsinhji Hospital Bhavnagar |
| 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 Priteshkumar Patel |
| Designation |
Post Graduate 2nd year resident |
| Affiliation |
Sir Takhatsinhji General Hospital Bhavnagar |
| Address |
Opd no.62, Medicine department, Sir Takhtasinhji Hospital Campus,
Bhavnagar-364001 Sir T Hospital, Bhavnagar, Gujarat
Bhavnagar
GUJARAT
Bhavnagar GUJARAT 364001 India |
| Phone |
8980488088 |
| Fax |
|
| Email |
pritesh808@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Pankaj J Akholkar |
| Designation |
Associate Professor |
| Affiliation |
Sir Takhatsinhji General Hospital Bhavnagar |
| Address |
Department of Medicine, Medical College and Sir T hospital,
Bhavnagar, Gujarat, India Sir T Hospital, Bhavnagar, Gujarat
Bhavnagar
GUJARAT
Bhavnagar GUJARAT 364001 India |
| Phone |
9825312175 |
| Fax |
|
| Email |
drpankaj_md@yahoo.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Priteshkumar Patel |
| Designation |
Post Graduate 2nd year resident |
| Affiliation |
Sir Takhatsinhji General Hospital Bhavnagar |
| Address |
Opd no.62, Medicine department, Sir Takhtasinhji Hospital Campus,
Bhavnagar-364001 Sir T Hospital, Bhavnagar, Gujarat
Bhavnagar
GUJARAT
Bhavnagar GUJARAT 364001 India |
| Phone |
8980488088 |
| Fax |
|
| Email |
pritesh808@gmail.com |
|
|
Source of Monetary or Material Support
|
| Government Medical College & Sir Takhatsinhji General Hospital Bhavnagar-364001 (Gujarat), India. |
|
|
Primary Sponsor
|
| Name |
Priteshkumar Patel |
| Address |
OPD no.62, Department of Medicine Sir Takhtsinhji General
Hospital, Bhavnagar- 364001 (Gujarat) |
| Type of Sponsor |
Other [Self] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Priteshkumar Patel |
Sir Takhtsinhji General Hospital, Bhavnagar |
Diabetic OPD and Medicine Department OPD and Ward Bhavnagar GUJARAT |
8980488088
pritesh808@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Ethics Committee Government Medical College,Bhavnagar |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: E11||Type 2 diabetes mellitus, |
|
|
Intervention / Comparator Agent
|
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
All individuals with DM type 2 above the age of 18 years under Medicine Department, Sir T hospital for our study.
|
|
| ExclusionCriteria |
| Details |
1.Secondary causes of fatty liver(Infective, Alcoholic, Genetic)
2.Hypothyroidism,CCF
3.Pregnant women
4.Individuals using/having used hepatotoxins (acetaminophen, methotrexate, nitrofurantoin, rifampicin & heavy metals).
5.Thrombocytopenia because of other causes |
|
|
Method of Generating Random Sequence
|
|
|
Method of Concealment
|
|
|
Blinding/Masking
|
|
|
Primary Outcome
|
| Outcome |
TimePoints |
| To assess the association between APRI score and FIB4 score with Liver Fibrosis among Diabetes Type 2 patients in medicine department of Sir Takhtsinhji hospital Bhavnagar |
6 months |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.To assess age and gender wise distribution of liver fibrosis using same scoring system in DM type 2 patients.
2.To establish the relation between duration of type 2 DM and liver fibrosis using different scoring system.
3.To establish relation between obesity with type 2 DM and Liver fibrosis using different scoring system
4.To compare the APRI score and FIB4 score for screening of liver fibrosis among T2DM patients in medicine department of Sir Takhtasinhji Hospital, Bhavnagar.
5.To establish relation between USG Abdomen finding with Liver fibrosis using different scoring system
in T2DM patients |
6 months |
|
|
Target Sample Size
|
Total Sample Size="348" Sample Size from India="348"
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)
|
01/05/2024 |
| 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="0" Months="9" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| 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
|
This study is a Prospective Observational Study used to assess the association between APRI score and FIB4 score with Liver Fibrosis among Diabetes Type 2 patients in medicine department of Sir Takhtsinhji hospital Bhavnagar
•Diabetes
Mellitus Type 2 is a chronic, metabolic disease
characterized by elevated
levels of blood glucose. This
disease affect all body systems, including the liver.
•
•Hyperglycemia,
mainly
caused by insulin
resistance, affects the metabolism of lipids,
carbohydrates and proteins and can lead to non-alcoholic fatty liver disease(NAFLD),
which
can further progress to non-alcoholic steatohepatitis(NASH),
cirrhosis
and, finally, hepatocellular carcinomas(rarely).
•Routine
screening for Liver fibrosis is not currently recommended for patients with
diabetes or otherwise increased risk in the absence of elevated liver
transaminases or other evidence for liver disease.
•
•This
reflects a lack of adequate, evidence-based methods for Liver fibrosis
screening and also uncertainties about how to effectively treat Liver Fibrosis
once diagnosed.
•
•it
will be important to continuously re-evaluate the cost-effectiveness of
screening. Since the rate of progression from simple steatosis
(NAFL) to steatosis
with associated inflammation and fibrosis (NASH) appears to be quite low.
•
•Patients
at low risk for advanced fibrosis are followed-up every 2 years by repeating
liver enzymes and fibrosis scores,
•whereas
those at intermediate or high risk need to be referred to specialists to
exclude other chronic liver diseases, to better assess disease severity and
possibly to initiate specific therapy. |