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CTRI Number  CTRI/2024/06/068527 [Registered on: 06/06/2024] Trial Registered Prospectively
Last Modified On: 04/06/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to assess the effect of rinsing of new liver graft during the liver transplantaion.  
Scientific Title of Study   Graft Rinse prior to reperfusion In LDLT, an RCT : GRIT Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sudhindran S 
Designation  Clinical Professor and Chief Transplant Surgeon 
Affiliation  Amrita Institute of Medical Sciences and Research Centre 
Address  Room 4. Department of Gastrointestinal Surgery and Solid Organ Transplantation
Ponekkara
Ernakulam
KERALA
682041
India 
Phone  9388623851  
Fax    
Email  sudhisalini@icloud.com  
 
Details of Contact Person
Scientific Query
 
Name  Sudhindran S 
Designation  Clinical Professor and Chief Transplant Surgeon 
Affiliation  Amrita Institute of Medical Sciences and Research Centre 
Address  Room 4. Department of Gastrointestinal Surgery and Solid Organ Transplantation
Ponekkara
Ernakulam
KERALA
682041
India 
Phone  9388623851  
Fax    
Email  sudhisalini@icloud.com  
 
Details of Contact Person
Public Query
 
Name  Sudhindran S 
Designation  Clinical Professor and Chief Transplant Surgeon 
Affiliation  Amrita Institute of Medical Sciences and Research Centre 
Address  Room 4. Department of Gastrointestinal Surgery and Solid Organ Transplantation
Ponekkara
Ernakulam
KERALA
682041
India 
Phone  9388623851  
Fax    
Email  sudhisalini@icloud.com  
 
Source of Monetary or Material Support  
Gastro-Intestinal Surgery department, Amrita Hospital, Ponekkara P.O, Kochi, Kerala , India -682041 
 
Primary Sponsor  
Name  Amrita Vishwa Vidyapeetham 
Address  Amrita Institute of Medical sciences & Research Centre, Ponekkara P.O,Kochi, Kerala, India-682041 
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 
DrSudhindran S  Amrita Institute of Medical Sciences and Research Centre  Room no.4 Department of GI surgeryAmrita Hospital, Amrita Nagar Ponekkara
Ernakulam
KERALA 
9388623851

sudhisalini@icloud.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Institutional ethics Committee, Amrita Institute of Medical Sciences & Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Heta Starch 500 ml  The right hepatic vein (RHV) anastomosis will be completed (apart from the last knot) using continuous Proline 5/0 sutures. After completion of the portal vein (PV) anastomosis and before tying the continuous vascufil 6/0 sutures used, the donor portal vein will be irrigated with Solution (hetastarch 500ml pressure (gravity). 
Comparator Agent  Retrograde filling(blood)  The right hepatic vein (RHV) anastomosis will be completed using continuous Pro- line 5/0 sutures. After completion of the portal vein (PV) anastomosis and before tying the continuous vascufil 6/0 sutures, RHV clamp will be released till blood starts leaking out through portal vein anastomosis (retrograde filling) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  All adult patients undergoing live donor liver transplantation 
 
ExclusionCriteria 
Details  Patient refusing to consent
Pediatric Transplants
Patients refusing to consent trial 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
incidence of postreperfusion syndrome between
control group and intervention group 
at 5 minutes post-reperfusion, 
 
Secondary Outcome  
Outcome  TimePoints 

lengths of intensive
care stay & hospital stay, Early allograft Dysfunction,
Primary Non function of the Graft, early postop- erative
complications , & patient survival. 
in 30 days;
and 3 month -survival assessment
 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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   Phase 4 
Date of First Enrollment (India)   15/07/2024 
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="2"
Months="0"
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 to compare the incidence of postreperfusion syndrome between the control group  (graft rinse with retrograde filling) and the intervention group (graft rinse with HETA starch solution) during liver transplantation to reduce the post-perfusion syndrome and improve  post-operative outcomes.
 
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