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CTRI Number  CTRI/2024/05/068229 [Registered on: 31/05/2024] Trial Registered Prospectively
Last Modified On: 24/05/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Study of the ability of a test measuring the changes in blood flow to the kidneys to predict the recovery of kidney damage in patients in liver ICU 
Scientific Title of Study   Renal Resistivity Index as a predictor of acute kidney injury recovery in patient in liver ICU: a prospective observational study  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sharika Sriramanan 
Designation  Fellow in Liver Transplant Anaesthesia and Critical Care 
Affiliation  Dr Rela Institute and Medical Centre 
Address  Department of Liver Transplant Anaesthesia and Critical Care, Third floor, Dr Rela Institute and Medical Centre, No 7, CLC Works Road, Chromepet, Chennai, Tamil Nadu

Chennai
TAMIL NADU
600044
India 
Phone  7760413236  
Fax    
Email  sharika.sriramanan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sharika Sriramanan 
Designation  Fellow in Liver Transplant Anaesthesia and Critical Care 
Affiliation  Dr Rela Institute and Medical Centre 
Address  Department of Liver Transplant Anaesthesia and Critical Care, Third floor, Dr Rela Institute and Medical Centre, No 7, CLC Works Road, Chromepet, Chennai, Tamil Nadu

Chennai
TAMIL NADU
600044
India 
Phone  7760413236  
Fax    
Email  sharika.sriramanan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sharika Sriramanan 
Designation  Fellow in Liver Transplant Anaesthesia and Critical Care 
Affiliation  Dr Rela Institute and Medical Centre 
Address  Department of Liver Transplant Anaesthesia and Critical Care, Third floor, Dr Rela Institute and Medical Centre, No 7, CLC Works Road, Chromepet, Chennai, Tamil Nadu

Chennai
TAMIL NADU
600044
India 
Phone  7760413236  
Fax    
Email  sharika.sriramanan@gmail.com  
 
Source of Monetary or Material Support  
Dr Rela Institute and Medical Centre No 7, CLC Works Road, Chromepet, Chennai, Tanil Nadu, India - 600044 
 
Primary Sponsor  
Name  Dr Rela Institute and Medical Centre 
Address  No 7, CLC Works Road, Chromepet, Chennai, Tamil Nadu, India- 600044 
Type of Sponsor  Private hospital/clinic 
 
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 
Dr Akila Rajakumar  Dr Rela Institute and Medical Centre  Department of Anaesthesia and Critical Care, Third Floor, Dr Rela Institute and Medical Centre, No 7, CLC Works Road, Chromepet, Chennai
Chennai
TAMIL NADU 
9840136295

drakila.rajakumar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Dr Rela Institute and Medical Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K74||Fibrosis and cirrhosis of liver,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients with cirrhosis admitted to Liver ICU with acute kidney injury
Male and female patients
Age less then 70
Age more than 18 
 
ExclusionCriteria 
Details  Patients with chronic kidney disease
Patient refusal 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study the use of renal resistive index to predict the recovery of patients with acute kidney injury in cirrhotic patients in Liver ICU.  Day of admission
Day 1 to 3 of treatment 
 
Secondary Outcome  
Outcome  TimePoints 
1.To study use of NGAL to predict AKI recovery in Liver ICU
2.To study use of volume markers to predict AKI recovery in Liver ICU.
3.To analyse predictive ability of RRI in predicting ICU outcomes like days of mechanical ventilation, need for renal replacement therapy, length of hospital and ICU stay, 30 and 90 day mortality. 
Day of admission
Day 1 to 3 of treatment 
 
Target Sample Size   Total Sample Size="118"
Sample Size from India="118" 
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)   16/07/2024 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 is a prospective single arm observational study designed with 118 patients, of male and female genders, to investigate whether the Renal Resistive Index measured in a patient admitted to Liver ICU with acute kidney injury can predict the recovery of the same through the course of treatment.

The Renal Resistive Index or RRI is a value derived from the ultrasound guided imaging of the arteries supplying the kidneys. This value was found to be increased in patients with acute kidney injury with the levels reducing with the recovery of the kidney injury.

In this study, the RRI value will be measured at the time of admission to ICU and the same will be followed up on day 1 through 3 of treatment. 
Other values and inputs such as the laboratory investigations of creatinine, volume status such as IVC measurement, Vti, biomarker levels such as NGAL will also be followed up during the course of treatment (Day 1 through 3).

Other details such as need for renal replacement therapy, mechanical ventilation, days of ICU and hospital stay, 30 and 90 day mortality will also be followed up. 
 
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