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CTRI Number  CTRI/2024/05/067782 [Registered on: 21/05/2024] Trial Registered Prospectively
Last Modified On: 20/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   In this study healthy children and adolescents of 5-16 years are group are taken to determine chronological age bone age and correlate them with serum IGF-1 levels.  
Scientific Title of Study   serum insulin like growth factor-1(IGF-1) levels in healthy children and adolescents, and its association with height velocity, chronological age and bone age: a one year, longitudinal 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  Dr Naga Dakshata malepati 
Designation  MD Paedriatrics 
Affiliation  Kahers jawaharlal nehru medical college 
Address  Depatment of paediatrics, Jawaharlal Nehru Medical College, Nehru Nagar, KLE Hospital Road Belgaum Karnataka 590010 India

Belgaum
KARNATAKA
590010
India 
Phone  8374304130  
Fax    
Email  mndakshata@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Meenakshi B R 
Designation  Assistant professor 
Affiliation  Kahers Jawaharlal Nehru medical college 
Address  Depatment of paediatrics, Jawaharlal Nehru Medical College, Nehru Nagar, KLE Hospital Road Belgaum Karnataka 590010 India

Belgaum
KARNATAKA
590010
India 
Phone  9900184188  
Fax    
Email  meenakshi.br@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Naga Dakshata malepati 
Designation  MD Paedriatrics 
Affiliation  Kahers Jawaharlal Nehru medical college 
Address  Depatment of paediatrics, Jawaharlal Nehru Medical College, Nehru Nagar, KLE Hospital Road Belgaum Karnataka 590010 India

Belgaum
KARNATAKA
590010
India 
Phone  8374304130  
Fax    
Email  mndakshata@gmail.com  
 
Source of Monetary or Material Support  
KLEs Dr Prabhakar Kore Hospital, Jawaharlal Nehru Medical College, KLE University, Nehru Nagar, Belagavi India, Karnataka, Belagavi pincode-590001 
 
Primary Sponsor  
Name  Jawaharlal Nehru Medical College, KLE University, Belagavi 
Address  Department of Paediatrics, Jawaharlal Nehru Medical College, Nehru Nagar, KLE Hospital Road, Belgaum, Karnataka, 590010 
Type of Sponsor  Private medical college 
 
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 Naga Dakshata Malepati  KLEs Dr Prabhakar Kore Hospital, Belagavi  Department of Paediatrics, Paediatric endocrinology,
Belgaum
KARNATAKA 
8374304130

mndakshata@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JNMC Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy children and adolescents 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  16.00 Year(s)
Gender  Both 
Details  5-16 Years old healthy children and adolescents with normal height for age and normal weight for age selected from the schools of belagavi district 
 
ExclusionCriteria 
Details  1. children with under nutrition
2. children with overweight or obesity
3. children with
-syndromic/non syndromic short stature
-growth hormone deficiency
-familial/idiopathic short stature
-skeletal dysplasia
-rickets
-chronic systemic illness, anemia
-uncorrected congenital heart disease 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To determine normative data of serum insulin like growth factor-1(IGF-1) levels in healthy children and adolescents between 5-16years of age  To determine normative data of serum insulin like growth factor-1(IGF-1) levels in healthy children and adolescents between 5-16years of age 
 
Secondary Outcome  
Outcome  TimePoints 
To study serum IGF-1 levels in association with
1. bone age
2. chronological age
3. height velocity 
The study will be conducted over a span of one year 
 
Target Sample Size   Total Sample Size="96"
Sample Size from India="96" 
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)   25/06/2024 
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="1"
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   The growth hormone-IGF-1 axis serves as a central endocrine governing growth and development in children and adolescents. During childhood, IGF-1 levels demonstrate a gradual increase with age, undergo a rapid surge during puberty. Many factors influencing IGF-1 levels, include genetics, age, sex, hormonal, environmental factors and puberty. Relying solely on chronological age based reference values for IGF-1 may not yield accurate assessments. serum IGF-1 levels serve as a direct reflection of growth hormone activity and overall nutritional status of an individual thereby making a valuable biomarker of malnutrition. Hence various diseases, chronic malnutrition, hormone deficiency and turner syndrome. Understanding the correlation between serum IGF-1 levels and parameters such as height velocity, chronological age, and bone age becomes imperative for a comprehensive evaluation of paediatric growth dynamics. Bone age an indicator of biological development, representing the degree of physiological maturity, being strongly associated with the pubertal growth spurt, secondary sexual development and menarche, often elevate with advanced IGF-1 levels. Timing and variability of pubertal progression accurate assessment of IGF-1 levels to chronological age and bone age becomes paramount. Correlation between serum IGF-1 levels and bone age has been the topic of interest amongst researchers. Thought many studies have undertaken on correlation of IGF-1 levels and chronological age, limited research exist on the correlation of IGF-1 level with chronological age, bone age and height velocity. Moreover, most correlation data pertains to population of western world which may not be relevant for our population. Our study intends to fill the knowledge gap by comprehensively studying serum IGF-1 levels in relation to bone age, chronological age, and height velocity comprising of Indian ethnicity-based data.  
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