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CTRI Number  CTRI/2025/03/083732 [Registered on: 28/03/2025] Trial Registered Prospectively
Last Modified On: 25/03/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   Outcome of Therapeutic Plasma Exchange in patients of Liver injury due to rodenticide poisoning in a tertiary care centre in Western India without Liver Transplant facility 
Scientific Title of Study   Outcome of Therapeutic Plasma Exchange in patients of Liver injury due to rodenticide poisoning in a tertiary care centre in Western India without Liver Transplant facility 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pravin Motilal Rathi 
Designation  Professor and Head of the Department 
Affiliation  Topiwala National Medical College And Bai Yamunabai Laxman Nair Charitable Hospital 
Address  717, 7th Floor, OPD Building, TNMC & BYL Nair Hospital

Mumbai
MAHARASHTRA
400008
India 
Phone  9322406438  
Fax    
Email  m.vishal4089@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Pravin Motilal Rathi 
Designation  Professor and Head of the Department 
Affiliation  Topiwala National Medical College And Bai Yamunabai Laxman Nair Charitable Hospital 
Address  717, 7 th Floor, OPD building, TNMC & BYL Nair Hospital

Mumbai
MAHARASHTRA
400008
India 
Phone  9322406438  
Fax    
Email  m.vishal4089@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Pravin Motilal Rathi 
Designation  Professor and Head of the Department 
Affiliation  Topiwala National Medical College And Bai Yamunabai Laxman Nair Charitable Hospital 
Address  717, 7th Floor, OPD building, TNMC & BYL Nair Hospital

Mumbai
MAHARASHTRA
400034
India 
Phone  09322406438  
Fax    
Email  m.vishal4089@gmail.com  
 
Source of Monetary or Material Support  
Topiwala National Medical College And Bai Yamunabai Laxman Nair Charitable Hospital, Dr. A. L. Nair Road, Mumbai - 400008 
 
Primary Sponsor  
Name  TNMC & BYL Nair Hospital 
Address  Topiwala National Medical College And Bai Yamunabai Laxman Nair Charitable Hospital, Dr. A. L. Nair Road, Mumbai - 400008 
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 
Pravin Motilal Rathi  TNMC & BYL Nair Hospital  717, 7th Floor, OPD building, TNMC & BYL Nair Hospital
Mumbai
MAHARASHTRA 
09322406438

rathipmpp@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics committee for academic research projects  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S00-T88||Injury, poisoning and certain other consequences of external causes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All patients who have consumed rodenticide ( phosphorous compound) presenting with
a) Acute liver failure
b) Acute liver injury
 
 
ExclusionCriteria 
Details  Patients not willing to participate
Patients who had taken rodenticide along with other hepatotoxic agents 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To assess the survival benefit of Low volume Plasma Exchange in patients of liver injury due to rodenticide poisoning (phosphorous compound).  From the time of admission till death/ discharge. 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the improvement in liver function tests. (Total Bilirubin, Direct Bilirubin, SGOT, SGPT, Total Protein, Albumin, Alkaline Phosphatase, INR)  From the time of admission till death/ discharge. 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   08/04/2025 
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  
Therapeutic Plasma exchange is the treatment of choice in Acute liver failure. However, the timing of initiation of Plasma Exchange and the risk factors associated with high mortality has not been definitely established in Acute liver failure and injury due to Zinc phosphide poisoning.
Alternate hypothesis: Earlier initiation of plasma exchange can lead to increased survival probability in patients with acute liver failure or acute liver injury. Null hypothesis: Time of initiation of plasma exchange does not change the survival probability of patients with acute liver failure or acute liver injury.
Null hypothesis: Time of initiation of plasma exchange does not change the survival probability of patients with acute liver failure or acute liver injury.
 
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