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CTRI Number  CTRI/2025/04/085078 [Registered on: 17/04/2025] Trial Registered Prospectively
Last Modified On: 18/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Association Of Neutrophil Lymphocyte Ratio With Diabetic Retinopathy In Type 2 Diabetes Mellitus Pateints At Tertiary Care Centre. 
Scientific Title of Study   Association Of Neutrophil Lymphocyte Ratio With Diabetic Retinopathy In Type 2 Diabetes Mellitus Patient In Tertiory Care Centre A Cross Sectional 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 Swetha Mallika 
Designation  Resident Doctor 
Affiliation  Government medical college Bhavnagar 
Address  room no 62 General Medicine block Sir T Hospital Bhavnagar

Bhavnagar
GUJARAT
364001
India 
Phone  7013979506  
Fax    
Email  swethakrishna33@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Swetha Mallika 
Designation  Resident Doctor 
Affiliation  Government medical college Bhavnagar 
Address  Room no 62 General Medicine block Sir T Hospital Bhavnagar

Bhavnagar
GUJARAT
364001
India 
Phone  7013979506  
Fax    
Email  swethakrishna33@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pankaj Akholkar 
Designation  Associate Professor 
Affiliation  General medical college Bhavnagar 
Address  Room no 62 General Medicine block Sir T Hospital Bhavnagar

Bhavnagar
GUJARAT
364001
India 
Phone  9825312175  
Fax    
Email  Drpankaj_md@yahoo.com  
 
Source of Monetary or Material Support  
Room number 62 General medicine block Government medical college, Bhavnagar, Gujarat 364001.  
 
Primary Sponsor  
Name  Dr Swetha Mallika  
Address  Government Medical College Bhavnagar Gujarat 364001 
Type of Sponsor  Government 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 
DRSWETHA MALLIKA  Sir T Hospital, Bhavnagar.  Room no 62, General Medicine block, Sir T Hospital, Bhavnagar, Gujarat, 364001.
Bhavnagar
GUJARAT 
7013979506

swethakrishna33@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Commitee Government Medical College Bhavnagar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E113||Type 2 diabetes mellitus with ophthalmic complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  All diagnosed type 2 diabetes mellitus patients admitting in medicine ward of Sir T Hospital Bhavnagar during the period. 
 
ExclusionCriteria 
Details  Acute and chronic infection conditions
Drugs effecting neutrophil and lymphocyte counts
Auto immune disorders
Alcoholics
Smokers 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess if Neutrophil lymphocyte ratio can be used as an inflammatory marker In Diabetic Retinopathy in Type 2 Diabetic patients.  Baseline, After 4 Weeks. 
 
Secondary Outcome  
Outcome  TimePoints 
To assess if neutrophil lymphocyte ratio can be used as a predictive marker in diagnosing the severity of diabetic retinopathy.  9months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   16/06/2025 
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="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   As often India is referred to as Diabetes Capital or Diabetes Hub of the world. So diagnosing diabetes at early stage and getting adequate management accordingly and preventing the micro and macrovascular complications from diabetes plays a crucial role. But as India is a Developing country, many people living in remote areas and small towns are not accessible for basic as well as advanced laboratory tools for diagnosing diabetic complications at earliest as possible. These microvascular complications attribute to substantial rise in mortality and reduction of quality of life in diabetics. The  Neutrophil Lymphocyte ratio is a simple and cost effective laboratory tool which can predict the prognosis and severity of diabetic retinopathy and can be used as a Screening tool in places with limited resources like India.  
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