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CTRI Number  CTRI/2025/05/086134 [Registered on: 01/05/2025] Trial Registered Prospectively
Last Modified On: 27/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   An observational study on serum lactate dehydrogenase and uric acid levels in hypertensive disorders of pregnancy and prediction of fetomaternal outcome  
Scientific Title of Study   A PROSPECTIVE OBSERVATIONAL STUDY ON SERUM LDH AND URIC ACID LEVELS IN HYPERTENSIVE DISORDERS OF PREGNANCY AND PREDICTION OF FETOMATERNAL OUTCOME  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  KAVYA BASANAGOUDA NAGANAGOUDAR 
Designation  POST GRADUATE  
Affiliation  SHRI B M PATIL MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE 
Address  OPD NO 2 DEPARTMENT OF OBG BLDE SHRI B M PATIL MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE SOLAPUR ROAD VIJAYAPURA
OPD NO 2 DEPARTMENT OF OBG BLDE SHRI B M PATIL MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE SOLAPUR ROAD VIJAYAPURA
Bijapur
KARNATAKA
586103
India 
Phone  09482235039  
Fax    
Email  k.naganagoudar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR S R MUDANUR 
Designation  PROFESSOR  
Affiliation  SHRI B M PATIL MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE 
Address  OBG OPD NO 2 DEPARTMENT OF OBG BLDE SHRI B.M.PATIL MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE SOLAPUR ROAD VIJAYAPUR
OBG OPD NO 2 DEPARTMENT OF OBG BLDE SHRI B.M.PATIL MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE SOLAPUR ROAD VIJAYAPUR
Bijapur
KARNATAKA
586103
India 
Phone  09448820961  
Fax    
Email  drmudanurs@gmail.com  
 
Details of Contact Person
Public Query
 
Name  KAVYA BASANAGOUDA NAGANAGOUDAR 
Designation  POST GRADUATE 
Affiliation  SHRI B M PATIL MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE 
Address  OBG OPD NO 2 DEPARTMENT OF OBG BLDE SHRI B M PATIL MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE SOLAPUR ROAD VIJAYAPURA
OBG OPD NO 2 DEPARTMENT OF OBG BLDE SHRI B M PATIL MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE SOLAPUR ROAD VIJAYAPURA
Bijapur
KARNATAKA
586103
India 
Phone  09482235039  
Fax    
Email  k.naganagoudar@gmail.com  
 
Source of Monetary or Material Support  
Dr Kavya Basanagouda Naganagoudar - OBG OPD NO 2 Department of obstetrics and gynaecology BLDEs Shri B M Patil Medical College and hospital and research centre, Solapur road , Vijayapura  
 
Primary Sponsor  
Name  BLDEs Shri B M Patil Medical College and hospital and research centre Solapur road Vijayapura  
Address  OBG OPD NO 2 Department of obstetrics and gynaecology BLDEs Shri B M Patil Medical College and hospital and research centre, Solapur road , Vijayapura  
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 
Dr Kavya Basanagouda Naganagoudar   BLDE SHRI B M PATIL MEDICAL COLLEGE AND HOSPITAL RESEARCH CENTRE BIJAPUR  OBG OPD NO 2 Department of obstetrics and gynaecology BLDEs Shri B M Patil Medical College and hospital and research centre, Solapur road , Vijayapura
Bijapur
KARNATAKA 
9482235039

k.naganagoudar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONALETHICALCLEARANCECOMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O00-O9A||Pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  Pregnant women with period of gestational age 20 weeks with singleton pregnancy with hypertensive disorders of pregnancy
 
 
ExclusionCriteria 
Details  History of medical disorders like cardiac, renal, hemolytic and liver diseases hyperurecimia and gout
Patients who refused to take part as per our protocol
Any medical or surgical disorders with deranged RFT & LFT
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To predict the feto - maternal outcome in relation to abnormal serum levels of LDH and URIC ACID in pregnant woman with hypertensive disorders of pregnancy, outcomes post delivery such as morbidity , mode of delivery , nice admission of the baby and over all well being and early discharge from the hospital
 
48 hours post delivery  
 
Secondary Outcome  
Outcome  TimePoints 
Preventative care & prophylactic treatment can be given to patients in her better results in future pregnancy   2 days after delivery  
 
Target Sample Size   Total Sample Size="165"
Sample Size from India="165" 
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)   05/05/2025 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
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  
Pregnancy-related hypertensive disorders occur in 3-5% of pregnancies significantly contributing to maternal morbidity and mortality
·Assessing a range of  biochemical and biophysical indicators in the initial stages of pregnancy plays a crucial role in anticipating the occurrence of adverse outcome. Efforts have been undertaken to co-relate these early markers with hypertensive disorders of pregnancy associated colmplications and flawed placentation, compromised blood flow, and dysfunction of endothelial cells.
·Elevated uric acid  levels is an early marker associated with hypertensive disorders of pregnancy and is detected as early as 10 weeks of gestation
•Increased levels of uric acid suggests serious impending damage to kidney function. While elevated concentrations of these markers are not uniformly seen in every woman with preeclampsia, they do appear toidentify a subset of preeclamptic women who are at greater risk for maternal and fetal morbidities, thereby suggesting diagnostic and also prognostic significance.
•Lactate dehydrogenase (LDH) is an intracellular enzyme; thus, elevated levels are indicative of cellular dysfunction, hemolysis, and cell death.Hypoxia in preeclampsia increases both glycolysis and LDH activity, resulting in higher lactate production
 Studies have shown an increased serum levels of LDH as a predictive factor in the onset of hemolysis, elevated liver enzyme levels, and low platelet levels (HELLP syndrome) and small for gestational age babies
NEED FOR THE STUDY:
•Maternal mortality is global indicator of National health index.
•Early detection and timely intervention in cases of hypertensive disorders of pregnancy can decrease maternal mortality significantly which precisely is the main objective of the study
•Another objective being determining fetal outcomes, the study helps in closely monitoring pregnant women which leads to better fetal outcomes, hence achieving safe confinement.
•There are no ethical issues associated with the study

 
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