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CTRI Number  CTRI/2024/06/068307 [Registered on: 04/06/2024] Trial Registered Prospectively
Last Modified On: 06/09/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Validation of the AI-enabled software tool for utilizing a traditional chest X-ray to screen for osteoporosis and related fracture risk 
Scientific Title of Study   A clinical validation study to test and compare the accuracy of iOsteoporos Screen (an intelligent Osteoporosis Screening Solutions Tool), a fully automated AI enabled digital health tech solutions system for screening Osteoporosis & Osteopenia and its associated high future risk for fracture at hip and spine using a conventional chest X-ray, acquired during a general health checkup in post-menopausal women and geriatric patients with BMD DXA Scans of bilateral hips and spine and the calculated future risks for fractures using the online FRAX Tool for the Indian population as the standards respectively 
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 Roshini Maria Abraham 
Designation  Professor 
Affiliation  Chettinad Hospital and Research Institute 
Address  Chettinad Hospital and Research Institute, Block-D, Dept. of Radiology, Chettinad Academy of Research and Education (CARE), Rajiv Gandhi Salai, Kelambakkam, Chennai, Tamil Nadu, India.

Kancheepuram
TAMIL NADU
603103
India 
Phone  9789662359  
Fax    
Email  roshini.m.koshy@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mrs V S Felix Enigo 
Designation  Founder and CEO 
Affiliation  Diagno Intelligent Systems Private Limited 
Address  Diagno Intelligent Systems Private Limited Plot No 92, VGP Vimala Nagar, Medavakkam, Chennai, Tamil Nadu, India

Kancheepuram
TAMIL NADU
600100
India 
Phone  9444662464  
Fax    
Email  felix.enigo@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mrs V S Felix Enigo 
Designation  Founder and CEO 
Affiliation  Diagno Intelligent Systems Private Limited 
Address  Diagno Intelligent Systems Private Limited Plot No 92, VGP Vimala Nagar, Medavakkam, Chennai, Tamil Nadu, India

Kancheepuram
TAMIL NADU
600100
India 
Phone  9444662464  
Fax    
Email  felix.enigo@gmail.com  
 
Source of Monetary or Material Support  
Diagno Intelligent Systems Private Limited Plot No 92, VGP Vimala Nagar, Medavakkam, Chennai, Tamil Nadu, India. Pincode-600100 
 
Primary Sponsor  
Name  Diagno Intelligent Systems Private Limited 
Address  Diagno Intelligent Systems Private Limited Plot No 92, VGP Vimala Nagar, Medavakkam, Chennai, Tamil Nadu, India. Pincode-600100 
Type of Sponsor  Other [Startup] 
 
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 Roshini Maria Abraham  Chettinad Hospital & Research Institute  Chettinad Hospital & Research Institute, A-Block, Division 8, Dept. of Orthopaedics, Room No 8, Chettinad Hospital & Research Institute, Chettinad Academy of Research & Education (CARE), Chettinad Health City, Rajiv Gandhi Salai, Kelambakkam, Chennai-603103, Kanchipuram District, Tamil Nadu, India.
Kancheepuram
TAMIL NADU 
9789662359

roshini.m.koshy@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Chettinad Academy of Research and Education Institutional Human Ethics Committee for Faculty Research- CARE IHEC-II  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M800||Age-related osteoporosis with current pathological fracture,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL as it is an observational study   NIL as it is an observational study  
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  i).Post-menopausal Women
ii).Geriatric patients, both female and male, aged 45 years and above
iii).Known cases of osteoporosis, with and without a previous fracture 
 
ExclusionCriteria 
Details  i).Patient, who will be suffering from the following chronic diseases will be excluded: Thyroid disease (Hypothyroidism and Hyperthyroidism), Cancer, Chronic Liver Diseases, Chronic Kidney Diseases, Chronic Heart Diseases, Organ Transplantation (Kidney, Liver, etc), Severe accident-induced fractures
ii).Patient with the following: pacemaker, defibrillator, internal fixations for vertebra and clavicle fracture, bone cement, other foreign metal object
iii).Patient with abnormal chest imaging, pneumonia, abnormal lung lesions
iv).Patient with artifact in chest image, low-quality image
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
i).The accuracy of iOsteoporos Screen (an intelligent Osteoporosis Screening Software Tool) will be evaluated , when compared to BMD by DXA and the computed FRAS Score as the Standards. Its accuracy would be more than 95%
ii).iOsteoporos Screen Tool can be used as an opportunistic screening tool for Osteoporosis & its risk for fracture using a chest X-ray. 
12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
i). Total umber of patients, aged above 45 years who are in the risk for osteoporosis & its future high risk for fracture will be predicted.  12 weeks 
 
Target Sample Size   Total Sample Size="400"
Sample Size from India="400" 
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)   14/06/2024 
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="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details
Modification(s)  
Patents Published: 1). India: System and Method for Bone Fracture Risk Assessment Patent No: 202241067402, 2024 2). PCT: System and Method for Bone Fracture Risk Assessment Patent No: WO2024110991, 2024 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

1)    1.     “iOsteoporos Screen” is a novel Artificial Intelligence (AI) enabled Screening Software Tool that assess the conventional chest X-ray (in DICOM/ JEPG format) of a patient and gives an automated computerised test report whether the patient is osteoporotic or normal.

 2.     It is a retrospective type of Observational Study that uses the already taken chest X-ray for screening Osteoporosis. Also, it is non-invasive and there is no intervention involved in this study.

 3.     We have obtained Institutional Ethical Committee Approval for this study.

4.   This study uses OLD DATA from the medical records. 

 
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