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CTRI Number  CTRI/2024/03/063580 [Registered on: 04/03/2024] Trial Registered Prospectively
Last Modified On: 16/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Impact of ursodeoxycholic acid in IHCP cases 
Scientific Title of Study   Effect of ursodeoxycholic acid on abnormal liver enzymes and their association with maternal and foetal outcomes in intrahepatic cholestasis of pregnancy 
Trial Acronym  NILL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Rashmi Ray 
Designation  ASSISTANT PROFESSOR 
Affiliation  SGT University 
Address  Room No.1, Department of Obstetrics and Gynaecology, SGT Medical College
Budhera, Gurugram-Badli Road, Gurugram- 122505, Haryana, India
Gurgaon
HARYANA
122505
India 
Phone  8447522301  
Fax    
Email  ruschmeray@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  RUBINA BHUTANI 
Designation  ASSOCIATE PROFESSOR 
Affiliation  GD GOENKA UNIVERSITY 
Address  Room No. 312, B-Block, SoMAS, GD Goenka University
Sohna Road, Gurugram
Gurgaon
HARYANA
122103
India 
Phone  9958296439  
Fax    
Email  nidhilhmc1@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Nidhi 
Designation  ASSISTANT PROFESSOR 
Affiliation  GD Goenka University 
Address  Room No. 312, B-Block, SoMAS, GD Goenka University
Sohna Road, Gurugram
Gurgaon
HARYANA
122103
India 
Phone  8447522301  
Fax    
Email  nidhilhmc1@gmail.com  
 
Source of Monetary or Material Support  
Department of Obstetrics and Gynaecology, SGT Medical College Budhera, Gurugram-Badli Road, Gurugram- 122505, Haryana, India  
 
Primary Sponsor  
Name  SGT MEDICAL COLLEGE 
Address  Department of Obstetrics and Gynaecology, SGT Medical College Budhera, Gurugram-Badli Road, Gurugram- 122505, Haryana, India  
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 Rashmi Ray  SGT medical college  B Block, Room No. 1, Department of Obstetrics and Gynaecology, SGT Medical College, Budhera, Gurugram-Badli Road, Gurugram- 122505, Haryana, India
Gurgaon
HARYANA 
8697443397

ruschmeray@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
FACULTY OF MEDICINE AND HEALTH SCIENCES SGT UNIVERSITY INSTITUTIONAL ETHICS COMMITEE CELL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O364||Maternal care for intrauterine death,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ursodeoxycholic acid  300 mg BD orally till the bile acid level comes to normal 
Intervention  URSODEOXYCHOLOC ACID GROUP  150 mg BD orally till bile acid comes to normal 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Singleton pregnant women with ≥20 weeks of gestation and having pruritis and serum bile acid of 10micromol/L or more. 
 
ExclusionCriteria 
Details  1. Multifetal pregnancies
2. Maternal/foetal heart disorders
3. Liver disorder: Hepatitis C, Hepatitis B, Cholelithiasis
4. Medication for any dermatological disease, which can cause itching
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
PRE TEST AND POST TEST OF LIVER ENZYME WILL BE DONE  Baseline, 2 weeks and time of delivery 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "101"
Final Enrollment numbers achieved (India)="101" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)   20/03/2024 
Date of Study Completion (India) 15/07/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 15/07/2024 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - To gain access, data requestors will need to sign a data access agreement. Data are available for 5 years at a third party website (NA).

  6. For how long will this data be available start date provided 20-03-2024 and end date provided 19-03-2030?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NA
Brief Summary  

Ø Intrahepatic cholestasis of pregnancy (IHCP) is the most common pregnancy-specific liver disease. It classically presents in the late second or early third trimester of pregnancy with pruritis, which typically involves the palms and soles, and is associated with deranged liver functions and elevated serum bile acids.  

Ø Altered bile acid metabolism with an accumulation of bile acid is detrimental to the foetus leading to increased perinatal morbidity and mortality in the form of preterm birthsmeconiumfoetal distress, and stillbirths or intra-uterine death.

 

Ø A lot of work and research has been done but still, many questions remain unanswered as there is a constant fear of sudden foetal demise nearing term without any alarming signs and critical cut-off level of serum bile acid beyond which pregnancy should be terminated. 

As As per the latest data, in Indian Asians, the incidence ranges from 1.2 to 1.5%. It is also seen that more than 70% of IHCP occurs in the third trimester of pregnancy. 

Ø Recent studies believed that elevated BA levels can influence lipid and glucose metabolism in women with ICP. 

Ø Based on the results of several meta-analyses, it is revealed that women with ICP were more likely to have gestational diabetes mellitus (GDM). 

Ø Previous studies reported that ICP was not related to dyslipidaemia but some produces opposite results.

Therefore, this study is aimed to estimate the biochemical parameters associated with adverse foetal and maternal outcome so that we can come to a conclusion that whether this disease has association with liver, glucose and lipid metabolism. This will also help in developing novel targets for its management. 

Ø This study is also undertaken to know the current trends of foetal and maternal outcomes associated with intrahepatic cholestasis so that increased attention will be diverted to the important causative factors and foeto-maternal outcomes can be improved.

 
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