| 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
|
|
|
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
|
|
|
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
|
|
|
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
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol
- 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.
- For what types of analyses will this data be available?
Response - For individual participant data meta-analysis.
- 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).
- 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.
- 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 births, meconium, foetal 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. |