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CTRI Number  CTRI/2024/05/066754 [Registered on: 03/05/2024] Trial Registered Prospectively
Last Modified On: 27/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Use of hsCRP as a marker of severity in patients with non alcoholic fatty liver disease  
Scientific Title of Study   Clinical profile of non alcoholic fatty liver disease and significance of hsCRP 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sanju George 
Designation  Junior resident 
Affiliation  Kasturba Medical College, Manipal academy of higher education 
Address  Department of General Medicine second floor OPD block Kasturba Medical College, Manipal Karnataka 576104
Department of General Medicine second floor OPD block Kasturba Medical College, Manipal Karnataka 576104
Udupi
KARNATAKA
576104
India 
Phone  9980976396  
Fax    
Email  sanju.george.home@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Raviraja V Acharya 
Designation  Professor and HOD 
Affiliation  Kasturba Medical College, Manipal academy of higher education 
Address  Department of General Medicine second floor OPD block Kasturba Medical College, Manipal Karnataka 576104
Department of General Medicine second floor OPD block Kasturba Medical College, Manipal Karnataka 576104
Udupi
KARNATAKA
576104
India 
Phone  9845471000  
Fax    
Email  rvacharya@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Siddharth Gosavi 
Designation  Senior Resident 
Affiliation  Kasturba medical college manipal, MAHE 
Address  Department of General Medicine second floor OPD block Kasturba Medical College, Manipal Karnataka 576104
Department of General Medicine second floor OPD block Kasturba Medical College, Manipal Karnataka 576104
Udupi
KARNATAKA
576104
India 
Phone  9632145400  
Fax    
Email  gosavi.siddharth@gmail.com  
 
Source of Monetary or Material Support  
Kasturba medical college, Manipal, Udupi, Karnataka 576104 
 
Primary Sponsor  
Name  Sanju George 
Address  Department of General Medicine second floor OPD block Kasturba Medical College, Manipal Karnataka 576104 a 
Type of Sponsor  Other [Self] 
 
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 
Sanju George  Kasturba hospital   Department of General Medicine second floor OPD block Kasturba Medical College KMC Manipal Udupi KARNATAKA
Udupi
KARNATAKA 
9980976396

sanju.george.home@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital I Institutional Ethics Committee 2  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K760||Fatty (change of) liver, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil since it is observational study  Nil since it is observational study 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  All patients admitted to Kasturba Hospital during the study period who’s USG shows grade 2 or 3 fatty infiltration of the liver. 
 
ExclusionCriteria 
Details  Patients with history of significant/hazardous levels of alcohol consumption (ie. more than one drink per day in women and two drinks per day in men based on epidemiologic evidence that the prevalence of serum aminotransferase elevations increases when alcohol consumption habitually exceeds these levels. In those studies, one drink was defined as having 10 g of ethanol and, thus, is equivalent to one can of beer, 4 oz of wine, or 1.5 oz (one shot) of distilled spirits.), Patients with Connective Tissue disorders, Patients with chronic kidney disease, Patients with acute or chronic Hepatitis B or C infections, Patients with recent history of trauma, Patients with malignancies. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Predict severity of Non
Alcoholic Fatty liver by using hsCRP 
At baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Not applicable   Not applicable  
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "80"
Final Enrollment numbers achieved (India)="80" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/06/2024 
Date of Study Completion (India) 30/05/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)   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 - NO
Brief Summary    Justification for study: Non alcoholic fatty liver disease is the most common cause of chronic liver disease worldwide. The global prevalence of Non alcoholic fatty liver disease is estimated to be as high as one billion. Liver biopsy being the gold standard, is too invasive, there’s a chance of sampling error and costly. There is a pressing need for more viable non invasive markers of severity. Timely intervention can revert the disease progression and play a significant role in bringing down the morbidity associated with the disease

Detailed description of procedure / processes: All patients admitted to Kasturba Hospital in the study period who are diagnosed as grade 2 and grade 3 fatty infiltration on USG abdomen, who meet the inclusion, exclusion criteria will be recruited for the study. Written and informant consent will be taken from the participants before initiating the study. Anthropometric data, investigative data including hsC-reactive protein levels and elastoscan reports are obtained from the proforma. Non alcoholic fatty liver fibrosis score and FIB4 score will be calculated using parameters obtained from the proforma. The above data will be compared and analyzed. Outcome measures include significance of hsCRP in NAFLD in predicting severity of NAFLD, study clinical profile of NAFLD, accuracy of non-invasive scoring systems of NAFLD

 
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