| CTRI Number |
CTRI/2024/04/065390 [Registered on: 08/04/2024] Trial Registered Prospectively |
| Last Modified On: |
07/04/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Cohort Study |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
WHETHER IL6 LEVELS IN CSF AIDS IN DIAGNOSIS OF NEONATAL MENINGITIS |
|
Scientific Title of Study
|
A STUDY ON CEREBROSPINAL FLUID INTERLEUKIN 6 AS A DIAGNOSTIC MARKER IN NEONATAL MENINGITIS |
| 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 NIVEDEETHA K |
| Designation |
1ST YEAR POST GRADUATE STUDENT PEDIATRIC MEDICINE |
| Affiliation |
INDIRA GANDHI INSTITUTE OF CHILD HEALTH |
| Address |
NICU THESIS STUDENT, 1ST FLOOR INDIRA GANDHI INSTITUTE OF CHILD HEALTH, 1ST BLOCK , SIDDAPURA, JAYANAGAR, BANGALORE
Bangalore KARNATAKA 560029 India |
| Phone |
8095218921 |
| Fax |
|
| Email |
drnivedithak@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
DR NIRANJAN H S |
| Designation |
PROFESSOR |
| Affiliation |
INDIRA GANDHI INSTITUTE OF CHILD HEALTH |
| Address |
DEPARTMENT OF NEONATOLOGY, NICU 1ST FLOOR
INDIRA GANDHI INSTITUTE OF CHILD HEALTH 1ST BLOCK SIDDAPURA JAYANAGAR, BANGALORE
Bangalore KARNATAKA 560029 India |
| Phone |
9448046435 |
| Fax |
|
| Email |
drniranjan_hs@yahoo.com |
|
Details of Contact Person Public Query
|
| Name |
DR NIVEDEETHA K |
| Designation |
1ST YEAR POST GRADUATE STUDENT |
| Affiliation |
INDIRA GANDHI INSTITUTE OF CHILD HEALTH |
| Address |
THESIS STUDENT DEPARTMENT OF NEONATOLOGY, 1ST FLOOR INDIRA GANDHI INSTITUTE OF CHILD HEALTH 1ST BLOCK SIDDAPURA JAYANAGAR BANGALORE
Bangalore KARNATAKA 560029 India |
| Phone |
8095218921 |
| Fax |
|
| Email |
drnivedithak@gmail.com |
|
|
Source of Monetary or Material Support
|
| DR NIVEDEETHA K
INDIRA GANDHI INSTITUTE OF CHILD HEALTH, BANGALORE |
|
|
Primary Sponsor
|
| Name |
DR NIVEDEETHA K |
| Address |
PEDIATRIC MEDICINE PG STUDENT, THESIS STUDENT IN DEPARTMENT OF NEONATOLOGY, NICU 1ST FLOOR
INDIRA GANDHI INSTITUTE OF CHILD HEALTH
1ST BLOCK SIDDAPURA JAYANAGAR BANGALORE |
| Type of Sponsor |
Government 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 NIVEDEETHA K |
INDIRA GANDHI INSTITUTE OF CHILD HEALTH |
DEPARTMENT OF NEONATOLOGY,
1ST FLOOR
INDIRAGANDHI INSTITUTE OF CHILD HEALTH 1ST BLOCK SIDDAPURA JAYANAGAR BANGALORE Bangalore KARNATAKA |
8095218921
drnivedithak@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional ethics committee igich bangalore |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: G00||Bacterial meningitis, not elsewhere classified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
NIL |
NIL |
| Comparator Agent |
NOT APPLICABLE |
NOT APPLICABLE |
|
|
Inclusion Criteria
|
| Age From |
0.00 Day(s) |
| Age To |
28.00 Day(s) |
| Gender |
Both |
| Details |
1. Neonates less than 28 days of age
2. Clinical suspicion of sepsis
3. Indication for lumbar puncture as per unit protocol |
|
| ExclusionCriteria |
| Details |
1. Neonates who had received antibiotics for ≥ 3 days
2. Recent brain surgery/ventricular tap
3. Moribound condition in which life expectancy less than 24hours
4. Grossly traumatic taps
5. Major congenital malformations – meningomyelocele /vertebral anamolies.
6. Presence of deep seated focus of infection other than meningitis e.g. abscess, septic arthritis etc.
7. Hemodynamic instability, bleeding disorder and coagulopathy.
8. Presence of infection at the lumbar puncture site. |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
cerebrospinal fluid analysis in neonates
TERM newborn : WBC more than 8 cells And Glucose less than 20 mg/dl OR Protein more than 120mg/dl
PRETERM: WBC more than 10 cells And Glucose less than 24mg/dl OR Protein more than 170mg/dl
With or without CSF culture positivity. |
At baseline |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
NIL |
|
|
Target Sample Size
|
Total Sample Size="159" Sample Size from India="159"
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)
|
22/04/2024 |
| 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="1" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
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
|
CSF culture is considered the gold standard for diagnosing bacterial meningitis. However, CSF culture typically takes atleast two days or more to be positive. and limited positivity rate (7.6percent). It is estimated that 30 to 50percent of neonatal samples are contaminated with blood, Increasing the white blood cell count and proteins. Interleukin 6, is transiently produced in response to infections and tissue injuries. Numerous studies have supported the role of interleukin 6 as a early biomarker of meningitis in adult and paediatric population, whereas limited number of studies noted in neonates. Thus ,this study tries to assess the role of interleukin 6 as the early biomarker in diagnosis of neonatal meningitis. |