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CTRI Number  CTRI/2024/04/066257 [Registered on: 24/04/2024] Trial Registered Prospectively
Last Modified On: 04/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Age and Gender Specific Chart for Indian Children to Assess Muscle Wasting Growth and Development  
Scientific Title of Study   Age and Gender Specific Sarcopenia Nomogram for Indian Children 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prof Mohamed Rela 
Designation  Chairman and Managing Director 
Affiliation  Rela Institute and Medical Centre 
Address  Room 106 First Floor Institute and Liver Disease and Transplantation Dr Rela Institute and Medical Centre No 7 CLC Work Road Chromepet

Chennai
TAMIL NADU
600044
India 
Phone  9729440890  
Fax    
Email  mohamed.rela@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashwin Rammohan 
Designation  Director of Academics , Consultant HPB and Liver Transplant Surgeon 
Affiliation  Dr Rela Institute and Medical Centre  
Address  Room No 4066 Academics Block, Dr. Rela Institute and Medical Centre No 7 CLC Work Road Chromepet

Chennai
TAMIL NADU
600044
India 
Phone  9884173583  
Fax    
Email  ashwinrammohan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajan Garg 
Designation  Fellow in HPB Sx and Liver Transplantation 
Affiliation  Dr Rela Institute and Medical Centre  
Address  Room No 3010, Third Floor Institute of Liver Disease and Transplantation Dr. Rela Institute and Medical Centre No 7 CLC Work Road Chromepet

Chennai
TAMIL NADU
600044
India 
Phone  9729440890  
Fax    
Email  rajangarg1985@gmail.com  
 
Source of Monetary or Material Support  
Prof. Mohamed Rela Dr. Rela Institute and Medical Centre, No 7, CLC Works Road Chromepet Chennai 600044 
 
Primary Sponsor  
Name  Prof Mohamed Rela 
Address  Dr. Rela Institute and Medical Centre No 7 CLC Works Road Chromepet Chennai 600044  
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 
Dr Rajan Garg  Dr Rela Institute and Medical Centre  Room No 3010, Third Floor, Institute of Liver Disease and Transplantation No 7 CLC Works Road Chromepet Chennai 600044
Chennai
TAMIL NADU 
9729440890

rajangarg1985@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Rela Institute and Medical Center, Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Nil 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  16.00 Year(s)
Gender  Both 
Details  Calculation of total psoas muscle area (sum of right and left posts muscle area) at L3-4 level intervertebral disc on CT scans done for any acute indication  
 
ExclusionCriteria 
Details  Chronic illnesses like chronic liver and kidney diseases, malignancies, spinal trauma, myopathies and cerebral palsy.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Formulation of age and gender based nomogram for total psoas muscle area for Indian Children  Day-0 of CT scan - single time point 
 
Secondary Outcome  
Outcome  TimePoints 
Sarcopenia comparison of children with chronic disorders with the age and gender based nomogram values and their correlation with outcomes  Day 30, Day 90, day 180, 1 year 
 
Target Sample Size   Total Sample Size="1000"
Sample Size from India="1000" 
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)   01/05/2024 
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)   Not Yet Recruiting 
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  
Current literature strongly recommends sarcopenia and frailty assessment over routine anthropometric measurements to predict outcomes in any chronic illness and its treatment. All the currently available scales are based on western data. Unfortunately, there is no data on the normal range of muscle mass from our population and this skews comparison and outcomes. 

In a first of its kind, we intend to develop an age and gender specific nomogram for normal muscle mass in children from the Indian subcontinent. The sum of psoas muscle area at L3-L4 intervertebral disc on CT scan of children who undergo CT for trauma or acute illness across age groups from 1-16 years are collected. We are looking to collect 1000 such scans to make a reliable nomogram. The data will be completely anonymised as only the age, gender and psoas muscle data is required.

This will enable an India-specific nomogram to accurately define frailty and sarcopenia in the pediatric population which will in turn help in predicting and prognosticating the nutritional status of children with any chronic pathology. The trend when charted will also help in assessment of reversal of sarcopenia
 
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