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CTRI Number  CTRI/2025/03/081887 [Registered on: 07/03/2025] Trial Registered Prospectively
Last Modified On: 07/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   A study to assess the predictive value of simple blood count marker versus advanced cytokine biomarker for outcomes in off-pump coronary artery bypass surgery 
Scientific Title of Study   A prospective observational study to assess the predictive value of simple blood count based marker versus advanced cytokine biomarker for outcomes in off-pump coronary artery bypass surgery 
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 Sarah Iqbal 
Designation  Junior Resident 
Affiliation  Jawaharlal Nehru Medical College, Aligarh Muslim University 
Address  Department of Anaesthesiology And Critical Care, Jawaharlal Nehru Medical College, Aligarh Muslim University

Aligarh
UTTAR PRADESH
202002
India 
Phone  9027758674  
Fax    
Email  dr.sarah0512@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR MANAZIR ATHAR 
Designation  ASSISTANT PROFESSOR 
Affiliation  JAWAHARLAL NEHRU MEDICAL COLLEGE, Aligarh Muslim University 
Address  DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE,JAWAHARLAL NEHRU MEDICAL COLLEGE, Aligarh Muslim University

Aligarh
UTTAR PRADESH
202002
India 
Phone  8868056469  
Fax    
Email  drmanazirathar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR MANAZIR ATHAR 
Designation  ASSISTANT PROFESSOR 
Affiliation  JAWAHARLAL NEHRU MEDICAL COLLEGE, AMU 
Address  DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE, JNMCH, AMU

Aligarh
UTTAR PRADESH
202002
India 
Phone  8868056469  
Fax    
Email  drmanazirathar@gmail.com  
 
Source of Monetary or Material Support  
Department of anaesthesiology and critical care, Jawaharlal Nehru Medical College, AMU, Aligarh UTTAR PRADESH 202002 India 
 
Primary Sponsor  
Name  DR SARAH IQBAL 
Address  Department of anaesthesiology and critical care, Jawaharlal Nehru Medical College, AMU, Aligarh UTTAR PRADESH 202002 India 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
Department of Anaesthesiology and Critical Care Jawaharlal Nehru Medical College AMU Aligarh  Department of Anaesthesiology and Critical Care, JNMCH , AMU , Aligarh 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR SARAH IQBAL  Jawaharlal Nehru Medical College, AMU  Department of anaesthesiology and critical care; JNMCH; AMU Aligarh UTTAR PRADESH 202002 India
Aligarh
UTTAR PRADESH 
9027758674

dr.sarah0512@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NAME OF ETHICS COMMITTEE- INSTITUTIONAL ETHICS COMMITTEE, JAWAHARLAL NEHRU MEDICAL COLLEGE, ALIGARH MUSLIM UNIVERSITY  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I778||Other specified disorders of arteries and arterioles,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients undergoing elective off pump Coronary Artery Bypass Grafting.
Isolated CABG as per ESC/EACTS 2018 guidelines
Age more than 18 years
Either sex. 
 
ExclusionCriteria 
Details  Patient refusal
Patient undergoing repeat surgical procedures.
Patients receiving steroid, NSAIDS, immunomodulatory therapy
Patients having chronic HTN, chronic renal failure, serum ALT or AST level of twice the
baseline value, active infection (preoperative total leukocyte count of more than 11.000/mm3)
Those having history of recent CVA or MI (within 1 month)
Severe LV dysfunction (LVEF less than 30%)
Pre existing AF or utilizing antiarrhythmic therapy
Preexisting neurological disease
Patients of oncologic diseases 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Acute Kidney Injury (AKI) in off-pump coronary artery bypass grafting
 
48 HOURS 
 
Secondary Outcome  
Outcome  TimePoints 
1- Atrial Fibrillation ( AF), and 3 Point Major Adverse Cardiovascular
Events (3P-MACE) which includes coronary heart disease death, fatal or
nonfatal ischemic stroke or myocardial infarction.
2- VIS Score
3- Total Mechanical ventilation time
4- Duration of ICU stay
5- 30- Day mortality 
30 days 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   20/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  20/03/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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   Keeping in mind the inflammatory background of coronary artery disease, currently various inflammatory markers are being used to predict the outcomes in patients of off pump cardiac surgery like IL-1, IL-6, TNF- alpha etc. Since these tests are very costly and there is growing evidence presenting the role of  whole blood count inflammatory markers in  prediction of morbidity and mortality in coronary artery diseases we are planning this observational study to assess the predictive value of simple blood count based markers versus advanced cytokine biomarkers for outcomes in off-pump coronary artery bypass surgery. 
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