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CTRI Number  CTRI/2024/10/074730 [Registered on: 04/10/2024] Trial Registered Prospectively
Last Modified On: 29/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Ambispective Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Comparing Various Brain Monitors to predict Raised Cerebral Pressure and its Effect in Acute Liver Failure Patients. 
Scientific Title of Study   Comparison of Neuromonitoring Devices in Predicting Raised ICP and Outcome in ALF Patients.  
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 Aviral Srivastava 
Designation  Senior Resident 
Affiliation  Institute Of Liver and Biliary Sciences 
Address  Department of Anaesthesia Phase-2, 3rd Floor Institute of Liver and Biliary Sciences

South
DELHI
110070
India 
Phone  9910784941  
Fax    
Email  aviralsrivastava1991@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gaurav Sindwani 
Designation  Associate Professor 
Affiliation  Institute Of Liver and Biliary Sciences 
Address  Department Of Anaesthesia 3rd Floor Phase 2 Institute Of Liver and Biliary Sciences

South
DELHI
110070
India 
Phone  8728089898  
Fax    
Email  drsindwani25@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Aviral Srivastava 
Designation  Senior Resident 
Affiliation  Institute Of Liver and Biliary Sciences 
Address  Department Of Anaesthesia Phase-2,3rd Floor Institute Of Liver and Biliary Sciences

South
DELHI
110070
India 
Phone  9910784941  
Fax    
Email  aviralsrivastava1991@gmail.com  
 
Source of Monetary or Material Support  
Institute Of Liver and Biliary Sciences,D-1 Vasant Kunj,Delhi-110070 India 
 
Primary Sponsor  
Name  Institute Of Liver and Biliary Sciences 
Address  D-1 Vasant Kunj Road, Ghitorni, New Delhi-110070 
Type of Sponsor  Research institution and hospital 
 
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 Aviral Srivastava  Institute Of Liver and Biliary Sciences  Department of Critical Care Liver Coma ICU 3rd Floor,Phase-2
South
DELHI 
9910784941

aviralsrivastava1991@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee/Institutional Review Board  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K720||Acute and subacute hepatic failure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Acute Liver Failure Patients. 
 
ExclusionCriteria 
Details  1)Acute on Chronic Liver Failure Patients.
2)Transcranial Doppler Window cannot be obtained. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Comparison of Trans Cranial Doppler with Near Infrared Spectroscopy, BI-Spectral Index and Optic Nerve Sheath Diameter in predicting raised Intra Cranial Pressure related mortality in Acute Liver Failure patient.  Outcome will be assessed at baseline and every 6hourly 
 
Secondary Outcome  
Outcome  TimePoints 
Optic Nerve Sheath Diameter & TransCranial Doppler values will be compared.
Degree of agreement between Optic Nerve Sheath diameter, PI values, BIS & NIRS 
These values will be seen at baseline & every 6hourly 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   10/10/2024 
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="0"
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response (Others) -  student and researchers who are genuinely interested in the study for further research work.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [aviralsrivastava1991@gmail.com].

  6. For how long will this data be available start date provided 01-03-2025 and end date provided 01-03-2030?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary   Studies are scarce and limited data is available about the use of different noninvasive neuromonitoring devices in acute liver failure patients and their correlation in predicting the outcome.
All acute liver failure patients getting admitted in the ICU will be attached Near Infrared Spectroscopy and Bis electrodes and their charting will be done every hourly.
Optic nerve sheath diameter and Pulsatality index values will be noted at admission and every 6hourly till the final outcome of the patient.
These parameters will be observed in operation theatre if patient goes for Liver transplant.

 
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