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CTRI Number  CTRI/2024/11/076569 [Registered on: 11/11/2024] Trial Registered Prospectively
Last Modified On: 08/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Risk assessment in MI patients  
Scientific Title of Study   A Study of C Reactive Protein levels in the acute myocardial infarction and its association with outcome of the infarct. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  P THULASINADH 
Designation  Post graduate Resident 
Affiliation  BALLARI MEDICAL COLLEGE AND RESEARCH CENTRE(VIMS) 
Address  Sree Residency,G1, First Floor,Gandhi Nagar road, Vedayapalem, Nellore

Nellore
ANDHRA PRADESH
524004
India 
Phone  99849943269  
Fax    
Email  masterthulasi05@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR N KOTRESH 
Designation  HOD General Medical  
Affiliation  BALLARI MEDICAL COLLEGE AND RESEARCH CENTRE(VIMS) 
Address  Dept. of General medicine, BMCRC , Cantonment, BALLARI.

Bellary
KARNATAKA
583104
India 
Phone  9448968707  
Fax    
Email  dr.kotresh.n@gmail.com  
 
Details of Contact Person
Public Query
 
Name  P THULASINADH 
Designation  Post graduate Resident 
Affiliation  BALLARI MEDICAL COLLEGE AND RESEARCH CENTRE(VIMS) 
Address  Sree Residency,G1, First Floor,Gandhi Nagar road, Vedayapalem, Nellore

Nellore
ANDHRA PRADESH
524004
India 
Phone  99849943269  
Fax    
Email  masterthulasi05@gmail.com  
 
Source of Monetary or Material Support  
BALLARI MEDICAL COLLEGE AND RESEARCH CENTRE, Cantonment, BALLARI, Karnataka , INDIA.PIn .583104. 
 
Primary Sponsor  
Name  P Thulasinadh 
Address  Sree Residency ,G1,Gandhi nagar, Nellore , SPSR Nellore dist.524004 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
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 P THULASINADH   BALLARI MEDICAL COLLEGE AND RESEARCH CENTRE   Dept of General medicine , CICU,VIMS OPD BUILDING ,Vijaya Nagar,Cantonment, BALLARI, 583104
Bellary
KARNATAKA 
99849943269

masterthulasi05@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE VIMS BALLARI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I21||Acute myocardial infarction,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. All acute myocardial infarction patients with age above 18 years.
2. All acute myocardial infarction patients with having chest pain, characteristic of angina lasting more than 20 minutes.
3. Patients with diagnostic ECG changes with characteristic ECG alterations consisting of ST segment and T wave changes.
4. Elevated troponin I levels.
5. Patients who are willing to participate in the study with informed and written consent.
 
 
ExclusionCriteria 
Details  1. All patients with previous myocardial infarction .
2. All patients associated with any infective or inflammatory and neoplastic condition.
3. All patients of CVA with haemorrhaging or ischemic stroke.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Those who had higher levels of CRP leads to higher complications post MI  At baseline and after 48hrs. 
 
Secondary Outcome  
Outcome  TimePoints 
The level of CRP may correspond to the extent of coronary artery lesion , size of myocardial necrosis area, the risk of recurrent acute coronary syndrome, risk of new onset, atrial, fibrillation, ventricular tachycardia, heart failure,decompensation and death.  15 months  
 
Target Sample Size   Total Sample Size="104"
Sample Size from India="104" 
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)   25/11/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  11/11/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="5"
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response - Clinical Study Report

  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 - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [masterthulasi05@gmail.com].

  6. For how long will this data be available start date provided 27-09-2024 and end date provided 27-01-2030?
    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  

Acute Myocardial Infarction is overwhelmingly the most important form of IHD which  

continues to be the leading cause of death in the industrialized and developing countries like  

India, despite spectacular progress in their prevention, detection and treatment over the last  

three decades. AMI has rapidly emerged as the major contributor towards the increasing  

morbidity and mortality. 

A large number of asymptomatic individuals are at serious risk of developing MI because of  

their genetic predisposition, smoking behavior and sedentary lifestyle. About one third of  

patients with evolving myocardial infarction die before they reach the hospital to receive any  

effective treatment. Thus, myocardial infarction remains an important health problem and  

merits continued attention from basic and clinical researchers, epidemiologists and practicing  

physicians.  

A growing body of evidence supports the concept that local and systemic inflammation play a  

role in the initiation and progression of atherosclerosis and its complications. Inherent to the  

inflammatory process is the occurrence of an acute phase response.2,3 This response is induced  

by pro-inflammatory cytokines (Interleukin 1 and 6) which are released from the inflamed  

tissue by inflammatory and / or parenchymal cells. These in turn stimulate the liver to  

synthesize a number of acute phase proteins. CRP is a hepatically derived classical acute  

phase reactant, the serum level of which has long been known to increase after myocardial  

infarction.  

CRP levels partially reflect the extent of myocardial necrosis and can be used to predict in  

hospital and long terms, outcome in patients with AMI. Elevated plasma CRP levels in  

patients with acute coronary syndromes on admission and its persistence after discharge may  

indicate a state of persistent inflammation with poor short term and long term prognosis.  

Recent studies have shown CRP to be a risk predictor for future myocardial infarction, stroke  

and coronary heart disease in apparently healthy persons.

Due to the irreversibility of most acute cardiac events there is always an interest in searching  

for simple tests to single out patients with bad prognosis, so that timely revascularization is  

planned or they are put on intensive conservative regimens.6 

This study is designed to evaluate the serum concentration of CRP in AMI and its association  

with subsequent consequences in hospital morbidity and mortality.

 
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