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CTRI Number  CTRI/2025/02/080476 [Registered on: 13/02/2025] Trial Registered Prospectively
Last Modified On: 17/11/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Retrospective 
Study Design  Other 
Public Title of Study   Understanding Rat Poisoning: presenting complaints and What Can Cause Death 
Scientific Title of Study   Clinical Presentations, Outcomes, and Predictors of Mortality in Rat Poisoning: A Retrospective Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jeffrey Pradeep Raj 
Designation  Associate Professor 
Affiliation  Kasturba Medical College Manipal 
Address  Division of Clinical Pharmacology Department of Pharmacology Kasturba Medical College Manipal Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  7904286189  
Fax    
Email  jeffrey.raj@manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Jeffrey Pradeep Raj 
Designation  Associate Professor 
Affiliation  Kasturba Medical College Manipal 
Address  Division of Clinical Pharmacology Department of Pharmacology Kasturba Medical College Manipal Madhav Nagar, Manipal


KARNATAKA
576104
India 
Phone  7904286189  
Fax    
Email  jeffrey.raj@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Jeffrey Pradeep Raj 
Designation  Associate Professor 
Affiliation  Kasturba Medical College Manipal 
Address  Division of Clinical Pharmacology Department of Pharmacology Kasturba Medical College Manipal Madhav Nagar, Manipal


KARNATAKA
576104
India 
Phone  7904286189  
Fax    
Email  jeffrey.raj@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Medical College Manipal 
 
Primary Sponsor  
Name  Kasturba Medical College Manipal 
Address  Madhav Nagar, Manipal, Karnataka 576104 India 
Type of Sponsor  Private medical college 
 
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 
Jeffrey Pradeep Raj  Kasturba Medical College Manipal  Division of Clinical Pharmacology Department of Pharmacology Kasturba Medical College Manipal Madhav Nagar, Manipal
Udupi
KARNATAKA 
7904286189

jeffrey.raj@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Hospital Institutional Ethics Committee-1  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: T604||Toxic effect of rodenticides,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  NIl 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Patients who were diagnosed with rat poisoning from 01-01-2020 to 31-10-2024 by the treating physician and which is captured by our Hospital Medical records under code T 60.4 – Rodenticide poisoning will be included.
2. Toxicity with rat poison substances - yellow phosphorous, Zinc phosphide and 4-coumarin derivatives will only be included
 
 
ExclusionCriteria 
Details  1. Toxicity with other rodenticides that are not rat poison but used in pest control of other rodents other than rat will be excluded 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Signs and symptoms at presentation   Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Mortality rates associated with rat poisoning and Predictors of mortality
 
Baseline 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   24/02/2025 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
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   This retrospective study, titled "Clinical Presentations, Outcomes, and Predictors of Mortality in Rat Poisoning," aims to analyze medical records from 2020 to 2024 to describe the clinical presentations of rat poisoning and identify factors predicting mortality. Rat poisoning, particularly from toxic agents like yellow phosphorus and paraquat, poses a significant health risk due to its high toxicity, leading to severe complications such as fulminant hepatic failure and multi-organ dysfunction, with mortality rates ranging from 20% to 75%. The study will include patients diagnosed with rat poisoning caused by yellow phosphorus, zinc phosphide, and 4-coumarin derivatives, while excluding other types of rodenticides. Data on demographics, clinical symptoms, laboratory findings, treatments, and outcomes will be extracted from hospital records using a digital data collection tool. Statistical analysis will involve descriptive statistics and logistic regression to identify predictors of mortality. Ethical approval will be sought, with a waiver of informed consent due to the retrospective, anonymized nature of the data. The findings are expected to enhance understanding of clinical patterns, improve risk stratification, and guide more effective management strategies for rat poisoning, particularly in resource-limited settings. 
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