| CTRI Number |
CTRI/2025/04/084715 [Registered on: 15/04/2025] Trial Registered Prospectively |
| Last Modified On: |
11/04/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Case Control Study |
| Study Design |
Other |
|
Public Title of Study
|
How Molecular Testing Improves Diagnosis and Treatment of Ventilator Associated Pneumonia from Gram Negative Bacteria in ICU Patients |
|
Scientific Title of Study
|
Utility of molecular over traditional diagnostic method in diagnosis and management of ventilator associated pneumonia caused by Gram negative bacteria in intensive care unit |
| Trial Acronym |
nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Krishna Priya Agrawal |
| Designation |
Senior Resident |
| Affiliation |
King Georges Medical University Lucknow |
| Address |
Department of Critical care medicine KGMU Lucknow
Lucknow UTTAR PRADESH 226003 India |
| Phone |
7895271264 |
| Fax |
|
| Email |
krishnapriyas2012@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Prof Avinash Agrawal |
| Designation |
Head of Department Critical Care Medicine |
| Affiliation |
King Georges Medical University Lucknow |
| Address |
Department of Critical care medicine KGMU Lucknow.
Lucknow UTTAR PRADESH 226003 India |
| Phone |
9838677999 |
| Fax |
|
| Email |
avinashagrawal@kgmcindia.edu |
|
Details of Contact Person Public Query
|
| Name |
Prof Avinash Agrawal |
| Designation |
Head of Department Critical Care Medicine |
| Affiliation |
King Georges Medical University Lucknow |
| Address |
Department of Critical care medicine KGMU Lucknow.
Lucknow UTTAR PRADESH 226003 India |
| Phone |
9838677999 |
| Fax |
|
| Email |
avinashagrawal@kgmcindia.edu |
|
|
Source of Monetary or Material Support
|
| Department of critical care medicine King Georges medical university lucknow UTTAR PRADESH INDIA 226003 |
|
|
Primary Sponsor
|
| Name |
Dr Avinash Agrawal |
| Address |
Department of Critical Care Medicine King Georges Medical University Lucknow India 226003 |
| Type of Sponsor |
Other [SELF] |
|
|
Details of Secondary Sponsor
|
| Name |
Address |
| Dr Krishna Priya Agrawal |
Department of Critical Care Medicine King Georges Medical University Lucknow |
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Krishna Priya Agrawal |
King Georges Medical University Lucknow |
Department of critical care medicine 5th floor trauma centre Lucknow UTTAR PRADESH |
7895271264
krishnapriyas2012@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| KGMU Institutional ethics committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: J189||Pneumonia, unspecified organism, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
nil |
nil |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
90.00 Year(s) |
| Gender |
Both |
| Details |
patients having clinically defined VAP according to CDC
Age more than or equal to 18 years |
|
| ExclusionCriteria |
| Details |
Patients with evidence of chest infection prior to intubation or within 48 hours of mechanical ventilation
Patients with severely immunocompromised state such as Acquired Immune Deficiency Syndrome organ transplant patients terminal stage of malignancy
Patients whose sample could not be obtained
Patients who are not willing to participate or give consent |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To study the outcome 28 days mortality of early molecular identification of Gram negative organisms causing VAP and identification of common carbapenem resistant genes KPC IMP VIM NDM or OXA 48 compared with traditional culture methods |
At baseline 4 weeks and 90 days |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| To compare the change in targeted antibiotic therapy selection according to molecular method and culture method |
2 days |
| To compare the change in Clinical Pulmonary Infection Score on third day of management on the basis of molecular method and culture method |
3 days |
| To compare the effect of diagnosis and management of VAP by both the methods on 90 days mortality |
90 days |
|
|
Target Sample Size
|
Total Sample Size="184" Sample Size from India="184"
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)
|
24/04/2025 |
| 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="6" Days="1" |
|
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
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identiļ¬cation.
- What additional supporting information will be shared?
Response - Study Protocol
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [krishnapriyas2012@gmail.com].
- For how long will this data be available start date provided 02-01-1970 and end date provided 02-01-1970?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
|
Brief Summary
|
The study aims at evaluating the diagnostic performance of molecular based PCR compared to standard microbiological culture test and the potential impact of its results on early modification of antimicrobial therapy along with clinical outcomes in ICU patients with clinically defined VAP. |