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CTRI Number  CTRI/2025/05/086330 [Registered on: 05/05/2025] Trial Registered Prospectively
Last Modified On: 08/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Impact of a Common Respiratory Virus (RSV) in Patients with Lung Infections 
Scientific Title of Study
Modification(s)  
Incidence and Epidemiological Characterization of Respiratory Syncytial Virus: Molecular and Clinical Insights from Coastal Karnataka. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Asmita B 
Designation  PG Student 
Affiliation  Manipal Institute of Virology 
Address  Room No: 01, Ground Floor, Manipal institute of Virolgy, Manipal Academy of Higher Education, Madhava Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  8147810456  
Fax    
Email  asmita.mivmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Anup Jayaram 
Designation  Lecturer 
Affiliation  Manipal Institute of Virology 
Address  Room No: 108, Ground Floor, Manipal institute of Virolgy, Manipal Academy of Higher Education, Madhava Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9482406560  
Fax    
Email  anup.jayaram@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Anup Jayaram 
Designation  Lecturer 
Affiliation  Manipal Institute of Virology 
Address  Room No: 108, Ground Floor, Manipal institute of Virolgy, Manipal Academy of Higher Education, Madhava Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9482406560  
Fax    
Email  anup.jayaram@manipal.edu  
 
Source of Monetary or Material Support  
Room No: 105, Manipal Institute of Virology, Manipal Academy of Higher Education, Madhava Nagar, Manipal, Udupi District, Karnataka State, India. Pincode: 576104 
 
Primary Sponsor  
Name  Manipal Institute of Virology 
Address  Room No: 105, Manipal institute of Virolgy, Manipal Academy of Higher Education, Madhava Nagar, Manipal, Udupi District, Karnataka State, India. Pincode: 576104 
Type of Sponsor  Research institution 
 
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 Muralidhar Varma  Kasturba Hospital Manipal  Room No: ID-03, Department of Infectious Diseases, KH, Manipal Academy of Higher Education, Madhava Nagar, Manipal
Udupi
KARNATAKA 
9845069639

muralidhar.varma@manipal.edu 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KMC - KH INSTITUTIONAL ETHICS COMMITTEE - 2 - STUDENT RESEARCH  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J22||Unspecified acute lower respiratory infection,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria
Modification(s)  
Age From  1.00 Day(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Only symptomatic individuals with Acute respiratory infection (ARI)/ Severe Acute respiratory infection (SARI)/ Lower respiratory tract Infection (LRTI) from both inpatients and outpatients are considered. Along with the routine samples that come to the virology department for testing under the same case definition

Parents/guardians/attending physicians must provide informed consent for infants/children participants and for adult participants; they themselves must provide informed consent or their guardians/attending physicians must provide consent on behalf of them to participate in this study. 
 
ExclusionCriteria 
Details  Individuals with a confirmed clinical diagnosis who do not fulfill the specified case definition.

Individuals who have not provided consent to participate in the study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
This study will determine the prevalence and burden of RSV across all age groups, identify circulating RSV-A and RSV-B strains through partial genome sequencing, assess the correlation between RSV viral load and clinical outcomes using quantitative PCR, contribute to molecular surveillance, and support development of monoclonal antibodies targeting the RSV Fusion (F) protein for diagnostic and therapeutic applications.  24 Months 
 
Secondary Outcome  
Outcome  TimePoints 
This study will help us determine the prevalence, distribution, and burden of RSV infections
across all age groups, including vulnerable populations, providing key epidemiological data to
support public health strategies.
This study will help us identify and characterize circulating RSV strains (RSV-A and RSV-B)
through partial genome sequencing, tracking viral evolution, genetic diversity, and their
association with disease severity.
By this study we will be able to assess the correlation between RSV viral load and clinical
outcomes, such as disease severity and symptom duration, using standardized PCR
quantification.
Also, we can analyze seasonal trends and contribute to RSV molecular surveillance for early
outbreak detection and improved public health preparedness. 
12 Months 
 
Target Sample Size
Modification(s)  
Total Sample Size="400"
Sample Size from India="400" 
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)   13/05/2025 
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
Modification(s)  
Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
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   Respiratory Syncytial virus (RSV) is one of the major causes of Acute Lower Respiratory Tract Infection (ALRTI) in infants and children’s (more severe in <1 year age), elderly adults, pregnant women and people with immune-compromised state. However, recent reports highlight that adult population (18-65 years age)  also showing severe cases of lower respiratory tract infection due to RSV infection. Despite the significant impact, data on the age-stratified burden of Respiratory Syncytial Virus (RSV) and its molecular epidemiology remain limited, especially in diverse populations. This project seeks to explore the age-related burden of respiratory syncytial virus (RSV) and its molecular characteristics to better understand the factors for disease severity. By assessing the distribution of RSV infections across age groups, the study aims to quantify its impact in terms of incidence, hospitalization rates, and clinical outcomes. This will shed light on how RSV affects individuals differently based on age, ranging from infants to elderly adults, including previously healthy individuals who are now increasingly being reported with severe RSV-associated illnesses. The molecular characteristics of RSV will be studied to identify circulating genotypes and their evolutionary patterns. By using genomic sequencing,  it will help us reveal how genetic variations influence disease outcomes, including whether specific genotypes are linked to severe manifestations like acute respiratory distress or complications requiring intensive care. The study outcomes are expected to inform future public health strategies, improve patient management, and support the global effort to combat RSV-related morbidity and mortality. 
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