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CTRI Number  CTRI/2025/04/085746 [Registered on: 28/04/2025] Trial Registered Prospectively
Last Modified On: 24/04/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   “A Study on a Rare Lupus Complication: Symptoms, Diagnosis, and Treatment Outcomes” 
Scientific Title of Study   A retrospective cohort study on macrophage activation syndrome in Indian Patients with systemic lupus erythematosus: clinical features, laboratory abnormalities and treatment outcomes  
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 Nilesh Nolkha 
Designation  Senior Consultant  
Affiliation  Topiwala National Medical College  
Address  Dpt of Rheumatology Topiwala National Medical College Mumbai-400008

Mumbai
MAHARASHTRA
400008
India 
Phone  9920355665  
Fax    
Email  Drnileshnolkha@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kavyasree 
Designation  Senior Resident  
Affiliation  Topiwala National Medical College  
Address  Dpt of rheumatology Topiwala National Medical college Mumbai

Mumbai
MAHARASHTRA
400008
India 
Phone  9496660940  
Fax    
Email  Kavuttysunil@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Kavyasree 
Designation  Senior Resident  
Affiliation  Topiwala National Medical College  
Address  Dpt of rheumatology Topiwala National Medical college Mumbai

Mumbai
MAHARASHTRA
400008
India 
Phone  9496660940  
Fax    
Email  Kavuttysunil@gmail.com  
 
Source of Monetary or Material Support  
Topiwala National Medical College Dr AL Nair Road Mumbai Central Mumbai-400008 
 
Primary Sponsor  
Name  Topiwala national medical college  
Address  Topiwala National Medical College Dr AL Nair Road Mumbai Central Mumbai-400008 
Type of Sponsor  Other [Not sponsored ] 
 
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 Kavyasree  Topiwala National Medical College   OPD 40 OPD Building 1st floor Topiwala National Medical College Dr AL Nair Road Mumbai Central Mumbai-400008
Mumbai
MAHARASHTRA 
9496660940

Kavuttysunil@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ECARP  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M321||Systemic lupus erythematosus withorgan or system involvement,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patient of SLE as per ACR/EULAR 2019 classification criteria10
Diagnosed as a case of MAS as per one of the three above-mentioned criteria
Diagnosed to have MAS between 2004 to 2024 
 
ExclusionCriteria 
Details  Unclear diagnosis of MAS (i.e. not satisfying either of the three mentioned criteria)
MAS because of causes other than SLE disease activity 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 

Resolution of MAS: Defined by clinical improvement and normalization of laboratory markers (ferritin, liver enzymes, blood counts) after treatment.

Time to Resolution: Duration from diagnosis of MAS to clinical and laboratory resolution. 
Since it’s retrospective, time points can be based on clinical records:
1. Baseline: At MAS diagnosis (clinical presentation and lab abnormalities).
2. Early Response: Within 7 days of initiating treatment.
3. Intermediate Response: 2–4 weeks after treatment initiation.
4. Final Outcome: At 3 months post-diagnosis or last follow-up. 
 
Secondary Outcome  
Outcome  TimePoints 
Secondary Outcomes for MAS in SLE Study
1. Clinical Outcomes
2. Laboratory Outcomes
3. Treatment Outcomes
4. Long-Term Outcomes 
Baseline- at diagnosis
Early response -7-14 days
Intermediate- at 4 weeks
Final outcome-4months
Extended followup-6-12months 
 
Target Sample Size   Total Sample Size="67"
Sample Size from India="67" 
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)   15/05/2025 
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   Years="0"
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 - NO
Brief Summary  
This is retrospective cohort study where patients of SLE (Satisfying ACR/EULAR 2019
classification criteria) would be enrolled if they satisfy at least one of the three prevalent
criteria for diagnosing primary or secondary Hemophagocytic Lymphohistiocytosis
(HLH)7,8,9. History, clinical examination findings and investigations done at the time of
diagnosis of macrophage activation are enrolled in the case record form. No additional
investigations are being done as a part of this study.
 
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