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CTRI Number  CTRI/2025/11/098238 [Registered on: 28/11/2025] Trial Registered Prospectively
Last Modified On: 28/05/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   A study to assess alterations in the fungal gut microbiome of patients with chronic spontaneous urticaria and comparing it with healthy controls 
Scientific Title of Study   A comparative study to assess the fungal gut microbiome alterations in patients with chronic spontaneous urticaria and controls 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Haritha Prasanth 
Designation  Junior Resident 
Affiliation  Amala Institute of Medical Sciences 
Address  Department of Dermatology, Amala Institute of Medical Sciences, Amala nagar,Thrissur Kerala

Thrissur
KERALA
680555
India 
Phone  9496489136  
Fax    
Email  harithaprasanth254@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sebastian Criton 
Designation  Professor and HOD 
Affiliation  Amala Institute of Medical Sciences 
Address  Department of Dermatology, Amala Institute of Medical Sciences, Amala nagar,Thrissur Kerala

Thrissur
KERALA
680555
India 
Phone  9447009990  
Fax    
Email  criton@thecriton.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sebastian Criton 
Designation  Professor and HOD 
Affiliation  Amala Institute of Medical Sciences 
Address  Department of Dermatology, Amala Institute of Medical Sciences, Amala nagar,Thrissur Kerala

Thrissur
KERALA
680555
India 
Phone  9447009990  
Fax    
Email  criton@thecriton.com  
 
Source of Monetary or Material Support  
Applied for IADVL project grant,if not approved will be self funded 
 
Primary Sponsor  
Name  Haritha Prasanth 
Address  Junior Resident Amala Institute of Medical Sciences, Amala nagar, Thrissur 
Type of Sponsor  Other [Self] 
 
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 
Haritha Prasanth  Amala Institute of Medical Sciences  Department of Dermatology, Amala Institute of Medical Sciences, Amala nagar,Thrissur Kerala
Thrissur
KERALA 
9496489136

harithaprasanth254@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC, Amala Institute of Medical Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L508||Other urticaria,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  CASES- 1. Clinically diagnosed patients with chronic spontaneous urticaria
CONTROLS-1. Healthy individuals volunteering to participate in the study
 
 
ExclusionCriteria 
Details  CASES- 1. Patients exposed to treatment with antifungals and proton pump inhibitors one month before sample collection
2. Patients with active fever or gastrointestinal infections
3. Patients with history of GI surgeries
4. Patients with immunodeficiency disorders, auto-inflammatory syndromes, urticarial vasculitis, severe infections
5. Patients treated with systemic corticosteroids, immunomodulators 1 month before sample collection
CONTROLS- 1. Individuals with personal history of urticaria, atopic dermatitis, allergic rhinitis, conjunctivitis, asthma, anaphylaxis
2. Individuals with other dermatological diseases, GI infection or history of GI surgeries, those diagnosed with irritable bowel syndrome, inflammatory bowel disease and any other autoimmune diseases
3. Use of systemic antifungals, proton pump inhibitors, systemic steroids, immunomodulators one month before sample collection

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Fungal gut microbiome in patients with chronic spontaneous urticaria and healthy controls  at baseline 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "25"
Final Enrollment numbers achieved (India)="25" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/01/2026 
Date of Study Completion (India) 01/05/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
This is a cross sectional study to assess the fungal gut gut microbiome alterations in chronic spontaneous urticaria compared to healthy controls. All clinically diagnosed cases of chronic spontaneous urticaria attending OPD and healthy controls satisfying the inclusion and exclusion criteria will be selected for the study. All participants will be subjected to detail history taking and a written informed consent will be obtained. Participants will provide stool samples which will be collected in sterile containers and stored at -80 degree celsius until processing. Total DNA will be extracted from the stool samples using a commercially available kit. The DNA samples will be then amplified, sequenced and analysed using ITS gene sequencing. This will allow us to determine fungal gut microbiome.
This study focuses on fungal gut microbiome alterations in patients with chronic spontaneous urticaria and thus providing a promising therapeutic option in future, thereby improving the quality of life in patients with chronic spontaneous urticaria.
 
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