| CTRI Number |
CTRI/2024/12/078087 [Registered on: 13/12/2024] Trial Registered Prospectively |
| Last Modified On: |
12/12/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Prevalence of Pulmonary arterial hypertension and role of plasma NEDD 9 in newly diagnosed Graves disease patients |
|
Scientific Title of Study
|
Pulmonary arterial hypertension and plasma NEDD 9 in Graves disease and its alteration after normalization of thyroid hormones with antithyroid drugs |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Pradosh Kumar Sahu |
| Designation |
D.M Resident ,Endocrinology |
| Affiliation |
MKCG Medical College & Hospital |
| Address |
Department of Endocrinology, 3rd floor, superspeciality block, MKCG Medical college Berhampur, Ganjam, Odisha
Ganjam ORISSA 760004 India |
| Phone |
07846954848 |
| Fax |
|
| Email |
spradoshendo23@outlook.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr P Ravi Kumar |
| Designation |
Professor and Head |
| Affiliation |
MKCG Medical College & Hospital |
| Address |
3rd floor, Department of Endocrinology ss block, MKCG medical college, Berhampur
Ganjam ORISSA 760004 India |
| Phone |
7008356202 |
| Fax |
|
| Email |
padala797@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Pradosh Kumar Sahu |
| Designation |
D.M Resident ,Endocrinology |
| Affiliation |
MKCG Medical College & Hospital |
| Address |
Department of Endocrinology,3rd floor, superspeciality block,
MKCG Medical college Berhampur, Ganjam, Odisha.
Ganjam ORISSA 760004 India |
| Phone |
07846954848 |
| Fax |
|
| Email |
spradoshendo23@outlook.com |
|
|
Source of Monetary or Material Support
|
| Department of Endocrinology,M.K.C.G Medical college ,Berhampur,Ganjam,Odisha,760004 |
|
|
Primary Sponsor
|
| Name |
Pradosh Kumar Sahu |
| Address |
Department of Endocrinology, 3rd floor, superspeciality block M.K.C.G Medical college, Berhampur, Ganjam, Odisha |
| Type of Sponsor |
Other [self] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Pradosh Kumar Sahu |
MKCG MEDICAL COLLEGE |
Room no:4 Endocrinology Outdoor, Department of endocrinology, superspeciality block, Ground floor Ganjam ORISSA |
07846954848
spradoshendo23@outlook.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTIONAL ETHICS COMMITTEE, M.K.C.G MEDICAL COLLEGE, BRAHMAPUR,GANJAM.(ODISHA) |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: E050||Thyrotoxicosis with diffuse goiter, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Not applicable |
Not applicable |
| Intervention |
Tab Carbimazole |
Tab Carbimazole (5mg) was given to newly diagnosed Graves disease patients according to their serum free T3 and free T4 level to achieve euthyroidism. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
70.00 Year(s) |
| Gender |
Both |
| Details |
1.Newly detected Graves’ disease patients
2.Age ≥ 18 years
|
|
| ExclusionCriteria |
| Details |
1.Preexisting cardiovascular disease (significant valvular heart disease, coronary artery disease, dilated or hypertrophic cardiomyopathy, congestive heart failure, and arrhythmias)
2.History of pulmonary thromboembolism or significant pulmonary disease
3.Autoimmune connective tissue disease (Systemic sclerosis, Antiphospholipid antibody syndrome, Vasculitis, Rheumatoid arthritis)
4.Use of anorectic agents (aminorex, fenfluramine, and dexfenfluramine)
5. Known malignancies that can affect plasma NEDD 9 level (carcinoma of the breast, melanoma, T-cell leukemia, glioblastoma, colorectal carcinoma, Acute myeloid leukemia, chronic myeloid leukemia, Adenocarcinoma of lungs, carcinoma of oropharynx)
6. Non-malignant conditions known to affect plasma NEDD 9 like CVA, Polycystic kidney disease.
7. Infections that can produce secondary pulmonary arterial hypertension like HIV, HCV Infection
8. Pregnancy
9. Current smoker
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
1.To estimate the prevalence of Pulmonary arterial hypertension in Grave’s disease patients and its reversibility with treatment with antithyroid drugs (Thionamides).
2.To compare the plasma NEDD 9 level in newly diagnosed Grave’s disease patients with pulmonary arterial hypertension and without PAH at baseline.
3.To compare the plasma NEDD 9 level in newly diagnosed Grave’s disease patients with pulmonary arterial hypertension before and after treatment. |
1 YEAR |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| 1.To look for a correlation of TSH receptor antibody and anti-TPO antibody with pulmonary arterial hypertension in newly diagnosed Grave’s disease patients. |
1 YEAR |
|
|
Target Sample Size
|
Total Sample Size="96" Sample Size from India="96"
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
|
Phase 4 |
|
Date of First Enrollment (India)
|
25/12/2024 |
| 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="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| 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
|
The
prevalence of pulmonary arterial hypertension will be assessed by
2D-Echocardiography (mPAP >20mm of Hg) in newly detected Grave’s disease
patients presenting to OPD of the Department of Endocrinology, MKCG Medical
College & Hospital, Berhampur. They will be treated as per protocol and the
normalization of pulmonary arterial pressure will be reassessed after achieving
an euthyroid state. The novelty of our study is we will also assess the plasma
level of NEDD 9 in newly detected Grave’s disease patients with pulmonary
arterial hypertension (PAH) in comparison to the non-PAH group. We will also
assess for change in Plasma NEDD 9 level after normalization of pulmonary
arterial hypertension to know whether NEDD9 plays any role in pathogenesis in the
development of PAH. There is a role of thyroid autoimmunity in the development
of pulmonary arterial hypertension. We will look for a correlation between the
TSH receptor antibody and the anti-TPO antibody and the development of
pulmonary arterial hypertension in newly detected Grave’s disease patients. |