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CTRI Number  CTRI/2025/01/078936 [Registered on: 17/01/2025] Trial Registered Prospectively
Last Modified On: 17/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Genetic markers associated With the Risk of Gall Stones and Cirrhosis (disease). 
Scientific Title of Study   Genetic Variants Associated With the Risk of Gall Stones and Cirrhosis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NCT06679738  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ananthu SJ Narayan 
Designation  Senior Resident,Department of hepatology 
Affiliation  Institute of Liver and Biliary Sciences 
Address  Room No. 3368, Department of Hepatology, Phase II, 3rd Floor, D-1, Vasant Kunj, New Delhi-110070.

South West
DELHI
110070
India 
Phone  01146300000  
Fax    
Email  ananthunarayansj@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vikram Bhatia 
Designation  Professor, Department of Hepatology 
Affiliation  Institute of Liver and Biliary Sciences 
Address  Room No. 3344, Department of Hepatology, Phase II, 3rd Floor, D-1, Vasant Kunj, New Delhi-110070.

South West
DELHI
110070
India 
Phone  01146300000  
Fax    
Email  vikrambhatiadr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vikram Bhatia 
Designation  Professor, Department of Hepatology 
Affiliation  Institute of Liver and Biliary Sciences 
Address  Room No. 3344, Department of Hepatology, Phase II, 3rd Floor, D-1, Vasant Kunj, New Delhi-110070.


DELHI
110070
India 
Phone  01146300000  
Fax    
Email  vikrambhatiadr@gmail.com  
 
Source of Monetary or Material Support  
ILBS,D-1,vasant kunj, New Delhi-110070. 
 
Primary Sponsor  
Name  Institute of Liver and Biliary Sciences 
Address  D-1,vasant kunj, New Delhi-110070. 
Type of Sponsor  Research institution and hospital 
 
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 Ananthu SJ Narayan  Institute of Liver and Biliary Sciences  Room No. 3344, Department of Hepatology, Phase II, 3rd Floor, D-1, Vasant Kunj, New Delhi-110070.
South West
DELHI 
01146300000

ananthunarayansj@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, ILBS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K768||Other specified diseases of liver,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Patients more than 18 years of age.
2. Who has a GSD diagnosed by USG or have history of cholecystectomy for gall stone disease.
3. Who is a diagnosed case of cirrhosis by Fibroscan or USG (Cirrhosis including alcohol related cirrhosis, Hepatitis B, Hepatitis C, Wilsons disease, Hemochromatosis are excluded. 
 
ExclusionCriteria 
Details  1. Patients who have haemolytic anaemia
2. Patients who do not consent for genetic study
3. Patients who has a diagnosed cause for liver disease, including alcohol related cirrhosis, Hepatitis B, Hepatitis C, Wilsons disease, Hemochromatosis.
4. Inability to provide informed consent.
5. Cannot understand Hindi or English should be excluded since they will not be able to reply objectively to questionnaire. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Identification of genetic risk-variants associated with both GS and modulation of liver cirrhosis in patients with cirrhosis.  Day 0 
 
Secondary Outcome  
Outcome  TimePoints 
Identification of genetic polymorphisms in bile-acid metabolism and enterohepatic circulation, associated with increased GS risk in patients with cirrhosis.  Day 0 
Identification of genetic polymorphisms in cholesterol metabolism pathway, associated with increased GS risk in patients with cirrhosis  Day 0 
To study the association of UGT1A1 polymorphisms affecting bilirubin conjugation, with risk of GS in patients with cirrhosis.  Day 0 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   28/01/2025 
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="0" 
Recruitment Status of Trial (Global)   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  

Study population: 1. Patients > 18 years of age. 2.Who have either gall stone disease or cirrhosis.

Study design: All consecutive in-patients and out-patients requiring liver biopsy for evaluation of diffuse parenchymal liver disease will be evaluated for inclusion.

Study Cohorts-

1.       Cirrhosis with GSD

2.       No cirrhosis with no GSD

3.       Cirrhosis with no GSD

4.       GSD with no cirrhosis

5.       Cirrhosis with history of cholecystectomy for GSD

 

Study period: 1 year.

Intervention: Blood sample from included patients will be subject to panel based NGS.

Monitoring and assessment: History of all patients including family history will be taken. Screening for cirrhosis will be done by fibroscan or ultrasound scanning. Gall stone diagnosis is made by USG. History about patients’ parents, siblings, spouse, children will be taken with respect to gall stone and cirrhosis. NGS of cholecystitis will be send for the subject and the results will be collected as the fastQ file for analysis.

Statistical Analysis: MVA will be done to identify gene variants independently associated with lithogenesis and cirrhosis, along with demographic and environmental risk factors for these conditions. * From this data, overlapping risk-variants in common associated genes will be identified. A risk estimate (OR with 95% CI) will be calculated for each of the above identified genetic risk variant for the phenotype of cirrhosis with GS.

Adverse effects:

There are no adverse outcomes with respect to this study.

Stopping rule of study: There are no stopping rules for the study.

 
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