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CTRI Number  CTRI/2025/03/081827 [Registered on: 06/03/2025] Trial Registered Prospectively
Last Modified On: 29/01/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Diagnostic 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Development, of a tool for predicting bleeding in patients with Dengue fever for optimizing transfusion therapy in Dengue 
Scientific Title of Study   Development, validation and real-world impact of bleeding prediction models for optimizing transfusion therapy in Dengue 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rachana 
Designation  Assistant Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Emergency Medicine, Kasturba Medical College, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9599460465  
Fax    
Email  rachana2806@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nitin Gupza 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Infectious Diseases, Kasturba Medical College, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9868996079  
Fax    
Email  nityanitingupta@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Rachana 
Designation  Assistant Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Emergency Medicine, Kasturba Medical College, Manipal


KARNATAKA
576104
India 
Phone  9599460465  
Fax    
Email  rachana2806@gmail.com  
 
Source of Monetary or Material Support  
Indian Council of Medical Research, V Ramalingaswamy Bhavan, PO box 9941, Ansari Nagar, New Delhi -110029, India 
 
Primary Sponsor  
Name  ICMR 
Address  Indian Council of Medical Research, V Ramalingaswamy Bhavan, PO box 9941, Ansari Nagar, New Delhi -110029, India 
Type of Sponsor  Government funding agency 
 
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 Rachana  Kasturba Hospital, Manipal  Department of Emergency Medicine, Kasturba Medical College, Manipal -576104
Udupi
KARNATAKA 
9599460465

rachana2806@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College & Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: A90||Dengue fever [classical dengue],  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bleeding Prediction tool incoporating Thromboelastography test  The bleeding prediction tool will be designed using statistical modelling of the phase 1 data collection which may include Laboratory test results such as platelet count ,Hematocrit, PT, aPTT, or Thromboelastography test results values.(currently not a part of the standard of care) 
Comparator Agent  Nil (Current standard of care)  The comparison arm will not have any bleeding prediction tool. The treating physician may use test such as platelet count or PT/INR as per current practice or standard of care to predict bleeding and decide on transfusion therapy. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Patients presenting with Fever with Thrombocytopenia and having positive Dengue card test (NS1/IgM) on screening 
 
ExclusionCriteria 
Details  Known coagulation disorder
Patient on anticoagulant medications
Patients with active bleeding at the time of admission 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Bleeding (except petechiae & minor mucosal bleed)  48 hours from recruitment 
 
Secondary Outcome  
Outcome  TimePoints 
Blood Product transfusion (RDP)  48 hours from recruitment 
 
Target Sample Size   Total Sample Size="918"
Sample Size from India="918" 
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 3 
Date of First Enrollment (India)   15/03/2025 
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="4"
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   The study will be a diagnostic randomised trial. A bleeding prediction tool to predict 48-hour bleeding in Dengue. The treating Physician in the Diagnostic intervention arm will be given the bleeding prediction tool, the control group will not be provided the bleeding prediction tool and will receive the standard of care as per the treating physician. The incidence of 48 hour bleeding, blood product transfusion practices will be noted. The bleeding prediction tool will be validated and its real-world impact and physician acceptance will be studied. 
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