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CTRI Number  CTRI/2025/07/090181 [Registered on: 04/07/2025] Trial Registered Prospectively
Last Modified On: 10/04/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Occurrence of kidney failure in ICU patients 
Scientific Title of Study   Acute Kidney Injury Epidemiology in ICU patients 2 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
AKI - EPI2, Version 1.0, Dated 17 June 2024  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Deepak Govil 
Designation  Vice Chairman 
Affiliation  Medanta The Medicity Gurgaon 
Address  Institute of Critical Care and Anesthesiology Medanta The Medicity Sector 38 Gurgaon

Gurgaon
HARYANA
122001
India 
Phone  09818056688  
Fax    
Email  drdeepak_govil@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deepak Govil 
Designation  Vice Chairman 
Affiliation  Medanta The Medicity Gurgaon 
Address  Institute of Critical Care and Anesthesiology Medanta The Medicity Sector 38 Gurgaon

Gurgaon
HARYANA
122001
India 
Phone  09818056688  
Fax    
Email  drdeepak_govil@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Deepak Govil 
Designation  Vice Chairman 
Affiliation  Medanta The Medicity Gurgaon 
Address  Institute of Critical Care and Anesthesiology Medanta The Medicity Sector 38 Gurgaon

Gurgaon
HARYANA
122001
India 
Phone  09818056688  
Fax    
Email  drdeepak_govil@yahoo.co.in  
 
Source of Monetary or Material Support  
Ghent University Hospital C Heymanslaan 10 9000 Ghent Belgium 
 
Primary Sponsor  
Name  Ghent University Hospital 
Address  C Heymanslaan 10 9000 Ghent Belgium 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India
Austria
Belgium
Denmark
Greece
Spain
Australia
Bolivia
Bosnia and Herzegovina
Brazil
Canada
Chile
China
Colombia
Croatia
Ecuador
Egypt
Finland
France
Georgia
Germany
Hungary
Ireland
Israel
Italy
Japan
Kuwait
Malaysia
Mexico
Netherlands
Portugal
Republic of Korea
Russian Federation
Saudi Arabia
Singapore
Slovenia
South Africa
Sweden
Switzerland
Taiwan
Thailand
Tunisia
Turkey
United Kingdom
United States of America
Uruguay
Iran (Islamic Republic of)  
Sites of Study
Modification(s)  
No of Sites = 7  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Anand Gupta  Asian Institute of Gastroenterology  6 3 661 Somajiguda Hyderabad 500082 Hyderabad TELANGANA
Hyderabad
TELANGANA 
9313392757

drandygrmc@gmail.com 
Dr Vaibhav Bhargava  Fortis Escorts Hospital  Jawhar Lal Nehru Marg Malviya Nagar Jaipur 302017 Jaipur RAJASTHAN
Jaipur
RAJASTHAN 
9928787788

drvaibhav79@gmail.co m 
Dr Akshay H M   JSS Medical College  Sri Shivarathreeshwara Nagara, Mysuru 570 015 Karnataka Mysore KARNATAKA
Mysore
KARNATAKA 
9886222812

hmmakshay@gmail.com 
Dr Smita Jain  Medanta Super speciality Hospital Indore   Plot No 8 PU4 Scheme no 54 Vijay Nagar Square A B Road Indore 452010 India
Indore
MADHYA PRADESH 
09425900760

Smita.Sarma@medanta.org 
Dr Deepak Govil  Medanta The Medicity  Institute of Critical Care and Anesthesiology ICU 9 10 11 12 2nd floor Medanta The Medicity 122001
Gurgaon
HARYANA 
09818056688

drdeepak_govil@yahoo.co.in 
Dr Kapil Zirpe  Ruby Hall Clinic   40 Sassoon Road Pune 411001 Pune MAHARASHTRA
Pune
MAHARASHTRA 
9822844212

kapilzirpe@gmail.com 
Dr Madhusudan R Jaju  Yashoda Academy of Medical Education and Research  Yashoda Hospital Behind Harihara Kala Bhavan Secunderabad
Hyderabad
TELANGANA 
8668459383

madhu_jaju123@rediffmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 7  
Name of Committee  Approval Status 
Institutional Ethics Committee Asian Institute of Gastroenterology IEC AIG  Approved 
Institutional Ethics Committee Biomedical and Health Research PMRF  Approved 
Institutional Ethics Committee Fortis Hospital, Jaipur  Approved 
Institutional Ethics Committee Fortis Hospital, Jaipur  Approved 
Institutional Ethics Committee Yashoda Academy of Medical Education and Research  Approved 
Medanta Indore Institutional Ethics Committee  Approved 
Medanta Institutional Ethics Committee (MIEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N179||Acute kidney failure, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1 Age more than equal to 18 years
2 Admitted to one of the participating ICUs
3 Admitted to the ICU for more than 24 hours or anticipated length of stay in the ICU for 24 hours or more
4 Informed consent according to local ethical committee 
 
ExclusionCriteria 
Details  1 Readmission to the ICU during the same hospitalization episode
2 End Stage Kidney Disease treated with maintenance RRT
3 Missing AKI defining data no measured serum creatinine and less than 6 hours of documented urinary output 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Occurence rate and maximum severity of AKI within 7 days of ICU admission
 
Within 7 days of ICU admission
 
 
Secondary Outcome  
Outcome  TimePoints 
1 Duration of AKI episodes within first week of ICU admission
2 Proportion of AKI with rapid reversal
3 Incidence of acute kidney disease
4 Use of RRT within 7 days of ICU admission
5 RRT free days during ICU admission 
6 Type & specifics of applied RRT
7 Proportion of patients without baseline creatinine
8 Length of stay in the ICU & post ICU in the hospital & total length of stay in the hospital
9 ICU & Hospital readmission upto day 90
10 Serum creatinine level at ICU & hospital discharge
11 RRT dependence at hospital discharge
12 Mortality at hospital discharge
13 Magnitude of AKI area under the curve of AKI of severity over time
14 Incidence of AKI & maximum AKI severity stage defined by serum creatinine & or urine output criteria only
 
At day 7
At day 90 
 
Target Sample Size   Total Sample Size="10642"
Sample Size from India="2500" 
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)   21/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  07/01/2025 
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)   Open to Recruitment 
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  

Acute Kidney Injury or AKI is a frequent complication in critically ill patients admitted to the intensive care unit. There are little data on biomarkers, renal replacement therapy and practices are available. The primary objective of this study is to provide a contemporary update on the epidemiology of AKI and associated outcomes in critically ill patients. The secondary object of this study is to assess temporal aspects of AKI, to describe utilization and practice of RRT and to explore differences in rates and outcomes between regions and health care systems according to geographical location and resources. This is an international, multicenter cohort study. Patients who are Age greater than equal to 18 years of age admitted to the participating ICU for more than 24-h, or anticipated length of stay in the ICU for 24 hour or more will be included in the study. The primary outcome of the study is see the occurence rate and maximum severity of AKI within 7 days of ICU admission.

 


 
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