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CTRI Number  CTRI/2025/07/090772 [Registered on: 11/07/2025] Trial Registered Prospectively
Last Modified On: 10/07/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   “Living with Kidney Disease: Awareness, Struggles, and Barriers to Treatment. “ 
Scientific Title of Study   Knowledge, Determinants, and Barriers in the management of chronic kidney disease: A patient centered study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Swaroop Shetty 
Designation  Medical Student  
Affiliation  Kasturba Medical College Manipal 
Address  Kasturba Medical College Manipal, Department of Nephrology, First floor Kasturba Hospital Manipal,Manipal 576104

Udupi
KARNATAKA
576104
India 
Phone  8450973803  
Fax    
Email  swaaaa13@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Srinivas Vinayak Shenoy 
Designation  Associate Professor in Nephrology KMC Manipal 
Affiliation  Kasturba Medical College Manipal 
Address  Department of Nephrology KMC Manipal Manipal 576104

Udupi
KARNATAKA
576104
India 
Phone  9844374705  
Fax    
Email  shenoy.srinivas@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Srinivas Vinayak Shenoy 
Designation  Associate Professor in Nephrology KMC Manipal 
Affiliation  Kasturba Medical College Manipal 
Address  Department of Nephrology KMC Manipal Manipal 576104

Udupi
KARNATAKA
576104
India 
Phone  9844374705  
Fax    
Email  shenoy.srinivas@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Hospital Manipal, Kasturba Medical College Manipal, Opp coin circle, Madhav Nagar, Manipal 576104, Karnataka, India. 
 
Primary Sponsor  
Name  Kasturba Medical College Manipal 
Address  Kasturba Medical College Manipal Manipal 576104 
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 Srinivas Shenoy  Department of Nephrology, KMC Manipal  Department of Nephrology, KMC Manipal, Manipal 576104
Udupi
KARNATAKA 
9844374705

Shenoy.srinivas@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee-2   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N183||Chronic kidney disease, stage 3 (moderate), (2) ICD-10 Condition: N184||Chronic kidney disease, stage 4 (severe), (3) ICD-10 Condition: N185||Chronic kidney disease, stage 5, (4) ICD-10 Condition: N189||Chronic kidney disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Patients diagnosed with Chronic Kidney Disease (CKD) at stage 3 and above on KDIGO guidelines of any etiology.
2. Adults aged 18 years and above 
 
ExclusionCriteria 
Details  1. ESRD on dialysis. Patients already on long term dialysis will be excluded as their disease progression and management t may differ significantly.
2. Patients with Cognitive impairment or Severe Mental illness- Individuals with conditions that prevent them from understanding or responding accurately to awareness related assessments will be excluded
3. Patients with other serious co morbidities of other organs and those with terminal illnesses that may confound the study outcomes like severe heart failure, chronic liver disease, chronic pulmonary disease, chronic neurological conditions. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Awareness of the HbA1c target (7%) and Knowledge about blood sugar control in preventing CKD progression and diabetes related complications.
2. Awareness of BP targets (130/80) per KDIGO and Hypertension as CKD risk factor; awareness of anti hypertensive drugs and lifestyle changes.
3. Awareness of safe analgesics use.
4. Awareness of diet control in CKD (salt, water intake etc).
5. Association between awareness and socioeconomic status. 
Points1 to 4: Baseline (during filling of questionnaire)
5. 6th Month 
 
Secondary Outcome  
Outcome  TimePoints 
Relationship & disparities will be identified between awareness scores & socioeconomic class based on modified Kuppuswamy scale  6th Month 
 
Target Sample Size   Total Sample Size="384"
Sample Size from India="384" 
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)   01/08/2025 
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="0"
Months="6"
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  

This prospective, observational cross-sectional study aims to assess the level of awareness about the importance of glycemic and blood pressure control, salt and fluid intake, knowledge about analgesic use, and barriers to accessing healthcare among patients with chronic kidney disease (CKD) Stage 3 and above. The study will include 384 adult patients attending nephrology outpatient clinics. Data will be collected through a structured questionnaire administered in English and Kannada. The goal is to identify gaps in health literacy and factors such as socioeconomic status, education, occupation, and access to care that may influence CKD management. Insights from this research will help guide educational interventions and policy planning to improve CKD outcomes.

 
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