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CTRI Number  CTRI/2025/04/085806 [Registered on: 28/04/2025] Trial Registered Prospectively
Last Modified On: 28/04/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   To find if the amount of a certain protein called IRK3 are related to the defense system of the body for being overactive in people with severe lung conditions known as ARDS 
Scientific Title of Study   To correlate elevated IRAK3 levels and the inflammatory profiles of ARDS patients 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  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 Second Floor ICU 10 Medanta The Medicity Sector 38

Gurgaon
HARYANA
122001
India 
Phone  09818056688  
Fax    
Email  drdeepak_govil@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Krishnendu Chakraborty 
Designation  Principal Scientist 
Affiliation  CSIR Institute of Genomics and Integrative Biology IGIB 
Address  Department of Cardiorespiratory Disease Biology CSIR Institute of Genomics and Integrative Biology IGIB Mall Road Campus Delhi 110007

New Delhi
DELHI
110007
India 
Phone  9051410911  
Fax    
Email  krishnenduind@gmail.com  
 
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 Second Floor ICU 10 Medanta The Medicity Sector 38

Gurgaon
HARYANA
122001
India 
Phone  09818056688  
Fax    
Email  drdeepak_govil@yahoo.co.in  
 
Source of Monetary or Material Support  
CSIR Institute of Genomics and Integrative Biology IGIB 
 
Primary Sponsor  
Name  CSIR Institute of Genomics and Integrative Biology IGIB 
Address  Department of Cardiorespiratory Disease Biology CSIR Institute of Genomics and Integrative Biology IGIB Mall Road Campus Delhi 110007 
Type of Sponsor  Research institution 
 
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 Deepak Govil  Medanta The Medicity  Institute of Critical Care and Anesthesiology Second Floor ICU 9 ICU 10 ICU 11 and ICU 12 Sector 38 Haryana 122001
Gurgaon
HARYANA 
09818056688

drdeepak_govil@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
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: J960||Acute respiratory failure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1 Patients aged 18 years or older will be included as ARDS primarily affects adults
2 Diagnosis of ARDS Only patients diagnosed with ARDS according to the Berlin criteria with suspected or documented Pneumonia infection in blood sputum and or BAL culture will be included in the study
3 Consent Patients or their legally authorized representatives must provide informed consent to participate in the study 
 
ExclusionCriteria 
Details  1 Patients receiving corticosteroid treatment
2 Patients with chronic obstructive pulmonary disease asthma ILD Emphysema or IPF
3 Diabetic patients
4 Immunosuppressive Conditions
5 Patients with Platelet count less than 20000 per microlitre and INR less than one and half
6 Patients with lung cancer existing or with history of Tuberculosis
7 Patients who has gone through lung transplant
8 Patients with pulmonary hypertension
9 Patients with Fungal infection  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Cytokine Profiling and Immune Phenotypes  The day of Onset of ARDS 
 
Secondary Outcome  
Outcome  TimePoints 
Elevated IRAK3 Expression in Immune Suppressive Group  The day of Onset of ARDS 
 
Target Sample Size   Total Sample Size="46"
Sample Size from India="46" 
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)   12/05/2025 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 Respiratory Distress Syndrome (ARDS) represents a significant cause of morbidity and mortality in critically ill patients.This study will investigate the correlation between cytokine levels (both pro-and anti-inflammatory) in blood and BAL and IRAK3 levels in lung macrophages in ARDS patients. By categorizing patients into sub-phenotypes based on their inflammatory profiles and assessing IRAK3 expression in both alveolar macrophages and peripheral blood monocytes. This study aims to identify potential biomarkers and therapeutic targets for managing ARDS-associated immune suppression and its complications.This study is a cross-sectional, non - interventional investigation conducted on critically ill ARDS patients admitted to the Intensive Care Unit (ICU). 10 ml of blood and 10 ml of BAL sample will be collected from subjects enrolled in the study. Primary outcome of the study is Cytokine Profiling and Immune Phenotypes and Secondary outcome is Elevated IRAK3 Expression in Immune Suppressive Group at the day of onset of ARDS. Future Benefits of the study are establishment of Potential Biomarkers for Infection Risk and Therapeutic Targeting of IRAK3. 
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