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CTRI Number  CTRI/2025/12/099128 [Registered on: 15/12/2025] Trial Registered Prospectively
Last Modified On: 13/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Neutrophil to lymphocyte ratio vs Sequential organ failure Assessment  
Scientific Title of Study   Neutrophil to lymphocyte ratio vs Sequential organ failure assessment (sofa) scores as marker of organ dysfunction severity in patients with sepsis in the ICU. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shankar Singh Shekhawat 
Designation  Junior resident  
Affiliation  Defence 
Address  Command hospital central Command Lucknow

Lucknow
UTTAR PRADESH
226029
India 
Phone  07807263229  
Fax    
Email  shankarsingh1111@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shankar Singh Shekhawat 
Designation  Junior resident  
Affiliation  Defence 
Address  Command hospital central Command Lucknow

Lucknow
UTTAR PRADESH
226029
India 
Phone  07807263229  
Fax    
Email  shankarsingh1111@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shankar Singh Shekhawat 
Designation  Junior resident  
Affiliation  Defence 
Address  Command hospital central Command Lucknow

Lucknow
UTTAR PRADESH
226029
India 
Phone  07807263229  
Fax    
Email  shankarsingh1111@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Dr Purushotham Godavarthy  
Address  Command hospital central Command Lucknow  
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 Shankar Singh Shekhawat   ICU CHCC  Command hospital central Command Lucknow
Lucknow
UTTAR PRADESH 
07807263229

shankarsingh1111@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee command hospital central Command Lucknow -226002(UP)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Diagnosed with sepsis based on Sepsis-3 criteria  
 
ExclusionCriteria 
Details  Immunocompromised state
Chronic organ dysfunction
Refusal of consent 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Outcome measures will be recorded.   0, 24 hrs,48hrs,72hrs 
 
Secondary Outcome  
Outcome  TimePoints 
To access the correlate NLR values with SOFA scores at ICU admission. To evaluate the predictive value of NLR & SOFA scores for ICU outcomes.   0,24hrs,48hrs,72hrs 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   30/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  30/12/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="1" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   Sepsis is a life-threatening condition characterized by organ dysfunction due to a dysregulated host response to infection. It remains a leading cause of morbidity and mortality in ICU settings worldwide. Early detection of organ dysfunction is crucial for improving outcomes. SOFA score is established tool for assessing severity but involves multiple parameters. NLR derived from routine blood tests, is emerging as a simpler, faster marker.  Comparing these tools may help identify a cost-effective method for sepsis management.  
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