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CTRI Number  CTRI/2025/11/097093 [Registered on: 07/11/2025] Trial Registered Prospectively
Last Modified On: 27/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   Comparison of Relapse Rate and Disease Severity among patients with Type 2 Lepra Reaction receiving Tofacitinib and Thalidomide separately as an adjuvant to systemic steroids: A Longitudinal Analytical Study 
Scientific Title of Study   Comparison of Relapse Rate and Disease Severity among patients with Type 2 Lepra Reaction receiving Tofacitinib and Thalidomide separately as an adjuvant to systemic steroids: A Longitudinal Analytical 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  Rishav Sanghai 
Designation  Junior Resident 
Affiliation  All India Institute of Medical Sciences, Patna 
Address  Department of Dermatology AIIMS Patna AIIMS Road Phulwari Sarif
Patna
Patna
BIHAR
801507
India 
Phone  9002013551  
Fax    
Email  rishav.sanghai21@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Swetalina Pradhan 
Designation  Associate Professor and Head of Department 
Affiliation  AIIMS Patna 
Address  Department of Dermatology AIIMS Patna Room No - 409 AIIMS Road Phulwari Sarif
Patna
Patna
BIHAR
801507
India 
Phone  7978843633  
Fax    
Email  dr.swetalinapradhan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rishav Sanghai 
Designation  Junior Resident 
Affiliation  AIIMS Patna 
Address  Department of Dermatology AIIMS Patna AIIMS Road Phulwari Sarif
Patna
Patna
BIHAR
801507
India 
Phone  9002013551  
Fax    
Email  rishav.sanghai21@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  AIIMS Patna 
Address  AIIMS Road, Phulwari Sarif 
Type of Sponsor  Government medical college 
 
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 
Rishav Sanghai  AIIMS Patna   Department of Dermatology AIIMS Road Phulwari Sarif Pin-801507
Patna
BIHAR 
9002013551

rishav.sanghai21@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: A305||Lepromatous leprosy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  : All patients with Type II lepra reaction age more than 18 years who are attending the Department of Dermatology and receiving Tofacitinib as adjuvant to Prednisolone during the study period.
- Patients with Type II lepra reaction age more than 18 years who have received Thalidomide as adjuvant to Prednisolone previously in 2022-23 as available in our department register will also be included in comparison group.
 
 
ExclusionCriteria 
Details  Patients having any active infection or URTI or Diarrhea
Immunocompromised status like HIV/Chemotherapy/Radiotherapy
Breastfeeding women
Severe liver disease or Renal Disease 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Relapse Rate
ENL severity score comparison 
At Baseline, 1 month, 3 month and 6 months  
 
Secondary Outcome  
Outcome  TimePoints 
Adverse events
DLQI 
At Baseline, 1 month, 3 month and 6 months  
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   10/11/2025 
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 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   This observational longitudinal analytical study aims to compare the relapse rate and disease severity among patients with Type 2 Lepra Reaction (Erythema Nodosum Leprosum) receiving Tofacitinib versus Thalidomide as adjuvants to systemic corticosteroids (Prednisolone). Patients receiving Tofacitinib during the study period will be prospectively followed for six months and compared with historical data of patients who received Thalidomide during 2022–23 from departmental records. Outcomes will include relapse rate, ENLIST ENL Severity Score (EESS), Dermatology Life Quality Index (DLQI), and adverse events at 1, 3, and 6 months. The study seeks to evaluate whether Tofacitinib, a JAK inhibitor, provides better disease control, lower steroid dependency, and improved quality of life with fewer adverse effects compared to Thalidomide in managing Type 2 Lepra Reaction. 
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