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CTRI Number  CTRI/2026/03/105713 [Registered on: 09/03/2026] Trial Registered Prospectively
Last Modified On: 09/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Ambispective Observational Study 
Study Design  Other 
Public Title of Study   A study of different inflammation responses and their effect on illness severity and survival in patients with acute respiratory distress syndrome 
Scientific Title of Study   Inflammatory Phenotypes in Acute Respiratory Distress Syndrome Incidence and Association with Morbidity and Mortality 
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 Kapil Zirpe 
Designation  HOD and Director Neuro Trauma Unit 
Affiliation  Grant Medical Foundation Ruby Hall Clinic 
Address  Grant Medical Foundation Ruby Hall Clinic
40 Sassoon Road Pune
Pune
MAHARASHTRA
411001
India 
Phone  9822844212  
Fax  02066455628  
Email  kapilzirpe@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kaustubh Zirpe 
Designation  DrNB SS Critical Care Medicine 
Affiliation  Grant Medical Foundation Ruby Hall Clinic 
Address  Grant Medical Foundation Ruby Hall Clinic
40 Sassoon Road Pune
Pune
MAHARASHTRA
411001
India 
Phone  8983380750  
Fax  02066455628  
Email  drkaustubhzirpe@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Kaustubh Zirpe 
Designation  DrNB SS Critical Care Medicine 
Affiliation  Grant Medical Foundation Ruby Hall Clinic 
Address  Grant Medical Foundation Ruby Hall Clinic
40 Sassoon Road Pune

MAHARASHTRA
411001
India 
Phone  8983380750  
Fax  02066455628  
Email  drkaustubhzirpe@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Grant Medical Foundation Ruby Hall Clinic 
Address  40 Sassoon Road Pune 411001 
Type of Sponsor  Other [Trust 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 Kaustubh Zirpe  Grant Medical Foundation Ruby Hall Clinic  40 Sassoon Road Pune 411001
Pune
MAHARASHTRA 
8983380570
02066455628
drkaustubhzirpe@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Poona Medical Research Foundation Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J00-J99||Diseases of the respiratory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1 Patients with ARDS
2 Patients within 7 days from invasion or exacerbation of respiratory symptoms or acute onset of ARDS
3 Patients with bilateral opacities not fully explained by effusions
4 Patients with respiratory failure not fully explained by cardiac failure
5 PF ratio less than 300mmHg with PEEP at least 5cm H2O
6 ARDA diagnosis within 48 hours 
 
ExclusionCriteria 
Details  1 Patients with congestive cardiac failure
2 Patients with liver failure
3 Patients with chronic renal failure requiring renal dialysis therapy
4 Patients with burns more than 20 percent of total body surface area
5 Patients with chronic inflammatory or autoimmune disease
6 Pregnant or lactating women
7 Patients with palliative care 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Incidence of hyper inflammatory and hypo inflammatory phenotypes among ARDS patients admitted to ICU  Number of ventilator free days within 28 days of ICU admission between the phenotypes
Duration of ICU stay in days across the phenotype groups 
 
Secondary Outcome  
Outcome  TimePoints 
ICU mortality in hyper inflammatory verses hypo inflammatory  Within 28days from ICU admission 
 
Target Sample Size   Total Sample Size="88"
Sample Size from India="88" 
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)   20/03/2026 
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="2"
Months="0"
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  

Rationale of the study

Understanding the incidence of inflammatory phenotypes in ARDS patients and their association with clinical outcomes could

Improve risk stratification by identifying patients at higher risk of mortality or complications.

Guide targeted therapies tailored to the patients inflammatory profile potentially optimizing treatment efficacy.

Provide insights into pathophysiology and aid future research on personalized management strategies for ARDS.

Limited data exist on their prevalence and impact in Indian ICUs making this study essential.


 
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