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CTRI Number  CTRI/2025/12/098349 [Registered on: 03/12/2025] Trial Registered Prospectively
Last Modified On: 02/12/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Heart problem in liver disease and its effect after living donor liver transplant 
Scientific Title of Study   Prevalence of cirrhotic cardiomyopathy and its implications in patients undergoing living donor liver transplantation - A prospective observational 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  Nisha Maharu M G 
Designation  Associate consultant 
Affiliation  Institute 
Address  Dr Rela Institute and Medical center 7 CLC work road Nagappa nagar Chromepet Chennai
Dr Rela Institute and Medical center 7 CLC work road Nagappa nagar Chromepet Chennai
Chennai
TAMIL NADU
600044
India 
Phone  09994107950  
Fax    
Email  nishamaharu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Nisha Maharu M G 
Designation  Associate consultant 
Affiliation  Dr. Rela Institute and Medical centre 
Address  Dr Rela Institute and Medical center 7 CLC work road Nagappa nagar Chromepet Chennai
7 CLC work road Nagappa nagar Chromepet Chennai
Chennai
TAMIL NADU
600044
India 
Phone  09994107950  
Fax    
Email  nishamaharu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Nisha Maharu M G 
Designation  Associate consultant 
Affiliation  Institute 
Address  Dr Rela Institute and Medical center 7 CLC work road Nagappa nagar Chromepet Chennai
Dr Rela Institute and Medical center 7 CLC work road Nagappa nagar Chromepet Chennai
Chennai
TAMIL NADU
600044
India 
Phone  09994107950  
Fax    
Email  nishamaharu@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Dr Mohamed Rela 
Address  Dr Rela Institute and Medical center 7 CLC work road Nagappa nagar Chromepet Chennai Dr Rela Institute and Medical center 7 CLC work road Nagappa nagar Chromepet Chennai Chennai TAMIL NADU 600044 India  
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 
Nisha Maharu M G  Dr. Rela institute and medical centre  Department of liver anaesthesiology and critical care
Chennai
TAMIL NADU 
09994107950

nishamaharu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Dr Rela Institute & Medical Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K77||Liver disorders in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  All patients between 18 to 65 years of age who are undergoing living donor liver transplant surgery at our institution 
 
ExclusionCriteria 
Details  Patient refusal
Diagnosed with known cardiac disease - ischaemic heart disease, valvular or structural heart disease
Acute liver failure
Chronic kidney disease  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Will assess the status of cirrhotic cardiomyopathy
during peri operative period 
1 week, 3 months and 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
Will analyse any other cardiac events   1 week, 3 month & 6 months 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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)   20/01/2026 
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="1"
Months="1"
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   Liver transplant is the definitive treatment for patients with end stage liver disease
Due to altered physiological condition patients with cirrhosis develop a phenomenon called cirrhotic cardiomyopathy
Cirrhotic cardiomyopathy is defined as cardiac dysfunction in patients with cirrhosis in the absence of prior cardiac disease
In 2019 the cirrhotic cardiomyopathy consortium criteria reviewed  electrophysiological changes in cirrhotic cardiomyopathy and discussed their clinical relevance and potential treatment strategies
Systolic dysfunction like left ventricular ejection fraction less than or equal to fifty percentage or absolute global longitudinal strain less than 18
Advanced diastolic dysfunction with three or more like 
Septal e velocity of less than 7 
E by e prime ratio of more than or equal to 15
Left atrial volume index of more than 34 
Tricuspid regurgitation velocity of more than 2.8 
Along with these other condition like any changes in electrocardiography or electromechanical uncoupling or serum biomarkers
All these will be analysed by trans thoracic echocardiography in pre anaesthesia checkup and during post operative period 
Cardiac changes will be analysed and any cardiac events will be noted 
 
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