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CTRI Number  CTRI/2025/12/098391 [Registered on: 03/12/2025] Trial Registered Prospectively
Last Modified On: 03/12/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Prospective observational study 
Study Design  Other 
Public Title of Study   Use of fibroscan as a safe diagnostic tool on women diagnosed to have type 1 diabetes in 1st trimester of pregnancy for early diagnosis of liver diseases 
Scientific Title of Study   Assessment of liver stiffness by fibroscan in pregnant women of 1st trimester with pre gestational diabetes mellitus without known hepatic pathology for early diagnosis of liver disorders 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aadrita Bishnu 
Designation  Student  
Affiliation  Jawaharlal Nehru Medical College  
Address  Rc hostel, Jawaharlal Nehru medical College, Belagavi 590010

Belgaum
KARNATAKA
590010
India 
Phone  7002801460  
Fax    
Email  aadrita280505@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Aadrita Bishnu 
Designation  Student  
Affiliation  Jawaharlal Nehru Medical College  
Address  Rc hostel, Jawaharlal Nehru medical College, Belagavi 590010

Belgaum
KARNATAKA
590010
India 
Phone  7002801460  
Fax    
Email  aadrita280505@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Aadrita Bishnu 
Designation  Student  
Affiliation  Jawaharlal Nehru Medical College  
Address  Rc hostel, Jawaharlal Nehru medical College, Belagavi 590010

Belgaum
KARNATAKA
590010
India 
Phone  7002801460  
Fax    
Email  aadrita280505@gmail.com  
 
Source of Monetary or Material Support  
Indian council of medical research-monetary support  
 
Primary Sponsor  
Name  ICMR 
Address  ICMR Indian Council of Medical Research V.Ramalingaswami Bhavan , P O box 4911, Ansari nagar, New Delhi 110029 
Type of Sponsor  Government funding agency 
 
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 Farzana Begaum Dharwad   KLE Dr. Prabhakar Kore Charitable Hospital   KLE Dr. Prabhakar Kore Charitable Hospital, Nehru Nagar, Belagavi
Belgaum
KARNATAKA 
99869 42518

farznaaz2006@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JNMC Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O099||Supervision of high risk pregnancy, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  All pregnant women in first trimester with pre gestational diabetes
mellitus 
 
ExclusionCriteria 
Details  Patients with known hepatic pathology like chronic liver
diseases, liver cirrhosis, auto immune hepatitis, hepatocellular carcinoma etc. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Observation of fibroscan results of pregnant women with pre gestational diabetes mellitus(PGDM) without known hepatic pathology in the first trimester of pregnancy for early diagnosis o liver diseases and prompt referral.  1 year 
 
Secondary Outcome  
Outcome  TimePoints 
Fetal and maternal outcomes followup and reduction of maternal and perinatal mortality and morbidity due to liver disorders in pregnancy.  1 year 
 
Target Sample Size   Total Sample Size="96"
Sample Size from India="96" 
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)   13/12/2025 
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) - 

  6. For how long will this data be available start date provided 02-01-1970 and end date provided 02-01-1970?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary   This is an observational study using convenient sampling technique to observe the results of fibroscan on pre gestational diabetic women of 1st trimester without any known hepatic pathology. This study aims to assess the liver stiffness and its relation with insulin resistance using fibroscan as a non invasive diagnostic tool . The fetal and maternal outcomes will be studied and effects of altered fibroscan results on them.The first change that occurs in pregnant individuals with pre gestational diabetes mellitus is fall in fasting glucose levels , followed by insulin resistance and glucose intolerance potentially causing liver derived metabolic complications , complications like pre eclampsia, preterm birth and affect both fetal and maternal health.
Fibroscan is a diagnostic modality that uses transient elastography which  has 10 times smaller sampling error (3%) and
better inter observer reliability in contrast to liver biopsy.
The study will be conducted on pregnant women with pre gestational diabetes mellitus(PGDM) without known hepatic pathology in the first trimester of pregnancy attending the antenatal opd and wards of a tertiary health care centre. Since there is limited longitudinal data , further research is required to determine the specific contribution of insulin resistance to liver stiffness. 
This study aims to study the risk posed by pre gestational diabetes mellitus in development and progression of liver disease in pregnant woman with emphasis on the potential role of fibroscan for early detetction of steatosis/ fibrosis in pregnancies complicated by pregestational diabetes mellitus.

 
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