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CTRI Number  CTRI/2025/09/094077 [Registered on: 01/09/2025] Trial Registered Prospectively
Last Modified On: 21/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   PROSPECTIVE OBSERVATIONAL 
Study Design  Single Arm Study 
Public Title of Study   A hospital study to understand the common causes of long-lasting fever in people living in North Mumbai suburbs 
Scientific Title of Study   A prospective hospital based observational study about region specific epidemiology for extended fever in north mumbai sub urban region. 
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. Neha Nemani 
Designation  DNB resident Department of Internal medicine 
Affiliation  Bhaktivedanta hospital and research institute 
Address  OPD 1, ground floor, bhaktivedanta hospital and research institute, srishti complex, bhaktivedanta swami marg, mira road (east), thane.

Thane
MAHARASHTRA
401107
India 
Phone  9819408011  
Fax    
Email  neha.nemani.nn@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.Dhaval Dalal 
Designation  Head of the Department of Internal Medicine 
Affiliation  Bhaktivedanta hospital and research institute 
Address  OPD 1, ground floor, bhaktivedanta hospital and research institute, srishti complex, bhaktivedanta swami marg, mira road (east), thane.

Thane
MAHARASHTRA
401107
India 
Phone  9322220944  
Fax    
Email  drdalal.rns@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Neha Nemani 
Designation  DNB resident Department of Internal medicine 
Affiliation  Bhaktivedanta hospital and research institute 
Address  OPD 1, ground floor, bhaktivedanta hospital and research institute, srishti complex, bhaktivedanta swami marg, mira road (east), thane.

Thane
MAHARASHTRA
401107
India 
Phone  9819408011  
Fax    
Email  neha.nemani.nn@gmail.com  
 
Source of Monetary or Material Support  
Bhaktivedanta hospital and research institute, srishti complex, bhaktivedanta swami marg, mira road (east), thane - 401107, Maharashtra, India 
 
Primary Sponsor  
Name  Bhaktivedanta hospital and research institute 
Address  srishti complex, bhaktivedanta swami marg, mira road (east), thane - 401107, Maharashtra, India 
Type of Sponsor  Research institution and 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 Neha Nemani  Bhaktivedanta hospital and research institute  srishti complex, bhaktivedanta swami marg, mira road (east)
Thane
MAHARASHTRA 
9819408011

neha.nemani.nn@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Bhaktivedant Hospital Ethics Committe for Biomedical and Health Research   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R509||Fever, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1.Patients aged more than or equal to 18 years from north Mumbai sub-urban region
2.Fever for more than 7 days,
3.temperature of more than 38.3 degree celcius or 100 degree ferhenite
 
 
ExclusionCriteria 
Details  1.Pregnancy
2.Known case of HIV with CD4 count less than 200
3.Known case of HIV not on ART
4.Age less than 18 Years
5.On Biologic therapies
6.Neutropenia
7.On steroid dose of more than 2mg per kg for more than 2 weeks within 3 months
8.Known case of malignancy/active malignancy
9.History of Hematopoietic Stem Cell Transplantation
10.healthcare associated infection
11.transferred in from another centre

 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Then primary outcome will be Statistical elaboration of the prevalence of various aetiologies of extended fever in region of study as percentages.  1 month 
 
Secondary Outcome  
Outcome  TimePoints 
• Novel study in the said region to evaluate epidemiology of extended fever.
• Statistically elaborate the prevalence of various aetiologies of extended fever in region of study
• Contribution to existing knowledge for improved patient management.
• Better resource allocation and improved cost effectiveness.
• Overall – better Community health planning
 
2 years 
 
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)   01/09/2025 
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="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   Extended fever origin remains one of the most difficult diagnostic challenges for a physician. Extended fever may have over 200 different aetiologies. Diagnostic strategies cannot follow one size fits all approach with the heterogeneity of presentations of cases of extended fever. Hence, the purpose of this observational study is to evaluate the comprehensive epidemiology of extended fever in the region of North Mumbai Sub Urban and suggest a region tailored approach to extended fever to enhance clinical-decision making and resource allocation. During this study, the Patients will undergo a complete assessment based on symptoms, history, clinical examination and the necessary test like blood counts, blood culture and ultrasound and if necessary, CT scan will be done. PET scan will be done if required. Patient will receive standard treatment based on the diagnosis. The thesis could offer insights into the unmet needs, harness new resources or establish approach that is both scientifically and clinically impactful 
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