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CTRI Number  CTRI/2025/09/095226 [Registered on: 22/09/2025] Trial Registered Prospectively
Last Modified On: 20/09/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Long-Term Neuro Development in Newborns Affected by Rotavirus Infection 
Scientific Title of Study   Neurodevelopmental Outcomes in Neonates with Rotaviral Encephalopathy: A Prospective Cohort 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  Shruthi Bharadwaj 
Designation  Associate Professor 
Affiliation  KMC Manipal 
Address  Department of Neonatology, 1st floor, Women and Child Hospital, Kasturba Medical College, Manipal, Udupi

Udupi
KARNATAKA
576104
India 
Phone  7338321832  
Fax    
Email  skb_bmc@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Shruthi Bharadwaj 
Designation  Associate Professor 
Affiliation  KMC Manipal 
Address  Department of Neonatology, 1st floor, Women and Child Hospital, Kasturba Medical College, Manipal, Udupi


KARNATAKA
576104
India 
Phone  7338321832  
Fax    
Email  skb_bmc@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Shruthi Bharadwaj 
Designation  Associate Professor 
Affiliation  KMC Manipal 
Address  Department of Neonatology, 1st floor, Women and Child Hospital, Kasturba Medical College, Manipal, Udupi


KARNATAKA
576104
India 
Phone  7338321832  
Fax    
Email  skb_bmc@yahoo.co.in  
 
Source of Monetary or Material Support  
Department of Neonatology, Women and Child Hospital, Kasturba Medical College, Manipal, Udupi. Karnataka. 576104 
 
Primary Sponsor  
Name  Kasturba Medical College 
Address  Department of Neonatology, 1st floor, Women and Child Hospital, Kasturba Medical College, Manipal, Udupi. Karnataka 576104 
Type of Sponsor  Private 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 
Dr Shruthi Bharadwaj  Kasturba Medical College  Department of Neonatology, 1st floor, Women and Child Hospital, Kasturba Medical College, Manipal, Udupi 576104
Udupi
KARNATAKA 
7338321832

skb.bmc@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: P90||Convulsions of newborn,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  2.00 Year(s)
Gender  Both 
Details  Infants who were admitted to the NICU with seizures or encephalopathy. AND
- Diagnosed with positive rotaviral infection (stool PCR) with clinical and MRI brain evidence of encephalopathy. AND
- Parents give consent for follow-up in NICU OPD /High-risk OPD. 
 
ExclusionCriteria 
Details  Neonates with other confirmed central nervous system (CNS) infections or encephalopathy (e.g., meningitis, bacterial encephalitis, Hypoxic ischemic encephalopathy).
- Cases with incomplete medical records or missing follow-up.
- Neonates with genetic or metabolic disorders that could affect neurological outcomes 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Neurodevelopmental outcomes - motor , language and personal social   1-3 years age  
 
Secondary Outcome  
Outcome  TimePoints 
Vision, Hearing  1-3 years age  
 
Target Sample Size   Total Sample Size="25"
Sample Size from India="25" 
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)   01/10/2025 
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   This is a prospective cohort study involving infants previously admitted to the NICU for seizures or encephalopathy and subsequently diagnosed with rotavirus encephalopathy. Follow-up neurodevelopmental outcomes will be assessed in the NICU highrisk clinic. Parental consent will be obtained from eligible participants. All infants meeting the inclusion criteria will be identified from the NICU and MRD admission-discharge records. Medical records will be accessed from the hospital’s medical records department for NICU data. Parents will be contacted by phone and via mail and are requested to visit the NICU HRFU clinic for neurodevelopmental follow up visits every 3 to 6 months until 3 years of age. Diagnoses will be verified through documented laboratory confirmation of rotavirus infection in the records, along with MRI evidence of rotaviral encephalopathy. Baseline information on demographics, birth history gestational age, birth weight, and clinical presentation age at presentation, symptoms such as seizures or altered mental status) will be recorded. The clinical profile, including symptom onset and duration (documenting when symptoms began and how long they lasted); laboratory and imaging results (including rotavirus test results, complete blood count, biochemical profiles, cerebrospinal fluid CSF analysis if conducted, and electroencephalography EEG and neuroimaging findings of the MRI brain treatment administered type and duration of treatments given, e.g., antivirals, antiepileptics, supportive care); and outcome at NICU discharge neurological status at discharge, resolution of seizures or encephalopathy, and any noted complications will be extracted from the hospital’s electronic and/or physical records. Additional data on any comorbid conditions or congenital abnormalities will also be included. Neurodevelopmental outcomes between 1 and 3 years of age will be evaluated using the Denver Developmental Screening Test DDST. The Developmental Assessment Scale for Indian Infants DASII will be used to further assess motor and mental scores in participants who do not pass the DDST screening test. Data from other neurological assessments during follow-up will also be recorded follow-up imaging, EEG. Participants who are found to have neurodevelopmental issues will be provided with standard treatments with occupational therapy, physiotherapy, speech and language therapy, and vision, and hearing support as standard of care. 
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