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CTRI Number  CTRI/2025/09/095333 [Registered on: 24/09/2025] Trial Registered Prospectively
Last Modified On: 23/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Longitudinal Observational 
Study Design  Other 
Public Title of Study   In patients who undergo major hepatobiliary and pancreatic surgeries the albumin increase trend is assesed and compared with post operative outcomes 
Scientific Title of Study   Time to post-operative recovery of Serum Albumin as a predictor of outcome in Major Hepato Pancreato Biliary Surgeries 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rajagopalan G 
Designation  MCh HPB Surgery Senior Resient 
Affiliation  Institute of Liver and Biliary Sciences 
Address  Phase 1 Department of Hepatopancreatobiliary surgery Institute of Liver and Biliary Sciences D1 Vasant Kunj

South
DELHI
110070
India 
Phone  8220408324  
Fax    
Email  prash1108@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ragini Kilambi 
Designation  Associate Professor 
Affiliation  Institute of Liver and Biliary Sciences 
Address  Phase 1 3rd Floor Department of Hepatopancreato Biliary Surgery Institute of Liver and Biliary Sciences D1 Vasant Kunj

South
DELHI
110070
India 
Phone  7835055461  
Fax    
Email  ragini.kilambi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ragini Kilambi 
Designation  Associate Professor 
Affiliation  Institute of Liver and Biliary Sciences 
Address  Phase 1 3rd Floor Department of Hepatopancreato Biliary Surgery Institute of Liver and Biliary Sciences D1 Vasant Kunj

South
DELHI
110070
India 
Phone  7835055461  
Fax    
Email  ragini.kilambi@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Institute of Liver Biliary Scineces 
Address  Institute of Liver and Biliary Sciences D1 Vasant Kunj New Delhi India Pin 110070  
Type of Sponsor  Government 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 Rajagopalan  Institute of Liver and Biliary Sciences  Phase 1 Department of Hepatobiliary and Pancreatic surgery Institute of liver and Biliary Sciences D1 Vasant kunj Delhi
South
DELHI 
8220408324

prash1108@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ILBS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K87||Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  13.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All patients undergoing major Hepato pancreatico Biliary surgeries.
Patients who are more than 12 years of age
Retrospective arm - Data from 2011
 
 
ExclusionCriteria 
Details  Patients who refuse or are unable to give consent.
Patients with Nephrotic syndrome, Protein losing enteropathies, Inflammatory bowel Disease, Cirrhosis
Emergency Surgeries
Data unavailable in retrospective arm
Patients who underwent Discharge against Medical advice and who had in hospital mortality. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To correlate Time to reversal trend of albumin as a predictor of outcome in major HPB surgeries as measured by hospital stay.
 
30 days 
 
Secondary Outcome  
Outcome  TimePoints 
To correlate the time to recovery of albumin with hospital stay complications & morbidity (Clavien Dindo classification Comprehensive Complication Index Intensive Care Unit Stay)
Time to reversal trend of albumin & CCI
Lack of reversal of albumin trend at discharge & readmission
 
30 days 
 
Target Sample Size   Total Sample Size="1000"
Sample Size from India="1000" 
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)   06/10/2025 
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="1"
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  

Hepatobiliary and Pancreatic surgery is associated with substantial risk of postoperative complications. Albumin is a negative acute phase protein. Its rapid decline may be due to degree of inflammation due to surgical procedures. The decline may due to multifactorial causes.Currently, contemporary data regarding the time to recovery of albumin, as a marker for early recovery of patient from surgical stress is sparse. Delta albumin is influenced by perioperative fluid administration and albumin supplementation. Delta albumin may not reflect the true surgical stress. Early post op albumin is a reflection of intraoperative events and not postoperative recovery or events and is unpredictable. Shorter recovery time of albumin is associated with less post op complications and hospital stay. Earlier recovery of albumin predicts lower morbidity and shorter hospital stay.


 
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