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CTRI Number  CTRI/2026/04/108017 [Registered on: 09/04/2026] Trial Registered Prospectively
Last Modified On: 20/03/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Developing a tool to rate how complex a living donors liver graft is, helping to predict short-term results after living donor liver transplant 
Scientific Title of Study   Development and Validation of a Living Donor Graft Complexity Score to Predict Early Outcomes After LDLT PRECISE-LDLT Study.Predict Early Outcomes After Living Donor Liver Transplantation 
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 Sonal Asthana 
Designation  Lead Consultant- HPB and Liver transplant Surgery 
Affiliation  Aster CMI 
Address  43/2, NH 7, New Airport Road, Sahakar Nagar, Sanjeevini Nagar, Bengaluru, Karnataka 560092

Bangalore
KARNATAKA
560092
India 
Phone  09686976379  
Fax    
Email  drsonal.asthana@asterhospital.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sonal Asthana 
Designation  Lead Consultant- HPB and Liver transplant Surgery 
Affiliation  Aster CMI 
Address  43/2, NH 7, New Airport Road, Sahakar Nagar, Sanjeevini Nagar, Bengaluru, Karnataka 560092


KARNATAKA
560092
India 
Phone  09686976379  
Fax    
Email  drsonal.asthana@asterhospital.in  
 
Details of Contact Person
Public Query
 
Name  Dr Sonal Asthana 
Designation  Lead Consultant- HPB and Liver transplant Surgery 
Affiliation  Aster CMI 
Address  43/2, NH 7, New Airport Road, Sahakar Nagar, Sanjeevini Nagar, Bengaluru, Karnataka 560092


KARNATAKA
560092
India 
Phone  09686976379  
Fax    
Email  drsonal.asthana@asterhospital.in  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Aster CMI Hospital 
Address  43/2, NH 7, New Airport Road, Sahakar Nagar, Sanjeevini Nagar, Bengaluru, Karnataka 560092 
Type of Sponsor  Private hospital/clinic 
 
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 Sonal Asthana  Aster CMI Hospital  43/2, NH 7, New Airport Road, Sahakar Nagar, Sanjeevini Nagar, Bengaluru, Karnataka 560092
Bangalore
KARNATAKA 
09686976379

drsonal.asthana@asterhospital.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Aster CMI Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K768||Other specified diseases of liver,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  80.00 Year(s)
Gender  Both 
Details  •Liver Transplant recipients (Living and Deceased)
• Patients with Hepato-cellular carcinoma
• All Chronic liver disease patients
• All Acute liver disease patients 
 
ExclusionCriteria 
Details  • All vulnerable patient population(Pregnant,Mentally unstable etc)
• Other organ transplant recipients( Heart,Lung,Kidney) 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To develop and validate a Living Donor Graft Complexity Score for LDLT that predicts early post-transplant outcomes.  3months,6 months ,12 months, 2 years ,5 years ,10 years, 15 years  
 
Secondary Outcome  
Outcome  TimePoints 
• To assess the association between graft complexity score and:
• Early allograft dysfunction (EAD)
• Biliary complications
• Vascular complications
• ICU and hospital length of stay
• To stratify LDLT recipients into low-, intermediate-, and high-complexity risk groups
• To evaluate the discriminatory performance of the score for predicting early graft failure and mortality
• To provide a simple, clinically applicable tool for donor assessment and surgical planning 
3 months  
 
Target Sample Size   Total Sample Size="8000"
Sample Size from India="8000" 
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)   17/04/2026 
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="2"
Months="4"
Days="0" 
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  

Currently, no standardized, LDLT-specific graft complexity score exists, leaving clinical assessment subjective and center-dependent, reliant on surgeon experience rather than objective metrics. A simple, objective, reproducible complexity score—incorporating anatomical variants, volumetric parameters, steatosis grading, and donor factors—is urgently needed to standardize preoperative donor assessment, accurately predict early outcomes, facilitate risk-stratified surgical planning, and improve informed counseling for both recipients and living donors in high-LDLT volume regions.

 
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