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CTRI Number  CTRI/2017/11/010573 [Registered on: 21/11/2017] Trial Registered Retrospectively
Last Modified On: 01/11/2018
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Association of various HLA genes in Early on set of Psoriasis or Late on set of Psoriasis.  
Scientific Title of Study   A Study on Genetic predisposition and Skin Microbiome in Psoriasis patients attending Tertiary Care Hospital. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Krishna Murthy C 
Designation  Junior Research Fellow 
Affiliation  Chettinad Academy of Research and Education. 
Address  Chettinad Academy of Reseach and Education. Chettinad Health City.Rajiv Gandhi Salai, Kelambakkam Kanchipuram Dist. Tamil Nadu 603103

Kancheepuram
TAMIL NADU
603103
India 
Phone  9710496869  
Fax  47413300  
Email  krishnacare15@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Krishna Murthy C 
Designation  Junior Research Fellow 
Affiliation  Chettinad Academy of Research and Education. 
Address  Chettinad Academy of Reseach and Education. Chettinad Health City.Rajiv Gandhi Salai, Kelambakkam Kanchipuram Dist. Tamil Nadu 603103


TAMIL NADU
603103
India 
Phone  9710496869  
Fax  47413300  
Email  krishnacare15@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr M S Srinivasan 
Designation  HOD and Professor 
Affiliation  Chettinad Academy of Research and Education. 
Address  Chettinad Hospital and Research Institute. Chettinad Health City.Rajiv Gandhi Salai, Kelambakkam Kanchipuram Dist. Tamil Nadu 603103

Kancheepuram
TAMIL NADU
603103
India 
Phone  9884154232  
Fax  47413300  
Email  hamsrini@yahoo.co.in  
 
Source of Monetary or Material Support  
Chettinad Academy of Research and Education- Research Fellowship. 
 
Primary Sponsor  
Name  Chettinad Academy of Research and Education Research Fund 
Address  Chettinad Health City Rajiv Gandhi Salai Kelambakkam Kanchipuram Dist. Tamil Nadu 603103 
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 = 0  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients with Psoriasis.,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients with all types of Psoriasis along with control will be included as a source of samples to carry out this study. 
 
ExclusionCriteria 
Details  Foreign patients with psoriasis will be excluded. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Identification of candidate genes in HLA Class II ,as predisposition factor for either Early onset of Psoriasis or Late onset of Psoriasis in Psoriasis Patients.  Study duration is 3 years in with comparison of Early on set of Psoriasis or Late onset of Psoriasis with their mean age differences in Psoriasis patients.
 
 
Secondary Outcome  
Outcome  TimePoints 
Skin Microbial Flora will be elucidated in Psoriasis patients with genetic predisposition.   Duration is 3 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)   10/05/2016 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   None yet. 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Psoriasis is a common inflammatory skin disorder characterised by disruption of keratinocyte terminal and premature desquamation of stratum conium. Patho physiology includes the activation , migration of cells to the dermis triggering the release of cytokines (TNF α )which leads to inflammation and rapid production of skin cells , common triggers are skin trauma, stress, systemic infections, long term and abrupt use of drugs. Types of Psoriasis – Plaque, Pustular , Guttate , Erythrodermic , Palmoplantar Psoriasis. World prevalence rate is ~3%, incidence rate in USA 78.9/100,000 personyears, Psoriasis prevalence rate in India is ~2%. 
                                                                                     Risk susceptibility loci within MHC region on chromosome 6 called PSORS1-9 ;- accounts 35-50% for Psoriasis. PSORS1 region on chromosome 6p21 spanning 200 kb of MHC class I region accounts for upto 50% of the familial psoriasis predominantly HLA Cw06 , HLA DR 7 (Indumathi et al) , HLA DRB1 , HLA DQB1 are associated with psoriasis and considered as psoriasis susceptible risk alleles in Human beings in various parts of the world. HLA DRB1 phenotype is strongly associated with PsA in type 1 Psoriasis patients .                                                   
                                                                                       This study , aims to determine the frequency of subclinical microbial infection and variety of microbial flora in patients suffering from psoriasis. And highlights the other common environmental factors commonly trigger the common inflammatory skin infection to complex disease – Psoriasis.

Aim & Objectives
 
1. To evaluate the association of HLA-Cw6, HLA DR 7 , HLA DRB1 HLA DQB1 in Psoriasis. (all types of Psoriasis.) 
2. To characterise the Bacterial , Fungal isolates of Psoriasis . Antibiotic Susceptibility pattern will be determined , for the culture isolates.
 
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