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CTRI Number  CTRI/2017/09/009869 [Registered on: 20/09/2017] Trial Registered Retrospectively
Last Modified On: 18/09/2017
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Probiotic 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   This is a randomized control trial in the setup of living donor liver transplant. Here we are assessing the role of synbiotic agents (pre and probiotics) in reducing infectious complications in the immediate post-operative period after liver transplant. 
Scientific Title of Study   A Prospective Randomised controlled trial analyzing role of peri-operative synbiotic treament to prevent infectious complications in patients undergoing elective living donor liver transplant.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  shweta mallick 
Designation  Mch Resident(GI surgery) 
Affiliation  Amrita Institute of Medical Sciences and Research Centre 
Address  Dept. of GI Surgery, AMRITA institute of medical sciences. Ponnekara

Ernakulam
KERALA
682041
India 
Phone  9535066320  
Fax  09535066320  
Email  shwet.mallick@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S Sudhindran guide 
Designation  Professor department of GI Surgery and Head of Transplant 
Affiliation  Amrita Institute of Medical Sciences and Research Centre 
Address  Dept. of GI Surgery, AMRITA institute of medical sciences. Ponnekara

Ernakulam
KERALA
682041
India 
Phone  9535066320  
Fax  09535066320  
Email  sudhisalini@icloud.com  
 
Details of Contact Person
Public Query
 
Name  shweta mallick 
Designation  Mch Resident(GI surgery) 
Affiliation  Amrita Institute of Medical Sciences and Research Centre 
Address  Dept. of GI Surgery, AMRITA institute of medical sciences. Ponnekara

Ernakulam
KERALA
682041
India 
Phone  9535066320  
Fax  09535066320  
Email  shwet.mallick@gmail.com  
 
Source of Monetary or Material Support  
Amrita Institute of Medical Sciences & Research Centre Ponekkara Kochi Kerala -682041 
 
Primary Sponsor  
Name  Amrita Institute of Medical Sciences Research Centre 
Address  Amrita Institute of Medical Sciences & Research Centre 
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 Shweta Mallick  Amrita Hospital  Department of GI & Transplant Surgery Amrita Institute of Medical Sciences & Research centre Ponekkara Kochi
Ernakulam
KERALA 
9535066320

shwet.mallick@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Amrita Institute of Medical Sciences & Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients undergoing living donor liver transplant for CLD,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control group  Patients in the study who are administered placebo. Patients in the control arm receive empty capsule of the same drug as a placebo in similar dosage and manner of administration. 
Intervention  Study group  Patients who are administered trial drug (synbiotic agent). The trial drug is a synbiotic (probiotic + prebiotic) drug, by the name Prowel. It contains probiotics (Lactobacillus acidus and Bifidobacterium) and prebiotics (Fructo-oligosaccharides). Patients in the study arm receive the drug 2 days prior to surgery (1capsule TDS, per orally) followed by 1 capsule TDS, per orally for 14 days after the surgery commencing on post-operative day1.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. All patients between 18 and 70 yrs old.
2. Patients who are recipient of primary liver allografts from a living donor.
 
 
ExclusionCriteria 
Details  1. Deceased donor liver transplant recepients
2.Multiorgan transplants
3.Culture proven pre-operative infection in recepient.
4.Intolerance to study medications.
 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess the effect of synbiotics on infection rate.  14 days post-operatively. 
 
Secondary Outcome  
Outcome  TimePoints 
1 Hospital & ICU length of stay
2 Antibiotics duration
3 30-day mortality
4 Acute graft rejection
 
14 days post-operatively. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   01/06/2016 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This is a double blinded randomized control trail assessing the role of synbiotics in preventing infection in patients undergoing live donor liver transplant. We have included 60 patients in our trial and are currently in the process of data analysis. 
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