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CTRI Number  CTRI/2018/09/015809 [Registered on: 24/09/2018] Trial Registered Prospectively
Last Modified On: 08/01/2020
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Assessing heart function in preterm newborns using ultrasound examination of heart. 
Scientific Title of Study   Assessing myocardial strain pattern in a cohort of preterm neonates - A prospective observational study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sreedhara M S 
Designation  DM Resident 
Affiliation  Sri Ramachandra Medical College and Research Institute 
Address  Resident in neonatology. Sri Ramachandra Medical College and Research Institute. Porur, Chennai

Chennai
TAMIL NADU
600116
India 
Phone  9538760307  
Fax    
Email  drsreedharms@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prakash A 
Designation  Head Of the Department 
Affiliation  Sri Ramachandra Medical College and Research Institute 
Address  Department of Neonatology Sri Ramachandra Medical College and Research Institute. Porur, Chennai

Chennai
TAMIL NADU
600116
India 
Phone  9791181566  
Fax    
Email  neosrmc@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sreedhara M S 
Designation  DM Resident 
Affiliation  Sri Ramachandra Medical College and Research Institute 
Address  Resident in neonatology. Sri Ramachandra Medical College and Research Institute. Porur, Chennai

Chennai
TAMIL NADU
600116
India 
Phone  9538760307  
Fax    
Email  drsreedharms@gmail.com  
 
Source of Monetary or Material Support  
Sri Ramachandra Medical College and Research Institute. Porur. Chennai. 600116 
 
Primary Sponsor  
Name  SRMC and RI 
Address  Sri Ramachandra Medical College and Research Institute. Porur Chennai 
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 Sreedhara M S  SRMC, chennai  Sri Ramachandra Medical Center. Udayar Block. Department of neonatology. C3. 3rd flood NICU
Chennai
TAMIL NADU 
9538760307

drsreedharms@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Research Ethics Committee, SRMC and RI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Preterm neonates less than 32 weeks. 
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  28.00 Day(s)
Gender  Both 
Details  Preterm neonates 32 weeks and less 
 
ExclusionCriteria 
Details  Major congenital malformations.
First study not performed within 72 hours. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
BPD
Hemodynamicaly significant PDA
Death.
Need for transfusion
Need forinotropes during sepsis epsiodes 
34 week pma or dischargewhich ever is later 
 
Secondary Outcome  
Outcome  TimePoints 
Duration of NICU stay
Duration of ventilation
Ivh 
34 weeks pma or discharge  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   25/09/2018 
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="1" 
Recruitment Status of Trial (Global)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Assessment of myocardial function in neonates by strain analysis in echocardiography is a relatively new method. Although strain analysis is an established tool for myocardial function assessment in adults, it’s feasibility, application and interobserver variability are not studied in preterm neonates. We aim to study myocardial function in preterm neonates 32 weeks or less using this tool. Prospectively 100 neonates admitted to our Nicu will be studied at birth and then at multiple time points 1 week, 2 week, and then at 34 weeks. While echocardiography studies are performed at prespecified time points, strain analysis will be done only after the baby is discharged in an offline mode using the software q lab in a computer. The normal pattern of strain at various time points will be noted, and also whether strain pattern correlates with some major neonatal morbidities like BPD, hemodynamically significant PDA, need for transfusions, sepsis episodes with initropes requirement will be studied. Some of the study loops will be analysed for strain pattern by an external investigator and interobserver variability will be calculated. 
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