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CTRI Number  CTRI/2019/07/020354 [Registered on: 24/07/2019] Trial Registered Prospectively
Last Modified On: 11/01/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Study to evaluate some genetic basis for azathioprine drug induced leukopenia 
Scientific Title of Study   A case control trial to assess association of TPMT(Thiopurine methyltransferase)and NUDT15(Nudix hydrolase)gene polymorphisms with azathioprine induced leukopenia. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SUPARNA CHATTERJEE 
Designation  Professor 
Affiliation  IPGME&R and SSKM hospital,Kolkata 
Address  Dept of Pharmacology Institute of Postgraduate Medical Education and Research 244B AJC Bose Road Kolkata

Kolkata
WEST BENGAL
700020
India 
Phone  03322041428  
Fax    
Email  drsupchat@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  SUPARNA CHATTERJEE 
Designation  Professor 
Affiliation  IPGME&R and SSKM hospital,Kolkata 
Address  Dept of Pharmacology Institute of Postgraduate Medical Education and Research 244B AJC Bose Road Kolkata

Kolkata
WEST BENGAL
700020
India 
Phone  03322041428  
Fax    
Email  drsupchat@gmail.com  
 
Details of Contact Person
Public Query
 
Name  SUPARNA CHATTERJEE 
Designation  Professor 
Affiliation  IPGME&R and SSKM hospital,Kolkata 
Address  Dept of Pharmacology Institute of Postgraduate Medical Education and Research 244B AJC Bose Road Kolkata

Kolkata
WEST BENGAL
700020
India 
Phone  03322041428  
Fax    
Email  drsupchat@gmail.com  
 
Source of Monetary or Material Support  
IPGME&R and SSKM Hospital 
 
Primary Sponsor  
Name  IPGMER and SSKM Hospital 
Address  Dept of Pharmacology Institute of Postgraduate Medical Education and Research 244B AJC Bose Road Kolkata 
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 Abhijnan Ghosh  IPGMER and SSKM Hospital Kolkata  Department of Pharmacology, 1st floor UCM building, IPGME&R and SSKM Hospital, 244 AJC Bose Road Kolkata
Kolkata
WEST BENGAL 
7003466065

dr.abhijnan@hotmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IPGMER Research OversightCommittee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M04||Autoinflammatory syndromes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Cases: Adult patients of either gender with a clinical diagnosis of an autoimmune disorder on azathioprine
Subjects on azathioprine who developed leukopenia within one year of treatment initiation that necessitated reduction of dose or drug withdrawal
Subjects should be willing to give written informed consent regarding study participation
Controls shall fulfill all inclusion and exclusion criteria except the occurrence of incidents of leukopenia. They will be age,gender and ethnicity matched. 
 
ExclusionCriteria 
Details  History of moderate to severe leukopenia in the past
History of intake of any drugs that it likely to have effect on haematopoietic stem cells
History of leukaemia, lymphoma, myelodysplastic syndorme, 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
TPMT gene polymorphisms c238G to C c460G to A and c719A to G
and NUDT15 polymorphism c415C to T 
within 1 week of enrollment DNA extraction will be done 
 
Secondary Outcome  
Outcome  TimePoints 
Correlation of TPMT and NUDT15 gene polymorphisms  at outcome 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   26/08/2019 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Case control study to assess the association of TPMT and NUDT15 gene polymorphisms with azathioprine induced leukopenia in adult patients (18-60 years) suffering from autoimmune diseases. 
Azathioprine is a commonly used immunosuppressant with a low therapeutic index. Leukopenia is the most common adverse effect which necessitates dose reduction or drug withdrawal. Studies have suggested a genetic basis for this adverse effect but reports are inconclusive. Studies suggest it is linked with polymorphism of the gene encoding for thiopurine methyltransferase (TPMT) enzyme which is involved in azathioprine metabolism while other studies have refuted it. Recent reportys also suggest that it may be linked to NUDT15(Nudix hydrolase 15) gene polymorphism. Since there are no published studies in eastern Indian population in this area, this study is planned.
 
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