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CTRI Number  CTRI/2019/09/021022 [Registered on: 02/09/2019] Trial Registered Prospectively
Last Modified On: 28/08/2019
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   A study to see how ultrasound of the head can predict outcomes after an acute stroke 
Scientific Title of Study   Correlation between Pulsatility Index in Transcranial Doppler and Post Stroke Outcomes in patients with Acute Lacunar Strokes 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Naveen Kumar P 
Designation  DM Neurology Resident 
Affiliation  Sree Chitra Tirunal Institute for Medical Sciences and Technology(SCTIMST) 
Address  Room No 1412, Department of Neurology,Sree Chitra Tirunal Institute for Medical Sciences and Technology

Thiruvananthapuram
KERALA
695011
India 
Phone  09488019581  
Fax    
Email  naveenkumal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sajith Sukumaran  
Designation  Additional Professor and Guide 
Affiliation  Sree Chitra Tirunal Institute for Medical Sciences and Technology(SCTIMST) 
Address  Room No 3119(A), Department of Neurology,Sree Chitra Tirunal Institute for Medical Sciences and Technology

Thiruvananthapuram
KERALA
695011
India 
Phone  09495568035  
Fax    
Email  sajith.dr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sajith Sukumaran  
Designation  Additional Professor and Guide 
Affiliation  Sree Chitra Tirunal Institute for Medical Sciences and Technology(SCTIMST) 
Address  Room No 3119(A), Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology

Thiruvananthapuram
KERALA
695011
India 
Phone  09495568035  
Fax    
Email  sajith.dr@gmail.com  
 
Source of Monetary or Material Support  
Sree Chitra Tirunal Institute For Medical Sciences and Technology, Thiruvanathapuram, Kerala 695011 
 
Primary Sponsor  
Name  Dr Naveen Kumar P 
Address  Sree Chitra Institute For Medical Sciences and Technology, Thiruvananthapuram, Kerala 695011 
Type of Sponsor  Other [SELF] 
 
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 Naveen Kumar P  Sree Chitra Tirunal Institute for Medical Sciences and Technology  Room No 3110,Department of Neurology,Stroke services,Jai Nagat West road, Chalakkuzhi, Thiruvananthapuram, Kerala 695011
Thiruvananthapuram
KERALA 
09488019581

naveenkumal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SCTIMST Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G465||Pure motor lacunar syndrome, (2) ICD-10 Condition: G466||Pure sensory lacunar syndrome, (3) ICD-10 Condition: G467||Other lacunar syndromes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Not applicable   Not applicable  
Comparator Agent  Not applicable   Not applicable  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Patients aged 18 to 80 years with acute or recent lacunar strokes (as per Trial of Organon Acute Stroke Treatment classification)
2. Evaluation within 2 weeks of stroke onset attending to Neurology, Stroke services, SCTIMST.
3. Imaging confirmation of acute lacunar stroke by MRI Brain.
 
 
ExclusionCriteria 
Details  1. Age less than 18 or greater than 80 years.
2. Patients with evidence for large vessel atherosclerosis (greater than 50% stenosis of the extra or intracranial vessels with any of the imaging modalities)
3. Patients with large artery territory infarcts or major ICH at any point of time
4. Patients with prior psychiatric illness or cognitive impairment
5. Presence of heart failure, fever, respiratory distress or any other medical condition that can interfere with the neuropsychological assessment of the patient.
6. Impaired level of consciousness or significant aphasia.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine whether changes in Pulsatility index in Transcranial Doppler correlates with post stroke outcome with respect to neurological deficits, disability and depression, following acute lacunar strokes  0 and at 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Not applicable  Not applicable 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   01/10/2019 
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="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This is a prospective observational study to see how the presence and severity of deranged cerebral microvascular resistance (as indicated by the changes in Pulsatility Index in Transcranial Doppler) affects neuropsychological and functional recovery following acute lacunar strokes. Selected patients will be evaluated with Transcranial Doppler and baseline neurological deficits will be assessed by  National Institute of Health Stroke Score(NIHSS), disability assessed by modified Rankin’s scale (mRS), and depression assessed by Beck’s depression Inventory-2 (BDI-2). These parameters will be reassessed at 3 months to see whether Pulsatility index at baseline can predict the functional and neuropsychological recovery following acute lacunar strokes 
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