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CTRI Number  CTRI/2020/02/023319 [Registered on: 13/02/2020] Trial Registered Prospectively
Last Modified On: 12/02/2020
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Detection of acute kidney injury in intensive care units using novel urine test. 
Scientific Title of Study   Biomarker enhanced management of acute kidney injury in Indian patients 
Trial Acronym  BEMAKI 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rajasekara Chakravarthi 
Designation  Sr. Consultant Nephrologist and Director Neprhology 
Affiliation  Star Hospitals 
Address  8-2-596/5, Road No.10,Star Hospital,Department of Nephrology,Block C,Room No 3101, Banjara Hills, Hyderabad.
Renown Clinical Services,Flat No 2,Meghana Edifice,Road No 3,Banjara Hills,Hyderabad-500034
Hyderabad
TELANGANA
500034
India 
Phone  04044777777  
Fax    
Email  rajasekarac@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajasekara Chakravarthi 
Designation  Sr. Consultant Nephrologist and Director Neprhology 
Affiliation  Star Hospitals 
Address  8-2-596/5, Road No. 10,Star Hospital,Block C,Room No 3101, Banjara Hills, Hyderabad.
Renown Clinical Services,Flat No 2,Meghana Edifice,Road No 3,Banjara Hills,Hyderabad renownclinicalservices@gmail.com
Hyderabad
TELANGANA
500034
India 
Phone  04044777777  
Fax    
Email  rajasekarac@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Girish Vasudeo Kumthekar 
Designation  Consultant Nephrologist 
Affiliation  Star Hospitals 
Address  8-2-596/5, Road No. 10,Department of Nephrology,Block C,Room 3017, Banjara Hills, Hyderabad.
Renown Clinical Services,Flat No 2,Meghana Edifice,Road No 3,Banjara Hills,Hyderabad. renownclinicalservices@gmail.com
Hyderabad
TELANGANA
500034
India 
Phone  04044777777  
Fax    
Email  drgirishkumthekar@gmail.com  
 
Source of Monetary or Material Support  
BioMerieux,100 Rue Louis Pasteur, 69280 Marcy-lÉtoile, France 
 
Primary Sponsor  
Name  BioMerieux India Pvt Ltd 
Address  43A, Okhla phase 3, MODI mill compound, New Delhi-110020 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 12  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Prathim Senugupta  ILS Hospital  Nephrology Department Dumdum 1 Mall Road Near Nagerbazar flyover 700080
Kolkata
WEST BENGAL 
9830159686

pratim.sengupta@gmail.com 
Dr Ramesh Venkatraman  Apollo Hospitals  Dept. of CCM, Main block, 21, Greams Lane, Off Greams Road Chennai - 600006
Chennai
TAMIL NADU 
9940219670

ccmramesh@gmail.com 
Dr Soma Sekhara  Apollo Hospitals  Room no. 43 Nephrology department JubileeHills. Hyderabad 500096
Hyderabad
TELANGANA 
9391384659

mssekhar_58@rediffmail.com 
Dr Manjunath Shetty  J. S. S. Medical college hospital  Department of Nephrology, Opposite J.S.S.Pharmacy College, Bannimantap A Layout, Bannimantap, Mysuru, Karnataka 570015
Mysore
KARNATAKA 
9880739069

manju.doshetty@gmail.com 
Dr Sreejith Parameswaran  JIPMER  Department of Nephrology #5348, Super Speciality Block JIPMER campus Dhanvantari Nagar P. O., Puducherry - 605006
Pondicherry
PONDICHERRY 
9489148338

sparameswaran@outlook.com 
Dr Valentine Lobo  KEM Hospital, Pune  Dept of Nephrology 89, Sardar Moodliar Road, Rasta Peth, Pune, Maharashtra 411011
Pune
MAHARASHTRA 
8087847826

valentinelobo@rediffmail.com 
Dr Deepak Govil  Medanta Medicity Hospital  Department of Critical Care Medicine Near Olympus, CH Baktawar Singh Rd, Sector 38, Gurugram, 122001
New Delhi
DELHI 
9818056688

drdeepak_govil@yahoo.co.in 
Dr Vivek Kumar  PIGMER  Department of Nephrology Sector 12, Chandigarh-160012
Chandigarh
CHANDIGARH 
7087429731

enigma165@yahoo.co.in 
Dr Narayan Prasad  Sanjay Gandhi Postgraduate Institute of Medical Sciences  Department of Nephrology, Raebareli Rd, Haibat Mau Mawaiya, Lucknow, Uttar Pradesh 226014
Lucknow
UTTAR PRADESH 
9415403140

narayan.nephro@gmail.com 
Dr Piyush Mathur  Santokba Durlabhji Memorial Hospital  Department of Nephrology Bhawani Singh Marg, Near, Rambagh circle, Jaipur, Rajasthan 302015
Jaipur
RAJASTHAN 
7023333189

piyushnephro@gmail.com 
Dr I Chandana Reddy  Star Hospitals  Pulmonary and critical care department Room No. 101 A block 1st floor 8-2-596/5, Road No. 10 Banjara Hills, Hyderabad- 500034
Hyderabad
TELANGANA 
9866284070

drchandanasekhar@gmail.com 
Dr Srinivas Samvedam  Virinchi Hospitals  Department of Critical Care Medicine, Virinchi Circle, Rd Number 1, Shyam Rao Nagar, Banjara Hills, Hyderabad, Telangana 500034
Hyderabad
TELANGANA 
9866343632

srinivas3271@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 12  
Name of Committee  Approval Status 
Ethics Apollo Hospitals Enterprise Limited Chennai,  Submittted/Under Review 
Ethics committe Apollo Hospitals, Hyderabad  Submittted/Under Review 
ILS Hospital Ethics Committee  Submittted/Under Review 
Institutional Ethics Committee - JSSMC  Submittted/Under Review 
Institutional Ethics Committee - KEM Hospital Research Center  Submittted/Under Review 
Institutional Ethics Committee for Observational Studies JIPMER  Submittted/Under Review 
Institutional Ethics Committee of Santokba Durlabhji Memorial Hospital cum Medical Research Institute  Submittted/Under Review 
Institutional Ethics Committee PGIMER  Submittted/Under Review 
Institutional Ethics Committee SGPGI  Submittted/Under Review 
Institutional Ethics Committee Star Hospitals  Approved 
Medanta Institutional Ethics Committee (MIEC)  Submittted/Under Review 
Virinchi Hospitals  Submittted/Under Review 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Age > 18 admitted to ICUs
Diagnosis of sepsis or following major surgery.
High risk of developing AKI based on the Malhotra score > 88 
 
ExclusionCriteria 
Details  Unable to give consent and absence of any surrogate to give consent
Chronic hemodialysis or peritoneal dialysis within the past 12 months
Functioning kidney transplantation
Patients not expected to survive more than 48 h
Prisoners 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Development of acute kidney injury.  Day 7 after enrollment. 
 
Secondary Outcome  
Outcome  TimePoints 
1.Requirement of dialysis.
2.length of hospital and ICU stay.
3.Mortality.
4.Development of chronic kidney disease. 
day 90 after enrollment. 
 
Target Sample Size   Total Sample Size="1000"
Sample Size from India="1000" 
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)   14/02/2020 
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="0"
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   Acute Kidney Injury (AKI) is a complex disorder encountered from 5% in hospitalized patients and 40-60% in ICU setting. it is associated with high mortality and increased resource utilization . Clinical trials have demonstrated the efficacy of these new biomarkers in detecting kidney damage, predicting disease progression and determining potential recovery. Two Randomized clinical trials have shown the efficacy of TIMP2 and IGFBP biomarkers in Cardiac surgery (PREVAKI)2 and high risk surgery patients (BIGPAK)3 to improve outcomes. Unfortunately the adoption of damage biomarkers into routine clinical care worldwide has been limited. In This study we propose to characterize the utility of nephrocheck in the diagnosis,  differentiation and management of AKI in patients with sepsis and major surgery in the ICU across multiple centers in india provide new information on patterns of AKI development, course and management and ascertain the barriers to boimarker applications in this setting.  The data obtained will inform the development of best practices for optimal utilization of the nephrocheck markers to improve outcomes from AKI. 
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