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CTRI Number  CTRI/2020/01/022731 [Registered on: 13/01/2020] Trial Registered Prospectively
Last Modified On: 02/01/2020
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   To study the gut flora after traumatic brain injury. 
Scientific Title of Study   To study the characteristics of gut microbiome after traumatic brain injury. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Charu Mahajan 
Designation  Associate Professor 
Affiliation  AIIMS, New Delhi 
Address  Department of Neuroanaesthesiology and Critical Care Seventh floor,Neurosciences centre AIIMS

New Delhi
DELHI
110029
India 
Phone  7042132730  
Fax    
Email  charushrikul@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Charu Mahajan 
Designation  Associate Professor 
Affiliation  AIIMS, New Delhi 
Address  Department of Neuroanaesthesiology and Critical Care Seventh floor,Neurosciences centre AIIMS

New Delhi
DELHI
110029
India 
Phone  7042132730  
Fax    
Email  charushrikul@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Charu Mahajan 
Designation  Associate Professor 
Affiliation  AIIMS, New Delhi 
Address  Department of Neuroanaesthesiology and Critical Care Seventh floor,Neurosciences centre AIIMS

New Delhi
DELHI
110029
India 
Phone  7042132730  
Fax    
Email  charushrikul@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences, New Delhi. 
 
Primary Sponsor  
Name  All India Institute of Medical Sciences AIIMS New Delhi 
Address  Dept. of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, AIIMS New Delhi 
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 
Charu Mahajan  All India Institute of Medical Sciences (AIIMS), New Delhi  Trauma NeuroICU, third floor Jai prakash Narayan Apex Trauma Center, AIIMS, New Delhi.
New Delhi
DELHI 
7042132730

charushrikul@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIMS Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S06||Intracranial injury,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  80.00 Year(s)
Gender  Both 
Details  All patients of moderate-severe head injury admitted within 48 hours of injury. 
 
ExclusionCriteria 
Details  Patients whose relatives refuse consent, have history of immune-suppression, viral markers positive, known case of irritable bowel disease and history of intake of selective gut disinfectants or any history of GI disturbance or GI surgery 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.To study the profile of fecal microbiome after traumatic brain injury.
2.To study the temporal changes in microbiome after TBI
 
0, 3 and 7 day.
 
 
Secondary Outcome  
Outcome  TimePoints 

To identify colonization with colistin resistence pathogens in these patients.
 
0, 3 and 7 day. 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   15/01/2020 
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="0"
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   The intestinal microbiome and brain function are related in a feedback loop in which component affects other. The gut microbiome is primarily composed of bacteroidetes and firmicutes with proteobacteria, Actinobacteria and fusobacteria in minor number. Preclinical data suggests that traumatic brain injury (TBI) induces an increase in intestinal permeability, which may lead to bacterial translocation, sepsis,and eventually multi-organ failure. Animal studies have shown changes in representative phyla and alpha-diversity significantly correlated with brain lesion volume. In humans, changes after TBI have still not been studied extensively. Growth of colistin resistant organisms is an emerging problem which needs to be recognised early for successful management of these patients. Thus, we plan to carry out this study with an aim to study the change in fecal microbiome profile after TBI and to also identify colistin resistant pathogens, if any. 
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