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CTRI Number  CTRI/2021/04/032521 [Registered on: 05/04/2021] Trial Registered Prospectively
Last Modified On: 22/12/2022
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective 
Study Design  Single Arm Study 
Public Title of Study   Role of Metabolic Tests in Infants presenting with Developmental Delay 
Scientific Title of Study   Role of Metabolic Evaluation in Infants presenting with Global Developmental Delay 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
859 2020  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rochelle Natasha Gomes 
Designation  Junior Resident, Department of Paediatrics 
Affiliation  Kasturba Medical College and Hospital 
Address  Department of Paediatrics, Kasturba Medical College and Hospital MAHE
MAHE
Udupi
KARNATAKA
576104
India 
Phone  9743224111  
Fax    
Email  natashargomes@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramesh Bhat Y 
Designation  Professor and Unit Head 
Affiliation  Kasturba Medical College and Hospital 
Address  Department of Paediatrics, Kasturba Medical College and Hospital MAHE
MAHE
Udupi
KARNATAKA
576104
India 
Phone  9686401313  
Fax    
Email  docrameshbhat@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Sandesh Kini B 
Designation  Associate Professor 
Affiliation  Kasturba Medical College and Hospital 
Address  Department of Paediatrics, Kasturba Medical College and Hospital MAHE
MAHE
Udupi
KARNATAKA
576104
India 
Phone  9731149519  
Fax    
Email  sandesh.kini@manipal.edu  
 
Source of Monetary or Material Support  
KMC Hospital, MAHE, Manipal, Udupi, Karnataka, India 
 
Primary Sponsor  
Name  Dr Rochelle Natasha Gomes 
Address  Junior Resident, Department of Paediatrics, Kasturba Medical College and Hospital, MAHE, Manipal-576104 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
not applicable   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rochelle Natasha Gomes  Kasturba Medical College and Hospital  Department of Paediatrics, KMC Manipal, MAHE, Manipal- 576104
Udupi
KARNATAKA 
9743224111

natashargomes@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F88||Other disorders of psychological development, (2) ICD-10 Condition: E889||Metabolic disorder, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  1.00 Month(s)
Age To  1.00 Year(s)
Gender  Both 
Details  1. Children aged 1 month to 1 year admitted in the Department of Paediatrics and presenting with GDD (global developmental delay with unclear etiology, progressive encephalopathy with seizures, hypotonia with or without poor feeding, failure to thrive, respiratory distress or vomiting).
2. Children with hypoglycaemic encephalopathy.
 
 
ExclusionCriteria 
Details  1. Children lesser than 1 month of age or older than 1 year at presentation.
2. Children with identified causes of GDD such as perinatal asphyxia/ hypoxic ischaemic encephalopathy stage 2 or 3, TORCH infections, post-meningitis sequelae, chromosomal disorder, hypothyroidism etc.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To establish the role of initial metabolic workup, Tandem Mass Spectrometry (TMS) and Gas Chromatography- Mass Spectrometry (GC-MS) in infants presenting with global developmental delay.
 
2 years 
 
Secondary Outcome  
Outcome  TimePoints 
To obtain the clinical profile of infants presenting with GDD requiring metabolic workup.
 
2 years 
 
Target Sample Size   Total Sample Size="75"
Sample Size from India="75" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="53" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/04/2021 
Date of Study Completion (India) 30/09/2022 
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)?  

Response - NO
Brief Summary
Modification(s)  
This study is a prospective, clinical: single centre, observational study to determine the role of metabolic workup in children aged 3 months to 2 years with Global Developmental Delay (GDD) and to study the clinical profile of children aged 3 months to 2 years presenting with GDD requiring metabolic workup. This study will be conducted in a single centre in India- Department of Paediatrics, Kasturba Medical College and Hospital, MAHE, Manipal, Karnataka, India. The primary outcome is to establish the role of metabolic workup in children aged 3 months to 2 years presenting with GDD. The secondary outcome is to obtain the clinical profile of children aged 3 months to 2 years presenting with GDD requiring metabolic workup. 
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