CTRI Number |
CTRI/2022/04/041711 [Registered on: 07/04/2022] Trial Registered Prospectively |
Last Modified On: |
04/04/2022 |
Post Graduate Thesis |
No |
Type of Trial |
Observational |
Type of Study
|
Cross Sectional Study |
Study Design |
Other |
Public Title of Study
|
Use of Artificial Intelligence (AI) for identification of Pulmonary Tuberculosis using chest ultrasound videos |
Scientific Title of Study
|
Exploring the use of Artificial Intelligence (AI) to develop a triaging solution for Tuberculosis using chest ultrasound videos |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Alpan Rawal |
Designation |
Chief Scientist - AI/ML |
Affiliation |
National Entrepreneurship Network (NEN) - Artificial Intelligence Unit |
Address |
Wadhwani Institute for Artificial Intelligence Solitaire Corporate Park,
Building 11 Floor 7,Chakala, Andheri (E), Mumbai
Mumbai MAHARASHTRA 400093 India |
Phone |
9959099696 |
Fax |
|
Email |
alpan@wadhwaniai.org |
|
Details of Contact Person Scientific Query
|
Name |
Dr Neeraj Agrawal |
Designation |
Vice President- Health Programs |
Affiliation |
National Entrepreneurship Network (NEN) - Artificial Intelligence Unit |
Address |
Wadhwani Institute for Artificial Intelligence Solitaire Corporate Park,
Building 11 Floor 7,Chakala, Andheri (E), Mumbai
Mumbai MAHARASHTRA 400093 India |
Phone |
9910066734 |
Fax |
|
Email |
neeraj@wadhwaniai.org |
|
Details of Contact Person Public Query
|
Name |
Dr Neeraj Agrawal |
Designation |
Vice President- Health Programs |
Affiliation |
National Entrepreneurship Network (NEN) - Artificial Intelligence Unit |
Address |
Wadhwani Institute for Artificial Intelligence Solitaire Corporate Park,
Building 11 Floor 7,Chakala, Andheri (E), Mumbai
Mumbai MAHARASHTRA 400093 India |
Phone |
9910066734 |
Fax |
|
Email |
neeraj@wadhwaniai.org |
|
Source of Monetary or Material Support
|
Wadhwani Institute for Artificial Intelligence Foundation, 4, Main Street, Suite 210, Los Altos, CA
94022, USA |
|
Primary Sponsor
|
Name |
National Entrepreneurship Network NEN Artificial Intelligence Unit |
Address |
National Entrepreneurship Network (Artificial Intelligence Unit), 7th Floor, Building No 11, Solitaire Corporate Park, Chakala, Andheri East, Mumbai 400093 Maharashtra, India |
Type of Sponsor |
Other [Independent Nonprofit Institute] |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 5 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Mukesh P Jagiwala |
Anti TB Hospital and Parinbanu Clinic Association |
OPD Room No 1, Kamdin Baug, Umiya
Chowk, Ashwani Kumar
Road, Surat 395008 Surat GUJARAT |
9825481018
mukeshjagiwala@yahoo.co.in |
Dr Hasmukhlal Patel |
Namrata Heart & Medicare Hospital |
Dr Patels Consultation room (next to reception), First Floor, Maruti Complex, Opp.
New Civil Hospital,
Asarwa, Ahmedabad
380016 Ahmadabad GUJARAT |
9824265491
drhjpatel@gmail.com |
Govindlal Narang |
Shree Gurunanak Charitable Trust |
Chairmans Cabin (Behind OPD Case Paper Section), Gurunanak Hospital, Yogi Krupa Society,
Near Shri Gurunanak
Devji Marg (Bhatar
Road), Surat, Gujarat
395007 Surat GUJARAT |
9825885499
sgndh@ymail.com |
Dr Rutul Patel |
Trimurti Hospital |
Chest Consultation Room, Ground Floor,Trimurti Hospital, NH 08 A, Bavla, Gujarat
Ahmadabad Ahmadabad GUJARAT |
8141454801
trimurtihospital@gmail.com |
Dr Sanjay Kumar |
Zydus Medical College and Hospital |
Chief Executive Officers Cabin, Second Floor, Zydus Hospital, Nimnaliya,
Post-Muvaliya,
Dahod,Gujarat-389151 Dohad GUJARAT |
02673238863
ceo@zmchdahod.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Institutional Ethics Committee Indian Institute of Public Health Gandhinagar Gujarat |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: A150||Tuberculosis of lung, |
|
Intervention / Comparator Agent
|
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
80.00 Year(s) |
Gender |
Both |
Details |
1. All subjects consenting to be a part of the study. Individual consent (signed and dated informed consent form) 2. 18 years and above of age 3A. For category of TB subjects, include those satisfying the following criteria – (a) Patients should have had any of the following (one or more) symptoms of pulmonary tuberculosis as identified by the clinician at the time of presentation - Persistent cough for 2 weeks or more; Night sweats; Chest pain; Weight loss(unintentional); Shortness of breath; Feeling tired or weak; Fever-Body temperature of more than 100.4 degrees Fahrenheit (CDC) (b)Patients X-Ray chest showing findings suggestive of tuberculosis.(c)Additionally, patients should be Microbiologically confirmed (sputum microscopy/ CBNAAT/ TruNat) OR Clinically diagnosed TB Cases (d) Clinically stable individuals - Individuals that do not require emergency medical attention. 3B. For category of Non-TB subjects, include those satisfying the following criteria – (a) In the Chest symptomatic category: Subjects having symptoms of other chest conditions/pathologies. Chest x-ray findings ruling out pulmonary tuberculosis but may have other findings.(b) In Normal subjects’ category: Subjects should be clinically stable individuals
with no symptoms suggestive of pulmonary conditions. Chest x-ray findings should indicate a clear chest with no lesions |
|
ExclusionCriteria |
Details |
1. Consent not given by the individual for enrolment in the study. 2. In the TB positive subjects, exclude all clinically unstable individuals.
3. For Non-TB subjects, in the Normal individual’s category, exclude all clinically ill individuals |
|
Method of Generating Random Sequence
|
Not Applicable |
Method of Concealment
|
Not Applicable |
Blinding/Masking
|
Not Applicable |
Primary Outcome
|
Outcome |
TimePoints |
Creating a dataset of Chest X-rays, HRCT and Chest Ultrasound Scans (CUS) of adult subjects. |
1 year |
|
Secondary Outcome
|
Outcome |
TimePoints |
1. To use this structured dataset to develop an AI-powered screening tool for triaging pulmonary tuberculosis patients from the community
2. To anonymize the dataset by removing all Personal Identifiable Information (PII) and make it publicly available for the global research community.
|
1 year |
|
Target Sample Size
|
Total Sample Size="500" Sample Size from India="500"
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)
|
12/04/2022 |
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
|
None yet |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Analytic Code
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response (Others) - Data access mechanisms to be determined after data collection.
- For how long will this data be available start date provided 25-01-2023 and end date provided 30-01-2027?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
Brief Summary
|
The study aims to create a dataset of chest X-rays, HRCT and ultrasound scans of adult subjects as per the enrollment criteria which has 4 categories of patients with specific targets for each category namely 1. Microbiologically positive pulmonary TB patients (X ray & CBNAAT both positive). 2.Clinically positive cases of pulmonary TB (X ray positive but CBNAAT negative) 3. Non TB Patients with some chest pathology (X ray & CBNAAT negative for TB) 4. Normal Healthy Individuals (X ray & CBNAAT negative for TB and no other pathology). Data will be collected from 5 study sites (Hospitals) across 3 districts in Gujarat namely Ahmedabad, Surat & Dahod. Study Sites have been selected such that they represent the urban, rural & tribal pockets of Gujarat with the highest notifying TB hospitals in these areas. Data of the Chest USG’s will be further annotated by expert radiologist’s to identify features like consolidation, subpleural nodules etc. All this data will be used to develop an AI Algorithm for developing a screening tool that will enable frontline health workers (i.e., TBHV) take a short ultrasound video of the chest of an individual to screen for features of pulmonary tuberculosis, thereby enabling timely triaging for better diagnostics & treatment. The ultimate aim of the study is to develop AI-powered screening/triaging tool for early diagnosis of pulmonary tuberculosis. |