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CTRI Number  CTRI/2023/05/053069 [Registered on: 23/05/2023] Trial Registered Prospectively
Last Modified On: 03/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Diagnostic 
Study Design  Other 
Public Title of Study   autoinoculation therapy in dermatophytosis 
Scientific Title of Study   SAFETY AND EFFICACY OF AUTOINOCULATION THERAPY IN CHRONIC RECALCITRANT DERMATOPHYTOSIS: A RANDOMIZED CONTROLLED TRAIL 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR PRATIK GAHALAUT 
Designation  HEAD OF DEPARTMENT  
Affiliation  MBBS , MD (DERMATOLOGY) 
Address  Department of dermatology, SRMS IMS, Bareilly - Nainital Rd, Bhoji Pura, Uttar Pradesh

Bareilly
UTTAR PRADESH
243202
India 
Phone  9319758004  
Fax    
Email  drpratikg@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR PRATIK GAHALAUT 
Designation  HEAD OF DEPARTMENT  
Affiliation  MBBS , MD (DERMATOLOGY) 
Address  Department of dermatology, SRMS IMS, Bareilly - Nainital Rd, Bhoji Pura, Uttar Pradesh.

Bareilly
UTTAR PRADESH
243202
India 
Phone  9319758004  
Fax    
Email  drpratikg@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  DR ARUJ DUDEA 
Designation  JUNIOR RESIDENT 
Affiliation  MBBS , MD DERMATOLOGY (undergoing) 
Address  Room no. 204, Usha Mehra P.G. boys hostel SRMS IMS, Bareilly - Nainital Rd, Bhoji Pura, Uttar Pradesh.

Bareilly
UTTAR PRADESH
243202
India 
Phone  7906721172  
Fax    
Email  aruj.srmsim@gmail.com  
 
Source of Monetary or Material Support  
SRMS IMS MEDICAL COLLEGE Bareilly - Nainital Rd, BhojiPura, Uttar Pradesh. 
 
Primary Sponsor  
Name  SRMS IMS MEDICAL COLLEGE 
Address  Bareilly - Nainital Rd, Bhoji Pura, Uttar Pradesh 243202 
Type of Sponsor  Private medical college 
 
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 ARUJ DUDEA  SRMS INSTITUTE OF MEDICAL SCIENCES  DEPARTMENT OF DERMATOLOGY, VENEROLOGY AND LEPROSY, NEAR GATE NO. 3, Bareilly - Nainital Rd, BhojiPura.
Bareilly
UTTAR PRADESH 
7906721172

aruj.srmsim@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRMS IMS, Bareilly  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L088||Other specified local infections of the skin and subcutaneous tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  AUTOINOCULATION  simple technique that works by inducing cell-mediated immune response against the antigens essential for the clearance of dermatophytes.4mm tissue from edge of KOH positive site will be harvested and after breaking into small chunks, gently introduced deep into the subcutis using 16-gauge needle. BASELINE , 3 WEEKS , 6 WEEKS , 9 WEEKS are timepoints and total time of study is 3 months incukding all siitings. 
Comparator Agent  Placebo  O.1 ML NORMAL SALINE is injected at the edge of KOH positive site as a placebo and oral/topical antifungal are given to patients. BASELINE , 3 WEEKS , 6 WEEKS , 9 WEEKS are timepoints and total time of study is 3 months incukding all visits. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients giving written informed consent.
Patients allowing to take photographs.
All patients of dermatophytosis showing positive result on KOH mount
Patients of chronic recalcitrant1 dermatophytosis.
 
 
ExclusionCriteria 
Details  Patients refusing to participate in the study.
Patients not willing to give written informed consent/click photographs.
Pregnant/lactating females.
Patients with concomitant chronic systemic disease like Hypertension, Diabetes mellitus or on immunosuppressant drugs.
Patients showing hypersensitivity to lignocaine.
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
AUTOINOCULATION FROM KOH POSITIVE SITE WILL BE PERFORMED   BASELINE , 3 WEEKS , 6 WEEKS , 9 WEEKS 
 
Secondary Outcome  
Outcome  TimePoints 
PATIENT SATISFACTION GRADE WILL BE TAKEN INTO ACCOUNT ON EACH VISIT.  BASELINE , 3 WEEKS , 6 WEEKS , 9 WEEKS 
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
Final Enrollment numbers achieved (Total)= "52"
Final Enrollment numbers achieved (India)="52" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/06/2023 
Date of Study Completion (India) 02/07/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   None Yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
  • Dermatophytosis is prevalent in about 20%–25% of total world population.
  • Dermatophytes includes group of superficial filamentous fungi which infect the skin, nails and hair.
  • There is a rising trend of patients experiencing extensive, recalcitrant and relapse of dermatophytosis.
  • Antifungal agents used conventionally are losing their relevance in the current clinical scenario.
  • Homologous   autoinoculation will be  done  after  an interval of  21 days
  • .
    The 4mm tissue from koh positive site will be harvested and after breaking into small chunks, gently introduced deep into the subcutis using 16-gauge needle.
  • Homogolus autoinoculation offers safe and effective treatment modality for tackling dermatophytic epidemic.
 
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