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CTRI Number  CTRI/2023/04/051355 [Registered on: 06/04/2023] Trial Registered Prospectively
Last Modified On: 05/04/2023
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   prospective cohort 
Study Design  Other 
Public Title of Study   fever illness surveillance with special attention to dengue and chikungunya 
Scientific Title of Study   The development of a Health and demographic surveillance(DHS) site with focus on epidemiological survey of dengue and chikungunya in an urban resettlement colony and slum in Delhi  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nandini sharma 
Designation  Director Professor 
Affiliation  Maulana Azad Medical College 
Address  Room no 323 Department of community Medicine Maulana Azad medical College

New Delhi
DELHI
11002
India 
Phone    
Fax    
Email  drnandini1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Heena Lalwani 
Designation  Senior Project Manager 
Affiliation  Maulana Azad Medical College 
Address  Room no 368 Department of community Medicine Maulana Azad medical College

New Delhi
DELHI
11002
India 
Phone  7798624492  
Fax    
Email  heena.lalwani91@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Heena Lalwani 
Designation  Senior Project Manager 
Affiliation  Maulana Azad Medical College 
Address  Room no 368 Department of community Medicine Maulana Azad medical College

New Delhi
DELHI
11002
India 
Phone  7798624492  
Fax    
Email  heena.lalwani91@gmail.com  
 
Source of Monetary or Material Support  
BIRAC 1st Floor ,MTNL Building ,9, Lodhi Rd, CGO Complex, Pragati Vihar, New Delhi, Delhi 110003 Phone: 011 2438 9600 
 
Primary Sponsor  
Name  Dr Nandini Sharma 
Address  Department of community medicine, Maulana Azad Medical College new delhi 
Type of Sponsor  Other [self] 
 
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 Heena Lalwani  Urban Health Centre (UHC),  Urban Health Centre (UHC), First Floor, DGD Gokulpuri, B-Block, Resettlement Colony, GokulPuri, Delhi -I 10094
North East
DELHI 
7798624492

heena.lalwani91@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  apparently healthy individuals 
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Individuals currently residing and
likely to stay till the end of one
year in the study area.

Consented to participate in both
sections of the study (Sero -
Prevalence and AFI Surveillance)
and follow all procedures.

 
 
ExclusionCriteria 
Details  Ongoing fever episodes or history of AFI on or before enrolment for the cohort
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Age specific attack rate The proportion of individuals per age strata who show
Sero conversion between two rounds
2 Age-specific cumulative incidence of
asymptomatic infections

The proportion of individuals per age strata who show
seroconversion over 1 year but do not report any
symptoms suggestive of the infection during AFI/ILI
surveillance

3 Age-specific cumulative incidence of
symptomatic events

The proportion of individuals reported / diagnosed with
disease under surveillance

4 Age Specific sero prevalence and sero
incidence of neutralizing antibodies

The proportion of individuals showing presence of
neutralizing antibodies at baseline and at end line. 
at end of one year 
 
Secondary Outcome  
Outcome  TimePoints 
Symptomatic proportion of cases
(asymptomatic fraction)

The proportion of individuals who show symptoms or
signs of Dengue / Chikungunya infection

6 Prevalence and incidence of Circulating
serotypes

The proportion of symptomatic and asymptomatic
cases with type of circulating serotype.
7 Population groups most at risk The identification of groups who are most vulnerable to
Dengue ad Chikungunya infection (e.g. age groups,
gender, occupation)
8 Validity of IgG ELISA The sensitivity and specificity of IgG ELISA will be
calculated against PRNT (Neutralizing antibodies).  
at end of one year 
 
Target Sample Size   Total Sample Size="752"
Sample Size from India="752" 
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)   20/04/2023 
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    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

we propose to carry out a multi-centric, prospective community-based cohort study to estimate the incidence of dengue and chikunguniya in India, with the established DHS site, as one of the study centres. This will be done through baseline enrollment and blood sample collection of participants for indirect ELISA IgG testing and serotypes identification..

Study design: Prospective cohort study

Objectives:

1. Primary objective In the study area:

1. Estimate Prospectively :

a. Incidence rate of acute febrile illness episode during 12 months of follow up

b. Incidence rate of symptomatic laboratory confirmed Dengue infection episodes during 12 months of follow up

c. Incidence of Sero positivity based on IgG, IgM and neutralizing antibodies at 12 months (Sero Negative for IgG, IgM or Neutralizing antibodies at baseline at enrolment).

2. Secondary objective:

1. Incidence rate of symptomatic laboratory confirmed Chikungunya infection episodes during 12 months of follow up

2. Determine the etiology of AFI due to other common causes of AFI (based on rapid diagnostic or ELISA based laboratory diagnosis)

a. Malaria

b. Scrub typhus

c. Leptospirosis

d. Typhoid

3. Describe the proportion of symptomatic versus asymptomatic or sub clinical infections of dengue and chikungunya based on data obtained from primary objectives. 4. Identify and describe the circulating serotypes of dengue and chikungunya in the general population over a period of one year.

5. To assess spatiotemporal trend of Dengue and Chikungunya infection over a period of 12 months.

6. Determine the durability of IgG, IgM and Neutralizing antibodies in symptomatic individuals tested n positive for Dengue and Chikungunya infection 
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