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CTRI Number  CTRI/2023/08/056822 [Registered on: 23/08/2023] Trial Registered Prospectively
Last Modified On: 21/08/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   ASSESMENT OF HEART FUNCTION BY ECHO IN DIABETIC PATIENTS WITH EYE INVOLVEMENT  
Scientific Title of Study   ASSESMENT OF LEFT HEART FUNCTION BY STRAIN ECHO IN DIABETIC PATIENTS WITH RETINOPATHY 
Trial Acronym  NILL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Ayush Sharma 
Designation  Junior resident, Department of General Medicine  
Affiliation  Kasturba Medical College and Hopital  
Address  Department of General Medicine, Kasturba Hospital, Manipal, Udupi-576104, Karnataka
Department of General Medicine, Kasturba Hospital, Manipal, Udupi-576104, Karnataka
Udupi
KARNATAKA
576104
India 
Phone  9799894141  
Fax    
Email  ayushkush0047@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sneha Seshadri  
Designation  Assistant Professor, Department of General Medicine  
Affiliation  Kasturba Medical College and Hopital  
Address  Department of General Medicine Kasturba Hospital Manipal Udupi-576104 Karnataka
Department of General Medicine Kasturba Hospital Manipal Udupi-576104 Karnataka
Udupi
KARNATAKA
576104
India 
Phone  9799894141  
Fax    
Email  sne287@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Ayush Sharma 
Designation  Junior resident, Department of General Medicine  
Affiliation  Kasturba Medical College and Hopital  
Address  Department of General Medicine Kasturba Hospital Manipal Udupi-576104 Karnataka
Department of General Medicine Kasturba Hospital Manipal Udupi-576104 Karnataka
Udupi
KARNATAKA
576104
India 
Phone  9799894141  
Fax    
Email  ayushkush0047@gmail.com  
 
Source of Monetary or Material Support  
Kasturba Hospital, Manipal, Udupi-576104, Karnataka 
 
Primary Sponsor  
Name  Ayush Sharma 
Address  Department of General Medicine, Kasturba Hospital, Manipal, Udupi-576104, Karnataka 
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 
AYUSH SHARMA   Kasturba Hospital  Department of General Medicine, Kasturba Hospital, Manipal, Udupi-576104, Karnataka KARNATAKA
Udupi
KARNATAKA 
9799894141

ayushkush0047@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics commitee-2 (student Reseach)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E113||Type 2 diabetes mellitus with ophthalmic complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  NILL   NILL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Males and Females above the age of 18 years living with Type 2 diabetes Mellitus willing to be evaluated for Retinopathy, and to undergo a cardiac evaluation by strain ECHO between August 2022 to August 2024 
 
ExclusionCriteria 
Details  1. Known Coronary Artery disease.
2. Newly diagnosed Coronary artery disease by non invasive tests such as ECHO/ Tread mill test.
3. Pre-existing Congestive cardiac failure.
4. Moderate to severe valvular heart disease.
5. Pre-existing Occular anomalies, like eyeball tumours, occular trauma, enucleation of eyes.
6. Left ventricular Ejection Freaction of less than 50 percent.
7. Chronic Kidney Disease (grade 2 or above).
8. Poor window prohibiting strain ECHO analysis. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To compare Left Ventricular & Left Atrial Strain parameters using ECHO in diabetic patients with and without retinopathy and establish a co-relation   At the end of sample collection 
 
Secondary Outcome  
Outcome  TimePoints 
To corelate findings of Strain ECHO parameters acreoss stages of Diabetic Nephropathy   Once data collection is complete & sample size is achieved the primary outcome will be measured 
 
Target Sample Size   Total Sample Size="126"
Sample Size from India="126" 
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)   10/09/2023 
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="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   The study involves comparison of 2 groups of diabetic individuals, those with and those without diabetic retinopathy and the presence of left sided cardiac dysfunction in them by using strain ECHO parameters. It is an observational cross sectional study. Approximately 126 patients with 63 in each group (diabetic patients with retinopathy and other group of diabetic patients without retinopathy) will be participating in the study after explaining to them about the study and taking their informed consent. Patients will be subjected to routine history taking and a general physical examination along with routine blood investigations like glycosylated hemoglobin, Fasting blood sugars, Fasting lipid profile, Post prandial blood sugars, urine routine examination and urine protein to creatine ration. And routine non invasive investigations like a fundoscopy. Apart from this these patients will undergo a routine ECHO cardiography, ECG to fullfil the inclusion and exclusion criteria. Then the patients will be subjected to a strain ECHO in which various parameters as mentioned in the proforma for assessment of Left sided heart failure will be assesed. The outcome will then be compared in the form of presence and association of left sided cardiac dysfunction with diabetic retinopathy and nephropathy. 
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