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CTRI Number  CTRI/2023/07/055250 [Registered on: 14/07/2023] Trial Registered Prospectively
Last Modified On: 03/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Single Arm Study 
Public Title of Study   A test (Monocyte Monolayer Assay) to find significance of the red cell antibody. 
Scientific Title of Study   Establishing the application of Monocyte monolayer assay (MMA) in predicting the clinical significance of the red cell antibody. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kavya J Babu 
Designation  Junior Resident 
Affiliation  Kasturba Medical Collage 
Address  Department of Immunohematology and Blood Transfusion,Kasturba Medical Collage ,Manipal,576104

Udupi
KARNATAKA
576104
India 
Phone  09495667128  
Fax    
Email  drkavyajbabu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shamee Shastry 
Designation  Head of Department 
Affiliation  Kasturba Medical Collage 
Address  Department of Immunohematology and Blood Transfusion,Kasturba Medical Collage ,Manipal,576104

Udupi
KARNATAKA
576104
India 
Phone  9743489837  
Fax    
Email  shameeshastry@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Kavya J Babu 
Designation  Junior Resident 
Affiliation  Kasturba Medical Collage 
Address  Department of Immunohematology and Blood Transfusion,Kasturba Medical Collage ,Manipal,576104

Udupi
KARNATAKA
576104
India 
Phone  09495667128  
Fax    
Email  drkavyajbabu@gmail.com  
 
Source of Monetary or Material Support  
Manipal Academy of Higher Education,Madhav Nagar,Maniapl,Karnataka,576104 
 
Primary Sponsor  
Name  TERUMO PENPOL 
Address  BabyPS,Manager PR &CSR,Trivandrum-695010. PL 91-471-3015-602 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Manipal Academy of Higher Education  Manipal Academy of Higher Education,Madhav Nagar,Maniapl,Karnataka,576104 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kavya J Babu  Kasturba Hospital  Department of Immunohematology and Blood Transfusion,Kasturba Medical Collage ,Manipal,576104
Udupi
KARNATAKA 
09495667128

drkavyajbabu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical Collage and Kasturba Hospital Institutional Ethics Committe-2  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D589||Hereditary hemolytic anemia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  Not applicable 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Patient with auto or allo antibodies to red cell antigen and requiring
best matched blood unit transfusion
 
 
ExclusionCriteria 
Details  Patients with passively acquired antibodies
Patients having alloantibodies with known specificity where phenotype matched
blood units will be given to the patient 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Performing MMA assessing the index will help us in utilizing this test in
identifying a best matched unit that will cause no or less hemolysis compared to
transfusion of red cells based on routine serological testing 
1year 
 
Secondary Outcome  
Outcome  TimePoints 
We will be able to predict the outcome of the transfusion of antigen positive unit to
the patient with the corresponding antibodies 
1year 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   15/07/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  15/07/2023 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
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   Patients requiring best matched blood unit transfusion due to auto or allo antibodies based on the routine immunohematological work up performed will be included in the study after obtaining informed consent. Routine immunohematological work up includes Direct and indirect antiglobulin testing (DAT & IAT), Monospecific DAT, thermal amplitude of the antibody, as indicated). As per the departmental protocol, a crossmatch of 4-6 units of donors will be crossmatched with patient’s sample. The same donor samples will be utilized to assess the MMA index.  The basic principle of the test is Monocytes, the immune cells that destroy red blood cells during an adverse transfusion reaction, are isolated and placed in a single layer on a plate in the laboratory. The donor red blood cells are mixed with the patient’s antibodies and added to the monocytes. The number of monocytes with one or more red blood cells adhered/engulfed at the end of the assay is counted and this is used to calculate a “monocyte index”. 
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