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CTRI Number  CTRI/2024/06/068281 [Registered on: 04/06/2024] Trial Registered Prospectively
Last Modified On: 01/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Retrospective Observtional Study 
Study Design  Other 
Public Title of Study   Development of a score to know its usefulness in predicting the outcomes after liver transplantation 
Scientific Title of Study   DEVELOPMENT AND VALIDATION OF A PROGNOSTIC SCORE FOR PREDICTING OUTCOMES IN PATIENTS UNDERGOING LIVING DONOR LIVER TRANSPLANTATION 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Gaurav Sindwani 
Designation  Associate Professor, Department of Anesthesiology  
Affiliation  INSTITUTE OF LIVER AND BILIARY SCIENCES 
Address  Institute of Liver and Biliary Sciences, Sector D1, Vasant Kunj, New Delhi

South West
DELHI
110070
India 
Phone  8728089898  
Fax    
Email  drsindwani25@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gaurav Sindwani 
Designation  Associate Professor, Department of Anesthesiology  
Affiliation  INSTITUTE OF LIVER AND BILIARY SCIENCES 
Address  Institute of Liver and Biliary Sciences, Sector D1, Vasant Kunj, New Delhi

South West
DELHI
110070
India 
Phone  8728089898  
Fax    
Email  drsindwani25@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vaishali 
Designation  Senior Resident, Department of Anesthesiology  
Affiliation  INSTITUTE OF LIVER AND BILIARY SCIENCES 
Address  Institute of Liver and Biliary Sciences, Sector D1, Vasant Kunj, New Delhi

South West
DELHI
110070
India 
Phone  9080916747  
Fax    
Email  vaishalissri@gmail.com  
 
Source of Monetary or Material Support  
Institute of liver and biliary sciences  
 
Primary Sponsor  
Name  Institute of liver and biliary sciences 
Address  Department of Anesthesiology, Room No. 3311,3rd floor, Phase II, D-1 block,Vasant Kunj, New Delhi-110070, India 
Type of Sponsor  Research institution and hospital 
 
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 S Vaishali  Institute of liver and biliary sciences  Department of Anesthesiology, Room No. 3311,3rd floor, Phase II, D-1 block,Vasant Kunj, New Delhi-110070, India
South West
DELHI 
9080916747

vaishalissri@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, ILBS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K704||Alcoholic hepatic failure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. PATIENTS WHO HAD LIVING DONOR LIVER TRANSPLANTATION
2. PATIENTS DIAGNOSED WITH CHRONIC LIVER DISEASE 
 
ExclusionCriteria 
Details  1. ACUTE LIVER FAILURE
2. ACUTE ON CHRONIC LIVER FAILURE
3. HEPATOCELLULAR CARCINOMA
4. PAEDIATRIC POPULATION 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
TO DEVELOP AND VALIDATE THE ROLE OF NEW SCORE IN LIVER TRANSPLANT RECIPIENTS IN PREDICTING EARLY MORTALITY  28 days and 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
To study the risk factors associated with one year mortality in patients undergoing living donor liver transplantation   1 year 
 
Target Sample Size   Total Sample Size="514"
Sample Size from India="514" 
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)   13/06/2024 
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="0"
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  

Liver transplantation is a viable treatment option for patients with end stage liver disease, hepatocellular carcinoma, fulminant hepatitis. The outcome of liver transplant has been improved in later days due to advancements in surgical techniques , immunosuppression , enhanced knowledge in managing the allograft recipient .

Despite the multiple options , there is no agreement on the best scoring system to predict outcomes after liver transplant.The presently used scores have poor sensitivity and specificity in predicting the outcomes after the surgery.

The anaesthesia and surgical factors play a very important role in predicting the outcome of surgery. The outcome after surgery also predominantly depends upon the disease severity, patient factors. None of the previous scores have included patient factors like sarcopenia, MELD-Na and anaesthesia & surgical factors (fluid requirement including blood transfusion, inotropic support, cold ischemia time ,warm ischemia time, GRWR ) into a simple single score. So we aimed to consolidate all these factors into a new scoring system .

Hence, the aim of the present study is to develop a novel scoring system to predict the outcome after the LDLT.


 
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