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CTRI Number  CTRI/2024/02/063249 [Registered on: 28/02/2024] Trial Registered Prospectively
Last Modified On: 26/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   usefulness of Systemic Immune Inflammation Index in predicting outcomes of patients with brain tumors above cerebellum and brain stem undergoing planned surgical removal under general anesthesia 
Scientific Title of Study   Prognostic Value of Systemic Immune Inflammation Index on outcomes of patients undergoing elective craniotomy surgeries for supratentorial brain tumors: A prospective analytical study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Samriddhi Bangari 
Designation  Junior Resident 
Affiliation  AIIMS Rishikesh  
Address  Department of Anesthesiology and Critical Care AIIMS Rishikesh Virbhadra road Rishikesh
309 Saket Colony ajabpur kalan near rewati nursing home dehradun
Dehradun
UTTARANCHAL
249203
India 
Phone  8126721035  
Fax    
Email  samriddhibangari@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Priyanka Gupta  
Designation  Additional Professor 
Affiliation  Aiims Rishikesh  
Address  Department of Anesthesiology and Critical Care AIIMS Rishikesh Virbhadra road Rishikesh

Dehradun
UTTARANCHAL
249203
India 
Phone  9811894899  
Fax    
Email  drpriyankagupta84@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Priyanka Gupta  
Designation  Additional Professor 
Affiliation  Aiims Rishikesh  
Address  Department of Anesthesiology and Critical Care AIIMS Rishikesh Virbhadra road Rishikesh

Dehradun
UTTARANCHAL
249203
India 
Phone  9811894899  
Fax    
Email  drpriyankagupta84@gmail.com  
 
Source of Monetary or Material Support  
Department of Anesthesiology and Critical Care AIIMS Rishikesh  
 
Primary Sponsor  
Name  None 
Address  NA 
Type of Sponsor  Other [NA] 
 
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 Samriddhi Bangari   AIIMS Rishikesh  OT 12, Level 6, CTVS/neurosurgery OT Complex
Dehradun
UTTARANCHAL 
08126721035

samriddhibangari@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 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1 Diagnosis of supratentorial brain tumor by MRI or CT Brain
2 Undergoing elective craniotomy under general anesthesia  
 
ExclusionCriteria 
Details  1 Patient refusal to participate in study or refusal to follow up.
2 Patients with severe anemia (hb less than 7 g per L)
3 Neutropenia( less than 1000 million per L) or active infection( TLC more than 11000 million per L)
4 Active inflammatory, hematological, or autoimmune system disease history.
5 History of Chemotherapy or Radiotherapy or Immunomodulators in past 3 months.
6 Severe conditions involving the cardiac, hepatic or the renal system
7 Previous brain tumor surgery or treatment
8 History of drug abuse or anaphylaxis
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess predictive value of preoperative Systemic Immune Inflammation Index for favourable prognosis as Karnofsky Performance Scale morethan or equal to eighty in patients undergoing craniotomy surgeries.  At three months postoperatively  
 
Secondary Outcome  
Outcome  TimePoints 
Correlation of preoperative SII index with duration of ICU and hospital stay  At discharge  
Correlation of postoperative SII index with duration of surgery  At the end of surgery 
Analysis of values of SII, NLR,PLR and LMR  Preoperatively and postoperatively at 24hrs and 3rd day 
Analysis of preoperative SII in subgroups ie. Pediatric vs adults and benign vs malignant   Preoperatively  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   06/03/2024 
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="1"
Months="0"
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   Brain tumors place a heavy burden on the healthcare systems because of their high morbidity and mortality. Tumor genesis and progression are characterized by inflammation. There is a strong correlation between the degree of inflammation and the levels of inflammatory cells in the peripheral blood. Different indices calculated from peripheral blood smear have potential value for prognostic prediction of many tumors. One such novel biomarker is Systemic Immune Inflammation index. Several studies have conducted to investigate the prognostic value of SII index on outcomes of various tumors, however not much has been done regarding brain tumors. The little literature that is available is present as retrospective studies. Hence, this study aims to assess the predictive value of SII index in prognosis of supratentorial brain tumor patients undergoing craniotomy, prospectively. 
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