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CTRI Number  CTRI/2024/02/063264 [Registered on: 28/02/2024] Trial Registered Prospectively
Last Modified On: 13/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Examining the link between ultrasound measured eye nerve size and the timing of discontinuing magnesium sulphate treatment in pre-eclamptic patients with severe features – A preliminary observation study 
Scientific Title of Study   To study the correlation between ultrasound guided optic nerve sheath diameter measurements with respect to timing of stopping of magnesium sulphate therapy, in pre-eclamptic patients with severe features – a prospective, observational, pilot 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  Dr Rakesh Subudhi 
Designation  Post-Graduate Junior Resident 
Affiliation  AIIMS, Raipur 
Address  Department of Anaesthesiology, AIIMS Raipur

Raipur
CHHATTISGARH
492099
India 
Phone  8598989789  
Fax    
Email  rakeshsubudhi88@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sarita Ramchandani 
Designation  Associate Professor 
Affiliation  AIIMS, Raipur 
Address  Department of Anaesthesiology, AIIMS Raipur

Raipur
CHHATTISGARH
492099
India 
Phone  9424204244  
Fax    
Email  drsaritaramchandani@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sarita Ramchandani 
Designation  Associate Professor 
Affiliation  AIIMS, Raipur 
Address  Department of Anaesthesiology, AIIMS Raipur

Raipur
CHHATTISGARH
492099
India 
Phone  9424204244  
Fax    
Email  drsaritaramchandani@gmail.com  
 
Source of Monetary or Material Support  
All India Institute Of Medical Sciences, Raipur 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [NIL] 
 
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 Rakesh Subudhi  All India Institute Of Medical Sciences, Raipur   Department of Anaesthesiology and Department of Obstetrics and Gynaecology
Raipur
CHHATTISGARH 
8598989789

rakeshsubudhi88@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee, AIIMS Raipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O141||Severe pre-eclampsia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Pregnant patients aged ≥18 years
Period of gestation ≥ 20 weeks
Presenting with pre-eclampsia with severe features
Patients who will receive MgSO4 therapy
Planned for termination of pregnancy 
 
ExclusionCriteria 
Details  Patient’s refusal
Eclamptic patients
Patient who receives MgSO4 prior to first reading of optic nerve sheath diameter.
Patients who have undergone previous cranial or eye surgeries
Patients suffering from seizures, intracranial or eye pathology, glaucoma or any other
neurological condition.
Patients with uncontrolled diabetes or cardiac disease 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
A high optic nerve sheath diameter value (≥ 5.8 mm) is expected in patients presenting with pre-eclampsia with severe features at various time points in the post natal period even after stopping of MgSO4 therapy.   Ultrasound guided optic nerve sheath diameter assessment will be done prior to start of MgSO4 therapy and baseline value will be noted. Thereafter, ultrasound guided optic nerve sheath diameter assessment will be done at 6 hour time point after
starting of MgSO4. Subsequent values will be noted immediately after delivery and thereafter at 12 hour, 24 hour and 48 hour time point after delivery. 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   01/03/2024 
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="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   All eligible patients will be explained about the study. Baseline ultrasound guided optic nerve sheath diameter will be recorded prior to starting of MgSO4, date and time of starting MgSO4 will be noted .Subsequently optic nerve sheath diameter will be measured after 6 hours of starting MgSO4 therapy , thereafter immediately after delivery and thereafter 12 hours, 24 hours and 48 hours after delivery. Date and timing of stopping of MgSO4 will be noted.
A high ONSD value (≥ 5.8 mm) is expected in patients presenting with pre-eclampsia with severe features at various time points in the post natal period even after stopping of MgSO4 therapy. 
 
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