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CTRI Number  CTRI/2024/12/077757 [Registered on: 06/12/2024] Trial Registered Prospectively
Last Modified On: 05/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Proof of Concept 
Study Design  Single Arm Study 
Public Title of Study   Analysis of Mycophenolic Acid in saliva matrix in Renal Transplant patients  
Scientific Title of Study   Investigating the Feasibility of Estimating Mycophenolic Acid from Saliva using High Performance Liquid Chromatography – Fluorescence Method for Determining Mycophenolate Exposure in Patients with Renal 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  Prof Smita Pattanaik 
Designation  Professor 
Affiliation  PGIMER 
Address  Room no. 4015, Department of Pharmacology, Research block B, PGIMER,Chandigarh
Lab no 4030, 4th floor, Department of Pharmacology, Research Block B, PGIMER, Chandigarh
Chandigarh
CHANDIGARH
160012
India 
Phone  9872269171  
Fax    
Email  dr.smita.lab@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  BAHAAR MANRO 
Designation  Student 
Affiliation  PGIMER 
Address  Lab no 4030, 4th floor, Department of Pharmacology, Research Block B, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9872269171  
Fax    
Email  bahaar279@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Smita Pattanaik 
Designation  Professor 
Affiliation  PGIMER 
Address  Room no. 4015, Department of Pharmacology, Research block B, PGIMER,Chandigarh
Lab no 4030, 4th floor, Department of Pharmacology, Research Block B, PGIMER, Chandigarh
Chandigarh
CHANDIGARH
160012
India 
Phone  9872269171  
Fax    
Email  dr.smita.lab@gmail.com  
 
Source of Monetary or Material Support  
Postgraduate Institute of Medical Education and Research, Chandigarh, India pin code- 160012 
 
Primary Sponsor  
Name  Department of Pharmacology 
Address  Department of Pharmacology, Research Block B, PGIMER, Chandigarh, India pin code - 160012 
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 Smita Pattanaik  Pgimer Chandigarh  LABA 4030, 4TH FLOOR, DEPARTMENT OF PHARMACOLOGY, RESEARCH BLOCK B, PGIMER, CHANDIGARH
Chandigarh
CHANDIGARH 
9872269171

dr.smita.lab@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee PGIMER  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N186||End stage renal disease,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Adult stable renal transplantation studies and patients with normal albumin range. 
 
ExclusionCriteria 
Details  Patients with multi organ transplantation
Pregnant or lactating women
Patients with secondary infection or malignancy 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Anticipated outcomes involve confirming the specificity and selectivity of the established High Performance Liquid Chromatography- fluorescence method for determining Mycophenolic Acid (MPA) concentrations in both saliva and plasma. The success of this method could position it as a reliable approach for Therapeutic Drug Monitoring (TDM) of MPA in diverse patient groups, irrespective of age.  Before drug administration, 20 mins after drug administration followed at 1hr, 2hr, 4 hr , 6 hr , 8 hr and 12 hr 
 
Secondary Outcome  
Outcome  TimePoints 
correlation between plasma AUC and saliva AUC of MPA in Renal transplant patients  Before drug administration, 20 mins after drug administration followed at 1hr, 2hr, 4 hr , 6 hr , 8 hr and 12 hr 
 
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)   16/12/2024 
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="2"
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  

We believe that our study will be able to validate a non-invasive method of Therapeutic Drug Monitoring for Mycophenolate Mofetil (MMF) using saliva samples and in developing an algorithm correlating salivary concentrations of MMF to that of blood concentrations of MMF. The study will be conducted in the Department of Pharmacology, PGIMER in collaboration with Department of Renal Transplantation and Surgery, PGIMER. The study will include 30 adult patients who have undergone renal transplantation ≥4 weeks prior and are prescribed MMF twice daily and have maintained a stable dosage for the past two weeks. Those willing to participate, and provide consent will be screened for inclusion in the study. Blood and saliva specimen will be collected prior to the administration of MMF, with subsequent samples obtained at specified intervals of 0.33, 1, 2, 4, 6, 8, and 12 hours following MMF administration. The samples will be further analyzed using High Performance Liquid Chromatography using Fluorescence detector. The exposure of Mycophenolic Acid (MPA) will be calculated using AUC (0-12 hour) and correlation between saliva and plasma MPA will be established using parametric or non-parametric statistical tests.

 
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