A Multicenter, open-labelled, randomized controlled trial to evaluate the efficacy and safety of therapeutic plasma exchange in subjects with snakebite associated thrombotic microangiopathy compared to those receiving standard of care alone
- Conditions
- Snakebite associated thrombotic microangiopathy
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- Not specified
1.All males and females
2. All patients with age equal to more than 18 years
2.Patients diagnosed with TMA with or without AKI following RV or HNV bite
3.Patients directly admitted or transferred to the hospital within 5 days of the snakebite
Criteria used for diagnosis of TMA:
TMA is confirmed by the presence of microangiopathic haemolytic anaemia (MAHA) with > 1.0%
schistocytes in peripheral blood film examination with absolute thrombocytopenia < 150 x 109 /L or
> 25% reduced platelet count from baseline, with or without AKI.
At each study site, the local hematologists will be provided with a protocol to identify TMA by
recognizing and calculating schistocytes in the peripheral blood
1. Patients having known allergy to drug prodcuts
2.Pregnancy
3.Patients having allergic reactions to blood products
4.Patients with pre-existing chronic kidney disease with an eGFR <30 ml/min/1.73m2
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method