口服泛影葡胺食管造影在食管癌放疗期间筛查食管瘘的临床应用

注册号:

Registration number:

ChiCTR-DDD-17012617 

最近更新日期:

Date of Last Refreshed on:

2017-09-07 23:29:05 

注册时间:

Date of Registration:

2017-09-07 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

口服泛影葡胺食管造影在食管癌放疗期间筛查食管瘘的临床应用

Public title:

Clinical application of take oral meglumine esophagogram in screening esophageal fistula during radiotherapy for esophageal cancer

注册题目简写:

English Acronym:

研究课题的正式科学名称:

口服泛影葡胺食管造影在食管癌放疗期间筛查食管瘘的临床应用

Scientific title:

Clinical application of take oral meglumine esophagogram in screening esophageal fistula during radiotherapy for esophageal cancer

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

耿立丹 

研究负责人:

杜小波 

Applicant:

Genglidan 

Study leader:

Duxiaobo 

申请注册联系人电话:

Applicant telephone:

+86 15775854750

研究负责人电话:

Study leader's
telephone:

+86 13550822229

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

979018189@qq.com

研究负责人电子邮件:

Study leader's E-mail:

duxiaobo2005@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

四川省绵阳市涪城区绵阳市中心医院紫荆楼

研究负责人通讯地址:

四川省绵阳市涪城区绵阳市中心医院紫荆楼

Applicant address:

Bauhinia House, Mianyang Central Hospital, Fucheng District, Mianyang, Sichuan, China

Study leader's address:

Bauhinia House, Mianyang Central Hospital, Fucheng District, Mianyang, Sichuan, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

绵阳市中心医院

Applicant's institution:

Mianyang Central Hospital

研究负责人所在单位:

绵阳市中心医院

Affiliation of the Leader:

Mianyang Central Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

S2017054

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

绵阳市中心医院医学伦理委员会

Name of the ethic committee:

Medical ethics committee of Mianyang Central Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

1990-01-01 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

绵阳市中心医院

Primary sponsor:

Mianyang Central Hospital

研究实施负责(组长)单位地址:

四川省绵阳市中心医院肿瘤科

Primary sponsor's address:

Bauhinia House, Mianyang Central Hospital, Fucheng District, Mianyang, Sichuan, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

四川省

市(区县):

绵阳市

Country:

China

Province:

Sichuan Province

City:

Mianyang City

单位(医院):

绵阳市中心医院

具体地址:

肿瘤科

Institution
hospital:

Mianyang Central Hospital

Address:

Bauhinia House, Mianyang Central Hospital, Fucheng District, Mianyang, Sichuan, China

经费或物资来源:

市应用技术研发资金;自筹

Source(s) of funding:

Applied technology research and Development Fund ;Self-financing

研究疾病:

食管癌  

Target disease:

esophageal cancer

研究疾病代码:

Target disease code:

研究类型:

诊断试验

Study type:

Diagnostic test

研究所处阶段:

诊断试验新技术临床试验 

Study phase:

Diagnostic New Technique Clincal Study

研究设计:

诊断试验诊断准确性 

Study design:

Diagnostic test for accuracy 

研究目的:

通过前瞻性研究分析,探索一种在食管癌放疗期间筛查食管瘘的最佳检查方法,以便早期发现、早期治疗食管瘘,及时有效控制病情,降低死亡率  

Objectives of Study:

Through prospective study and analysis, an optimal method of screening esophageal fistula during radiotherapy for esophageal cancer is explored, so as to early detect and treat esophageal fistula, effectively control the disease and reduce the mortality rate.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

碘剂过敏、肝肾功能严重不全,以及合并活动性肺结核、多发性脊髓瘤、甲亢者;不能理解试验要求,或可能不遵从试验要求的患者。

Exclusion criteria:

Iodine allergy, hepatic and renal dysfunction, combined with active tuberculosis, multiple spinal tumors, hyperthyroidism, patients who fail to understand the requirements of the trial, or may not comply with the test requirements

研究实施时间:

Study execute time:

From 2017-10-01 00:00:00 To 2019-10-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2017-10-01 00:00:00 To 1990-01-01 00:00:00

诊断试验:

Diagnostic Tests:

金标准或参考标准(即可准确诊断某疾病的单项方法或多项联合方法,在本研究中用于诊断是否有该病的临床参考标准):

钡餐造影;纤维食管镜;CT检查证实

Gold Standard or Reference Standard (The clinical reference standards required to establish the presence or absence of the target condition in the tested population in present study):

Barium meal radiography;Esophagofiberoscope;CT examination

指标试验(即本研究的待评估诊断试验,无论为方法、生物标志物或设备,均请列出名称):

口服76%泛影葡胺注射液约60ml行X线造影

Index test:

Take oral 76% Meglumine Diatrizoate Injection about 60ml and X-ray radiography

目标人群(可以是某种疾病患者或正常人群,详细描述其疾病特征,注意应纳入符合分布特点的全序列病例,具有良好的代表性)

食管癌放疗患者

例数:

Sample size:

105

Target condition (The target condition is a particular disease or disease stage that the index test will be intended to identify. Please specify the characteristics in detail; the population should has a complete spectrum and good representative):

Radiotherapy for patients with esophageal cancer

容易混淆的疾病人群(即与目标疾病不易区分的一种或多种不同疾病,应避免采用正常人群对照的病例-对照设计):

例数:

Sample size:

0

Population with condition difficult to distinguish from the target condition, the normal population in a case-control study design should be avoid:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

四川省 

市(区县):

绵阳市 

Country:

China

Province:

Sichuan

City:

Mianyang City

单位(医院):

绵阳市中心医院 

单位级别:

三级甲等医院 

Institution
hospital:

Mianyang Central Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

四川省 

市(区县):

绵阳市 

Country:

China

Province:

Sichuan

City:

Mianyang City

单位(医院):

绵阳盐亭县肿瘤医院 

单位级别:

二级甲等医院 

Institution
hospital:

Yanting Cancer Hospital of Mianyang

Level of the institution:

Secondary A hospital

国家:

中国

省(直辖市):

四川省 

市(区县):

绵阳市 

Country:

China

Province:

Sichuan

City:

Mianyang City

单位(医院):

绵阳市肿瘤医院 

单位级别:

二级甲等医院 

Institution
hospital:

Mianyang Cancer Hospital

Level of the institution:

Secondary A hospital

测量指标:

Outcomes:

指标中文名:

食管瘘

指标类型:

主要指标

Outcome:

esophageal fistula

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 80 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

项目负责人根据纳入标准及排除标准随机分组

Randomization Procedure (please state who generates the random number sequence and by what method):

The project leader according to inclusion criteria and exclusion criteria random grouping

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

2018年病例登记表

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

2018 case registration form

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

CRF

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2017-09-07 23:29:05