脐带间充质干细胞治疗神经精神性狼疮的临床研究

注册号:

Registration number:

ChiCTR1800018883 

最近更新日期:

Date of Last Refreshed on:

2018-10-15 00:10:40 

注册时间:

Date of Registration:

2018-10-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

脐带间充质干细胞治疗神经精神性狼疮的临床研究

Public title:

Clinical trail for the umbilical cord mesenchymal stem cell on the neuropsychiatric systemic lupus erythematosus

注册题目简写:

English Acronym:

研究课题的正式科学名称:

脐带间充质干细胞治疗神经精神性狼疮的临床研究

Scientific title:

Clinical trail for the umbilical cord mesenchymal stem cell on the neuropsychiatric systemic lupus erythematosus

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:

欧阳楚君 

研究负责人:

韦锋 

Applicant:

Chujun Ouyang 

Study leader:

Feng Wei 

申请注册联系人电话:

Applicant telephone:

+86 13630480333

研究负责人电话:

Study leader's
telephone:

+86 13702588983

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:

chelly1122@126.com

研究负责人电子邮件:

Study leader's E-mail:

wfrenaldoctor@163.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:

广东省蓬江区海傍街23号江门市中心医院伟伦楼10楼风湿免疫科

研究负责人通讯地址:

广东省蓬江区海傍街23号江门市中心医院伟伦楼10楼风湿免疫科

Applicant address:

23 Haibang Street, Pengjiang District, Jiangmen, Guangdong, China

Study leader's address:

23 Haibang Street, Pengjiang District, Jiangmen, Guangdong, 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:

江门市中心医院

Applicant's institution:

Department of Rheumatology, Jiangmen Central Hospital

研究负责人所在单位:

江门市中心医院

Affiliation of the Leader:

Department of Rheumatology, Jiangmen 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:

2018-34

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:

江门市中心医院伦理审查委员会

Name of the ethic committee:

Ethics committee in Jiangmen Central Hospial

伦理委员会批准日期:

Date of approved by ethic committee:

2018-07-03 00:00:00

伦理委员会联系人:

廖勇彬

Contact Name of the ethic committee:

Yongbin Liao

伦理委员会联系地址:

广东省江门市蓬江区海傍街23号

Contact Address of the ethic committee:

Jiangmen Central Hospital, the Affiliated Jiangmen Hospital of Sun Yat-sen University, 23 Haibang Street, Pengjiang District, Jiangmen, Guangdong, China

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:

江门市中心医院

Primary sponsor:

Jiangmen Central Hospital

研究实施负责(组长)单位地址:

广东省蓬江区海傍街23号江门市中心医院伟伦楼10楼风湿免疫科

Primary sponsor's address:

23 Haibang Street, Pengjiang District, Jiangmen, Guangdong, 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):

广东省

市(区县):

江门市

Country:

China

Province:

Guangdong

City:

Jiangmen

单位(医院):

江门市中心医院

具体地址:

广东省蓬江区海傍街23号

Institution
hospital:

Jiangmen Central Hospital

Address:

23 Haibang Street, Pengjiang District, Jiangmen, Guangdong, China

经费或物资来源:

吴阶平医学基金会临床科研专项资助基金

Source(s) of funding:

Wu Jieping Medical Foundation

研究疾病:

神经精神性狼疮  

Target disease:

neuropsychiatric systemic lupus erythematosus

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

观察脐带间充质干细胞(UC-MSCs)治疗神经精神性狼疮(NPSLE)的疗效及移植相关并发症的发生,为NPSLE的治疗提供一个新的治疗方案。  

Objectives of Study:

To observe the effect and compications of the umbilical cord mesenchymal stem cell on the neuropsychiatric systemic lupus erythematosus and provide a new therapy for NPSLE.

药物成份或治疗方案详述:

拟纳入患者30例,根据随机数字表随机分为两组,每组15例: MSCs组:激素+免疫抑制剂治疗基础上,输注UC-MSCs悬液治疗;移植细胞数为1×10^6个细胞/kg,每周输注一次,共输注3次。移植方式为静脉输注。移植时间:静脉注射环磷酰胺后2天后或服用吗替麦考酚酯12小时后。 对照组:激素+免疫抑制剂治疗。 其中,激素治疗方案:大量糖皮质激素(强的松≥1mg/kg/d或甲泼尼龙0.5-1g/d×3-5天后改为0.8mg/kg.d);免疫抑制剂治疗方案:环磷酰胺500-750mg/m2/月或吗替麦考酚酯≥1000mg/d;有中枢症状者加用鞘内注射甲氨喋呤及地塞米松。 

Description for medicine or protocol of treatment in detail:

Including 30 patients who were randomized to MSCs-group and control-group.On the foundation of the therapy of steroids and DMARDs,infusing the UC-MSCs(1×10^6 cells/Kg,Qw,3weeks) in the patients in the MSCs-group.The therapy should be performed 2 days after the CTX or 12 hours after the MMF.The control-group performs the therapy of steroids(Prednisone ≥1mg/kg/d or methylprednisolone 0.5-1g/d×3-5days,maintained by 0.8mg/kg.d) and DMARDs(CTX500-750mg/m2/month or MMF≥1000mg/d).Intrathecal injecting the DXM and MTX essentially. 

纳入标准:

Inclusion criteria

排除标准:

(1)未受控制的感染;
(2)心功能III-IV级;
(3)肾功能不全,CCr<30ml/min;
(4)肝功能异常,GPT(ALT)>3倍正常值上限;
(5)呼吸衰竭;
(6)血液制品过敏史;
(7)怀孕;
(8)不能或不愿签署知情同意书的患者。

Exclusion criteria:

(1) Infection not under controll;
(2) Cadiac function in Grade III-IV;
(3) CCr<30ml/min;
(4) ALT>120U/L
(5) Repiratory failure;
(6) Allergy to blood products;
(7) Pregnancy.

研究实施时间:

Study execute time:

From 2018-11-01 00:00:00 To 2021-11-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2018-11-01 00:00:00 To 2020-12-31 00:00:00

干预措施:

Interventions:

组别:

MSCs组

样本量:

15

Group:

Group 2

Sample size:

干预措施:

激素+免疫抑制剂+静脉注入脐带间充质干细胞(MSCs)

干预措施代码:

Intervention:

Hormone + immunosuppressant + intravenous inject MSCs

Intervention code:

组别:

Group 1

样本量:

15

Group:

Group 1

Sample size:

干预措施:

激素+免疫抑制剂

干预措施代码:

Intervention:

Hormone + immunosuppressant

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东省 

市(区县):

江门市 

Country:

China

Province:

Guangdong

City:

Jiangmen city

单位(医院):

江门市中心医院 

单位级别:

三甲医院 

Institution
hospital:

Jiangmen Central Hospital

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

神经系统症状

指标类型:

主要指标

Outcome:

symptoms of nervous system

Type:

Primary indicator

测量时间点:

0/3/6个月

测量方法:

加拿大神经功能评分量表、改良爱丁堡斯堪的那维亚神经功能缺损评分量表

Measure time point of outcome:

0/3/6 months

Measure method:

Canadian neurological scale, Scandinavian stroke scale

指标中文名:

头颅MR

指标类型:

主要指标

Outcome:

MR of head

Type:

Primary indicator

测量时间点:

0/3/6个月

测量方法:

MR

Measure time point of outcome:

0/3/6 months

Measure method:

MRI

指标中文名:

脑电图

指标类型:

主要指标

Outcome:

electroencephalogram

Type:

Primary indicator

测量时间点:

0/3/6个月

测量方法:

脑电图

Measure time point of outcome:

0/3/6 months

Measure method:

electroencephalogram

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

脑脊液

组织:

Sample Name:

cerebrospinal fluid

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

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 16 years
最大 Max age 70 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):

由研究人员外的人员进行随机分组,方法如下: 1.按入选人员进入试验的顺序由先到后编号; 2.然后从随机数字表任意一处查出30个随机数,遇到相同的随机数则去掉(如从“随机数字表”第36行第1列向右查);分配给每个入选者。 3.并将随机数由小到大编秩(秩次R); 4.令R为1-15者分为MSCs组,R为16-30者分为对照组。

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

Randomized by the people except the research people. Methods: 1.Numbered the patients according to the sequence of entering the trial; 2.Check the randomized-figure-table to pick up 30 numbers randomly and assign the number to all patints; 3.Sort the randomized numbers in R 4.R1-R15 were randomized to MSCs-group;R16-R30 were&

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

采取双盲法。对试验实施者和结果测量者实施盲法。试验药物和安慰剂由公司专门生产,外观完全一致,没有任何标识。药剂师预先按每次注射剂量分装试验药物和安慰剂,将每个受试对象的全疗程药物装入1个大袋,在大药袋上标上按随机号所决定的干预措施类别相对应的序号。记录序号、随机号和组别标记的分配表一式三份,分别由试验设计者、药厂和药房保管。试验设计者、药剂师均不参与试验。临床医师负责按纳入标准招募受试对象,按就诊先后次序顺次分配序列号,受试对象姓名和序列号均由临床医师记录并保管;护 士负责注射药物,每次服药后均记录备案;护士负责每天3次测量和记录体温、脉搏、呼吸等指标,临床医师负责生活质量问卷项目的测量和填写,实验医学科专人负责生化指标检测,直到试验完成后揭盲时各参与人员均不知道受试对象的分组情况。

Blinding:

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):

2022年1月,发表论文

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

January in 2022

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:

由病例记录表采集,由电子采集和管理系统管理

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

collect the data through case record form;manage the data through the electronic data capture

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2018-10-15 00:10:40