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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2100045930 |
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最近更新日期: Date of Last Refreshed on: |
2021-12-10 11:06:29 |
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注册时间: Date of Registration: |
2021-04-29 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
全口服短程方案治疗耐多药结核病的有效性和安全性研究:多中心随机撤药试验 |
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Public title: |
Safety and Efficacy of All-Oral Shortened Regimens for Multidrug-Resistant Tuberculosis: a Multicenter Randomized Withdrawal Trial |
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注册题目简写: |
耐多药结核病随机撤药试验 |
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English Acronym: |
SEAL-MDR |
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研究课题的正式科学名称: |
全口服短程方案治疗耐多药结核病的有效性和安全性研究:多中心随机撤药试验 |
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Scientific title: |
Safety and Efficacy of All-Oral Shortened Regimens for Multidrug-Resistant Tuberculosis: a Multicenter Randomized Withdrawal Trial |
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研究课题代号(代码): Study subject ID: |
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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: |
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申请注册联系人: |
付亮 |
研究负责人: |
邓国防 |
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Applicant: |
Fu Liang |
Study leader: |
Deng Guofang |
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申请注册联系人电话: Applicant telephone: |
+86 15989869571 |
研究负责人电话:
Study leader's |
+86 13530027001 |
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申请注册联系人传真 : Applicant Fax: |
+86 755 61238929 |
研究负责人传真: Study leader's fax: |
+86 755 61238929 |
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申请注册联系人电子邮件: Applicant E-mail: |
flk1981@qq.com |
研究负责人电子邮件: Study leader's E-mail: |
jxxk1035@yeah.net |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
https://www.szdsyy.com/ |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
https://www.szdsyy.com/ |
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申请注册联系人通讯地址: |
广东省深圳市龙岗区布澜路29号 |
研究负责人通讯地址: |
广东省深圳市龙岗区布澜路29号 |
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Applicant address: |
29 Bulan Road, Longgang District, Shenzhen, Guangdong |
Study leader's address: |
29 Bulan Road, Longgang District, Shenzhen, Guangdong |
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申请注册联系人邮政编码: Applicant postcode: |
518000 |
研究负责人邮政编码: Study leader's postcode: |
518000 |
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申请人所在单位: |
深圳市第三人民医院 |
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Applicant's institution: |
Shenzhen Third People's Hospital |
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研究负责人所在单位: |
深圳市第三人民医院 |
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Affiliation of the Leader: |
Shenzhen Third People's Hospital |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
2021-015-02 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
深圳市第三人民医院伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of Shenzhen Third People's Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2021-07-01 00:00:00 | ||
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伦理委员会联系人: |
黄芳 |
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Contact Name of the ethic committee: |
Huang Fang |
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伦理委员会联系地址: |
广东省深圳市龙岗区布澜路29号 |
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Contact Address of the ethic committee: |
29 Bulan Road, Longgang District, Shenzhen, Guangdong |
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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: |
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研究实施负责(组长)单位: |
深圳市第三人民医院 |
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Primary sponsor: |
Shenzhen Third People's Hospital |
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研究实施负责(组长)单位地址: |
广东省深圳市龙岗区布澜路29号 |
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Primary sponsor's address: |
29 Bulan Road, Longgang District, Shenzhen, Guangdong |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
国家感染性疾病临床医学研究中心(深圳) |
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Source(s) of funding: |
National Clinical Research Center for Infectious Diseases (Shenzhen) |
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研究疾病: |
耐多药结核病 |
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Target disease: |
Multidrug-resistant tuberculosis |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
III期临床试验 | ||||||||||||||||||||||||||||||||||||||||||||
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Study phase: |
3 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
开展随机撤药试验,探索对耐多药结核病方案早期治疗反应良好者的最佳抗结核疗程。 |
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Objectives of Study: |
Conduct randomized withdrawal trial to explore the best course of anti-tuberculosis treatment for those who respond well to the treatment of multi-drug-resistant tuberculosis regimens. |
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药物成份或治疗方案详述: |
本研究纳入对耐多药方案治疗反应良好的患者,开展撤药随机对照试验,探索最佳的、缩短的疗程。具体来说,本研究根据WHO指南选药原则制定四个方案,包括用于氟喹诺酮类敏感性MDR-TB的A方案、B方案,和用于氟喹诺酮类耐药性MDR-TB的C方案、D方案。药物组合分别为:A方案:贝达喹啉/利奈唑胺/莫西沙星/环丝氨酸(Bdq/Lzd/Mfx/Cs);B方案:利奈唑胺/莫西沙星/环丝氨酸/氯法齐明/吡嗪酰胺(Lzd/Mfx/Cs/Cfz/Z);C方案:贝达喹啉/利奈唑胺/环丝氨酸/氯法齐明/吡嗪酰胺(Bdq/Lzd/Cs/Cfz/Z);D方案:利奈唑胺/环丝氨酸/氯法齐明/吡嗪酰胺+柳氮磺吡啶(Lzd/Cs/Cfz/Z+SASP)。各组的疗程根据治疗中的随机分组而定。在治疗6个月时评估疗效,并对疗效良好者进行随机分组:撤药组停用所有药物,继续用药组则完成剩余的疗程。随机后随访观察15个月,比较两组的结核病不良结局发生率差异。本研究旨在验证6-9个月短程方案的有效性和安全性非劣于9-12个月短程方案。 |
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Description for medicine or protocol of treatment in detail: |
In this study, patients who respond well to multidrug-resistant regimens were included, and randomized withdrawal trial was carried out to explore the optimized and shortened course of treatment. Specifically, this study includes four regimens based on the WHO guidelines and our formal studies, including regimen A and B for fluoroquinolone-susceptible MDR-TB, and regimen C and D for fluoroquinolone-resistant MDR-TB. The drug combinations were as follows: regimen A: Bedaquiline/ Linezolid/ Moxifloxacin/ Cycloserine (Bdq/Lzd/Mfx/Cs), regimen B: Linezolid/ Moxifloxacin/ Cycloserine/ clofazimine/ pyrazinamide (Lzd/Mfx/Cs/Cfz/Z), regimen C: Bedaquiline/ Linezolid/ Cycloserine/ clofazimine/ pyrazinamide (Bdq/Lzd/Cs/Cfz/Z), regimen D: Linezolid/ Cycloserine/ clofazimine/ pyrazinamide + Sulfasalazine(Lzd/Cs/Cfz/Z + SASP). The course of each regimen is determined according to the random assignment six months after the treatment initiated. The treatment response was evaluated at six months of treatment, and those with favorable treatment response were randomized into two groups. The withdrawal group stopped all drugs, and the continuity group completed the remaining course of treatment till 9-12 months. The patients were followed up for 15 months after randomization, and the difference in the incidence of unfavorable outcomes between every two groups was compared. This study aims to verify that the efficacy and safety of the 6-9-month short-course regimen is not inferior to the 9-12 regimen. |
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纳入标准: |
1.自愿作为受试对象,签署知情同意书;或监护人同意患儿作为受试对象,签署知情同意书,自愿完成治疗后随访; |
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Inclusion criteria |
1. Willing to participate in the study and sign informed consent or parental/guardian permission is provided (informed consent) for patients under 18 years old; |
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排除标准: |
1.合并肺外结核病(本研究中规定,肺结核的范围包括:单纯肺结核、肺结核+结核性胸膜炎/支气管结核/纵隔淋巴结核。肺外结核病是指排除掉上述胸部范围之外的结核病); |
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Exclusion criteria: |
1. Before starting treatment, existed resistance to fluoroquinolones, bedaquinoline, linezolid, or cycloserine by rapid molecular biology methods, in vitro drug susceptibility tests, whole-genome sequencing methods, or GeneXpert XDR; |
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研究实施时间: Study execute time: |
从 From 2021-04-30 00:00:00至 To 2024-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2021-04-30 00:00:00 至 To 2022-12-31 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
正在进行 Recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
深圳市第三人民医院主要研究者,用网络平台和随机分组软件进行随机分组。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
The main investigators of Shenzhen Third People's Hospital used the network platform and random grouping software to perform random grouping. |
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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 |
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盲法: |
无。 |
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Blinding: |
None. |
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试验完成后的统计结果(上传文件): |
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Calculated Results after
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是否共享原始数据: IPD sharing |
是Yes |
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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): |
https://www.rws-infec.com/ |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
https://www.rws-infec.com/ |
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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: |
1.随访计划时间表。 2.数据收集表。 3.单日随访数据收集表。 4.https://www.rws-infec.com/ |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
1.monitoring schedule. 2.data collection forms. 3.data collection form for a single visit。 4.https://www.rws-infec.com/ |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |