|
审核状态: Project audit state: |
通过审核 Successful |
|
注册号: Registration number: |
ChiCTR2300070896 |
|
最近更新日期: Date of Last Refreshed on: |
2023-04-26 08:58:51 |
|
注册时间: Date of Registration: |
2023-04-26 00:00:00 |
|
注册号状态: |
预注册 |
|
Registration Status: |
Prospective registration |
|
注册题目: |
促红素治疗围透析期慢性肾脏病伴贫血患者有效性和安全性的多中心回顾性队列研究 |
|
Public title: |
A multicenter retrospective cohort study to evaluate efficacy and safety of erythropoietin therapy on anemia in patients with chronic kidney disease during the peri-dialysis period |
|
注册题目简写: |
|
|
English Acronym: |
|
|
研究课题的正式科学名称: |
促红素治疗围透析期慢性肾脏病伴贫血患者有效性和安全性的多中心回顾性队列研究 |
|
Scientific title: |
A multicenter retrospective cohort study to evaluate efficacy and safety of erythropoietin therapy on anemia in patients with chronic kidney disease during the peri-dialysis period |
|
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: |
薛澄 |
研究负责人: |
梅长林 |
|
Applicant: |
Cheng Xue |
Study leader: |
Changlin Mei |
|
申请注册联系人电话: Applicant telephone: |
+86 15921169656 |
研究负责人电话:
Study leader's |
+86 21 81885391 |
|
申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
+86 21 81885391 | |
|
申请注册联系人电子邮件: Applicant E-mail: |
chengxia1568@126.com |
研究负责人电子邮件: Study leader's E-mail: |
chlmei1954@126.com |
|
申请单位网址(自愿提供): Applicant website(voluntary supply): |
https://www.shczyy.com/ |
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: |
上海市黄浦区凤阳路415号 |
研究负责人通讯地址: |
上海市黄浦区凤阳路415号 |
|
Applicant address: |
415 Fengyang Road, Huangpu District, Shanghai |
Study leader's address: |
415 Fengyang Road, Huangpu District, Shanghai |
|
申请注册联系人邮政编码: Applicant postcode: |
200003 |
研究负责人邮政编码: Study leader's postcode: |
200003 |
|
申请人所在单位: |
上海长征医院 |
||
|
Applicant's institution: |
Shanghai Changzheng Hospital |
||
|
研究负责人所在单位: |
上海长征医院 |
||
|
Affiliation of the Leader: |
Shanghai Changzheng Hospital |
||
|
是否获伦理委员会批准: |
是 |
||
|
Approved by ethic committee: |
Yes |
||
|
伦理委员会批件文号: Approved No. of ethic committee: |
2022SL066 |
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: |
上海长征医院医学伦理委员会 |
||
|
Name of the ethic committee: |
Medical Ethics Committee of Shanghai Changzheng Hospital |
||
|
伦理委员会批准日期: Date of approved by ethic committee: |
2022-10-28 00:00:00 | ||
|
伦理委员会联系人: |
孙吕平 |
||
|
Contact Name of the ethic committee: |
Lvping Sun |
||
|
伦理委员会联系地址: |
上海市黄浦区凤阳路415号 |
||
|
Contact Address of the ethic committee: |
415 Fengyang Road, Huangpu District, Shanghai |
||
|
伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 21 81885114 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
shczkykxs@163.com |
|
研究实施负责(组长)单位: |
上海长征医院 |
||||||||||||||||||||||
|
Primary sponsor: |
Shanghai Changzheng Hospital |
||||||||||||||||||||||
|
研究实施负责(组长)单位地址: |
上海市黄浦区凤阳路415号 |
||||||||||||||||||||||
|
Primary sponsor's address: |
415 Fengyang Road, Huangpu District, Shanghai |
||||||||||||||||||||||
|
试验主办单位(项目批准或申办者): Secondary sponsor: |
|
||||||||||||||||||||||
|
经费或物资来源: |
上海长征医院 |
||||||||||||||||||||||
|
Source(s) of funding: |
Shanghai Changzheng Hospital |
||||||||||||||||||||||
|
研究疾病: |
慢性肾脏病伴贫血 |
||||||||||||||||||||||
|
Target disease: |
Chronic kidney disease with anemia |
||||||||||||||||||||||
|
研究疾病代码: |
|
||||||||||||||||||||||
|
Target disease code: |
|
||||||||||||||||||||||
|
研究类型: |
观察性研究 |
||||||||||||||||||||||
|
Study type: |
Observational study |
||||||||||||||||||||||
|
研究所处阶段: |
回顾性研究 | ||||||||||||||||||||||
|
Study phase: |
Retrospective study |
||||||||||||||||||||||
|
研究设计: |
队列研究 |
||||||||||||||||||||||
|
Study design: |
Cohort study |
||||||||||||||||||||||
|
研究目的: |
观察和评估真实世界中促红素治疗围透析期慢性肾病伴贫血患者的有效性和安全性。 |
||||||||||||||||||||||
|
Objectives of Study: |
To observe and evaluate the efficacy and safety of erythropoietin in the treatment of peridialysis chronic kidney disease with anemia in the real world. |
||||||||||||||||||||||
|
药物成份或治疗方案详述: |
促红素、低氧诱导因子脯氨酰羟化酶抑制剂(HIF,罗沙司他) |
||||||||||||||||||||||
|
Description for medicine or protocol of treatment in detail: |
Erythropoin, hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF, roxadustat) |
||||||||||||||||||||||
|
纳入标准: |
纳入标准: |
||||||||||||||||||||||
|
Inclusion criteria |
Inclusion criteria: |
||||||||||||||||||||||
|
排除标准: |
排除标准: |
||||||||||||||||||||||
|
Exclusion criteria: |
Exclusion criteria: |
||||||||||||||||||||||
|
研究实施时间: Study execute time: |
从 From 2022-12-06 00:00:00至 To 2023-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2023-04-19 00:00:00 至 To 2023-12-31 00:00:00 |
|
干预措施: Interventions: |
|
|
研究实施地点: Countries of recruitment and research settings: |
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
测量指标: Outcomes: |
|
|
采集人体标本:
Collecting sample(s)
|
|
|
征募研究对象情况: Recruiting status: |
正在进行 Recruiting |
年龄范围: Participant age: |
|
||||||
|
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): |
本研究为回顾性队列研究 |
||||||||
|
Randomization Procedure (please state who generates the random number sequence and by what method): |
This study is a retrospective cohort study |
||||||||
|
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
|
|
|
是否共享原始数据: IPD sharing |
否No |
|
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): |
共享数据需项目负责人批准 |
|
The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Project leader approval is required for data sharing |
|
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: |
使用天津健康医疗大数据超级平台应用数据库:http://172.26.64.7:8080/ikudu/进行数据采集和管理。 本研究涉及的基线变量及重要协变量基于慢性肾脏病贫血患者诊疗指南、专家共识、公开发表文献,已取得本研究项目组专家认可。为收集围透析期慢性肾脏病伴贫血患者药物治疗真实的临床使用数据,每个中心专门配有研究者授权的CRC录入相关数据,有条件医院经研究者和医院信息科审批同意,可采用信息化技术导出脱敏加密处理的数据,形成项目数据集。 5.1 数据采集项目 (1)人口学资料:出生日期、性别、民族、身高; (2)体重:启动透析后,记录干体重; (3)终末期肾病原因:糖尿病肾病、高血压肾小动脉硬化、原发性与继发性肾小球肾炎、肾小管间质疾病、肾血管疾病、遗传性肾病、其他等; (4)既往/合并疾病:12个月内有既往病史及5年内有重大既往病史情况; (5)住院治疗:记录患者从入组至随访结束住院时间、住院次数和住院天数,在重症监护室(ICU)住院天数,以及主要诊断结果; (6)生命体征:收缩压(SBP)和舒张压(DBP)(mmHg)、呼吸(次/分)、脉搏(bpm)、体温(℃); (7)血常规:白细胞总数(WBC)、中性粒细胞百分率(N%)、血小板计数(PLT)、红细胞计数(RBC)、血红蛋白(Hb)、红细胞压积(HCT)、平均红细胞体积(MCV)、平均红细胞血红蛋白量、平均红细胞血红蛋白浓度、网织红细胞计数; (8)血生化:天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、碱性磷酸酶(ALP)、总胆红素(TBIL)、直接胆红素(D-BIL),总蛋白(TP)、白蛋白(ALB)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)、尿酸(UA)、肌酐(Cr)、电解质(K+、Na+、Cl-、Ca2+、P 、CO2结合力/HCO3-)、血糖; (9)铁参数检查:血清铁蛋白(SF)、转铁蛋白饱和度(TSAT); (10)凝血功能:凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)、纤维蛋白原(FIB)、D二聚体; (11)其他实验室指标:iPTH、C反应蛋白(CRP); (12)其他检查:根据就诊情况,记录有临床意义的其他重要相关检查,其他检查包括但不限于心血管结构和功能测定(包括心脏和血管彩超、 X线或CT等检查),胸部正侧位X线片,内瘘血管检查(内瘘血管流量、血管彩色多普勒超声等检查)血管超声、心脏超声、冠脉CT、冠脉造影、头颅MRI、心电图、X光胸片、神经影像学检查(CT、MRI)、生物电阻抗分析等; (13)透析情况:透析模式、首次透析时间、透析处方、血管通路、透析充分性(单室尿素清除率spKt/V,URR); (14)贫血给药方案:使用促红素/罗沙司他的受试者,主要包括:药物名称、给药途径、单次剂量、剂量单位、给药频率、开始日期、结束日期。 (15)既往/合并用药:铁剂、ACEI、ARB、叶酸、维生素B12、他汀类等; (16)输血记录:输血时间和输血量等; (17)不良事件:使用促红素/罗沙司他的的受试者在发生不良事件时,均应录入相应信息,主要包括: ? 不良事件的名称 ? 开始时间 ? 结束时间 ? 严重程度 ? 与使用药品的因果关系 ? 针对使用药品采取的措施 ? 对不良事件采取的措施 ? 不良事件的转归 所采取的措施可能包括:无直接干预,仅密切观察;调整/暂停用药;终止用药;给予治疗用药;给予非药物治疗;住院观察或延长住院时间等。另外,对所使用药品采取的措施也需详细记录,包括:停药、降低剂量、增加剂量、继续用药(未改变剂量)、未知、不适用。不良事件的结局/转归,可包括:痊愈;好转/缓解;未好转/未缓解/持续;痊愈伴后遗症;死亡;未知。 |
|
Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Use Tianjin Health and Medical Big Data Super Platform Application Database: http://172.26.64.7:8080/ikudu/ for data collection and management. The baseline variables and important covariates involved in this study are based on the guidelines for the diagnosis and treatment of anemia patients with chronic kidney disease, expert consensus, and published literature, and have been approved by the experts of this research project team. In order to collect the real clinical use data of drug treatment for chronic kidney disease patients with anemia in the peridialysis period, each center is specially equipped with a CRC authorized by the researcher to enter relevant data. Conditionally, the hospital can use the information after the approval of the researcher and the hospital information department. The desensitized and encrypted data is exported by the technology to form a project data set. 5.1 Data collection items (1) Demographic information: date of birth, gender, ethnicity, height; (2) Body weight: after starting dialysis, record the dry weight; (3) Causes of end-stage renal disease: diabetic nephropathy, hypertensive renal arteriosclerosis, primary and secondary glomerulonephritis, tubulointerstitial disease, renal vascular disease, hereditary nephropathy, etc.; (4) Past/combined diseases: past medical history within 12 months and significant past medical history within 5 years; (5) Hospitalization: Record the hospitalization time, number of hospitalizations and days of hospitalization, days of hospitalization in the intensive care unit (ICU), and main diagnostic results of patients from enrollment to the end of follow-up; (6) Vital signs: systolic blood pressure (SBP) and diastolic blood pressure (DBP) (mmHg), respiration (times/minute), pulse (bpm), body temperature (°C); (7) Blood routine: total number of white blood cells (WBC), percentage of neutrophils (N%), platelet count (PLT), red blood cell count (RBC), hemoglobin (Hb), hematocrit (HCT), mean corpuscular volume ( MCV), mean corpuscular hemoglobin volume, mean corpuscular hemoglobin concentration, reticulocyte count; (8) Blood biochemistry: aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), total bilirubin (TBIL), direct bilirubin (D- BIL), total protein (TP), albumin (ALB), triglyceride (TG), total cholesterol (TC), low-density lipoprotein (LDL-C), high-density lipoprotein (HDL-C), uric acid ( UA), creatinine (Cr), electrolytes (K+, Na+, Cl-, Ca2+, P, CO2 binding capacity/HCO3-), blood sugar; (9) Iron parameter check: serum ferritin (SF), transferrin saturation (TSAT); (10) Coagulation function: prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT), fibrinogen (FIB), D dimer; (11) Other laboratory indicators: iPTH, C-reactive protein (CRP); (12) Other examinations: According to the treatment situation, record other important relevant examinations with clinical significance. Other examinations include but are not limited to the determination of cardiovascular structure and function (including heart and blood vessel color Doppler ultrasound, X-ray or CT, etc.), positive side of the chest X-ray films, internal fistula vascular inspection (fistula vascular flow, vascular color Doppler ultrasonography, etc.), vascular ultrasound, echocardiography, coronary CT, coronary angiography, head MRI, electrocardiogram, X-ray chest film, neuroimaging Medical examination (CT, MRI), bioelectrical impedance analysis, etc.; (13) Dialysis status: dialysis mode, first dialysis time, dialysis prescription, vascular access, dialysis adequacy (single-chamber urea clearance spKt/V, URR); (14) Dosing regimen for anemia: for subjects using erythropoietin/roxadustat, it mainly includes: drug name, administration route, single dose, dosage unit, administration frequency, start date, and end date. (15) Previous/combined medications: iron, ACEI, ARB, folic acid, vitamin B12, statins, etc.; (16) Blood transfusion records: blood transfusion time and blood transfusion volume, etc.; (17) Adverse events: Subjects using erythropoietin/roxadustat should enter corresponding information when adverse events occur, mainly including: ? Name of adverse event ? Starting time ? End Time ? severity ? Causal relationship to drug use ? Measures taken against drug use ? Actions taken in response to adverse events ? Outcome of adverse events The measures taken may include: no direct intervention, only close observation; adjustment/suspension of medication; termination of medication; administration of therapeutic medication; administration of non-drug treatment; hospitalization for observation or prolonged hospitalization, etc. In addition, the measures taken for the drugs used also need to be recorded in detail, including: drug withdrawal, dose reduction, dose increase, continuation of drug use (no change in dose), unknown, not applicable. The outcome/outcome of adverse events may include: recovery; improvement/remission; no improvement/non-remission/persistence; recovery with sequelae; death; unknown. |
|
数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |