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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: |
ChiCTR2400085069 |
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最近更新日期: Date of Last Refreshed on: |
2024-05-30 15:34:45 |
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注册时间: Date of Registration: |
2024-05-30 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: |
一项以二复方奥美沙坦酯/氢氯噻嗪片为对照评价三复方奥美沙坦酯/氨氯地平/氢氯噻嗪片治疗原发性高血压有效性和安全性的随机、双盲、平行对照III期临床试验 |
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Public title: |
A randomized, double-blind, parallel controlled phase III clinical trial to evaluate the efficacy and safety of three compound olmesartan axetil/amlodipine/hydrochlorothiazide tablets and two compound olmesartan axetil/hydrochlorothiazide tablets in the treatment of primary hypertension |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
一项以二复方奥美沙坦酯/氢氯噻嗪片为对照评价三复方奥美沙坦酯/氨氯地平/氢氯噻嗪片治疗原发性高血压有效性和安全性的随机、双盲、平行对照III期临床试验 |
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Scientific title: |
A randomized, double-blind, parallel controlled phase III clinical trial to evaluate the efficacy and safety of three compound olmesartan axetil/amlodipine/hydrochlorothiazide tablets and two compound olmesartan axetil/hydrochlorothiazide tablets in the treatment of primary hypertension |
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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: |
谢晓宇 |
研究负责人: |
王继光 |
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Applicant: |
Xiaoyu Xie |
Study leader: |
Jiguang Wang |
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申请注册联系人电话: Applicant telephone: |
+86 13 918 053 6400 |
研究负责人电话:
Study leader's |
+86 137 6418 9476 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
xiexiaoyu@tenrypharn.com |
研究负责人电子邮件: Study leader's E-mail: |
jiguangw@163.com |
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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): |
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申请注册联系人通讯地址: |
上海市徐汇区中山西路1602号宏汇国际大厦B栋6楼 |
研究负责人通讯地址: |
上海市瑞金二路197号 |
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Applicant address: |
Add: 6F, Block B, Hongwell International Plaza, 1602 West Zhongshan Road, Xuhui District Shanghai, China |
Study leader's address: |
No. 197 Ruijin Second Road,Shanghai |
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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: |
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申请人所在单位: |
上海腾瑞制药股份有限公司 |
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Applicant's institution: |
Shanghai Tenry Pharmaceutical Co., Ltd. |
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研究负责人所在单位: |
上海交通大学医学院附属瑞金医院 |
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Affiliation of the Leader: |
Ruijin Hospital, Shanghai Jiaotong University School of Medicine |
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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: |
(2024)伦审第(41)号 |
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: |
上海交通大学附属瑞金医院药物临床试验伦理审查委员会 |
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Name of the ethic committee: |
Shanghai Jiao Tong University School of Medicine, Ruijin Hospital Ethics Committee |
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伦理委员会批准日期: Date of approved by ethic committee: |
2024-03-18 00:00:00 | ||
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伦理委员会联系人: |
刘海莉 |
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Contact Name of the ethic committee: |
Haili Liu |
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伦理委员会联系地址: |
上海市瑞金二路197号 |
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Contact Address of the ethic committee: |
No. 197 Ruijin Second Road,Shanghai |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 21 6433 3548 |
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: |
上海交通大学医学院附属瑞金医院 |
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Primary sponsor: |
Ruijin Hospital, Shanghai Jiaotong University School of Medicine |
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研究实施负责(组长)单位地址: |
上海市瑞金二路197号 |
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Primary sponsor's address: |
No. 197 Ruijin Second Road,Shanghai |
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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: |
上海腾瑞制药股份有限公司 |
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Source(s) of funding: |
Shanghai Tenry Pharmaceutical Co., Ltd. |
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研究疾病: |
原发性高血压 |
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Target disease: |
Primary Hypertension |
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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: |
以二复方奥美沙坦酯/氢氯噻嗪片为对照,评价三复方奥美沙坦酯/氨氯地平/氢氯噻嗪片治疗原发性高血压患者的疗效和安全性 |
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Objectives of Study: |
Using two compound omesartan/hydrochlorothiazide tablets as a control to evaluate the efficacy and safety of three compound omesartan/amlodipine/hydrochlorothiazide tablets in the treatment of patients with primary hypertension |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
符合以下所有标准的受试者方可参与本研究: 1. 性别不限,年龄18~75周岁(含两端值); 2. 自愿签署知情同意书参加此项研究,了解本研究并愿意遵循方案而且愿意完成所有试验程序; 3. 在进入导入期前,msDBP满足其中1条即可:①目前未接受治疗的患者(包括首次给药前4周内未使用任何降压药或者新诊断的原发性高血压患者),诊室平均坐位舒张压(msDBP)≥100 mmHg;②首次给药前接受稳定降压药物治疗(至少4周)的原发性高血压患者在进入导入期前诊室平均坐位血压满足下述标准:单药治疗msDBP≥95 mmHg,或两药联合治疗:msDBP≥90 mmHg,或三药联合治疗:70 mmHg ≤msDBP<90 mmHg。 4. 随机入组标准:msDBP≥90 mmHg[有糖尿病或者慢性肾脏疾病的患者(肌酐清除率 ≥30 mL/min和 ≤60 mL/min) msDBP ≥80 mmHg]; 5. 女性受试者筛选时、随机时血妊娠试验阴性,且未进行哺乳; 6. 育龄期男性和女性受试者自愿在研究期间及末次给药后6个月内采取有效的避孕措施 |
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Inclusion criteria |
Subjects will be eligible for study participation if they meet the following criteria: 1. No gender limit, aged between 18 and 75 years old (including both ends); 2. Voluntarily sign an informed consent form to participate in this study, understand the study, be willing to follow the protocol, and be willing to complete all experimental procedures; 3. Before entering the run-in period, one of the following conditions must be met for msDBP: ① For patients who have not received treatment (including patients with primary hypertension who have not used any antihypertensive drugs or have been newly diagnosed within 4 weeks before the first administration), the average sitting diastolic blood pressure (msDBP) in the examination room should be ≥ 100 mmHg; ② Primary hypertension patients who receive stable antihypertensive drug treatment (at least 4 weeks) before the first administration meet the following criteria for average sitting blood pressure in the consultation room before entering the induction period: monotherapy with msDBP ≥ 95 mmHg, or combination therapy with two drugs with msDBP ≥ 90 mmHg, or triple therapy with 70 mmHg ≤ msDBP<90 mmHg. 4. Randomization criteria: msDBP ≥ 90 mmHg [patients with diabetes or chronic kidney disease (creatinine clearance ≥ 30 mL/min and ≤ 60 mL/min) msDBP ≥ 80 mmHg]; 5. Female subjects were screened and randomly tested negative for blood pregnancy and did not breastfeed; 6. Male and female participants of childbearing age voluntarily adopt effective contraceptive measures during the study period and within 6 months after the last administration |
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排除标准: |
符合以下任何一项标准的受试者不得入组本研究: 1. 有继发性高血压的病史或证据,包括但不限于下列情况:肾实质性高血压,肾血管性高血压(单侧或双侧肾动脉狭窄),主动脉缩窄,原发性醛固酮增多症,库欣氏病,嗜铬细胞瘤,多囊性肾病,和药物性高血压等; 2. 接受可耐受的足够剂量且合理的3种降压药物(包括1种噻嗪类利尿剂)至少治疗4周后仍不能控制血压达目标水平,经研究者诊断为难治性高血压的受试者;或至少需要4种药物才能使血压达标的受试者; 3. 筛选或随机入组前msDBP≥110 mmHg 或 msSBP≥180 mmHg; 4. 导入期前两次诊室血压测量,受试者平均坐位收缩压(SeSBP)变化≥20 mmHg或者平均坐位舒张压(SeDBP)变化≥10 mmHg; 5. 合并存在有可能促进低血压发生的情况,如营养不良、血容量不足等; 6. 合并有以下心脑血管疾病: a) 心脏疾病:筛选访视前6个月内有过心肌梗塞、心力衰竭(符合NYHA标准的III或IV级)、不稳定型心绞痛或进行过冠脉旁路移植术、经皮冠脉介入治疗;肥厚性梗阻性心肌病;心脏瓣膜显著狭窄;有临床意义的严重心律失常(例如:室性心动过速、病态窦房结综合征、三度房室传导阻滞、心房颤动或扑动等); b) 脑血管疾病:筛选前6个月内发生的脑梗死、脑出血、短暂性脑缺血发作; c) 血管性疾病:伴有间歇性跛行症状的动脉硬化性闭塞症; 7. 未控制的1型或2型糖尿病(例如:糖化血红蛋白>8%); 8. 过去5年内有恶性肿瘤病史的患者,但皮肤基底细胞癌或皮肤鳞状细胞癌、原位黑色素瘤和宫颈原位癌彻底治愈患者和/或癌症已治愈无疾病或至少5年连续无疾病的任何恶性肿瘤患者除外; 9. 试验期间需要接受全身性糖皮质激素治疗、β受体阻滞剂治疗或者抗抑郁治疗的受试者; 10. 丙氨酸氨基转移酶(ALT)或天冬氨酸氨基转移酶(AST)≥3正常值上限(ULN)或总胆红素≥1.5×正常值上限(ULN); 11. 血清肌酐≥1.5×正常值上限(ULN),或肌酐清除率(基于Cockcroft-Gault公式)为<30 mL/min; 12. 筛选时有高钾血症(血钾>5.5 mmol/L)或低钾血症(血钾<3.5 mmol/L);低钠血症(血钠<130 mmol/L);高尿酸血症(男性≥420 umol/L,女性≥360 umol/L); 13. 患有影响药物吸收、分布、代谢和排泄的胃肠道疾病或接受过相关外科手术; 14. 有或怀疑酒精或药物滥用史的受试者; 15. 对试验用药品任何成分过敏; 16. 导入期的服药依从性>120%或<80%; 17. 筛选前30天内患者参加过其他干预性临床试验; 18. 受试者合并任何其他状况,研究者认为这些状况会影响试验药物疗效或安全性评价和/或对受试者构成重大安全性风险。 |
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Exclusion criteria: |
Subjects meeting any of the following criteria should not be enrolled in this study: 1. History or evidence of secondary hypertension, including but not limited to: renal parenchymal hypertension, renal vascular hypertension (unilateral or bilateral renal artery stenosis), aortic constriction, primary aldosteronism, Cushing's disease, pheochromocytoma, polycystic kidney disease, and drug-induced hypertension; 2. Subjects diagnosed by the researcher as intractable hypertension who cannot control their blood pressure to the target level after receiving tolerable and sufficient doses of three antihypertensive drugs (including one thiazide diuretic) for at least 4 weeks of treatment; Or subjects who require at least 4 medications to achieve blood pressure standards; 3. Before screening or randomization, msDBP ≥ 110 mmHg or msSBP ≥ 180 mmHg; 4. During the first two rounds of examination room blood pressure measurement before the introduction period, the change in mean sitting systolic blood pressure (SeSBP) of the subjects was ≥ 20 mmHg or the change in mean sitting diastolic blood pressure (SeDBP) was ≥ 10 mmHg; 5. There may be situations that may promote the occurrence of hypotension, such as malnutrition, insufficient blood volume, etc; 6. Complication with the following cardiovascular and cerebrovascular diseases: a) Cardiac disease: Screening for myocardial infarction, heart failure (NYHA grade III or IV), unstable angina, or coronary artery bypass grafting or percutaneous coronary intervention within 6 months prior to the visit; Hypertrophic obstructive cardiomyopathy; Significant narrowing of the heart valve; Severe arrhythmia with clinical significance (such as ventricular tachycardia, sick sinus syndrome, third degree atrioventricular block, atrial fibrillation or flutter, etc.); b) Cerebrovascular diseases: Screening for cerebral infarction, cerebral hemorrhage, and transient ischemic attacks that occurred within the first 6 months; c) Vascular disease: Arteriosclerotic occlusive disease with intermittent claudication symptoms; 7. Uncontrolled type 1 or type 2 diabetes (e.g., glycosylated hemoglobin>8%); 8. Patients with a history of malignant tumors within the past 5 years, except for patients with completely cured skin basal cell carcinoma, skin squamous cell carcinoma, melanoma in situ, and cervical carcinoma in situ, and/or any malignant tumor patients who have been cured without disease or have been disease-free for at least 5 years; 9. During the experiment, systemic glucocorticoid therapy is required β blocker therapy or antidepressant therapy; 10. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 3 upper limit of normal (ULN) or total bilirubin ≥ 1.5 x upper limit of normal (ULN); 11. Serum creatinine ≥ 1.5 x Upper Limit of Normal (ULN), or creatinine clearance rate (based on Cockcroft Gault formula) is<30 mL/min; 12. During screening, there was hyperkalemia (blood potassium>5.5 mmol/L) or hypokalemia (blood potassium<3.5 mmol/L); Hyponatremia (blood sodium<130 mmol/L); Hyperuricemia (male ≥ 420 umol/L, female ≥ 360 umol/L); 13. Suffering from gastrointestinal diseases that affect drug absorption, distribution, metabolism, and excretion, or having undergone relevant surgical procedures; 14. Subjects with or suspected history of alcohol or drug abuse; 15. Allergy to any component of the experimental drug; 16. The medication adherence during the introduction period is greater than 120% or less than 80%; 17. Patients who have participated in other intervention clinical trials within the first 30 days of screening; 18. If the subject combines any other conditions, the researcher believes that these conditions will affect the efficacy or safety evaluation of the investigational drug and/or pose a significant safety risk to the subject. |
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研究实施时间: Study execute time: |
从 From 2024-06-01 00:00:00至 To 2026-01-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2024-06-01 00:00:00 至 To 2025-12-31 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: |
尚未开始 Not yet 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): |
本试验采用中央随机化系统(IWRS)对受试者进行随机化入组,各家中心竞争入组 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
This experiment used the Central Randomization System (IWRS) to randomize participants, with each center competing for enrollment |
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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: |
双盲 |
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Blinding: |
Double-blinded |
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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): |
ResMan, http://www.medresman.org |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
ResMan, http://www.medresman.org |
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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: |
病例记录表 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Case Record Form, CRF |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
暂未确定/Not yet |