ChiCTR-TRC-12001906 版本V1.3 版本创建时间2024/06/14 14:22:25 中国临床试验注册中心

审核状态:

Project audit state:

通过审核

Successful

注册号:

Registration number:

ChiCTR-TRC-12001906 

最近更新日期:

Date of Last Refreshed on:

2015-07-29 11:28:09 

注册时间:

Date of Registration:

2012-02-03 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

严重烧伤的胰岛素强化治疗前瞻性多中心随机对照临床试验

Public title:

A prospective multi-center randomized controlled trial: intensive insulin therapy in severely burned patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

严重烧伤的胰岛素强化治疗前瞻性多中心随机对照临床试验

Scientific title:

A prospective multi-center randomized controlled trial: intensive insulin therapy in severely burned patients

研究课题代号(代码):

Study subject ID:

首都医学发展科研基金2009-1025; 国家自然科学基金81120108014

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:

褚万立 

研究负责人:

柴家科 

Applicant:

Wanli Chu 

Study leader:

Jiake Chai 

申请注册联系人电话:

Applicant telephone:

+86 13683335527

研究负责人电话:

Study leader's
telephone:

+86 13601057978

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:

chuwanli@sina.com

研究负责人电子邮件:

Study leader's E-mail:

cjk304@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:

北京市阜成路51号

研究负责人通讯地址:

北京市阜成路51号

Applicant address:

51 Fucheng road, Beijing, China

Study leader's address:

51 Fucheng road, Beijing, China

申请注册联系人邮政编码:

Applicant postcode:

100048

研究负责人邮政编码:

Study leader's postcode:

100048

申请人所在单位:

解放军总医院第一附属医院

Applicant's institution:

The First Affiliated Hospital of Chinese PLA General Hospital

研究负责人所在单位:

Affiliation of the Leader:

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:

20110019

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

解放军总医院第一附属医院医学伦理委员会

Name of the ethic committee:

Ethics Committee of the First Affiliated Hospital of Chinese PLA General Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2011-07-28 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:

解放军总医院第一附属医院

Primary sponsor:

The First Affiliated Hospital of Chinese PLA General Hospital

研究实施负责(组长)单位地址:

北京市阜成路51号

Primary sponsor's address:

51 Fucheng road, Beijing, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

省(直辖市):

市(区县):

Country:

Province:

City:

单位(医院):

解放军总医院第一附属医院

具体地址:

北京市阜成路51号

Institution
hospital:

The First Affiliated Hospital of Chinese PLA General Hospital

Address:

51 Fucheng road, Beijing, China

经费或物资来源:

首都医学发展科研基金(2009-1025); 国家自然科学基金(81120108014)

Source(s) of funding:

Fund of Capital Medical Development and Research(2009-1025);National Natural Science Foundation of China(81120108014)

研究疾病:

烧伤  

Target disease:

burns

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:

上市后药物 

Study phase:

4

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

比较胰岛素强化治疗和胰岛素常规治疗对严重烧伤患者的疗效。  

Objectives of Study:

Compare the effects of intensive insulin therapy with conventional insulin therapy in severely burned patients.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

1、年龄在18岁到60岁之间(18岁≤年龄≤60岁);2、热力烧伤患者;3、烧伤总面积≥30%;4、伤后72小时内入院。

Inclusion criteria

1. Aged between 18 and 60;
2. Thermally injured patients;
3. Burns more than 30% of total body surface area (TBSA);
4. Admission within 72 hours after thermally injury.

排除标准:

1、非热力因素(电接触、化学、放射等)引起的烧伤患者;2、原有的非烧伤引起的严重心、肝、肾等器官功能障碍者;(烧伤前心功能Ⅲ级或Ⅳ级,有中度或严重心血管疾病的客观检查依据;总胆红素≥33μmol/L;肌酐≥171μmol/L或尿量≤500ml/24h);3、孕期及哺乳期妇女;4、有严重复合伤不能在烧伤专科治疗的患者;5、因其他疾病使用糖皮质激素的患者;6、1型糖尿病患者、存在酮症酸中毒或非酮症高渗性糖尿病昏迷的患者;7、使用免疫抑制剂的患者;8、预计生存时间少于24小时的患者;9、在参加本试验前1月内曾参加其他药物临床试验或正在参加其他临床试验的患者;10、吸毒或严重酗酒者;11、未签署知情同意书或不能补签知情同意书的患者。

Exclusion criteria:

1. Burned patients but non-thermally injured (electric burn, chemical injury, radical injury, et al);
2. Patients with severe cardiac, hepatic or renal dysfunction before injury (cardiac function classification, by NYHA, grade III or IV; total bilirubin >=33umol/L; creatinine>=171umol/L or urine output<=500ml/24h);
3. Pregnant or lactating women;
4. Patients would be treated in other department for severe multitrauma;
5. Patients treated with glucocorticoid for other disease;
6. Patients with type 1 diabetes mellitus, diabetic ketoacidosis or nonketotic hyperosmolar diabetic coma;
7. Patients treated with immunosuppressive agents;
8. Patients with a life expectancy less than 24 h;
9. Patients who are participating or have participated in other clinical trials within 1 month before this trial;
10. Drug addicts or heavy drinkers;
11. Patients who can not provide prior informed consent or delayed informed consent.

研究实施时间:

Study execute time:

From 2011-12-01 00:00:00 To 2014-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2011-12-01 00:00:00 To 2014-12-31 00:00:00

干预措施:

Interventions:

组别:

1

样本量:

325

Group:

1

Sample size:

干预措施:

胰岛素强化治疗:控制患者血糖4.4mmol/L-7 mmol/L

干预措施代码:

Intervention:

intensive insulin therapy: maintain blood glucose level between 4.4mmol/L and 7 mmol/L

Intervention code:

组别:

2

样本量:

325

Group:

2

Sample size:

干预措施:

胰岛素常规治疗:控制患者血糖7mmol/L-10 mmol/L

干预措施代码:

Intervention:

conventional insulin therapy: maintain blood glucose level between 7mmol/L and 10 mmol/L

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

解放军总医院第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Chinese PLA General Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京医院协会右安门医院 

单位级别:

三级甲等 

Institution
hospital:

Youanmen Hospital, Association of Beijing Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

天津 

市(区县):

 

Country:

China

Province:

Tianjin

City:

单位(医院):

天津市第四医院 

单位级别:

三级甲等 

Institution
hospital:

The Fourth Hospital of Tianjin

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

河南 

市(区县):

 

Country:

China

Province:

Henan

City:

单位(医院):

郑州市第一人民医院 

单位级别:

三级甲等 

Institution
hospital:

The First People’s Hospital of Zhengzhou

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

河南 

市(区县):

 

Country:

China

Province:

Henan

City:

单位(医院):

郑州市第一人民医院 

单位级别:

三级甲等 

Institution
hospital:

The First People’s Hospital of Zhengzhou

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

吉林 

市(区县):

 

Country:

China

Province:

Jilin

City:

单位(医院):

北华大学第二附属医院(吉化集团总医院) 

单位级别:

三级甲等 

Institution
hospital:

The Second Affiliated Hospital of Beihua University (General Hospital of Jilin Chemical Industry Group)

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

河北 

市(区县):

 

Country:

China

Province:

Hebei

City:

单位(医院):

河北医科大学第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Hebei Medical University

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

内蒙古自治区 

市(区县):

 

Country:

China

Province:

The Inner Mongolia autonomous region

City:

单位(医院):

内蒙古医学院第三附属医院包钢医院 

单位级别:

三级甲等 

Institution
hospital:

Baogang Hospital , The Third Affiliated Hospital of Inner Mongolia Medical College

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

温州医学院附属第三医院 

单位级别:

三级乙等 

Institution
hospital:

The Third Affiliated Hospital of Wenzhou Medical College

Level of the institution:

Tertiary B hospital

国家:

中国

省(直辖市):

宁夏回族自治区 

市(区县):

石嘴山 

Country:

China

Province:

Ningxia Hui autonomous region

City:

Shizuishan

单位(医院):

石嘴山市第一人民医院 

单位级别:

三级乙等 

Institution
hospital:

The first people’s hospital of Shizuishan

Level of the institution:

Tertiary B hospital

国家:

中国

省(直辖市):

湖北 

市(区县):

武汉 

Country:

China

Province:

Hubei

City:

Wuhan

单位(医院):

武汉市第三医院 

单位级别:

三级甲等 

Institution
hospital:

The Third Hospital of Wuhan

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

山东 

市(区县):

临沂 

Country:

China

Province:

Shandong

City:

Linyi

单位(医院):

临沂市人民医院 

单位级别:

三级甲等 

Institution
hospital:

Linyi People’s Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

山东 

市(区县):

淄博 

Country:

China

Province:

Shandong

City:

Zibo

单位(医院):

齐鲁石化医院集团中心医院 

单位级别:

三级乙等 

Institution
hospital:

Central Hospital of Qilu Petrochemical Hospital Group

Level of the institution:

Tertiary B hospital

国家:

中国

省(直辖市):

福建 

市(区县):

福州 

Country:

China

Province:

Fujian

City:

Fuzhou

单位(医院):

福建医科大学附属协和医院 

单位级别:

三级甲等 

Institution
hospital:

Union Hospital of Fujian Medical University

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

死亡率(28天死亡率、60天死亡率、90天死亡率)

指标类型:

主要指标

Outcome:

Mortality (28 days mortality, 60-days mortality, 90-days)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脓毒症发病率

指标类型:

主要指标

Outcome:

sepsis morbidity

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院时间

指标类型:

次要指标

Outcome:

Length of hospital stay

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

新发器官功能障碍

指标类型:

次要指标

Outcome:

incidence of organ dysfunction

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

呼吸机支持时间

指标类型:

次要指标

Outcome:

duration of mechanical ventilation support

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血液透析时间

指标类型:

次要指标

Outcome:

duration of renal replacement therapy

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

感染发生率

指标类型:

次要指标

Outcome:

incidence of infection

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

创面愈合率

指标类型:

次要指标

Outcome:

rate of burn wound healing

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

代谢指标

指标类型:

次要指标

Outcome:

metabolic index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

免疫指标

指标类型:

次要指标

Outcome:

immune index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

凝血指标

指标类型:

次要指标

Outcome:

coagulation index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低血糖发生率

指标类型:

主要指标

Outcome:

incidence of hypoglycemia

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:

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:

组织:

Sample Name:

sputum

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:

创面分泌物

组织:

Sample Name:

wound secretion

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:

创面坏死组织

组织:

Sample Name:

wound necrotic tissue

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 60 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):

按试验中心分层后随机化,由医学统计人员使用统计软件产生随机序列

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

Randomization after stratified by centers,sequence was generated by medical statistician with softwa

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

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):

解放军总医院第一附属医院

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

The First Affiliated Hospital of Chinese PLA General Hospital

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:

中国人民解放军总医院

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

Chinese PLA general hospital

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2012-02-04 00:00:00