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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: |
ChiCTR2500096287 |
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最近更新日期: Date of Last Refreshed on: |
2025-01-21 11:11:07 |
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注册时间: Date of Registration: |
2025-01-21 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: |
舒更葡糖钠逆转老年非心脏大手术后神经肌肉阻滞残余对术后肺部并发症的影响: 一项多中心、 前瞻性、 观察性、 真实世界研究 |
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Public title: |
Impact of Sugammadex on Pulmonary Complications After Neuromuscular Blockade Reversal in Older Adults Following Non-Cardiac Major Surgery: A Multicenter, Prospective, Observational Study |
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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: |
舒更葡糖钠逆转老年非心脏大手术后神经肌肉阻滞残余对术后肺部并发症的影响: 一项多中心、 前瞻性、 观察性、 真实世界研究 |
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Scientific title: |
Impact of Sugammadex on Pulmonary Complications After Neuromuscular Blockade Reversal in Older Adults Following Non-Cardiac Major Surgery: A Multicenter, Prospective, Observational Study |
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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: |
薄靳华 |
研究负责人: |
顾小萍 |
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Applicant: |
Jinhua Bo |
Study leader: |
Xiaoping Gu |
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申请注册联系人电话: Applicant telephone: |
+86 159 5198 7578 |
研究负责人电话:
Study leader's |
+86 138 1399 6903 |
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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: |
bojinhua@njglyy.com |
研究负责人电子邮件: Study leader's E-mail: |
xiaopinggu@nju.edu.cn |
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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: |
南京市中山路321号 |
研究负责人通讯地址: |
南京市中山路321号 |
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Applicant address: |
321 Zhongshan Road, Nanjing |
Study leader's address: |
321 Zhongshan Road, Nanjing |
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申请注册联系人邮政编码: Applicant postcode: |
210008 |
研究负责人邮政编码: Study leader's postcode: |
210008 |
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申请人所在单位: |
南京鼓楼医院 |
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Applicant's institution: |
Nanjing Drum Tower Hospital |
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研究负责人所在单位: |
南京鼓楼医院 |
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Affiliation of the Leader: |
Nanjing Drum Tower 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: |
2024-855-02; 2024-855-03 |
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: |
南京大学医学院附属鼓楼医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School |
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伦理委员会批准日期: Date of approved by ethic committee: |
2024-12-31 00:00:00 | ||
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伦理委员会联系人: |
仇毓东 |
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Contact Name of the ethic committee: |
Yudong Chou |
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伦理委员会联系地址: |
南京市中山路321号南京鼓楼医院 |
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Contact Address of the ethic committee: |
Nanjing Drum Tower Hospital, Medical College of Nanjing University, 321 Nanjing Zhongshan Road |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 25 6818 2923 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
gyethics@163.com |
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研究实施负责(组长)单位: |
南京鼓楼医院 |
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Primary sponsor: |
Nanjing Drum Tower Hospital |
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研究实施负责(组长)单位地址: |
南京市中山路321号 |
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Primary sponsor's address: |
321 Zhongshan Road, Nanjing |
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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: |
横向课题 |
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Source(s) of funding: |
Horizontal Research Project |
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研究疾病: |
术后肺部并发症 |
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Target disease: |
Postoperative pulmonary complications |
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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: |
观察性研究 |
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Study type: |
Observational study |
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研究所处阶段: |
上市后药物 | ||||||||||||||||||||||
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Study phase: |
4 |
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研究设计: |
队列研究 |
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Study design: |
Cohort study |
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研究目的: |
主要目的:评价舒更葡糖钠注射液逆转老年非心脏大手术后神经肌肉阻滞残余对术后肺部并发症的影响 次要目的:评价舒更葡糖钠注射液逆转老年非心脏大手术后神经肌肉阻滞残余的有效性和安全性 |
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Objectives of Study: |
Primary Objective: To evaluate the effect of Sugammadex injection in reversing residual neuromuscular blockade on postoperative pulmonary complications in elderly patients undergoing non-cardiac major surgery. Secondary Objective: To assess the efficacy and safety of Sugammadex injection in reversing residual neuromuscular blockade in elderly patients undergoing non-cardiac major surgery. |
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药物成份或治疗方案详述: |
根据用药方案不同分为舒更葡糖钠组和非舒更葡糖钠组。 舒更葡糖钠组:手术结束时根据肌松监测T2重现时,给予2mg/kg的舒更葡糖钠逆转神经肌肉阻滞。 非舒更葡糖钠组:术后按常规剂量给予新斯的明拮抗(0.02-0.04 mg/kg,最大剂量为5 mg)或者不使用拮抗药都归为此组。 |
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Description for medicine or protocol of treatment in detail: |
Based on the drug regimen, patients were divided into two groups: the Sugammadex group and the non-Sugammadex group. Sugammadex group: At the end of surgery, when T2 reappearance was monitored as an indicator of neuromuscular blockade, 2 mg/kg of Sugammadex was administered to reverse the neuromuscular blockade. Non-Sugammadex group: Postoperatively, patients received either the conventional dose of Neostigmine (0.02-0.04 mg/kg, with a maximum dose of 5 mg) or no antagonist medication, and were assigned to this group. |
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纳入标准: |
1) 年龄>=65岁,<=80岁; 2) 全麻手术中使用罗库溴铵或维库溴铵诱导神经肌肉阻滞的患者; 3) 美国麻醉医师协会(AmericanSocietyofAnesthesiologists,ASA)身体状况分级I~III级; 4)择期进行的非心脏大手术(手术时间大于2小时)患者。 |
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Inclusion criteria |
1) Age>=65 years, <=80 years; 2) patients with rocuronium bromide or vecuronium bromide to induce neuromuscular block during general anesthesia surgery; 3) American Society of Anesthesiologists (ASA) physical condition classification I~III; 4) Patients undergoing elective non-cardiac major surgery (operation time greater than 2 hours). |
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排除标准: |
1) 对舒更葡糖钠,新斯的明,罗库溴铵,维库溴铵及其他麻醉药过敏者; 2) 已知呼吸系统病史:严重慢性阻塞性肺病、慢性阻塞性肺病急性发作、严重气道狭窄、咽喉部肿物、(支)气管食管瘘或气道撕裂病史、哮喘急性发作、筛选前近 2 周内发生严重呼吸道感染; 3) 已知有心衰或其他严重心血管疾病;纽约心脏病协会分级为 III级以上;ECG 异常,QTc 间期(采用 Fridericia 校正)男性>430ms, 女性> 450 ms,且由研究者判断具有临床意义;心率< 60 bpm 或> 100bpm,且由研究者判断有临床意义; 4) 已知神经和精神系统病史:颅脑损伤、可能存在惊厥、颅内高压、脑动脉瘤、脑血管意外病史者;精神分裂症、躁狂症、精神错乱、长期服用精神类药物、认知功能障碍病史等; 5) 肝功能不全或既往已知的肝脏疾病: a) 丙氨酸氨基转移酶(ALT)或天门冬氨酸氨基转移酶(AST)>正常值上限 2.0倍; 6) 肾功能不全或既往已知的严重肾脏疾病: a) 血清肌酐清除率(Cockcroft-Gault 公式计算)< 60 mL/min; 7) 要进行胸科手术患者:肺、食管等胸科手术; 8) 给药前 3 个月内和/或计划在研究期间参加其他干预性临床试验。 研究者认为不适宜参加本研究 |
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Exclusion criteria: |
1) Those who are allergic to sugammadex sodium, neostigmine, rocuronium, vecuronium bromide and other anesthetics; 2) Known history of respiratory system: severe chronic obstructive pulmonary disease, acute exacerbation of chronic obstructive pulmonary disease, severe airway stenosis, throat mass, history of (bronchoesophageal fistula) or airway tear, acute exacerbation of asthma, severe respiratory infection within nearly 2 weeks prior to screening; 3) Known heart failure or other serious cardiovascular disease; New York Heart Association grade III or above; ECG abnormality, QTc interval (corrected with Fridericia) male>430ms, Female> 450 ms and clinically significant as judged by the investigator; Heart rate < 60 bpm or > 100bpm and clinically significant as judged by the investigator; 4) Known history of neurological and psychiatric system: head injury, possible convulsions, intracranial hypertension, cerebral aneurysm, cerebrovascular accident; History of schizophrenia, mania, mental disorder, long-term use of psychotropic drugs, cognitive dysfunction, etc.; 5) Hepatic insufficiency or pre-known liver disease: a) Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2.0 times the upper limit of normal; 6) Renal insufficiency or previously known severe kidney disease: a) Serum creatinine clearance (calculated by Cockcroft-Gault formula) < 60 mL/min; 7) Patients undergoing thoracic surgery: lung, esophageal and other thoracic surgery; 8) Within 3 months prior to dosing and/or planned to participate in other interventional clinical trials during the study. In the opinion of the investigator, it is not suitable to participate in this study |
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研究实施时间: Study execute time: |
从 From 2024-12-01 00:00:00至 To 2026-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2025-02-10 00:00:00 至 To 2026-12-01 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): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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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: |
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Blinding: |
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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 |
否No |
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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): |
无 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
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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: |
有/Yes |