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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: |
ChiCTR2500097305 |
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最近更新日期: Date of Last Refreshed on: |
2025-02-17 15:15:47 |
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注册时间: Date of Registration: |
2025-02-17 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: |
tNGS检测分枝杆菌及耐药基因突变的中国多中心项目研究 |
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Public title: |
A multicenter study in China on tNGS technology for detecting Mycobacterium and drug-resistant gene mutations |
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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: |
tNGS检测分枝杆菌及耐药基因突变的中国多中心项目研究 |
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Scientific title: |
A multicenter study in China on tNGS technology for detecting Mycobacterium and drug-resistant gene mutations |
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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: |
王瑾 |
研究负责人: |
梁瑞霞 |
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Applicant: |
Wang jin |
Study leader: |
Liang Ruixia |
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申请注册联系人电话: Applicant telephone: |
+86 158 1370 6660 |
研究负责人电话:
Study leader's |
+86 139 3713 6537 |
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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: |
jeanwang0626@163.com |
研究负责人电子邮件: Study leader's E-mail: |
170779909@qq.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: |
深圳市龙岗区布澜路29号 |
研究负责人通讯地址: |
河南省郑州市金水区纬五路1号 |
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Applicant address: |
No. 29 Bulan Road, Longgang District, ShenZhen |
Study leader's address: |
No.1 Weiwu Road, Jinshui District, Zhengzhou City, Henan Province |
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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: |
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: |
河南省胸科医院 |
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Affiliation of the Leader: |
Henan Provincial Chest 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))科伦审第(10-03)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: |
河南省胸科医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of Henan Provincial Chest Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2024-10-23 00:00:00 | ||
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伦理委员会联系人: |
高夏 |
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Contact Name of the ethic committee: |
Gao Xia |
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伦理委员会联系地址: |
河南省郑州市金水区纬五路1号 |
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Contact Address of the ethic committee: |
No.1 Weiwu Road, Jinshui District, Zhengzhou City, Henan Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 371 6566 2791 |
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: |
河南省胸科医院 |
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Primary sponsor: |
Henan Provincial Chest Hospital |
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研究实施负责(组长)单位地址: |
河南省郑州市金水区纬五路1号 |
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Primary sponsor's address: |
No.1 Weiwu Road, Jinshui District, Zhengzhou City, Henan Province |
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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: |
深圳华大基因股份有限公司 |
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Source(s) of funding: |
Beijing Genomics Institute, Shenzhen |
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研究疾病: |
结核和非结核分枝杆菌病 |
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Target disease: |
Tuberculosis and non tuberculosis mycobacterial diseases |
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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: |
诊断试验 |
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Study type: |
Diagnostic test |
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研究所处阶段: |
其它 | ||||||||||||||||||||||
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Study phase: |
N/A |
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研究设计: |
诊断试验诊断准确性 |
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Study design: |
Diagnostic test for accuracy |
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研究目的: |
对开发的PTseqTM-TB分枝杆菌靶向高通量测序产品进行临床验证,评估该技术在明确耐药信息的菌株、配对表型耐药结果的临床标本以及真实临床诊疗环境中其诊断TB和预测耐药的性能和准确性,验证其临床适用性。为真实评估PTseqTM-TB的性能和临床适用性,本研究拟开展一项多中心临床研究,包括三部分研究内容: 研究一,使用具有明确耐药信息的菌株对PTseqTM-TB进行盲标实验室分析验证; 研究二,以具有配对表型耐药结果的临床标本进行耐药阈值探索研究; 研究三,在预期使用环境中评估PTseqTM-TB的临床适用性、诊断准确性和性能。 |
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Objectives of Study: |
Clinical validation of the developed PTseqTM-TB targeted high-throughput sequencing product was conducted to evaluate the performance and accuracy of the technology in diagnosing TB and predicting drug resistance in strains with known drug resistance profiles, clinical specimens with matched phenotypic drug resistance results, and real clinical diagnosis and treatment settings, as well as to assess its clinical applicability. To accurately evaluate the performance and clinical applicability of PTseqTM-TB, this study plans to conduct a multi-center clinical trial, consisting of three parts: Study 1: blind analysis of PTseqTM-TB using strains with known resistance profiles; Study 2: exploration of the drug resistance threshold in clinical specimens with matched phenotypic resistance results; and Study 3: evaluation of the clinical applicability, diagnostic accuracy, and performance of PTseqTM-TB in its intended use context. |
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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: |
研究一 a)留存有可复苏的临床菌株(MTB和NTM); b)具有表型耐药检测或具有分子检测结果。 研究二 1)耐药TB组纳入标准:在入组前(时),具有明确耐药证据或疑似耐药TB(a-c满足任一一项,并满足d和e) a)经痰Xpert MTB/RIF (Ultra)检测产品或其它分子检测结果为TB阳性、耐药结果阳性; b)经标准TB治疗>=3个月后,抗结核治疗无效,痰涂片或培养呈阳性; c)曾被诊断为RR-TB/MDR-TB,且在接受抗TB治疗≥3个月后,痰涂片或培养呈阳性,治疗失败; d)可提供临床样本; e)签署(或由其监护人签署)知情同意书。 2)敏感TB组纳入标准(以下各条均需满足): a)在入组前(时),痰Xpert MTB/RIF (Ultra)检测产品或其它分子检测结果为TB阳性、耐药性结果呈阴性; b)据目前证据暂时排除耐药结核病可能; c)未接受过任何形式的抗TB治疗,或接受抗TB治疗<1个月; d)未与已知的耐药TB例有密切接触; e)可提供临床样本; f)签署(或由其监护人签署)知情同意书。 研究三 a)经胸部X线、临床症状或体征判断、或免疫学诊断、或病原学/病理学检查,疑似分枝杆菌感染或临床诊断分枝杆菌病或确诊分枝杆菌病; b)入组后可接受分枝杆菌培养,其中分枝杆菌培养阳性受试者需进行表型耐药测试;且已有或入组后可接受至少一种tNGS以外的分子生物学测试; c)可提供痰或BALF等类型临床标本; d)签署(或由其监护人签署)知情同意书。 |
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Inclusion criteria |
Study 1 a) Resuscitable clinical strains (MTB and NTM) are available; b) Have phenotypic resistance test results or molecular test results. Study 2 Inclusion criteria for the drug-resistant TB group: Prior to enrollment, there must be clear evidence of drug resistance or suspected drug-resistant TB (criteria a-c must meet at least one item, and d and e must meet all conditions). a) Positive sputum Xpert MTB/RIF (Ultra) test or other molecular test results for TB and drug resistance; b) Failure of anti-tuberculosis therapy after >=3 months of standard TB treatment, with positive sputum smear or culture; c) Diagnosis of RR-TB/MDR-TB, with positive sputum smear or culture≥3 months after receiving anti-TB therapy and treatment failure; d) Availability of clinical samples; e) Signed informed consent (or consent signed by a guardian). Inclusion criteria for the sensitive TB group (all of the following must be met): a) Positive sputum Xpert MTB/RIF (Ultra) test or other molecular detection results for TB, with negative drug resistance results prior to enrollment; b) Current evidence excludes drug-resistant tuberculosis; c) Has not received any form of anti-TB therapy, or has received anti-TB therapy for less than 1 month; d) No close contact with known drug-resistant TB cases; e) Availability of clinical samples; f) Signed informed consent (or consent signed by a guardian). Study 3 a) Suspected mycobacterial infection or clinically diagnosed mycobacteriosis, confirmed by chest X-ray, clinical symptoms or signs, immunological diagnosis, or etiological/pathological examination; b) After enrollment, subjects must undergo mycobacterium culture, with those showing positive mycobacterium culture required to undergo phenotypic drug resistance testing. At least one molecular test, other than tNGS, is available or accepted after enrollment; c) Can provide sputum or bronchoalveolar lavage fluid (BALF) and other types of clinical specimens; d) Signed informed consent (or consent signed by a guardian). |
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排除标准: |
研究一 a)表型耐药检测结果不明确或无分子检测结果。 研究二 a)样本量不足以满足同时进行表型耐药测试和PTseqTM-TB测试(样本体积≥1.3 mL); b)临床信息不全; c)撤回知情同意。 研究三 a)样本量不足以满足同时进行表型耐药测试和PTseqTM-TB测试(样本体积≥1.3 mL); b)临床信息不全; c)撤回知情同意。 |
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Exclusion criteria: |
Study 1 a) Phenotypic resistance test results are unclear, or molecular test results are unavailable. Study 2 a) The sample size is insufficient for simultaneous phenotypic resistance testing and PTseqTM-TB testing (sample volume is less than 1.3 mL); b) Clinical information is incomplete; c) Withdrawal of informed consent. Study 3 a) The sample size is insufficient for simultaneous phenotypic resistance testing and PTseqTM-TB testing (sample volume is less than 1.3 mL); b) Clinical information is incomplete; c) Withdrawal of informed consent. |
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研究实施时间: Study execute time: |
从 From 2025-01-01 00:00:00至 To 2027-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2025-02-20 00:00:00 至 To 2025-12-31 00:00:00 |
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诊断试验: Diagnostic Tests: |
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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 |
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): |
研究结果发表后公布原始数据;网络平台:临床试验公共管理平台ResMan (http://www.medresman.org.cn/)。 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
The original data will be accessible after the results of this study published. The public database: ResMan (http://www.medresman.org.cn/). |
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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: |
通过电子采集和管理系统(EDC)记录原始数据,数据管理由专人负责。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Raw data is recorded through an Electronic Data Capture system (EDC). |
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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 |