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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: |
ChiCTR2500103304 |
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最近更新日期: Date of Last Refreshed on: |
2025-05-27 17:30:15 |
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注册时间: Date of Registration: |
2025-05-27 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: |
靶向药物联合皮下注射甲氨蝶呤治疗类风湿关节炎(RA)的全国多中心、观察性真实世界单臂研究 |
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Public title: |
A National Multicenter, Observational Single-Arm Real-World Study of Biological or Targeted Synthetic DMARDs Combined with Subcutaneous Methotrexate in the Treatment of Rheumatoid Arthritis |
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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: |
靶向药物联合皮下注射甲氨蝶呤治疗类风湿关节炎(RA)的全国多中心、观察性真实世界单臂研究 |
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Scientific title: |
A National Multicenter, Observational Single-Arm Real-World Study of Biological or Targeted Synthetic DMARDs Combined with Subcutaneous Methotrexate in the Treatment of Rheumatoid Arthritis |
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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: |
陈泽鑫 |
研究负责人: |
黄慈波 |
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Applicant: |
Zexin Chen |
Study leader: |
Cibo Huang |
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申请注册联系人电话: Applicant telephone: |
+86 188 1419 2310 |
研究负责人电话:
Study leader's |
+86 158 1099 9904 |
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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: |
elmo2cle@163.com |
研究负责人电子邮件: Study leader's E-mail: |
Huangcibo1208@139.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: |
广东省深圳市龙岗区平湖街道福新路1号 |
研究负责人通讯地址: |
广东省深圳市龙岗区平湖街道福新路1号 |
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Applicant address: |
No. 1, Fuxin Road, Pinghu Street, Longgang District, Shenzhen, Guangdong Province |
Study leader's address: |
No. 1, Fuxin Road, Pinghu Street, Longgang District, Shenzhen, Guangdong 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: |
深圳大学附属华南医院 |
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Applicant's institution: |
South China Hospital Affiliated to Shenzhen University |
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研究负责人所在单位: |
深圳大学附属华南医院 |
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Affiliation of the Leader: |
South China Hospital Affiliated to Shenzhen University |
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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: |
YW2025-001-02A |
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: |
深圳大学附属华南医院药械临床试验伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of Clinical Trials of Pharmaceutical and Medical Devices, South China Hospital, Shenzhen University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-04-24 00:00:00 | ||
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伦理委员会联系人: |
廖玉霞 |
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Contact Name of the ethic committee: |
Yuxia Liao |
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伦理委员会联系地址: |
广东省深圳市龙岗区平湖街道福新路1号 |
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Contact Address of the ethic committee: |
No. 1, Fuxin Road, Pinghu Street, Longgang District, Shenzhen, Guangdong Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 755 2158 3946 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
hnyy_gcplunli@163.com |
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研究实施负责(组长)单位: |
深圳大学附属华南医院 |
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Primary sponsor: |
South China Hospital Affiliated to Shenzhen University |
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研究实施负责(组长)单位地址: |
广东省深圳市龙岗区平湖街道福新路1号 |
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Primary sponsor's address: |
No. 1, Fuxin Road, Pinghu Street, Longgang District, Shenzhen, Guangdong 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: |
深圳市康哲药业有限公司 |
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Source(s) of funding: |
Shenzhen Chinese Medical System Co., Ltd. |
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研究疾病: |
类风湿性关节炎 |
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Target disease: |
Rheumatoid arthritis |
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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: |
其它 | ||||||||||||||||||||||
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Study phase: |
N/A |
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研究设计: |
连续入组 |
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Study design: |
Sequential |
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研究目的: |
评估皮下注射甲氨蝶呤联用靶向药物治疗成人RA是否可以进一步降低疾病活动度、提高患者的临床缓解率,并评估联合用药的安全性。此外,计划根据皮下注射甲氨蝶呤与靶向药物的联用时机、靶向药物的种类、研究参与者既往诊疗路径等因素进行分层,探索不同临床场景下靶向药物联合皮下注射甲氨蝶呤治疗RA的有效性、安全性与靶向药物的留存情况。 |
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Objectives of Study: |
Evaluate whether subcutaneous methotrexate combined with b/tsDMARDs for the treatment of adult patients with rheumatoid arthritis can further reduce the disease activity and improve the clinical remission rate of patients, and assess the safety of the combined treatment. In addition, it is planned to stratify according to factors such as the timing of the combination of subcutaneous methotrexate and b/tsDMARDs, the type of b/tsDMARDs, and the previous diagnosis and treatment pathways of the study participants, so as to explore the effectiveness, safety of the treatment of RA with b/tsDMARDs combined with subcutaneous methotrexate under different clinical scenarios, as well as the retention status of b/tsDMARDs. |
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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: |
(1) 年龄18岁及以上,性别不限; (2) 临床诊断为类风湿关节炎; (3) 同意参与本研究,能够配合随访,并签署知情同意书。 |
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Inclusion criteria |
(1) Aged 18 years and above, regardless of gender; (2) Clinically diagnosed with rheumatoid arthritis; (3) Agree to participate in this study, be able to cooperate with the follow-up, and sign the informed consent form. |
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排除标准: |
(1) 妊娠期、哺乳期患者,或甲氨蝶呤用药期间至停药后6个月内有妊娠计划者; (2) 有慢性或反复感染病史(如结核病,慢性病毒性肝炎等),或有严重感染者; (3) 合并有严重、进展或不受控制的肾脏、肝脏、血液、胃肠道、免疫、内分泌、心肺、精神或神经疾病; (4) 反复发作或持续存在的口腔溃疡; (5) 5年内有恶性肿瘤病史; (6) 以下实验室结果异常者:血红蛋白<80g/L,白细胞计数<3.0×10^9/L,中性粒细胞<1.5×10^9/L,血小板计数<100×10^9/L,天门冬氨酸氨基转移酶(AST)>2×正常范围上限(ULN),丙氨酸氨基转移酶(ALT)>2×ULN,总胆红素>5mg/dL(85.5μmol/L),血肌酐>1.5 × ULN; (7) 入组前3个月内参加过其它临床研究者; (8) 对本研究所用相关药物过敏者; (9) 有药物滥用、精神疾病或酗酒史,不能配合临床研究者; (10) 研究期间需同时使用两种及以上靶向药物的患者; (11) 研究者认为不适宜参加本临床研究的其他情况。 |
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Exclusion criteria: |
(1) Patients during pregnancy or lactation, or those with a pregnancy plan within 6 months from the period of methotrexate use till its discontinuation; (2) Those with a history of chronic or recurrent infection (such as tuberculosis, chronic viral hepatitis, etc.) or with severe infection; (3) Those complicated with severe, progressive or uncontrolled diseases of the kidneys, liver, blood, gastrointestinal tract, immune system, endocrine system, cardiopulmonary system, mental or nervous system; (4) Those with recurrent or persistent oral ulcers; (5) Those with a history of malignant tumor within the past 5 years; (6) Those with the following abnormal laboratory results: hemoglobin < 80g/L, white blood cell count < 3.0×10?/L, neutrophils < 1.5×10?/L, platelet count < 100×10?/L, aspartate aminotransferase (AST) > 2× the upper limit of the normal (ULN), alanine aminotransferase (ALT) > 2×ULN, total bilirubin > 5mg/dL (85.5μmol/L), serum creatinine > 1.5 × ULN; (7) Those who participated in other clinical studies within 3 months before enrollment; (8) Those allergic to the relevant drugs used in this study; (9) Those with a history of drug abuse, mental illness or alcoholism and unable to cooperate with the clinical study; (10) Patients who need to use two or more b/tsDMARDs simultaneously during the study period; (11) Other situations deemed by the researcher as inappropriate for participation in this clinical study. |
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研究实施时间: Study execute time: |
从 From 2025-03-24 00:00:00至 To 2027-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2025-06-30 00:00:00 至 To 2027-06-30 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: |
不公开/Private |
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盲法: |
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Blinding: |
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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): |
EDC:https://szkz-edc.happylifetech.com/ |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
EDC:https://szkz-edc.happylifetech.com/ |
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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: |
全部受试病例,无论是符合试验方案的病例还是脱落剔除病例,均应及时完整准确地填写病历记录表格。录入EDC的数据必须可从原始文件溯源。需核查的原始数据参数和原始文件的确定必须记录在案,研究文件和全部原始数据应保存完好。参加临床试验的人员应当相对固定,必须认真学习和讨论临床试验方案及临床试验手册,统一记录方式与判断标准,以确保研究依从研究方案、GCP和法律法规。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
All subjects, whether they are in compliance with the trial protocol or dropped out, should fill in the medical record form in a timely, complete and accurate manner. The data entered into the EDC must be traceable from the original document, or be directly entered into the CRF. In the latter case, the data in the CRF will be regarded as original data. The determination of the original data parameters and original documents that need to be verified must be recorded, and the research documents and all original data should be kept intact. The personnel participating in the clinical trial should be relatively fixed, and they must carefully study and discuss the clinical trial protocol and clinical trial manual, and unify the recording method and judgment criteria to ensure that the research complies with the protocol, GCP and laws and regulations. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |