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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: |
ChiCTR2500110665 |
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最近更新日期: Date of Last Refreshed on: |
2025-10-17 14:37:47 |
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注册时间: Date of Registration: |
2025-10-17 00:00:00 |
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注册号状态: |
补注册 |
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Registration Status: |
Retrospective registration |
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注册题目: |
评价SR604注射液在血友病A/B及先天性凝血因子Ⅶ缺乏症患者中的安全性、耐受性、有效性、PK/PD特征的开放、多中心Ⅰ/Ⅱ期临床试验 |
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Public title: |
An open-label, multicenter phase I/II clinical trial to evaluate the safety, tolerability, efficacy, and pharmacokinetic/pharmacodynamic (PK/PD) characteristics of SR604 injection in patients with hemophilia A/B and congenital factor VII deficiency |
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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: |
评价SR604注射液在血友病A/B及先天性凝血因子Ⅶ缺乏症患者中的安全性、耐受性、有效性、PK/PD特征的开放、多中心Ⅰ/Ⅱ期临床试验 |
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Scientific title: |
An open-label, multicenter phase I/II clinical trial to evaluate the safety, tolerability, efficacy, and pharmacokinetic/pharmacodynamic (PK/PD) characteristics of SR604 injection in patients with hemophilia A/B and congenital factor VII deficiency |
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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: |
李雯俊 |
研究负责人: |
杨仁池 |
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Applicant: |
Li Wenjun |
Study leader: |
Yang Renchi |
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申请注册联系人电话: Applicant telephone: |
+86 21 2213 0888 |
研究负责人电话:
Study leader's |
+86 22 2360 8027 |
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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: |
liwj@raas-corp.com |
研究负责人电子邮件: Study leader's E-mail: |
rcyang@ihcams.ac.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: |
中国上海市奉贤区望园路2009号 |
研究负责人通讯地址: |
天津市和平区南京路288号 |
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Applicant address: |
No.2009, Wang Yuan Road, Fengxian, Shanghai, P.R.China |
Study leader's address: |
No. 288, Nanjing Road, Heping District, Tianjin |
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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: |
上海莱士血液制品股份有限公司 |
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Applicant's institution: |
Shanghai RAAS Blood Products Co., Ltd. |
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研究负责人所在单位: |
中国医学科学院血液病医院 |
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Affiliation of the Leader: |
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences |
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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: |
XY2024030-EC-1 |
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: |
中国医学科学院血液病医院(中国医学科学院血液学研究所)伦理审查委员会 |
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Name of the ethic committee: |
Ethics Review Committee (ERC) of the Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences |
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伦理委员会批准日期: Date of approved by ethic committee: |
2024-04-28 00:00:00 | ||
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伦理委员会联系人: |
王启柔 |
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Contact Name of the ethic committee: |
Wang Qirou |
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伦理委员会联系地址: |
天津市和平区南京路288号 |
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Contact Address of the ethic committee: |
No. 288, Nanjing Road, Heping District, Tianjin |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 22 2390 9095 |
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: |
中国医学科学院血液病医院 |
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Primary sponsor: |
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences |
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研究实施负责(组长)单位地址: |
天津市和平区南京路288号 |
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Primary sponsor's address: |
No. 288, Nanjing Road, Heping District, Tianjin |
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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: |
上海莱士血液制品股份有限公司 |
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Source(s) of funding: |
Shanghai RAAS Blood Products Co., Ltd. |
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研究疾病: |
血友病A/B及先天性凝血因子Ⅶ缺乏症 |
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Target disease: |
Hemophilia A/B and congenital deficiency of coagulation factor VII |
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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: |
I期+II期 | ||||||||||||||||||||||
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Study phase: |
1-2 |
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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: |
Part A : 主要目的:评估SR604在血友病A/B患者中单次给药后的安全性、耐受性和免疫原性; 次要目的:评估SR604在血友病A/B患者中单次给药后的药代动力学特征; 探索性目的:探索SR604在血友病A/B患者中单次给药后的药效学特征。 Part B / Part C: 主要目的:评估SR604在血友病A/B及先天性凝血因子Ⅶ缺乏症患者中多次给药的有效性。 次要目的:评估SR604在血友病A/B及先天性凝血因子Ⅶ缺乏症患者中多次给药后的药代动力学特征;评估SR604在血友病A/B及先天性凝血因子Ⅶ缺乏症患者中多次给药的安全性和其他有效性。 探索性目的:探索SR604在血友病A/B及先天性凝血因子Ⅶ缺乏症患者中多次给药后的药效学特征。 |
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Objectives of Study: |
Part A Primary Objective: To evaluate the safety, tolerability, and immunogenicity of a single dose of SR604 in patients with hemophilia A/B. Secondary Objective: To characterize the pharmacokinetics (PK) of a single dose of SR604 in patients with hemophilia A/B. Exploratory Objective: To explore the pharmacodynamics (PD) of a single dose of SR604 in patients with hemophilia A/B. Part B / Part C Primary Objective: To assess the efficacy of multiple doses of SR604 in patients with hemophilia A/B or congenital factor VII deficiency. Secondary Objectives: To characterize the pharmacokinetics (PK) of multiple doses of SR604 in patients with hemophilia A/B or congenital factor VII deficiency. To evaluate the safety and additional efficacy of multiple doses of SR604 in these patient populations. Exploratory Objective: To investigate the pharmacodynamics (PD) of multiple doses of SR604 in patients with hemophilia A/B or congenital factor VII deficiency. |
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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.签署知情同意书时,18周岁<=年龄<=65周岁,性别均为男性; 2.临床诊断为血友病A或B或先天性凝血因子Ⅶ缺乏症患者,且需满足下列情况: 1) 既往或筛选期FⅧ活性水平<1%或FⅨ活性水平≤2%的血友病A或B患者; 注:伴或不伴有抑制物的血友病A或B均可纳入,不伴有抑制物的血友病A或B(抑制物<0.6 BU/ml)患者,需满足既往接受过凝血因子治疗且EDs>50天的要求。 2) 既往或筛选期FVII活性<10%的先天性凝血因子Ⅶ缺乏症患者; 3.仅Part A阶段:筛选前1个月内接受FⅧ、FIX、重组人凝血因子Ⅶa(rFVIIa)或PCC按需治疗出血事件;对于先天性凝血因子Ⅶ缺乏症患者,入组前3个月内经治疗的新发出血事件次数>=2次; 4.仅Part B阶段:可获得入组前至少3个月的出血治疗记录(因子替代或旁路药物治疗),血友病A或B患者入组前3个月内接受按需治疗,经治疗的新发出血事件次数>=3次,先天性凝血因子Ⅶ缺乏症患者入组前3个月内经治疗的新发出血事件次数>=2次; 5.首次用药前无活动性出血症状; 6.受试者或公正见证人充分理解并能遵从试验方案的要求并有意愿按计划完成研究,并自愿按方案要求配合提供生物样本进行检测; 7.能够理解本临床试验的程序和方法,经过充分的知情同意,患者自愿参加并由患者本人签署知情同意书。 |
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Inclusion criteria |
At the time of signing the informed consent form, the age should be between 18 and 65 years old, and both genders should be male. 2. Patients clinically diagnosed with hemophilia A or B or congenital deficiency of coagulation factor VII, and must meet the following conditions: 1) Patients with hemophilia A or B whose FⅧ activity level was < 1% or FⅨ activity level was ≤2% in the past or during the screening period; Both hemophilia A and B with or without inhibitors can be included. Patients with hemophilia A or B without inhibitors (inhibitors < 0.6 BU/ml) must have received previous coagulation factor treatment and have an EDs of more than 50 days. 2) Patients with congenital coagulation factor VII deficiency whose FVII activity was less than 10% in the past or during the screening period; 3. Only Part A stage: Within one month before screening, receive on-demand treatment for bleeding events with FⅧ, FIX, recombinant human coagulation factor VIia (rFVIIa), or PCC; For patients with congenital coagulation factor VII deficiency, the number of new bleeding events treated within 3 months before enrollment was >=2. 4. Only Part B stage: At least 3 months of bleeding treatment records (factor replacement or bypass drug treatment) before enrollment can be obtained. For patients with hemophilia A or B, on-demand treatment within 3 months before enrollment is available, and the number of new bleeding events after treatment is >=3. For patients with congenital coagulation factor VII deficiency, the number of new bleeding events after treatment within 3 months before enrollment is >=2. 5. There were no symptoms of active bleeding before the first medication. 6. The subject or impartial witness fully understands and can comply with the requirements of the trial protocol, is willing to complete the research as planned, and voluntarily cooperates with the provision of biological samples for testing as required by the protocol; 7. Be able to understand the procedures and methods of this clinical trial. With full informed consent, the patient voluntarily participates and signs the informed consent form by themselves. |
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排除标准: |
1.已知对试验药物制剂及其任何成分有超敏反应史的患者; 2.皮下注射不耐受或存在其它影响给药和安全性评估的局部皮肤异常或皮肤病; 3.筛选期达到以下指标之一者: 血红蛋白<60g/L; 血小板计数<100×10^9/L; 肝肾功能异常者:丙氨酸氨基转移酶(ALT)或天冬氨酸氨基转移酶(AST)>=2.5倍正常值上限(ULN),或总胆红素>=1.5倍ULN;或血肌酐(Cr)>=1.5倍ULN者; 乙型肝炎病毒表面抗原(HBsAg)、抗人类免疫缺陷病毒(HIV)抗体和梅毒螺旋体特异性抗体检查有一项及以上阳性者; 4.临床诊断为活动性丙型肝炎者; 5.除血友病A或B及先天性凝血因子Ⅶ缺乏症以外,其他任何出血性疾病或其他疾病导致的凝血指标明显异常者(如血小板疾病、维生素K缺乏症等); 6.患有蛋白C缺乏症、蛋白S缺乏症; 7.签署知情同意书前或目前有血栓病史或血栓家族史,或有易栓症病史; 8.筛选前2年内因血友病A或B及先天性凝血因子Ⅶ缺乏症导致颅内出血者; 9.患有严重的心脏疾病,如不稳定心绞痛,充血性心力衰竭(纽约心脏病协会等级≥Ⅲ级),严重心律失常(QTc间期>450ms,通过Fridericia公式校正),无法控制的高血压(收缩压>= 160 mmHg或舒张压>=95 mmHg)等; 10.首次用药前48小时内接受过重组人凝血因子Ⅶa(rFVIIa);首次用药前72小时接受过任何含有FⅧ的产品;首次用药前96小时内接受过任何含有FIX的产品;上述药品的长效产品洗脱不满5个半衰期; 11.首次用药前1周内使用过或试验期间需要使用任何抗凝剂、抗纤溶剂以及影响血小板功能的化药、生物制品或中药者,包括非甾体类抗炎药(NSAIDs)如阿司匹林等; 12.首次用药前2周内接受全血或血浆治疗者; 13.首次用药前6个月内接受过艾美赛珠单抗治疗者; 14.首次用药前4周内接受过或计划在试验期间疫苗接种; 15.首次用药前1个月内进行了外科大手术(如矫形手术、腹部手术),或计划在研究期间接受手术者; 16.首次用药前1个月内入组过其他临床试验的患者; 17.有吸毒史或酗酒的患者(酗酒标准:有长期饮酒史超过5年,折合乙醇量男性>=40g/d,或2周内有大量饮酒史,折合乙醇量>80g/d。乙醇量(g)换算公式=饮酒量(mL)*乙醇含量(%)×0.8); 18.患有精神疾病或有明显的精神障碍者,或其它原因导致的无行为能力或无认知能力者; 19.在整个试验期至末次用药后6个月内有生育计划或捐精计划,或不愿采取有效物理避孕措施者(如避孕套等)者; 20.存在具有临床显著意义的疾病或其它原因,研究者认为不适合参与临床试验的患者(如患者无法从临床试验中获益); 21.研究者认为受试者依从性差,将无法评价疗效或预期完成疗程和随访的可能性较低者。 |
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Exclusion criteria: |
Patients who are known to have a history of hypersensitivity reactions to the investigational drug formulation and any of its components; 2. Subcutaneous injection intolerance or the presence of other local skin abnormalities or skin diseases that affect administration and safety assessment; 3. Those who meet one of the following indicators during the screening period: hemoglobin < 60g/L; Platelet count < 100×10^9/L; Patients with abnormal liver or kidney function: Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >=2.5 times the upper limit of the normal value (ULN), or total bilirubin >=1.5 times ULN; Or those with serum creatinine (Cr) >=1.5 times ULN; Those who test positive for hepatitis B surface antigen (HBsAg), anti-human immunodeficiency virus (HIV) antibody and Treponema pallidum specific antibody in one or more items; 4. Those clinically diagnosed with active hepatitis C; 5. Any other bleeding disorders or other diseases that cause significant abnormalities in coagulation indicators, except for hemophilia A or B and congenital deficiency of coagulation factor VII (such as platelet disorders, vitamin K deficiency, etc.); 6. Suffering from protein C deficiency or protein S deficiency; 7. There is a history of thrombosis or a family history of thrombosis, or a history of thrombophilia before or at present before signing the informed consent form; 8. Those who have suffered from intracranial hemorrhage due to hemophilia A or B and congenital deficiency of coagulation factor VII within the two years prior to screening; 9. Suffering from severe heart diseases, such as unstable angina pectoris, congestive heart failure (New York Heart Association grade ≥ III), severe arrhythmia (QTc interval >450ms, corrected by Fridericia formula), uncontrollable hypertension (systolic blood pressure >= 160 mmHg or diastolic blood pressure >=95 mmHg), etc. 10. Had received recombinant human coagulation factor Ⅶa (rFVIIa) within 48 hours before the first administration; Received any product containing FⅧ within 72 hours before the first administration; Have received any product containing FIX within 96 hours before the first use; The long-acting products of the above-mentioned drugs eluted within less than five half-lives. 11. Those who have used any anticoagulants, antifibrinolytic agents, or chemical drugs, biological products, or traditional Chinese medicines that affect platelet function within one week before the first administration or need to use them during the trial period, including non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, etc. 12. Those who received whole blood or plasma therapy within 2 weeks before the first administration; 13. Those who have received emicizumab treatment within 6 months prior to the first medication; 14. Have received or plan to receive vaccination during the trial period within 4 weeks before the first dose; 15. Those who have undergone major surgical operations (such as orthopedic surgery, abdominal surgery) within one month prior to the first medication, or plan to undergo surgery during the study period; 16. Patients who have been enrolled in other clinical trials within one month prior to the first administration; 17. Patients with a history of drug abuse or alcoholism (Alcoholism criteria: having a long-term drinking history of more than 5 years, equivalent to an alcohol content of >=40g/d for men, or having a history of heavy drinking within 2 weeks, equivalent to an alcohol content of >80g/d). The conversion formula for ethanol content (g) = Alcohol consumption (mL) * ethanol content (%) ×0.8. 18. Those who suffer from mental illness or have obvious mental disorders, or those who are incapacitated or lack cognitive ability due to other reasons; 19. Those who have plans to have children or donate sperm during the entire trial period until 6 months after the last administration, or who are unwilling to take effective physical contraceptive measures (such as condoms, etc.); 20. Patients with clinically significant diseases or other reasons for whom researchers consider them unsuitable to participate in clinical trials (such as patients who cannot benefit from clinical trials); 21. Researchers believe that subjects with poor compliance will be unable to evaluate the therapeutic effect or have a lower possibility of expected completion of the treatment course and follow-up. |
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研究实施时间: Study execute time: |
从 From 2024-05-31 00:00:00至 To 2026-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2024-05-31 00:00:00 至 To 2025-09-22 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: |
结束 /Completed |
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): |
Part C患者完成所有筛选程序,经研究者审核入选/排除标准后确定其符合参加本试验资格的患者将按照1:1:1比例随机进入组别A:0.4 mg/kg Q4W、组别B:0.4 mg/kg Q6W或组别C:0.4 mg/kg Q8W,采用区组随机化方法,各中心竞争入组。以SAS软件(9.4或以上版本)产生随机号以及随机号所对应治疗组别,采用临床试验中央随机系统分配随机号,研究者点击随机。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
In Part C of this study, eligible patients who complete all screening procedures and meet the inclusion/exclusion criteria as determined by investigators will be randomized in a 1:1:1 ratio using a block randomization method with competitive enrollment across sites, assigned to either Group A (0.4 mg/kg Q4W), Group B (0.4 mg/kg Q6W), or Group C (0.4 mg/kg Q8W), with treatment allocations generated by SAS software (version 9.4 or higher) and implemented through a centralized clinical trial randomization system where investigators obtain assignments by activating the randomization process. |
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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: |
无 |
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Blinding: |
None |
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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): |
通过药物临床试验登记与信息公示平台共享http://www.chinadrugtrials.org.cn,现已在该平台公示 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Sharing through drug clinical trial registration and information disclosure platform http://www.chinadrugtrials.org.cn It has been publicly announced on the platform |
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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: |
本试验通过电子采集和管理系统(Electronic Data Capture, EDC)进行数据采集和管理。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
This study employs an Electronic Data Capture (EDC) system for data collection and management. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |