ChiCTR2500114141 版本V1.0 版本创建时间2025/12/08 12:23:02 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:

ChiCTR2500114141 

最近更新日期:

Date of Last Refreshed on:

2025-12-08 12:22:57 

注册时间:

Date of Registration:

2025-12-08 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

慢阻肺急性加重病原学流行病学调查及预后分析

Public title:

Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Pathogen Epidemiology Investigation and Prognostic Analysis (Chapter COPD)

注册题目简写:

English Acronym:

研究课题的正式科学名称:

慢阻肺急性加重病原学流行病学调查及预后分析

Scientific title:

Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Pathogen Epidemiology Investigation and Prognostic Analysis (Chapter COPD)

研究课题代号(代码):

Study subject ID:

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:

张静 

研究负责人:

张静 

Applicant:

Zhang Jing 

Study leader:

Zhang Jing 

申请注册联系人电话:

Applicant telephone:

+86 186 1688 1189

研究负责人电话:

Study leader's
telephone:

+86 186 1688 1189

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:

zhang.jing@zs-hospital.sh.cn

研究负责人电子邮件:

Study leader's E-mail:

zhang.jing@zs-hospital.sh.cn

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:

上海市徐汇区枫林路180号

研究负责人通讯地址:

上海市徐汇区枫林路180号

Applicant address:

No. 180, Fenglin Road, Xuhui District, Shanghai

Study leader's address:

No. 180, Fenglin Road, Xuhui District, Shanghai

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:

申请人所在单位:

复旦大学附属中山医院

Applicant's institution:

Zhongshan Hospital, Fudan University

研究负责人所在单位:

复旦大学附属中山医院

Affiliation of the Leader:

Zhongshan Hospital, Fudan University

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:

B2025-639R

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

复旦大学附属中山医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Zhongshan Hospital, Fudan University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-11-04 00:00:00

伦理委员会联系人:

杨梦婕

Contact Name of the ethic committee:

Yang Mengjie

伦理委员会联系地址:

上海市徐汇区枫林路180号

Contact Address of the ethic committee:

No. 180, Fenglin Road, Xuhui District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 3158 7871

伦理委员会联系人邮箱:

Contact email of the ethic committee:

ec@zs-hospital.sh.cn

研究实施负责(组长)单位:

复旦大学附属中山医院

Primary sponsor:

Zhongshan Hospital, Fudan University

研究实施负责(组长)单位地址:

上海市徐汇区枫林路180号

Primary sponsor's address:

No. 180, Fenglin Road, Xuhui District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属中山医院

具体地址:

上海市徐汇区枫林路180号

Institution
hospital:

Zhongshan Hospital, Fudan University

Address:

No. 180, Fenglin Road, Xuhui District, Shanghai

经费或物资来源:

中国人体健康科技促进会

Source(s) of funding:

China Association for Promotion of Health Science and Technology

研究疾病:

慢性阻塞性肺疾病  

Target disease:

Chronic Obstructive Pulmonary Disease

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

系统掌握我国AECOPD的病原体构成谱和主要致病菌的耐药特点。在AECOPD病程中曲霉检出阳性的患者群体,分析其疾病状态及不同治疗手段对疾病近期和远期预后的影响。  

Objectives of Study:

In order to systematically grasp the pathogen composition profile of AECOPD in our country and the drug resistance characteristics of the main pathogens. To analyze the effect of disease status and different treatment methods on the short-term and long-term prognosis of AECOPD patients with Aspergillus positive detection.

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>40岁,可独立或在家属/陪护者帮助下完成慢阻肺评估测试量表CAT问卷、mMRC问卷。 2) 符合2023慢性阻塞性肺疾病全球创议(GOLD)指南中关于COPD的定义,即吸入支气管舒张剂后FEV1/FVC<0.7。 3) 符合2023年最新版GOLD指南中关于急性加重的定义描述,并在起病5天内,即过去5天内出现的咳嗽、咳痰以及呼吸困难恶化。

Inclusion criteria

1) Age > 40 years old, able to complete the COPD questionnaire and mMRC questionnaire independently or with the help of family members/companions. 2) Meets the definition of COPD in the 2023 Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) guidelines, i.e., FEV1/FVC< 0.7 after inhaled bronchodilators. 3) Comply with the definition description of acute exacerbation in the latest version of the GOLD guidelines in 2023, and cough, sputum production, and worsening of dyspnea within 5 days of onset, i.e., within the past 5 days.

排除标准:

1) 合并特发性肺间质纤维化、CTD-ILD等间质性肺疾病者; 2) 经过初步临床评估和检查,判断症状恶化主要是肺炎、肺栓塞、气胸、心功能不全等其他急性病况所致; 3) 精神异常无法完成研究。

Exclusion criteria:

1) Patients with idiopathic pulmonary interstitial fibrosis, CTD-ILD and other interstitial lung diseases; 2) After preliminary clinical evaluation and examination, it is determined that the worsening of symptoms is mainly caused by other acute conditions such as pneumonia, pulmonary embolism, pneumothorax, and cardiac insufficiency; 3) Mental abnormality that prevents completion of the study.

研究实施时间:

Study execute time:

From 2025-12-01 00:00:00 To 2027-11-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-12-10 00:00:00 To 2027-11-30 00:00:00

干预措施:

Interventions:

组别:

所有患者

样本量:

800

Group:

All patients

Sample size:

干预措施:

观察性研究,无干预措施

干预措施代码:

Intervention:

Observational study with no interventions

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属中山医院 

单位级别:

三甲 

Institution
hospital:

Zhongshan Hospital, Fudan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海交通大学医学院附属瑞金医院 

单位级别:

三甲 

Institution
hospital:

Ruijin Hospital, Shanghai Jiao Tong University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属华东医院 

单位级别:

三甲 

Institution
hospital:

Huadong Hospital, Fudan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河南 

市(区县):

 

Country:

China

Province:

Henan

City:

单位(医院):

河南科技大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital, Henan University of Science and Technology

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

浙江大学医学院附属第二医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital, Zhejiang University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

山西 

市(区县):

 

Country:

China

Province:

Shanxi

City:

单位(医院):

山西医科大学第二医院 

单位级别:

三甲 

Institution
hospital:

The Second Hospital, Shanxi Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京大学第三医院 

单位级别:

三甲 

Institution
hospital:

Third Hospital, Peking University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

中日友好医院 

单位级别:

三甲 

Institution
hospital:

China-Japan Friendship Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

内蒙古自治区 

市(区县):

 

Country:

China

Province:

Inner Mongolia

City:

单位(医院):

内蒙古自治区人民医院 

单位级别:

三甲 

Institution
hospital:

The Inner Mongolia People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北 

市(区县):

 

Country:

China

Province:

Hebei

City:

单位(医院):

河北深州市医院 

单位级别:

二甲 

Institution
hospital:

Shenzhou Hospital of Hebei Province

Level of the institution:

Secondary A

国家:

中国

省(直辖市):

河北 

市(区县):

 

Country:

China

Province:

Hebei

City:

单位(医院):

丰宁满族自治县医院 

单位级别:

二甲 

Institution
hospital:

Hospital of FengNing

Level of the institution:

Secondary A

国家:

中国

省(直辖市):

河北 

市(区县):

 

Country:

China

Province:

Hebei

City:

单位(医院):

清河县中心医院 

单位级别:

二甲 

Institution
hospital:

Qinghe County Central Hospital

Level of the institution:

Secondary A

国家:

中国

省(直辖市):

甘肃 

市(区县):

 

Country:

China

Province:

Gansu

City:

单位(医院):

兰州大学第一医院 

单位级别:

三甲 

Institution
hospital:

The First Hospital of Lanzhou University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

陕西 

市(区县):

 

Country:

China

Province:

Shaanxi

City:

单位(医院):

安康市中医医院 

单位级别:

三甲 

Institution
hospital:

Ankang City Hospital of Traditional Chinese Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

陕西 

市(区县):

 

Country:

China

Province:

Shaanxi

City:

单位(医院):

西安交通大学第二医院 

单位级别:

三甲 

Institution
hospital:

Second Affiliated Hospital of Xi'an Jiaotong University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

新疆 

市(区县):

 

Country:

China

Province:

Xinjiang

City:

单位(医院):

新疆医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The first affiliated hospital of Xinjiang Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

辽宁 

市(区县):

 

Country:

China

Province:

Liaoning

City:

单位(医院):

中国医科大学附属盛京医院 

单位级别:

三甲 

Institution
hospital:

Shengjing Hospital Affiliated to China Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

辽宁 

市(区县):

 

Country:

China

Province:

Liaoning

City:

单位(医院):

中国医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of China Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

吉林 

市(区县):

 

Country:

China

Province:

Jilin

City:

单位(医院):

吉林大学第二医院 

单位级别:

三甲 

Institution
hospital:

Second Hospital of Jilin University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

吉林 

市(区县):

 

Country:

China

Province:

Jilin

City:

单位(医院):

延边大学附属医院(延边医院) 

单位级别:

三甲 

Institution
hospital:

Yanbian University Affiliated Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西医院 

单位级别:

三甲 

Institution
hospital:

West China Hospital, Sichuan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

江油市人民医院 

单位级别:

三甲 

Institution
hospital:

People's Hospital of Jiangyou City

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

重庆 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Chongqing Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

云南 

市(区县):

 

Country:

China

Province:

Yunnan

City:

单位(医院):

安宁市第一人民医院 

单位级别:

三甲 

Institution
hospital:

The First People's Hospital of Anning City

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

云南 

市(区县):

 

Country:

China

Province:

Yunnan

City:

单位(医院):

昆明市第二人民医院 

单位级别:

三甲 

Institution
hospital:

The Second People's Hospital of Kunming City

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

云南 

市(区县):

 

Country:

China

Province:

Yunnan

City:

单位(医院):

昆明医科大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

First Affiliated Hospital of Kunming Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

云南 

市(区县):

 

Country:

China

Province:

Yunnan

City:

单位(医院):

红河州滇南中心医院 

单位级别:

三甲 

Institution
hospital:

Diannan Central Hospital of Honghe Prefecture

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

安徽 

市(区县):

 

Country:

China

Province:

Anhui

City:

单位(医院):

安徽医科大学第二附属医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital of Anhui Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

安徽 

市(区县):

 

Country:

China

Province:

Anhui

City:

单位(医院):

芜湖市第二人民医院 

单位级别:

三甲 

Institution
hospital:

Wuhu Second People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

安徽 

市(区县):

 

Country:

China

Province:

Anhui

City:

单位(医院):

临泉县人民医院 

单位级别:

三级 

Institution
hospital:

People's Hospital of Linquan County

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

安徽 

市(区县):

 

Country:

China

Province:

Anhui

City:

单位(医院):

安徽省庐江县人民医院 

单位级别:

三级 

Institution
hospital:

People's Hospital of Lujiang County, Anhui Province

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

广州医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Guangzhou Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

广东医科大学附属医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Hospital of Guangdong Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

深圳市人民医院 

单位级别:

三甲 

Institution
hospital:

Shenzhen People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

中山大学附属第三医院 

单位级别:

三甲 

Institution
hospital:

Third Affiliated Hospital of Zhongshan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广西 

市(区县):

 

Country:

China

Province:

Guangxi

City:

单位(医院):

广西医科大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Guangxi Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖南 

市(区县):

 

Country:

China

Province:

Hunan

City:

单位(医院):

中南大学湘雅二医院 

单位级别:

三甲 

Institution
hospital:

The Second Xiangya Hospital, Central South University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖南 

市(区县):

 

Country:

China

Province:

Hunan

City:

单位(医院):

中南大学湘雅医院 

单位级别:

三甲 

Institution
hospital:

Xiangya Hospital of Central South University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北 

市(区县):

 

Country:

China

Province:

Hubei

City:

单位(医院):

汉川市人民医院 

单位级别:

三甲 

Institution
hospital:

People's Hospital of Hanchuan City

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北 

市(区县):

 

Country:

China

Province:

Hubei

City:

单位(医院):

荆州市中心医院 

单位级别:

三甲 

Institution
hospital:

Jingzhou Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北 

市(区县):

 

Country:

China

Province:

Hubei

City:

单位(医院):

华中科技大学同济医学院附属同济医院 

单位级别:

三甲 

Institution
hospital:

Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

南京鼓楼医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Drum Tower Hospital, Medical School of Nanjing University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

张家港市第一人民医院 

单位级别:

三甲 

Institution
hospital:

The First People's Hospital of Zhangjiagang City

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

湖州市中心医院 

单位级别:

三甲 

Institution
hospital:

Huzhou Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

南京医科大学第一附属医院(江苏省人民医院) 

单位级别:

三甲 

Institution
hospital:

Jiangsu Province Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江西 

市(区县):

 

Country:

China

Province:

Jiangxi

City:

单位(医院):

江西省上犹县人民医院 

单位级别:

三级 

Institution
hospital:

People's Hospital of Shangyou County, Jiangxi Province

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

山东 

市(区县):

 

Country:

China

Province:

Shandong

City:

单位(医院):

山东省立医院 

单位级别:

三甲 

Institution
hospital:

Shandong Provincial Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

山东 

市(区县):

 

Country:

China

Province:

Shandong

City:

单位(医院):

寿光市人民医院 

单位级别:

三乙 

Institution
hospital:

People's Hospital of Shouguang City

Level of the institution:

Tertiary B

国家:

中国

省(直辖市):

山东 

市(区县):

 

Country:

China

Province:

Shandong

City:

单位(医院):

沂源县人民医院 

单位级别:

三乙 

Institution
hospital:

People's Hospital of Yiyuan County

Level of the institution:

Tertiary B

测量指标:

Outcomes:

指标中文名:

1年内再次急性加重次数

指标类型:

主要指标

Outcome:

Number of re-acute exacerbations within 1 year

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

1年内死亡率

指标类型:

主要指标

Outcome:

Mortality within 1 year

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

1年内再次急性加重率

指标类型:

主要指标

Outcome:

Re-acute exacerbation rate within 1 year

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

AECOPD 不同严重程度发生频率

指标类型:

次要指标

Outcome:

Occurrence frequency of different severities of AECOPD

Type:

Secondary 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:

血清

组织:

血液

Sample Name:

serum

Tissue:

Blood

人体标本去向

使用后保存  

说明

5年

Fate of sample:

Preservation after use  

Note:

5 years

标本中文名:

肺泡灌洗液

组织:

Sample Name:

BALF

Tissue:

Lung

人体标本去向

使用后保存  

说明

5年

Fate of sample:

Preservation after use  

Note:

5 years

标本中文名:

组织:

气管

Sample Name:

phlegm

Tissue:

Bronchus

人体标本去向

使用后保存  

说明

5年

Fate of sample:

Preservation after use  

Note:

5 years

标本中文名:

咽拭子

组织:

Sample Name:

throat swab

Tissue:

Throat

人体标本去向

使用后销毁  

说明

5年

Fate of sample:

Destruction after use  

Note:

5 years

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 40 years
最大 Max age 100 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):

队列研究,根据患者病原学检测结果进行分组分析。

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

Cohort study, group analysis based on patient etiology test results.

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

是Yes

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):

学术论文发表

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

Academic papers published

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:

各中心收集资料,根据CRF表将数据录入EDC系统生成一个数据库,后续人工核查完成校对。

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

Each center collects data, enters the data into the EDC system according to the CRF form to generate a database, and then manually verifies and completes proofreading.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-12-08 12:22:57