|
审核状态: Project audit state: |
通过审核 Successful |
|
注册号: Registration number: |
ChiCTR2500114912 |
|
最近更新日期: Date of Last Refreshed on: |
2025-12-18 17:25:29 |
|
注册时间: Date of Registration: |
2025-12-18 00:00:00 |
|
注册号状态: |
预注册 |
|
Registration Status: |
Prospective registration |
|
注册题目: |
基于心血管疾病人群中脂肪性肝病队列构建及临床转化研究 |
|
Public title: |
Construction and Clinical Translation of a Steatotic Liver Disease Cohort in Cardiovascular Populations |
|
注册题目简写: |
脂肪肝心肝共治联盟 |
|
English Acronym: |
CardiHepatic Alliance for Integrated Nexus (CHAIN) Cohort |
|
研究课题的正式科学名称: |
基于心血管疾病人群中脂肪性肝病队列构建及临床转化研究 |
|
Scientific title: |
Construction and Clinical Translation of a Steatotic Liver Disease Cohort in Cardiovascular Populations |
|
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: |
周晓东 |
研究负责人: |
郑明华 |
|
Applicant: |
Zhou Xiaodong |
Study leader: |
Zheng Minghua |
|
申请注册联系人电话: Applicant telephone: |
+86 152 6775 2788 |
研究负责人电话:
Study leader's |
+86 139 6778 1644 |
|
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: |
zhouxiaodong@wmu.edu.cn |
研究负责人电子邮件: Study leader's E-mail: |
zhengmh@wmu.edu.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: |
中国浙江省温州市瓯海区南白象街道上蔡村 |
研究负责人通讯地址: |
中国浙江省温州市瓯海区南白象街道上蔡村 |
|
Applicant address: |
Shangcai Village, Nanbaixiang Subdistrict, Ouhai District, Wenzhou, Zhejiang Province, China |
Study leader's address: |
Shangcai Village, Nanbaixiang Subdistrict, Ouhai District, Wenzhou, Zhejiang Province, China |
|
申请注册联系人邮政编码: Applicant postcode: |
325000 |
研究负责人邮政编码: Study leader's postcode: |
325000 |
|
申请人所在单位: |
温州医科大学附属第一医院 |
||
|
Applicant's institution: |
The First Affiliated Hospital of Wenzhou Medical University |
||
|
研究负责人所在单位: |
温州医科大学附属第一医院 |
||
|
Affiliation of the Leader: |
The First Affiliated Hospital of Wenzhou Medical University |
||
|
是否获伦理委员会批准: |
是 |
||
|
Approved by ethic committee: |
Yes |
||
|
伦理委员会批件文号: Approved No. of ethic committee: |
临床研究伦审IssuingNumber(2025)第(526)号 |
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: |
温州医科大学附属第一医院临床研究伦理委员会 |
||
|
Name of the ethic committee: |
Ethics Committee in Clinical Research of the First Affiliated Hospital of Wenzhou Medical University |
||
|
伦理委员会批准日期: Date of approved by ethic committee: |
2025-11-28 00:00:00 | ||
|
伦理委员会联系人: |
许慧清 |
||
|
Contact Name of the ethic committee: |
Xu Huiqing |
||
|
伦理委员会联系地址: |
中国浙江省温州市瓯海区南白象街道上蔡村 |
||
|
Contact Address of the ethic committee: |
Shangcai Village, Nanbaixiang Subdistrict, Ouhai District, Wenzhou, Zhejiang Province, China |
||
|
伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 577 5557 8055 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
wyyyclinical@126.com |
|
研究实施负责(组长)单位: |
温州医科大学附属第一医院 |
||||||||||||||||||||||
|
Primary sponsor: |
The First Affiliated Hospital of Wenzhou Medical University |
||||||||||||||||||||||
|
研究实施负责(组长)单位地址: |
中国浙江省温州市瓯海区南白象街道上蔡村 |
||||||||||||||||||||||
|
Primary sponsor's address: |
Shangcai Village, Nanbaixiang Subdistrict, Ouhai District, Wenzhou, Zhejiang Province, China |
||||||||||||||||||||||
|
试验主办单位(项目批准或申办者): Secondary sponsor: |
|
||||||||||||||||||||||
|
经费或物资来源: |
自筹 |
||||||||||||||||||||||
|
Source(s) of funding: |
Self-funed |
||||||||||||||||||||||
|
研究疾病: |
代谢相关脂肪性肝病 |
||||||||||||||||||||||
|
Target disease: |
Metabolic dysfunction–Associated Steatotic Liver Disease |
||||||||||||||||||||||
|
研究疾病代码: |
K76.0 |
||||||||||||||||||||||
|
Target disease code: |
K76.0 |
||||||||||||||||||||||
|
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: |
本研究旨在构建以心血管代谢性疾病患者为核心的代谢相关脂肪性肝病(MASLD)队列,系统评估肝脏纤维化及脂肪累积的动态变化,并探索肝脏病变与心血管事件的关联,具体目的包括: 1. 评估心血管代谢性疾病患者中MASLD的患病率及肝纤维化分布特征,明确不同代谢危险因素(肥胖、血糖异常、血脂异常、高血压等)与肝脏损伤程度的关系。 2. 利用VCTE(FibroScan)技术对肝脏纤维化和脂肪含量进行动态随访,分析肝脏结构和功能随时间变化的规律,为疾病进展监测提供循证依据。 3. 评估肝脏相关事件(Liver-Related Events, LRE)和主要心血管不良事件(Major Adverse Cardiovascular Events, MACE)的发生率及影响因素,探索心肝交互作用及其对患者预后的影响。 4. 构建心肝共治的风险分层模型,为临床制定个体化干预策略提供科学依据,包括肝脏和心血管疾病的早期识别、干预优化及长期预后改善。 5. 为多学科临床转化研究提供基础数据,推动心血管内科与肝病科联合管理模式的发展,指导临床实践和公共卫生决策。 |
||||||||||||||||||||||
|
Objectives of Study: |
This study aims to establish a Metabolic dysfunction–Associated Steatotic Liver Disease (MASLD) cohort centered on patients with cardiometabolic diseases, systematically evaluate the dynamic changes of liver fibrosis and fat accumulation, and investigate the association between hepatic lesions and cardiovascular events. The specific objectives include: 1.To assess the prevalence of MASLD and the distribution characteristics of liver fibrosis in patients with cardiometabolic diseases, and to clarify the relationship between different metabolic risk factors (obesity, dysglycemia, dyslipidemia, hypertension, etc.) and the severity of liver injury. 2.To perform longitudinal follow-up of liver fibrosis and fat content using VCTE (FibroScan) technology, analyzing the temporal patterns of liver structure and function changes to provide evidence-based guidance for disease progression monitoring. 3.To evaluate the incidence and influencing factors of liver-related events (LRE) and major adverse cardiovascular events (MACE), exploring the heart-liver interaction and its impact on patient prognosis. 4.To develop a risk stratification model for integrated heart-liver management, providing a scientific basis for individualized clinical interventions, including early identification of liver and cardiovascular diseases, optimized intervention strategies, and long-term prognosis improvement. 5.To provide foundational data for multidisciplinary clinical translational research, promote the development of a joint management model between cardiology and hepatology, and guide clinical practice and public health decision-making. |
||||||||||||||||||||||
|
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>=18岁且<80岁; 2. 怀疑冠心病,已完成冠脉造影或CTA检查; 3. 完成FibroScan无创评估,可获得肝硬度(LSM)及肝脂肪含量(CAP值)用于基线及随访分析。 |
||||||||||||||||||||||
|
Inclusion criteria |
1.Age >=18 years and <80 years. 2.Suspected coronary artery disease, with completed coronary angiography or CTA examination. 3.Completed non-invasive FibroScan assessment, with available liver stiffness measurement (LSM) and controlled attenuation parameter (CAP) values for baseline and follow-up analysis. |
||||||||||||||||||||||
|
排除标准: |
1. 基线或随访期间存在其他明确肝病的患者,包括乙型肝炎表面抗原阳性者、活动性丙型肝炎病毒感染未治愈者、药物性肝损伤、自身免疫性肝病及遗传性肝病等; 2. 活动性病毒感染患者,如HIV感染或其他可能影响肝功能和代谢的活动性感染者,以避免混杂因素干扰分析; 3. 基线时或既往五年内存在恶性肿瘤的患者排除,以防肿瘤及相关治疗对肝脏和心血管状态产生干扰; 4. 妊娠或哺乳期女性排除,以避免生理状态对肝脂代谢及体液状态的影响; 5. 未完成关键检查或缺失关键随访数据的患者排除,如缺少FibroScan、影像学或实验室指标的,以保证主要评价指标的完整性。 |
||||||||||||||||||||||
|
Exclusion criteria: |
1.Patients with other definite liver diseases at baseline or during follow-up, including those positive for hepatitis B surface antigen, untreated active hepatitis C virus infection, drug-induced liver injury, autoimmune liver disease, and hereditary liver diseases. 2.Patients with active viral infections, such as HIV infection or other active infections that may affect liver function and metabolism, to avoid confounding effects on the analysis. 3.Patients with a history of malignancy at baseline or within the past five years, to prevent interference from tumors and related treatments on liver and cardiovascular status. 4.Pregnant or breastfeeding women, to avoid physiological influences on liver fat metabolism and fluid status. 5.Patients with incomplete key assessments or missing critical follow-up data, such as missing FibroScan, imaging, or laboratory measurements, to ensure the integrity of primary outcome measures. |
||||||||||||||||||||||
|
研究实施时间: Study execute time: |
从 From 2026-01-01 00:00:00至 To 2030-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-01-01 00:00:00 至 To 2030-12-31 00:00:00 |
|
干预措施: Interventions: |
|
|
研究实施地点: Countries of recruitment and research settings: |
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
测量指标: Outcomes: |
|
|
采集人体标本:
Collecting sample(s)
|
|
|
征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
|
||||||
|
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): |
无 |
||||||||
|
Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
||||||||
|
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 |
|
盲法: |
无 |
|
Blinding: |
None |
|
是否共享原始数据: IPD sharing |
否No |
|
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 |
|
The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
|
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: |
使用电子数据采集 (EDC) 系统进行数据收集和管理。案例记录表 (CRFs) 在 EDC 平台 (例如 ResMan) 内以电子方式完成,确保标准化的数据输入、验证和存储。 |
|
Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Data collection and management were conducted using an Electronic Data Capture (EDC) system. Case Record Forms (CRFs) were completed electronically within the EDC platform (e.g., ResMan), ensuring standardized data entry, verification, and storage. |
|
数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |