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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: |
ChiCTR2600118396 |
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最近更新日期: Date of Last Refreshed on: |
2026-02-04 18:24:32 |
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注册时间: Date of Registration: |
2026-02-04 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: |
急性穿支动脉梗死溶栓后早期联用替罗非班的有效性及安全性:一项随机临床试验 |
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Public title: |
The Efficacy and Safety of Tirofiban after Intravenous Thrombolysis for Acute Branch Atherosclerosis disease:a prospective, open-label, blinded-end point, randomized controlled trial |
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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: |
急性穿支动脉梗死溶栓后早期联用替罗非班的有效性及安全性:一项随机临床试验 |
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Scientific title: |
The Efficacy and Safety of Tirofiban after Intravenous Thrombolysis for Acute Branch Atherosclerosis disease:a prospective, open-label, blinded-end point, randomized controlled trial |
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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: |
王健 |
研究负责人: |
王健 |
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Applicant: |
Jian Wang |
Study leader: |
Wang Jian |
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申请注册联系人电话: Applicant telephone: |
+86 28 6510 8275 |
研究负责人电话:
Study leader's |
+86 28 6510 8275 |
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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: |
42523748@qq.com |
研究负责人电子邮件: Study leader's E-mail: |
42523748@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: |
成都市锦江区庆云南街10号 |
研究负责人通讯地址: |
四川省成都市庆云南街10号 |
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Applicant address: |
No. 10 Qingyun Street, Jinjiang District, Chengdu |
Study leader's address: |
No. 10 Qingyun Nan Street, Chengdu, Sichuan 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: |
四川大学华西临床医学院,四川大学附属成都市第二人民医院,成都市第二人民医院 |
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Applicant's institution: |
Chengdu Second People’s Hospital |
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研究负责人所在单位: |
成都市第二人民医院 |
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Affiliation of the Leader: |
Chengdu Second People’s 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: |
[KY]PJ2026021 |
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: |
成都市第二人民医院医学伦理审查委员会 |
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Name of the ethic committee: |
Ethics Committee of Chengdu Second People's Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-01-16 00:00:00 | ||
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伦理委员会联系人: |
陈乔 |
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Contact Name of the ethic committee: |
陈乔 |
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伦理委员会联系地址: |
四川省成都市庆云南街10号 |
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Contact Address of the ethic committee: |
No. 10 Qingyun Nan Street, Chengdu, Sichuan Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 28 6783 2304 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
405681433@qq.com |
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研究实施负责(组长)单位: |
成都市第二人民医院 |
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Primary sponsor: |
Chengdu Second People’s Hospital |
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研究实施负责(组长)单位地址: |
四川省成都市庆云南街10号 |
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Primary sponsor's address: |
No. 10 Qingyun Nan Street, Chengdu, Sichuan 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: |
(四川省卫生健康委员会科技项目(临床研究专项)) |
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Source(s) of funding: |
Sichuan Provincial Health Commission clinical research project (Grant No. 23LCYJ036) |
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研究疾病: |
急性穿支动脉粥样硬化病 |
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Target disease: |
Acute branch Atherosclerosis disease |
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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: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
评价急性穿支动脉硬化病(Acute Branch Atherosclerosis disease,BAD)患者溶栓后早期桥接使用替罗非班的有效性和安全性。 |
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Objectives of Study: |
The purpose of this study is to evaluate the efficacy and safety of early bridging use of tirofiban after thrombolysis in preventing the occurrence of early neurological deterioration (END) in patients with acute branch atheromatous disease(BAD) . |
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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 - 80周岁; |
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Inclusion criteria |
1. Age 18–80 years; 2. Acute ischemic stroke confirmed by head CT, MRI, or DWI; 3. Meets indications for intravenous thrombolysis, has no contraindications, and has received thrombolytic therapy; 4. NIHSS score ≤5 at 1 hour after completion of intravenous thrombolysis; 5. DWI sequence (slice thickness 5?mm) suggests a penetrating artery lesion and meets at least one of the following: ?① Posterior limb of the internal capsule infarction (LSA territory): lesion diameter >15?mm, involving ≥3 slices, and stenosis of the responsible vessel <50%3; ?② Pontine infarction (PPA territory) located in the lower pons, with the infarct involving the ventral surface of the pons (regardless of size or shape), and no significant stenosis (>50%) or occlusion of the main branch artery3; ?③ Posterior?type lenticulostriate artery infarction:?④ Multiple infarcts in a penetrating artery distribution; 6. The subject provides informed consent, voluntarily participates, and signs the informed consent form. |
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排除标准: |
1.心源性栓塞高危因素:心房颤动、心房扑动,急性心肌梗死、严重心脏瓣膜病、扩张型心肌病、感染性心内膜炎; |
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Exclusion criteria: |
1. High-risk factors for cardioembolism: atrial fibrillation, atrial flutter, acute myocardial infarction, severe valvular heart disease, dilated cardiomyopathy, infective endocarditis; 2. Cortical or watershed infarction, or imaging suggesting high risk of hemorrhage: such as severe white matter disease Blennow score 3 or modified Fazekas score 3, multiple lacunar infarcts, or lacunar state; 3. Patients who should or have received arterial thrombolysis or mechanical thrombectomy; 4. Stroke with other clear etiology: such as moyamoya disease, arterial dissection, vasculitis, etc. 5. Pre-onset modified Rankin Scale mRS score ≥ 1; 6. Stenosis ≥ 50% in the ipsilateral extracranial or intracranial large arteries; 7. Bleeding tendency or coagulation abnormalities: platelet count <100×10?/L, PT >15s, APTT >40s, international normalized ratio INR >1.5, use of new oral anticoagulants, hematological diseases, etc. 8. Abnormal liver function: alanine aminotransferase ALT or aspartate aminotransferase AST > 3 times the upper limit of normal; 9. Renal insufficiency: creatinine clearance rate <30 mL/min; 10 Known malignant tumors; 11 Major trauma or surgery within 6 weeks before onset; 12 History of intracranial hemorrhage; 13 Intracranial tumors or giant intracranial aneurysms diameter >10 mm or arteriovenous malformations; 14 Active or recent clinical bleeding events e.g., gastrointestinal bleeding; 15 Malignant hypertension; 16 Life expectancy ≤ 6 months; 17 Contraindications to MRI; 18 Women during menstruation, pregnant, or breastfeeding; 19 Patients currently participating in other clinical studies; 20 Allergy to tirofiban; 21 Planned intracranial, intraspinal, or other major surgery within the next three months; 22 Long-term use or current use of dual antiplatelet therapy within 2 weeks prior to randomization; 23 Other conditions unsuitable for the study, such as psychiatric disorders, cognitive or emotional impairments, and inability to comply with study procedures. |
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研究实施时间: Study execute time: |
从 From 2026-01-26 00:00:00至 To 2028-01-26 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-02-05 00:00:00 至 To 2028-01-26 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): |
随机数字表法 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Random Number Table Method |
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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: |
开放标签,对评估者隐藏分组 |
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Blinding: |
Open-label study with blinded-evaluators |
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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): |
所有数据通过联系该邮箱获得42523748@qq.com |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
All data can be obtained via email correspondence at 42523748@qq.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: |
电子采集及管理系统 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Electronic Data Capture and Management System |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |