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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: |
ChiCTR2600122735 |
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最近更新日期: Date of Last Refreshed on: |
2026-04-16 22:34:38 |
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注册时间: Date of Registration: |
2026-04-16 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: |
急性心肌梗死的非支架植入策略研究:一项前瞻性、多中心、开放标签、非劣效、随机对照研究(EROSION Ⅳ) |
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Public title: |
Non-stenting treatment strategy for acute myocardial infarction with non-severe stenosis: a prospective, multicenter, open-label, non-inferiority, randomised controlled trial.(EROSION IV) |
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注册题目简写: |
急性心肌梗死的非支架植入策略研究 |
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English Acronym: |
Non-stenting treatment strategy for acute myocardial infarction with non-severe stenosis |
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研究课题的正式科学名称: |
急性心肌梗死的非支架植入策略研究:一项前瞻性、多中心、开放标签、非劣效、随机对照研究(EROSION Ⅳ) |
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Scientific title: |
Non-stenting treatment strategy for acute myocardial infarction with non-severe stenosis: a prospective, multicenter, open-label, non-inferiority, randomised controlled trial.(EROSION IV) |
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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: |
孙宇飞 |
研究负责人: |
于波 |
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Applicant: |
Yufei Sun |
Study leader: |
BoYu |
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申请注册联系人电话: Applicant telephone: |
+86 155 6180 3152 |
研究负责人电话:
Study leader's |
+86 451 8660 5180 |
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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: |
535987787@qq.com |
研究负责人电子邮件: Study leader's E-mail: |
yubodr@163.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: |
黑龙江哈尔滨市保健路148号 |
研究负责人通讯地址: |
黑龙江哈尔滨市保健路148号 |
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Applicant address: |
148 Health Care Road, Harbin, Heilongjiang |
Study leader's address: |
148 Health Care Road, Harbin, Heilongjiang |
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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: |
哈尔滨医科大学附属第二医院 |
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Applicant's institution: |
The Second Affiliated Hospital of Harbin Medical University |
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研究负责人所在单位: |
哈尔滨医科大学附属第二医院 |
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Affiliation of the Leader: |
The Second Affiliated Hospital of Harbin Medical 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: |
KY2026-042号 |
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: |
哈尔滨医科大学附属第二医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of the Second Affiliated Hospital of Harbin Medical University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-02-05 00:00:00 | ||
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伦理委员会联系人: |
宋昱 |
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Contact Name of the ethic committee: |
Song Yu |
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伦理委员会联系地址: |
黑龙江哈尔滨市保健路148号 |
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Contact Address of the ethic committee: |
148 Health Care Road, Harbin, Heilongjiang |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 451 8660 5411 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
410673783@qq.com |
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研究实施负责(组长)单位: |
哈尔滨医科大学附属第二医院 |
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Primary sponsor: |
The Second Affiliated Hospital of Harbin Medical University |
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研究实施负责(组长)单位地址: |
黑龙江哈尔滨市保健路148号 |
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Primary sponsor's address: |
148 Health Care Road, Harbin, Heilongjiang |
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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: |
自选课题(自筹) |
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Source(s) of funding: |
National Key Laboratory of Harbin Medical University |
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研究疾病: |
冠脉非重度狭窄的急性心肌梗死(AMI)患者 |
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Target disease: |
AMI patients with non-severe coronary artery stenosis. |
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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: |
验证冠脉非重度狭窄的急性心肌梗死(AMI)患者仅接受指南推荐药物治疗(非支架植入)的安全性和有效性。 |
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Objectives of Study: |
To verify the safety and efficacy of guideline-recommended standard medical therapy alone in AMI patients with non-severe coronary artery stenosis. |
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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周岁、且<=75周岁的男性或女性; 2. 诊断为1型急性心肌梗死,包括STEMI(发病<24小时或7-14天)或NSTEMI; 3. 接受CAG±血栓抽吸后,罪犯血管TIMI血流恢复至3级且稳定5min以上,罪犯病变DS<70%(QCA测定); 4. 罪犯病变直径>2.5mm且<=4.0mm; 5. 患者(或法定代理人)理解研究要求和治疗程序,并签署书面知情同意书。 |
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Inclusion criteria |
1. Male or female patients aged >=18 years and <=75 years; 2. Diagnosis of type 1 AMI, including STEMI (onset <24 hours or 7-14 days) or NSTEMI; 3. After coronary angiography (CAG) +/- thrombus aspiration, TIMI flow in the culprit vessel is restored to grade 3 and maintained for at least 5 minutes, with diameter stenosis (DS) <70% at the culprit lesion; 4. Reference diameter of the culprit lesion >2.5 mm and <=4.0 mm; 5. Patients or a legally authorized representative must provide written Informed Consent prior to any study related procedure. |
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排除标准: |
1. 临床排除标准: (1) 合并严重的心功能不全(Killip/NYHA分级>=3级)或左室射血分数<30%; (2) AMI发病时接受了心肺复苏; (3) TIMI血流恢复后,仍持续存在血流动力学或心脏电活动不稳定; (4) 存在抗栓药物禁忌证,或合并消化性溃疡、凝血功能障碍等出血性疾病者; (5) 存在造影剂应用禁忌证; (6) 严重肾功能不全[定义为估算肾小球滤过率(eGFR)<=30 mL/min/1.73 m^2或血肌酐>=2.0 mg/dL]且未进行规律透析(慢性肾功能不全规律透析患者可考虑入选); (7) 活动性肝病,定义为已知的感染性、肿瘤性或代谢性肝脏病变,丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)升高>3×正常值上限(ULN); (8) 既往冠状动脉旁路移植术(CABG)病史或罪犯病变经皮冠状动脉介入治疗(PCI)病史; (9) 患者合并其他严重疾病,预期寿命不足<1年; (10) 孕妇或哺乳期女性。有生育能力的女性,除非其在研究治疗期间采取有效的避孕措施; (11) 无法遵守本研究方案或研究者认为不适合参与研究的其他情况。 2. 影像排除标准: (1) 非罪犯病变DS>=70%或计划进行血运重建; (2) 左主干病变DS>=50%; (3) 罪犯病变为真分叉病变且需要双支架策略; (4) 长病变(植入支架长度>60mm); (5) 罪犯病变存在夹层、假腔等严重情况需要立即植入支架; (6) 靶病变接受了预处理(如球囊扩张、旋磨等)。 3. 功能学亚研究: (1) 对三磷酸腺苷(ATP)或其制剂中任何成分过敏者; (2) 二度、三度房室传导阻滞、病态窦房结综合征(无人工心脏起搏器保护者); (3) 支气管哮喘患者。 |
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Exclusion criteria: |
1. Clinical exclusion criteria: (1) Severe cardiac dysfunction (Killip/NYHA class >= 3) or LVEF < 30%; (2) Cardiopulmonary resuscitation (CPR) performed at the onset of AMI; (3) Persistent hemodynamic or cardiac electrical instability after TIMI flow restoration; (4) Contraindication to antithrombotic drugs, or concurrent hemorrhagic diseases such as peptic ulcer or coagulation disorders; (5) Contraindication to contrast; (6) Severe renal dysfunction [defined as eGFR <=30 mL/min/1.73 m^2 or Scr >=2.0 mg/dL] without regular dialysis (patients with chronic renal insufficiency on regular dialysis may be considered for enrollment); (7) Active liver disease, defined as known infectious, neoplastic, or metabolic liver lesions, with ALT and AST >3× upper limit of normal (ULN); (8) Previous history of CABG or PCI for the culprit lesion; (9) Patients with other concurrent severe diseases and an expected life expectancy of <1 year; (10) Pregnant or lactating women. Women of childbearing potential must use effective contraceptive measures during the study treatment period; (11) Inability to comply with the study protocol or other conditions deemed unsuitable for study participation by the investigator. 2. Imaging exclusion criteria: (1) Non-culprit lesion with DS >=70% or planned revascularization; (2) Left main coronary artery lesion with DS >=50%; (3) Culprit lesion is a true bifurcation lesion requiring a two-stent strategy; (4) Long lesion (planned stent length >60 mm); (5) Culprit lesion with dissection, false lumen, or other conditions necessitating stent implantation; (6) Target lesion has undergone pre-treatment (e.g., balloon dilation, rotational atherectomy, etc.). 3. Functional sub study: (1) Individuals who are allergic to adenosine triphosphate (ATP) or any component in its preparations; (2) Second and third degree atrioventricular block, sick sinus syndrome (without artificial pacemaker protectors); (3) Patients with bronchial asthma. |
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研究实施时间: Study execute time: |
从 From 2026-04-01 00:00:00至 To 2030-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-04-16 00:00:00 至 To 2029-03-31 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): |
随机化和治疗的分配将通过中央计算机网络系统进行管理,由独立的统计专家生成计算机随机序列并配置入交互式网络应答系统(IWRS),IWRS将会分配随机号给到具备入选资质的患者。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
The allocation of randomization and treatment will be managed through a central computer network system, where independent statistical experts generate computer random sequences and configure them into an interactive network response system (IWRS). IWRS will assign random numbers to eligible patients. |
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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 |
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): |
不共享 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
No |
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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: |
数据管理采用电子数据采集(EDC)系统。正式上线前,数据管理员对各研究中心人员进行EDC使用培训。研究参与者访视期间,要求研究者或者授权临床协调员完成每个入组研究参与者的eCRF,这些表格用于记录试验中收集的信息。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
The data management adopts an electronic data collection (EDC) system. Before the official launch, the data administrator conducted EDC usage training for personnel in each research center. During the visit of study participants, researchers or authorized clinical coordinators are required to complete eCRF for each enrolled study participant, and these forms are used to record the information collected during the trial. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |