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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: |
ChiCTR2600124730 |
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最近更新日期: Date of Last Refreshed on: |
2026-05-15 23:39:22 |
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注册时间: Date of Registration: |
2026-05-15 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: |
IL-1 抑制剂对痛风患者心血管炎症的改善作用研究--单中心单臂前瞻性队列研究 |
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Public title: |
Study on the Improvement of Cardiovascular Inflammation in Gout Patients by IL-1 Inhibitors: A Single-Center, Single-Arm, Prospective Cohort Study |
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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: |
IL-1 抑制剂对痛风患者心血管炎症的改善作用研究--单中心单臂前瞻性队列研究 |
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Scientific title: |
Study on the Improvement of Cardiovascular Inflammation in Gout Patients by IL-1 Inhibitors: A Single-Center, Single-Arm, Prospective Cohort Study |
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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: |
陈颖 |
研究负责人: |
陈颖 |
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Applicant: |
Chen Ying |
Study leader: |
Chen Ying |
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申请注册联系人电话: Applicant telephone: |
+86 532 8291 1399 |
研究负责人电话:
Study leader's |
+86 532 8291 1399 |
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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: |
18661801696@163.com |
研究负责人电子邮件: Study leader's E-mail: |
18661801696@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: |
山东省青岛市市南区江苏路16号 |
研究负责人通讯地址: |
山东省青岛市市南区江苏路16号 |
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Applicant address: |
No. 16 Jiangsu Road, Shidong District, Qingdao City, Shandong Province |
Study leader's address: |
No. 16 Jiangsu Road, Shidong District, Qingdao City, Shandong 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: |
青岛大学附属医院 |
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Applicant's institution: |
The Affiliated Hospital of Qingdao University |
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研究负责人所在单位: |
青岛大学附属医院 |
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Affiliation of the Leader: |
The Affiliated Hospital of Qingdao 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: |
[临研]伦审QYFYEC2026-40 |
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: |
青岛大学附属医院医学伦理委员会 |
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Name of the ethic committee: |
The Medical Ethics Committee of the Affiliated Hospital of Qingdao University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-01-07 00:00:00 | ||
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伦理委员会联系人: |
张小蕾 |
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Contact Name of the ethic committee: |
Zhang Xiaolei |
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伦理委员会联系地址: |
山东省青岛市市南区江苏路16号 |
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Contact Address of the ethic committee: |
No. 16, Jiangsu Road, Shinan District, Qingdao, Shandong Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 532 82912611 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
qingyilunli@126.com |
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研究实施负责(组长)单位: |
青岛大学附属医院 |
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Primary sponsor: |
The Affiliated Hospital of Qingdao University |
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研究实施负责(组长)单位地址: |
山东省青岛市市南区江苏路16号 |
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Primary sponsor's address: |
No. 16, Jiangsu Road, Shinan District, Qingdao, Shandong 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: |
中国医药卫生事业发展基金会 |
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Source(s) of funding: |
Self-selected topics (China Foundation for the Development of Medical and Health Care Industry) |
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研究疾病: |
痛风 |
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Target disease: |
Gout |
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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: |
观察性研究 |
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Study type: |
Observational 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: |
连续入组 |
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Study design: |
Sequential |
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研究目的: |
明确IL-1抑制剂对痛风患者心血管炎症、痛风复发的改善效果,探讨其在痛风抗炎及对心血管炎症的保护作用,为该类患者的精准治疗提供单臂前瞻性证据。 |
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Objectives of Study: |
To clarify the improvement effect of IL-1 inhibitors on cardiovascular inflammation and recurrence of gout in patients with gout, and to explore their anti-inflammatory effect on gout and protective effect on cardiovascular inflammation, providing single-arm prospective evidence for the precise treatment of such patients. |
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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: |
1.18–75周岁,性别不限; 2.符合 2015 年 ACR/EULAR 痛风分类诊断标准; 3.距筛选前1年内有>=2次痛风急性发作; 4.血清尿酸(SUA)>=420μmol/L; 5.冠脉CT血管成像(CCTA)检查符合以下标准:无碘造影剂过敏史;肾功能满足造影要求(eGFR>=45mL/min/1.73m^2,基于 CKD-EPI 公式); 6.既往使用降尿酸药物者(如非布司他、别嘌醇),需已规律用药>=1 个月且 SUA 波动<=20%,同意研究期间继续原方案治疗;既往未使用降尿酸药物者,同意在研究期间接受本研究指定的降尿酸药物治疗方案; 7.自愿签署知情同意书,能配合完成 12 个月随访 |
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Inclusion criteria |
1. Age range: 18 - 75 years old, gender not restricted; 2. Meets the 2015 ACR/EULAR classification criteria for gout; 3. Had at least 2 acute gout attacks within 1 year prior to screening; 4. Serum uric acid (SUA) >= 420 μmol/L; 5. Coronary CT angiography (CCTA) examination meets the following criteria: no history of iodine contrast agent allergy; renal function meets the requirements for contrast imaging (eGFR >= 45 mL/min/1.73m^2, based on the CKD-EPI formula); 6. Those who have used uric acid-lowering drugs in the past (such as febuxostat, allopurinol) must have been taking the medication regularly for >= 1 month and the SUA fluctuation <= 20%, and agree to continue the original treatment plan during the study period; those who have not used uric acid-lowering drugs in the past agree to receive the uric acid-lowering drug treatment plan specified in this study during the study period; 7. Voluntarily sign the informed consent form and be able to cooperate with the 12-month follow-up. |
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排除标准: |
1.痛风急性期合并严重并发症:关节腔脓肿(超声示液性暗区 + 细菌培养阳性)、横纹肌溶解(肌酸激酶> 5倍正常上限+ 肌痛 / 茶色尿); 2.急性期标准治疗后无法稳定(VAS 持续> 2 分超过 14 天,或出现消化道溃疡、肝酶升高等严重不良反应); 3.近 6 个月内发生急性心肌梗死、脑卒中、急性冠脉综合征等急性心血管事件; 4.严重心力衰竭(NYHAⅢ-Ⅳ 级)、恶性心律失常(如室性心动过速、心室颤动史); 5.碘造影剂相关禁忌:过敏史、甲状腺功能亢进未控制、eGFR<45mL/min/1.73m^2; 6.活动性感染(如活动性结核、HIV 感染、急性肝炎)、自身免疫病(如类风湿关节炎、系统性红斑狼疮)或免疫缺陷状态; 7.严重肝肾功能不全(谷丙转氨酶 / 谷草转氨酶> 3 倍正常上限;估算肾小球滤过率< 30mL/min/1.73m^2); 8.近 3 个月内使用过 IL-1/IL-6 抑制剂等生物制剂,或近 1 个月内使用过免疫抑制剂(如甲氨蝶呤、环孢素); 9.对研究相关药物及其成分过敏:IL-1 抑制剂、依托考昔、秋水仙碱、非布司他; 10.妊娠、哺乳期女性;育龄女性 / 备孕男性拒绝采取有效避孕措施;或计划在研究期间妊娠者; 11.合并恶性肿瘤(近 5 年内确诊)、精神疾病无法配合随访; 12.预期生存期< 12 个月、严重凝血功能障碍等其他不适合入组情况 |
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Exclusion criteria: |
1. Acute gout combined with severe complications: joint cavity abscess (ultrasound shows fluidic dark area + positive bacterial culture), rhabdomyolysis (creatine kinase > 5 times the upper limit of normal + muscle pain / tea-colored urine); 2. Unable to stabilize after standard treatment in the acute phase (VAS persists > 2 points for more than 14 days, or severe adverse reactions such as gastrointestinal ulcers, elevated liver enzymes, etc. occur); 3. Acute cardiovascular events occurred within the past 6 months (acute myocardial infarction, stroke, acute coronary syndrome, etc.); 4. Severe heart failure (NYHA grade III-IV), malignant arrhythmia (such as ventricular tachycardia, history of ventricular fibrillation); 5. Iodine contrast agent contraindications: history of allergy, uncontrolled hyperthyroidism, eGFR < 45 mL/min/1.73m^2; 6. Active infections (such as active tuberculosis, HIV infection, acute hepatitis), autoimmune diseases (such as rheumatoid arthritis, systemic lupus erythematosus) or immunodeficiency status; 7. Severe liver and kidney dysfunction (ALT/GOT > 3 times the upper limit of normal; estimated glomerular filtration rate < 30 mL/min/1.73m^2); 8. Within the past 3 months, used biological agents such as IL-1/IL-6 inhibitors, or within the past 1 month, used immunosuppressants (such as methotrexate, cyclosporine); 9. Allergic to study-related drugs and their components: IL-1 inhibitors, etoricoxib, colchicine, febuxostat; 10. Pregnant or lactating women; fertile women / men refusing to take effective contraceptive measures; or those planning to get pregnant during the study; 11. Complicated with malignant tumors (diagnosed within the past 5 years), unable to cooperate with follow-up due to mental illness; 12. Expected survival period < 12 months, severe coagulation dysfunction and other conditions not suitable for enrollment. |
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研究实施时间: Study execute time: |
从 From 2026-05-11 00:00:00至 To 2027-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-05-16 00:00:00 至 To 2027-12-31 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): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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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: |
无 |
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Blinding: |
None |
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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): |
无 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
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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: |
EDC |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
EDC |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |