ChiCTR2000041169 版本V1.9 版本创建时间2020/12/20 01:20:17 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:

ChiCTR2000041169 

最近更新日期:

Date of Last Refreshed on:

2020-12-20 01:18:24 

注册时间:

Date of Registration:

2020-12-20 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

单唾液酸四己糖神经节苷脂钠注射液(GM1)在多发性骨髓瘤患者中连续给药的有效性、安全性和药代动力学研究

Public title:

The effects, safety and pharmacokinetics of Ganglioside-Monosialic Acid (GM1) in patients with multiple myeloma

注册题目简写:

English Acronym:

研究课题的正式科学名称:

单唾液酸四己糖神经节苷脂钠注射液(GM1)在多发性骨髓瘤患者中连续给药的有效性、安全性和药代动力学研究

Scientific title:

The effects, safety and pharmacokinetics of Ganglioside-Monosialic Acid (GM1) in patients with multiple myeloma

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:

刘科宇 

研究负责人:

马军 

Applicant:

Liu keyu 

Study leader:

Ma jun 

申请注册联系人电话:

Applicant telephone:

+86 451-84888631

研究负责人电话:

Study leader's
telephone:

+86 13304518000

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:

harbin_dyyy@163.com

研究负责人电子邮件:

Study leader's E-mail:

mjun0322@126.com

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:

黑龙江省哈尔滨市道里区地段街149号

研究负责人通讯地址:

黑龙江省哈尔滨市道里区地段街149号

Applicant address:

149 Diduan Street, Daoli District, Harbin, Heilongjiang

Study leader's address:

149 Diduan Street, Daoli District, Harbin, Heilongjiang

申请注册联系人邮政编码:

Applicant postcode:

150010

研究负责人邮政编码:

Study leader's postcode:

150010

申请人所在单位:

哈尔滨市第一医院

Applicant's institution:

Harbin Frist Hospital

研究负责人所在单位:

哈尔滨市血液病肿瘤研究所

Affiliation of the Leader:

Harbin Institute of Hematology and Oncology

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:

2020-001

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:

哈尔滨血液病肿瘤研究所伦理委员会

Name of the ethic committee:

Harbin Institute of Hematology and Oncology Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2020-06-12 00:00:00

伦理委员会联系人:

程梅

Contact Name of the ethic committee:

Chen mei

伦理委员会联系地址:

黑龙江省哈尔滨市道里区地段街149号

Contact Address of the ethic committee:

149 Diduan Street, Daoli District, Harbin, Heilongjiang

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 451-84883452

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

哈尔滨血液病肿瘤研究所

Primary sponsor:

Harbin Institute of Hematology and Oncology

研究实施负责(组长)单位地址:

黑龙江省哈尔滨市道里区地段街149号

Primary sponsor's address:

149 Diduan Street, Daoli District, Harbin, Heilongjiang

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

黑龙江

市(区县):

哈尔滨

Country:

China

Province:

Heilongjiang

City:

Harbin

单位(医院):

哈尔滨血液病肿瘤研究所

具体地址:

道里区地段街149号

Institution
hospital:

Harbin Institute of Hematology and Oncology

Address:

149 Diduan Street, Daoli District

经费或物资来源:

齐鲁制药有限公司

Source(s) of funding:

Qilu Pharmaceutical Co., Ltd.

研究疾病:

CIPN  

Target disease:

CIPN

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

上市后药物 

Study phase:

4

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

主要目的:观察GM1在多发性骨髓瘤患者中预防VRD方案化疗引起神经毒性的初步有效性量效关系。 次要目的:观察分析GM1在多发性骨髓瘤患者中的安全性和药代动力学特征。  

Objectives of Study:

Main purpose: To observe the preliminary dose-effect relationship of GM1 in preventing neurotoxicity caused by VRD chemotherapy in patients with multiple myeloma. Secondary purpose: to observe and analyze the safety and pharmacokinetic characteristics of GM1 in patients with multiple myeloma.

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-70周岁(包括两端值)
2)根据中国多发性骨髓瘤诊治指南》(2017年)确诊为活动型(症状性)多发性骨髓瘤且为初次诊断或经治的患者;
3)预期需要使用VRD化疗方案进行化疗的患者;或已经进行1-2周期硼替佐米为主3药联合化疗方案进行化疗的初次诊断为活动型(症状性)多发性骨髓瘤患者,且无神经毒性;
4)预计生存期≥6个月;
5)ECOG评分0-2分;
6)器官功能水平必须符合以下要求:
血常规:ANC≥1.0×10^9/L, PLT≥50×10^9/L ;
肝功能:TBIL≤2×ULN,ALT、AST≤3 ×ULN(肝转移者≤5×ULN),允许在筛选期进行保肝降酶治疗;
肾功能:血清肌酐(Cr)≤1.5×ULN或肌酐清除率(用Cockcroft-Gault公式计算)≥50ml/min;
凝血功能:国际标准化比值(INR) ≤1.5×ULN;
7)任何与既往抗肿瘤治疗相关的毒性必须已经恢复至≤1级(脱发除外);
8)有生育能力的女性受试者在首次使用研究药物前的7天内进行血清或尿妊娠试验,结果必须为阴性;哺乳期女性必须同意在首次使用研究药物前停止哺乳,并保证研究期间停止哺乳。育龄期女性或男性受试者同意临床研究期间采取有效的避孕措施,直至完成给药后6个月;
9)患者可以准确记录神经毒性的发生和严重程度的问卷调查;
10)患者入组试验后,不可接受其它可能预防或治疗神经毒性不良反应的治疗或护理;
11)理解并签署知情同意书。

Inclusion criteria

1) Age 18-70 years old (including both ends);
2) According to the Chinese Guidelines for the Diagnosis and Treatment of Multiple Myeloma (2017), patients who are diagnosed as active (symptomatic) multiple myeloma and are newly diagnosed or treated;
3) Patients who are expected to use VRD chemotherapy regimen for chemotherapy; or patients who have undergone 1-2 cycles of bortezomib as the main 3-drug combined chemotherapy regimen for chemotherapy for the first time are diagnosed as active (symptomatic) multiple myeloma patients, and no Neurotoxicity;
4) The expected survival period is >= 6 months;
5) ECOG score 0-2 points;
6) The organ function level must meet the following requirements:
Blood routine: ANC >= 1.0 x 10^9/L, PLT >= 50 x 10^9/L;
Liver function: TBIL <= 2 x ULN, ALT, AST <= 3 x ULN (liver metastasis <= 5 x ULN), allowed
Liver-protecting and enzyme-lowering therapy during the screening period;
Renal function: serum creatinine (Cr) <= 1.5 x ULN or creatinine clearance rate (calculated by Cockcroft-Gault formula) >= 50ml/min;
Coagulation function: International Normalized Ratio (INR) <= 1.5 x ULN;
7) Any toxicity related to previous anti-tumor treatments must have been restored to <= 1 grade (except for hair loss);
8) Female subjects with childbearing potential should undergo a serum or urine pregnancy test within 7 days before using the study drug for the first time, and the result must be negative; breastfeeding women must agree to stop breastfeeding before using the study drug for the first time, and guarantee to stop during the study breast-feeding. Female or male subjects of childbearing age agree to take effective contraceptive measures during the clinical study until 6 months after the completion of the administration;
9) Questionnaire survey in which patients can accurately record the occurrence and severity of neurotoxicity;
10) After the patient is enrolled in the trial, he cannot accept other treatments or care that may prevent or treat neurotoxic adverse reactions;
11) Understand and sign the informed consent form.

排除标准:

1)非活动型多发性骨髓瘤,包括MGUS(未定性的单克隆免疫球蛋白病)及冒烟型骨髓瘤;
2)合并淀粉样变性;
3)曾经接受过≥3个化疗周期的抗骨髓瘤治疗;
4)入组前存在﹥1度的周围神经系统疾病,以及其他所有可能影响对神经毒性不良反应评价的病理症状或疾病;
5)在过去6个月内有中风或脑血管意外的病史;
6)筛选前4周内发生过感染性腹泻、颅脑外伤类疾病;
7)筛选前30天内接受过较大手术治疗者;
8)合并有未控制的或严重的心血管疾病,包括在入组前6个月内的心肌梗塞,纽约心脏病学会(NYHA)定义的III-IV级心衰、未控制的心绞痛、充血性心力衰竭、临床显著的心包疾病或心脏淀粉样变性;
9)遗传性糖脂代谢异常(神经节苷脂累积病,如:家族性黑蒙性痴呆、视网膜变性病)病史;
10)梅毒筛查阳性,已知HIV阳性病史或HIV筛查阳性,或HCV阳性;
11)乙肝表面抗原(HBsAg)阳性,且外周血乙肝病毒脱氧核糖核酸(HBV-DNA)>2000IU/ml(或104拷贝/ml)者;
12)已知有明确的神经或精神障碍病史,包括癫痫、痴呆等;已存在的神
经退行性疾病(帕金森、阿尔茨海默症、亨廷顿舞蹈症等)或神经肌肉疾病(多发性硬化症、肌萎缩侧索硬化症、脊髓灰质炎、结核性脑炎、遗传性神经肌肉疾病);
13)计划合并使用多肽或蛋白混合物,如脑蛋白水解物、脑苷肌肽、小牛血去蛋白提取物等;研究给药前三个月内服用过/使用过其他未获准上市的研究药物或试验器械;
14)研究给药前三个月内服用过/使用过其他未获准上市的研究药物,或参加了药物临床试验者(参加其他研究药物临床试验筛选失败,尚未用药者,经研究者评估可以参加者除外);
15)筛选前5年内患有多发性骨髓瘤以外的其他恶性肿瘤,但完全切除的原位癌或皮肤基地/鳞状癌除外;
16)已知对神经节苷脂类药物或该类产品的任何赋形剂成分过敏;或化疗药物或该类产品的任何赋形剂成分过敏;
17)根据研究者的判断,可能增加研究相关的风险、可能干扰对研究结果的解释、或研究者和/或申办者认为不适合入组的患者。

Exclusion criteria:

1) Inactive multiple myeloma, including MGUS (unqualified monoclonal immunoglobulin disease) and smoking myeloma;
2) Combined amyloidosis;
3) Have received anti-myeloma treatment for >= 3 cycles of chemotherapy;
4) Peripheral nervous system diseases with >= 1 degree before enrollment, and all other pathological symptoms or diseases that may affect the evaluation of neurotoxic adverse reactions;
5) Have a history of stroke or cerebrovascular accident in the past 6 months;
6) Infectious diarrhea and craniocerebral trauma diseases occurred within 4 weeks before screening;
7) Those who have received major surgery within 30 days before screening;
8) Uncontrolled or severe cardiovascular disease, including myocardial infarction within 6 months before enrollment, grade III-IV heart failure defined by the New York College of Cardiology (NYHA), uncontrolled angina, and congestive Heart failure, clinically significant pericardial disease or cardiac amyloidosis;
9) History of inherited abnormal glucose and lipid metabolism (ganglioside accumulation disease, such as: familial amaurian dementia, retinal degeneration);
10) Positive syphilis screening, known HIV-positive medical history or HIV screening-positive, or HCV-positive;
11) Hepatitis B surface antigen (HBsAg) is positive, and peripheral blood hepatitis B virus deoxyribonucleic acid (HBV-DNA)>2000IU/ml (or 104 copies/ml);
12) A known history of neurological or mental disorders, including epilepsy, dementia, etc.; pre-existing gods
Degenerative diseases (Parkinson's disease, Alzheimer's disease, Huntington's disease, etc.) or neuromuscular diseases (multiple sclerosis, amyotrophic lateral sclerosis, poliomyelitis, tuberculous encephalitis, hereditary neuromuscular diseases) );
13) Plan to combine the use of peptides or protein mixtures, such as brain protein hydrolysate, cerebroside carnosine, calf blood deproteinized extract, etc.; have taken/used other research drugs that have not been approved for marketing within three months before the study administration Test equipment;
14) Those who have taken/used other research drugs that have not been approved for marketing within three months before the study administration, or participated in the drug clinical trials (participating in the clinical trials of other research drugs failed, and those who have not yet used the drug can participate after the researchers evaluation Except those);
15) Suffered from other malignant tumors other than multiple myeloma within 5 years before screening, except for completely resected carcinoma in situ or skin base/squamous carcinoma;
16) Known allergy to ganglioside drugs or any excipient components of such products; or allergy to chemotherapy drugs or any excipient components of such products;
17) According to the judgment of the investigator, patients who may increase the risk related to the study, may interfere with the interpretation of the study results, or the investigator and/or the sponsor deems unsuitable for enrollment.

研究实施时间:

Study execute time:

From 2020-06-24 00:00:00 To 2021-12-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-06-24 00:00:00 To 2021-06-24 00:00:00

干预措施:

Interventions:

组别:

Group 1

样本量:

40

Group:

Group 1

Sample size:

干预措施:

GM1 100mg/d

干预措施代码:

Intervention:

GM1 100mg/d

Intervention code:

组别:

Group 2

样本量:

40

Group:

Group 2

Sample size:

干预措施:

GM1 200mg/d

干预措施代码:

Intervention:

GM1 200mg/d

Intervention code:

组别:

Group 3

样本量:

40

Group:

Group 3

Sample size:

干预措施:

GM1 400mg/d

干预措施代码:

Intervention:

GM1 400mg/d

Intervention code:

组别:

Group 4

样本量:

40

Group:

Group 4

Sample size:

干预措施:

干预措施代码:

Intervention:

Nil

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

沈阳 

市(区县):

 

Country:

China

Province:

Shenyang

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):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京大学人民医院 

单位级别:

三甲 

Institution
hospital:

Beijing University People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijng

City:

单位(医院):

首都医科大学附属北京朝阳医院 

单位级别:

三甲 

Institution
hospital:

Beijing Chaoyang Hospital, Capital Medical University

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):

河北医科大学第二医院 

单位级别:

三甲 

Institution
hospital:

The Second Hospital of Hebei Medical University

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):

河北大学附属医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Hospital of Hebei University

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):

承德医学院附属医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Hospital of Chengde Medical College

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):

山西省肿瘤医院 

单位级别:

三甲 

Institution
hospital:

Shanxi Cancer 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):

山东大学齐鲁医院 

单位级别:

三甲 

Institution
hospital:

Qilu Hospital of Shandong University

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):

滨州医学院附属医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Hospital of Binzhou Medical 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 Jiaotong University School of Medicine

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):

蚌埠医学院第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Bengbu Medical College

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一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Zhejiang University School of Medicine

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):

中南大学湘雅三院 

单位级别:

三甲 

Institution
hospital:

The Third Xiangya Institute of 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):

湖南 

市(区县):

 

Country:

China

Province:

Hunan

City:

单位(医院):

郴州市第一人民医院 

单位级别:

三甲 

Institution
hospital:

The First People's Hospital of Chenzhou City

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):

川北医学院附属医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Hospital of North Sichuan Medical College

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广州 

市(区县):

 

Country:

China

Province:

Guanghzou

City:

单位(医院):

南方医科大学珠江医院 

单位级别:

三甲 

Institution
hospital:

Zhujiang Hospital of Southern Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

海南 

市(区县):

 

Country:

China

Province:

Hainan

City:

单位(医院):

海南省人民医院 

单位级别:

三甲 

Institution
hospital:

Hainan Provincial People's Hospital

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):

云南省第一人民医院 

单位级别:

三甲 

Institution
hospital:

The First People's Hospital of Yunnan Province

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):

昆明医科大学第二附属医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital of Kunming Medical 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):

新疆医科大学第一附属医院 

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):

福建 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

厦门大学附属中山医院 

单位级别:

三甲 

Institution
hospital:

Zhongshan Hospital Affiliated to Xiamen University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

内蒙古 

市(区县):

 

Country:

China

Province:

Neinenggu

City:

单位(医院):

内蒙古医科大学附属医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Hospital of Inner Mongolia Medical University

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):

聊城市人民医院 

单位级别:

三甲 

Institution
hospital:

Liaocheng People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

贵州 

市(区县):

 

Country:

China

Province:

Guizhou

City:

单位(医院):

贵州医科大学附属医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Hospital of Guizhou Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

TNS量表

指标类型:

主要指标

Outcome:

TNS

Type:

Primary indicator

测量时间点:

化疗4周后

测量方法:

TNS量表

Measure time point of outcome:

Measure method:

TNS

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 70 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):

研究采用随机化与试验药物管理系统实现中央随机化,由授权人员将筛选合格的受试者登录随机系统录入基本资料,获取受试者随机号,完成分组。受试者按随机化1:1:1:1的比例随机分配至4个组。

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

The study adopts the randomization and trial drug management system to achieve central randomization. Authorized personnel log the qualified subjects into the random system to enter basic data, obtain the subject's random number, and complete the grouping.

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:

开放

Blinding:

open-label

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):

期刊论文发表

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

Publish an article

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:

电子采集和管理系统

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

Electronic Data Capture,EDC

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2020-12-20 00:59:02