|
审核状态: Project audit state: |
通过审核 Successful |
|
注册号: Registration number: |
ChiCTR2400082110 |
|
最近更新日期: Date of Last Refreshed on: |
2024-03-21 08:33:48 |
|
注册时间: Date of Registration: |
2024-03-21 00:00:00 |
|
注册号状态: |
补注册 |
|
Registration Status: |
Retrospective registration |
|
注册题目: |
“俞募配穴”针刺治疗乳腺癌术后失眠的临床疗效评价及其机制探讨 |
|
Public title: |
Clinical evaluation and mechanism of "Shu Mu point combination" acupuncture in the treatment of insomnia after breast cancer surgery |
|
注册题目简写: |
针刺治疗乳腺癌术后失眠的疗效评价及机制探讨 |
|
English Acronym: |
Evaluation of the therapeutic effect of acupuncture on insomnia after breast cancer surgery and its mechanism |
|
研究课题的正式科学名称: |
“俞募配穴”为主针刺治疗乳腺癌患者术后失眠的临床疗效评价及其机制探讨 |
|
Scientific title: |
Clinical evaluation and mechanism of acupuncture based on "Shu Mu point combination" in the treatment of postoperative insomnia in patients with breast cancer |
|
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: |
李洁 |
研究负责人: |
陈云飞 |
|
Applicant: |
LiJie |
Study leader: |
ChenYunfei |
|
申请注册联系人电话: Applicant telephone: |
+86 138 2011 3039 |
研究负责人电话: Study leader's telephone: |
+86 139 1792 2206 |
|
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: |
3493511425@qq.com |
研究负责人电子邮件: Study leader's E-mail: |
icyf1968@163.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: |
上海市虹口区甘河路110号 |
研究负责人通讯地址: |
上海市虹口区甘河路110号 |
|
Applicant address: |
110 Ganhe Road, Hongkou District, Shanghai |
Study leader's address: |
110 Ganhe Road, Hongkou District, Shanghai |
|
申请注册联系人邮政编码: Applicant postcode: |
200080 |
研究负责人邮政编码: Study leader's postcode: |
200080 |
|
申请人所在单位: |
上海中医药大学附属岳阳中西医结合医院 |
||
|
Applicant's institution: |
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine |
||
|
研究负责人所在单位: |
上海中医药大学附属岳阳中西医结合医院 |
||
|
Affiliation of the Leader: |
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine |
||
|
是否获伦理委员会批准: |
是/Yes |
||
|
Approved by ethic committee: |
Yes |
||
|
伦理委员会批件文号: Approved No. of ethic committee: |
2023-048 |
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: |
上海中医药大学附属岳阳中西医结合医院伦理委员会 |
||
|
Name of the ethic committee: |
Ethics Committee of Yueyang Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine |
||
|
伦理委员会批准日期: Date of approved by ethic committee: |
2023-07-20 00:00:00 |
||
|
伦理委员会联系人: |
殷从全 |
||
|
Contact Name of the ethic committee: |
YinCongquan |
||
|
伦理委员会联系地址: |
上海市虹口区甘河路110号 |
||
|
Contact Address of the ethic committee: |
110 Ganhe Road, Hongkou District, Shanghai |
||
|
伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 21 6516 1782 |
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: |
上海中医药大学附属岳阳中西医结合医院 |
||||||||||||||||||||||
|
Primary sponsor: |
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine |
||||||||||||||||||||||
|
研究实施负责(组长)单位地址: |
上海市虹口区甘河路110号 |
||||||||||||||||||||||
|
Primary sponsor's address: |
110 Ganhe Road, Hongkou District, Shanghai |
||||||||||||||||||||||
|
试验主办单位(项目批准或申办者): Secondary sponsor: |
|
||||||||||||||||||||||
|
经费或物资来源: |
国家自然科学基金项目(81904300) 上海市科学委员会项目(21ZR1464300) |
||||||||||||||||||||||
|
Source(s) of funding: |
National Natural Science Foundation Project (81904300) Shanghai Municipal Committee of Science Project (21ZR1464300) |
||||||||||||||||||||||
|
Target disease: |
Breast cancer, insomnia |
||||||||||||||||||||||
|
Target disease code: |
|
||||||||||||||||||||||
|
研究类型: |
干预性研究 |
||||||||||||||||||||||
|
Study type: |
Interventional study |
||||||||||||||||||||||
|
研究所处阶段: |
I期临床试验 | ||||||||||||||||||||||
|
Study phase: |
1 |
||||||||||||||||||||||
|
研究设计: |
随机平行对照 |
||||||||||||||||||||||
|
Study design: |
Parallel |
||||||||||||||||||||||
|
研究目的: |
1.临床研究:通过单中心、单盲、随机、对照的临床研究,以“俞募配穴”为配穴方法,观察针刺对阴虚火旺型乳腺癌术后患者失眠临床疗效,并以量表作为主观评价指标,睡眠监测(polysomnography ,PSG)作为客观评价指标(符合标准的部分受试者),观察俞募配穴法针刺对乳腺癌术后患者失眠患者的睡眠质量和疲劳、生活质量等癌症相关症状的改善情况,并分析与失眠改善情况的相关性并评价其安全性,由此进一步深化“俞募配穴”理论的古代内涵,阐释其与当今针灸临床的密切关系,形成针灸治疗失眠更加简便、优化的方案。 2.机制探讨:以阴虚火旺型乳腺癌术后患者失眠患者为研究对象,通过与相匹配的健康受试者对比,运用多功能磁共振的分析方法,探讨阴虚火旺型乳腺癌术后患者失眠患者的脑区异常区域、脑区异常连接状态。 以阴虚火旺型乳腺癌术后患者失眠患者研究对象,通过“俞募配穴”针刺组内治疗前后比较以及与安慰针组治疗后比较,运用多功能磁共振的分析方法,筛选组内和组间差异性脑区及脑功能连接状态,探讨“俞募配穴”针刺治疗乳腺癌术后患者失眠的脑效应机制。 通过进一步统计分析该类失眠患者差异脑区及连接状态与失眠严重程度、焦虑状态、抑郁状态及中医证候状态的关系,进一步深化中枢机制与临床的联系性。 |
||||||||||||||||||||||
|
Objectives of Study: |
1. Clinical research: through a single center, single blind, randomized and controlled clinical study, the clinical efficacy of acupuncture on insomnia in postoperative patients with breast cancer of yin deficiency and fire hyperactivity type was observed with the method of "shu mu point matching", and the scale was used as the subjective evaluation index, and the polysomnography (PSG) was used as the objective evaluation index (some subjects meeting the standard), To observe the improvement of sleep quality, fatigue, quality of life and other cancer related symptoms of patients with insomnia after breast cancer surgery by acupuncture at the combination of Shu and Mu points, analyze the correlation with the improvement of insomnia and evaluate its safety, so as to further deepen the ancient connotation of the theory of "combination of Shu and Mu points", explain its close relationship with today's acupuncture and moxibustion clinic, and form a more simple and optimized scheme of acupuncture and moxibustion for insomnia treatment. 2. Mechanism discussion: Taking the patients with insomnia after breast cancer surgery of yin deficiency and fire excess type as the research object, by comparing with the matched healthy subjects, and using the analysis method of multi-functional magnetic resonance, to explore the abnormal regions and abnormal connectivity of brain regions in patients with insomnia after breast cancer surgery of yin deficiency and fire excess type. With the research object of insomnia patients in breast cancer patients after operation of yin deficiency and fire hyperactivity type, through the comparison before and after treatment in the acupuncture group of "Shu Mu point combination" and the comparison after treatment with the comfort acupuncture group, the analysis method of multi-functional magnetic resonance was used to screen the different brain regions and brain functional connectivity within and between groups, and explore the brain effect mechanism of "Shu Mu point combination" acupuncture in the treatment of insomnia in breast cancer patients after operation. By further statistical analysis of the relationship between the different brain regions and connectivity status of this type of insomnia patient and the severity of insomnia, anxiety state, depression state, and traditional Chinese medicine syndrome state, we will further deepen the connection between central mechanism and clinical practice. |
||||||||||||||||||||||
|
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.阴虚火旺型乳腺癌术后患者失眠的纳入标准 (1)年龄≥18岁且≤75岁的女性; (2)诊断为原发性乳腺恶性肿瘤的患者,临床分期为I-III期; (3)入组前已完成相应的放疗、化疗或手术治疗至少3个月,内分泌靶向治疗除外。 (4)符合ICSD-3中慢性失眠的诊断标准; (5)术后1周内始出现失眠症状; (6)中医辨证分型为阴虚火旺型; (7)ISI>7分(有临床意义的失眠); (8)允许服用安眠相关药物(巴比妥类、水合氯醛、三溴合剂和羟嗪、苯二氮卓类镇静催眠药、唑吡坦、扎来普隆、佐匹克隆),未经同意参与者在研究期间不可擅自增加剂量或更换药物,在整个研究过程中,对需对药物和助眠剂进行调整,需要告知研究者做详细记录; (9)自愿参加本次课题,并签署知情同意书。 2.多功能磁共振(fMRI)扫描受试者纳入标准 (1)符合4.1中所有标准,即符合阴虚火旺型乳腺癌术后失眠患者纳入标准; (2)右利手; (3)无脑部器质性病变; (4)不具有磁共振检查禁忌症(如金属植入物、幽闭恐怖症者等)。 (5)进入本研究前3个月内未服用镇静催眠类药物,且在治疗和随访期间不能自行服用类似药物及保健品; (6)自愿进行共计2次多功能磁共振扫描,并签署知情同意书。 3.健康受试者的纳入标准 (1)年龄在≥18岁且≤75岁的女性; (2)经诊断排除患有肿瘤以及肿瘤相关并发症; (3)右利手; (4)无各系统功能障碍; (5)无脑部器质性病变; (6)无基础疾病; (7)无吸烟饮酒、特殊睡眠及饮食等不良习惯; (8)不具有磁共振检查禁忌症(如金属植入物、幽闭恐怖症者等); (9)ISI≤7分(没有临床意义的失眠); (10)自愿进行共计1次多功能磁共振扫描,并签署知情同意书。 |
||||||||||||||||||||||
|
Inclusion criteria |
1. Inclusion criteria for insomnia in breast cancer patients with yin deficiency and fire hyperactivity (1) Women aged ≥ 18 years and ≤ 75 years; (2) Patients diagnosed with primary breast malignant tumors have a clinical stage of I-III; (3) Prior to enrollment, corresponding radiotherapy, chemotherapy, or surgical treatment has been completed for at least 3 months, except for endocrine targeted therapy. (4) Meets the diagnostic criteria for chronic insomnia in ICSD-3; (5) Insomnia symptoms begin to appear within one week after surgery; (6) The traditional Chinese medicine syndrome differentiation is divided into yin deficiency and excessive fire type; (7) ISI>7 points (clinically significant insomnia); (8) It is allowed to take sleeping related drugs (barbiturates, chloral hydrate, tribromine mixture and hydroxyzine, benzodiazepine sedative and hypnotic drugs, zolpidem, zaleplon, zopiclone), and participants are not allowed to increase or change medication without consent during the study period. Throughout the entire study process, adjustments to medication and sleeping aids need to be notified to the researchers for detailed records; (9) Volunteer to participate in this project and sign an informed consent form. 2. Inclusion criteria for subjects undergoing multifunctional magnetic resonance imaging (fMRI) scanning (1) Meet all the criteria in 4.1, that is, meet the inclusion criteria for insomnia patients after breast cancer surgery with yin deficiency and fire hyperactivity; (2) Right-handed; (3) No organic brain lesions; (4) No contraindications for magnetic resonance imaging (such as metal implants, claustrophobia, etc.). (5) Within the first 3 months of entering this study, no sedative or hypnotic drugs were taken, and similar drugs and health products cannot be taken on their own during treatment and follow-up; (6) Volunteer to conduct a total of 2 multi-functional magnetic resonance scans and sign an informed consent form. 3. Inclusion criteria for healthy subjects (1) Women aged ≥ 18 and ≤ 75 years old; (2) Diagnosed and ruled out having tumors and tumor related complications; (3) Right-handed; (4) No system dysfunction; (5) No organic brain lesions; (6) No underlying diseases; (7) No bad habits such as smoking, drinking, special sleep, and eating; (8) No contraindications for magnetic resonance imaging (such as metal implants, claustrophobia, etc.); (9) ISI ≤ 7 points (insomnia without clinical significance); (10) Voluntarily conduct a total of 1 multi-functional magnetic resonance imaging scan and sign an informed consent form. |
||||||||||||||||||||||
|
排除标准: |
1.乳腺癌术后失眠患者排除标准 (1)合并其他肿瘤; (2)严重的心、肝、肾以及血液、呼吸系统等疾病; (3)根据《精神障碍诊断与统计手册》诊断为精神疾病患者; (4)其他类型的睡眠障碍,如睡眠呼吸暂停、不宁腿综合征 (PSG显示睡眠呼吸暂停低通气≥10/h或PSG显示睡眠周期性肢体运动>15次/h);倒班工作者睡眠障碍等; (5)妊娠期或哺乳期妇女; (6)传染性疾病; (7)乳房皮肤破溃至无法接受针灸治疗者; (8)畏针、晕针者; (9)在最近3个月内参与过其他课题; (10)严重的视觉、听觉或语言缺陷;酗酒或滥用药物者等不良生活习惯者; 2.健康受试者排除标准 (1)根据《精神障碍诊断与统计手册》诊断为精神疾病患者; (2)妊娠期或哺乳期妇女; (3)传染性疾病患者; (4)严重的视觉、听觉或语言缺陷;酗酒或滥用药物者等不良生活习惯者; (5)其他类型的睡眠障碍,如睡眠呼吸暂停、不宁腿综合征、倒班工作者睡眠障碍等; (6)情绪不良、不配合者。 (7) 在最近3个月内参与过其他课题。 |
||||||||||||||||||||||
|
Exclusion criteria: |
1. Exclusion criteria for insomnia patients after breast cancer surgery (1) Merge with other tumors; (2) Severe heart, liver, kidney, blood, respiratory system and other diseases; (3) Diagnosed as a mental illness patient according to the "Manual for Diagnosis and Statistics of Mental Disorders"; (4) Other types of sleep disorders, such as sleep apnea and restless legs syndrome (PSG shows sleep apnea hypopnea ≥ 10/h or PSG shows periodic limb movements>15 times/h); Sleep disorders among shift workers; (5) Pregnant or lactating women; (6) Infectious diseases; (7) Those whose breast skin is broken to the point that they cannot accept acupuncture and moxibustion treatment; (8) Those who are afraid of needles or feel dizzy; (9) Participated in other projects within the past 3 months; (10) Severe visual, auditory, or language impairments; Individuals with unhealthy lifestyle habits such as alcohol or drug abuse; 2. Exclusion criteria for healthy subjects (1) Diagnosed as a mental illness patient according to the "Manual for Diagnosis and Statistics of Mental Disorders"; (2) Pregnant or lactating women; (3) Patients with infectious diseases; (4) Severe visual, auditory, or language impairments; Individuals with unhealthy lifestyle habits such as alcohol or drug abuse; (5) Other types of sleep disorders, such as sleep apnea, restless leg syndrome, and sleep disorders in shift workers; (6) Emotional disorders and lack of cooperation. (7) I have participated in other projects in the past 3 months. |
||||||||||||||||||||||
|
研究实施时间: Study execute time: |
从 From 2023-07-20 00:00:00至 To 2024-07-19 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2023-07-20 00:00:00 至 To 2024-06-01 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: |
正在进行 Recruiting |
年龄范围: Participant age: |
|
||||||
|
性别: |
女性 |
Gender: |
Female |
||||||
|
随机方法(请说明由何人用什么方法产生随机序列): |
研究人员依据由SPSS 26.0版统计软件产生的随机数字法,随机分配到针刺组或对照组。 |
||||||||
|
Randomization Procedure (please state who generates the random number sequence and by what method): |
Researchers were randomly assigned to the acupuncture group or control group based on the random number method generated by SPSS version 26.0 statistical software. |
||||||||
|
是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
公开/Public |
|
盲法: |
试验过程中,随机数字表的产生、受试者的招募、随机方案的分配、睡眠量表的评估和治疗后的随访分别由不同的研究人员独立完成。整个试验中,仅针灸医师和分配随机方案的研究者对分组知情,对结局评估者及数据分析者均设盲。 |
|
Blinding: |
During the experiment, the generation of a random number table, recruitment of subjects, allocation of random protocols, evaluation of sleep scales, and follow-up after treatment were independently completed by different researchers. In the whole experiment, only acupuncture and moxibustion physicians and researchers assigned with randomized schemes were informed of the grouping, and the outcome evaluators and data analysts were blinded. |
|
试验完成后的统计结果(上传文件): |
|
|
Calculated Results after
|
|
|
是否共享原始数据: IPD sharing |
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): |
临床试验公共管理平台 IPD(http://www.medresman.org.cn)。2024年12月之后联系项目申请者本人 |
|
The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
ResMan IPD (http://www.medresman.org.cn) . Contact the project applicant after December 2024 |
|
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: |
采用病历记录表进行数据采集 |
|
Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Using medical record forms for data collection |
|
数据与安全监察委员会: Data and Safety Monitoring Committee: |
暂未确定/Not yet |