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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: |
ChiCTR2400094311 |
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最近更新日期: Date of Last Refreshed on: |
2024-12-19 17:48:37 |
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注册时间: Date of Registration: |
2024-12-19 00:00:00 |
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注册号状态: |
补注册 |
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Registration Status: |
Retrospective registration |
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注册题目: |
布地奈德吸入气雾剂治疗初诊轻度支气管哮喘的安全性和有效性的随机、盲法、阳性对照、多中心临床研究 |
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Public title: |
A Randomized, Blinded, Positive-Controlled, Multicenter Clinical Study on the Efficacy and Safety of Budesonide Aerosol Inhaler in the Treatment of Newly Diagnosed Mild Bronchial Asthma |
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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: |
布地奈德吸入气雾剂治疗初诊轻度支气管哮喘的安全性和有效性的随机、盲法、阳性对照、多中心临床研究 |
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Scientific title: |
A Randomized, Blinded, Positive-Controlled, Multicenter Clinical Study on the Efficacy and Safety of Budesonide Aerosol Inhaler in the Treatment of Newly Diagnosed Mild Bronchial Asthma |
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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: |
张旻 |
研究负责人: |
张旻 |
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Applicant: |
Zhang Min |
Study leader: |
Zhang Min |
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申请注册联系人电话: Applicant telephone: |
+86 134 8234 5145 |
研究负责人电话: Study leader's telephone: |
+86 134 8234 5145 |
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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: |
maggie_zhangmin@163.com |
研究负责人电子邮件: Study leader's E-mail: |
zhangmin@sjtu.edu.cn |
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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: |
上海市虹口区海宁路100号 |
研究负责人通讯地址: |
上海市虹口区海宁路100号 |
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Applicant address: |
No. 100, Haining Road, Hongkou District, Shanghai |
Study leader's address: |
No. 100, Haining Road, Hongkou District, Shanghai |
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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: |
上海市第一人民医院(呼吸与危重症医学科) |
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Applicant's institution: |
Shanghai First People's Hospital (Department of Respiratory and Critical Care Medicine) |
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研究负责人所在单位: |
上海市第一人民医院(呼吸与危重症医学科) |
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Affiliation of the Leader: |
Shanghai First People's Hospital (Department of Respiratory and Critical Care Medicine) |
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是否获伦理委员会批准: |
是/Yes |
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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: |
院伦审[2022]005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: |
上海市第一人民医院人体试验伦理审查委员会 |
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Name of the ethic committee: |
Shanghai General Hospital Institutional Review Board |
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伦理委员会批准日期: Date of approved by ethic committee: |
2022-01-27 00:00:00 |
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伦理委员会联系人: |
耿雯倩 |
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Contact Name of the ethic committee: |
Geng Wenqian |
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伦理委员会联系地址: |
上海市第一人民医院 |
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Contact Address of the ethic committee: |
Shanghai General Hospital |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 189 6470 5743 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
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研究实施负责(组长)单位: |
上海市第一人民医院 |
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Primary sponsor: |
Shanghai General Hospital |
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研究实施负责(组长)单位地址: |
上海市虹口区海宁路100号 |
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Primary sponsor's address: |
No. 100, Haining Road, Shanghai 200080, China. |
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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: |
上海信谊百路达药业有限公司 |
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Source(s) of funding: |
Shanghai Xinyi Bailuda Pharmaceutical Co., Ltd |
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Target disease: |
Bronchial asthma |
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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: |
主要目的: 通过经口吸入治疗 4周后 FEV 1 较基线变化情况,评价上海上药信谊药厂有限公司生产的布地奈德吸入气雾剂(宝益苏 ? )治疗初诊轻度支气管哮喘的疗效是否非劣于Orion Corporation Orion Pharma, Espoo Plant 生产的布地奈德吸入粉雾剂(沐而畅 ? 茜乐? )。 次要目的:通过其他哮喘治疗参数,评价布地奈德吸入气雾剂用于初诊轻度支气管哮喘的有效性。评价布地奈德吸入气雾剂用于初诊轻度支气管哮喘的安全性。 |
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Objectives of Study: |
Primary Objective: To evaluate whether the efficacy of Budesonide Aerosol Inhaler (Baoyisu?) produced by Shanghai Shangyao Xinyi Pharmaceutical Co., Ltd. in the treatment of newly diagnosed mild bronchial asthma is non-inferior to Budesonide Dry Powder Inhaler (Mircera? Simbicort?) manufactured by Orion Corporation Orion Pharma, Espoo Plant, by assessing the change in FEV1 from baseline after 4 weeks of oral inhalation treatment. Secondary Objectives: To evaluate the efficacy of Budesonide Aerosol Inhaler in the treatment of newly diagnosed mild bronchial asthma through other asthma treatment parameters. To assess the safety of Budesonide Aerosol Inhaler in the treatment of newly diagnosed mild bronchial asthma. |
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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.受试者充分了解试验目的、性质及方法,自愿作为受试者,并在任何研究程序开始前签署知情同意书; 2.成人(包含男性和非孕期、非哺乳期女性)(18岁~70岁,包含边界值),根据国内最新版支气管哮喘防治指南,初次诊断为轻度且非急性发作期的支气管哮喘患者,需要接受糖皮质激素治疗; 3.满足以下任意一项可变气流受限的客观检查:支气管舒张试验阳性(吸入支气管舒张剂(SABA 400μg)后,FEV1增加>12%,且FEV1绝对值增加>200 mL);支气管激发试验阳性;一般应用吸入激发剂为乙酰甲胆碱或组胺,通常以吸入激发剂后FEV1下降≥20%,判断结果为阳性,提示存在气道高反应性;呼气流量峰值(PEF)平均每日昼夜变异率(至少连续7d每日PEF昼夜变异率之和/总天数7)>10%,或PEF周变异率{(2周内最高PEF值-最低PEF值)/[(2周内最高PEF值+最低PEF)×1/2]× 100%}>20%; 4.筛选时,肺功能检查FEV1占预计值%为80%~110%者; 5.受试者或其监护人能够和研究者进行良好的沟通,并且理解和遵守本项研 究的各项要求者。 |
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Inclusion criteria |
1. The subject fully understands the purpose, nature and method of the trial, voluntarily acts as a subject, and signs the informed consent form before the start of any research procedures; 2. Adults (including males, non-pregnant, and non-lactating females) (18~70 years old, including boundary values), according to the latest domestic guidelines for the prevention and treatment of bronchial asthma, bronchial asthma patients who are diagnosed with mild and non-acute attacks for the first time need to receive glucocorticoid therapy; 3. Objective examination that satisfies any of the following variable airflow limitations: positive bronchodilator test (FEV1 increases by >12% after inhalation of bronchodilator (SABA 400 μg), and the absolute value of FEV1 increases by >200 mL); positive bronchial provocation test; The inhaled stimulant is usually acemethacholine or histamine, usually with a 20≥% decrease in FEV1 after inhalation of the stimulant, and the result is positive, indicating the presence of airway hyperresponsiveness; Average daily diurnal variability rate of peak expiratory flow (PEF) (sum of daily PEF diurnal variability rates for at least 7 consecutive days/total number of days 7) >10%, or PEF weekly variability rate {(highest PEF value in 2 weeks - lowest PEF value)/[(highest PEF value in 2 weeks + minimum PEF) ×1/2]× 100%}>20%; 4. At the time of screening, the pulmonary function test FEV1 accounted for 80%~110% of the predicted value; 5. The subject or his guardian can communicate well with the investigator, and understand and comply with this study The requirements of the research. |
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排除标准: |
1. 对布地奈德或沙丁胺醇或任意药物组分过敏或不耐受者; 2.筛选前2个月内出现呼吸道感染性疾病; 3. 筛选时有慢性阻塞性肺病、间质性肺病、限制性肺病、肺结核、囊性纤维化、支气管扩张或α1-抗胰蛋白酶缺乏症等病史者; 4.筛选时有重大疾病,如:充血性心力衰竭、不受控制的高血压、严重的冠状动脉疾病、心肌梗塞或严重的心律失常或患有重大血液学、肝病、神经、肌肉骨骼、内分泌、代谢、精神病、肾病或其他病史。如果以上疾病在研究期间恶化,可能会因参加研究而使患者处于危险之中,或影响研究结果; 5.筛选期内出现过1天口吸入短效β2激动剂(short-acting inhale bete 2-agonist,SABA)超过8次者; 6.筛选时正在使用β受体阻滞剂治疗(包括滴眼液)、全身性激素治疗、白三烯受体拮抗剂(如扎鲁司特、普鲁司特、孟鲁司特等)或CYP3A4 抑制剂(酮康唑、伊曲康唑)、西咪替丁、双硫仑、甲硝唑等或CYP3A4 酶强诱导剂(如利福平、卡马西平、苯妥英钠等)等本研究禁止的合并用药且在试验期间不愿停用者; 7.既往吸烟,吸烟指数>10包-年者[吸烟指数(包年)=每日吸烟量(包)×吸烟时间(年),1包=20支]; 8.筛选时戒烟≤6个月或当前吸烟者; 9.已知或疑似酒精和/或药物滥用,酗酒即每日平均饮酒超过 2 单位酒精者( 1 单位=360mL 啤酒或 45mL 酒精量为 40%的白酒或 150mL 葡萄酒); 10.筛选时控制不佳的糖尿病患者或空腹血糖>10mmol/L者; 11.筛选时明显肝肾功能异常者:肝功能(ALT、AST)超过正常值上限2倍,或肾功能(Cr)超过正常值上限1.5倍者; 12.妊娠试验阳性或在哺乳期的女性受试者,以及男性受试者(或其伴侣)或女性受试者无法采取有效的避孕措施或在整个试验期间及研究结束后 6 个月内有生育计划者; 13.筛选前1个月内参加过其它医疗器械临床试验或/和筛选前3个月内参加过其它药物临床试验者; 14.不能依从研究程序或经研究者判断不宜参加试验的患者。 |
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Exclusion criteria: |
1. Those who are allergic or intolerant to budesonide or albuterol or any drug components; 2. Respiratory tract infectious diseases within 2 months before screening; 3. Those who have a history of chronic obstructive pulmonary disease, interstitial lung disease, restrictive lung disease, tuberculosis, cystic fibrosis, bronchiectasis or α1-antitrypsin deficiency at the time of screening; 4. Have a major illness at screening, such as: congestive heart failure, uncontrolled hypertension, severe coronary artery disease, myocardial infarction, or severe cardiac arrhythmia or have a history of significant hematologic, hepatic, neurological, musculoskeletal, endocrine, metabolic, psychiatric, nephropathy, or other medical conditions at screening. If the above diseases worsen during the study, they may put the patient at risk by participating in the study, or affect the results of the study; 5. Those who have had more than 8 times of oral inhalation of short-acting inhale bete 2-agonist (SABA) in 1 day during the screening period; 6. Those who are using β receptor blocker therapy (including eye drops), systemic hormone therapy, leukotriene receptor antagonists (such as zafirlukast, prolukast, montelukast, etc.) or CYP3A4 inhibitors (ketoconazole, itraconazole), cimetidine, disulfiram, metronidazole, etc., or CYP3A4 enzyme strong inducers (such as rifampicin, carbamazepine, phenytoin, etc.) and other concomitant drugs prohibited by this study and are unwilling to stop during the trial; 7. Those who have smoked in the past and have a smoking index > 10 packs-year [smoking index (packs) = daily smoking volume (packs) × smoking time (years), 1 pack = 20 cigarettes]; 8. Those who have quit smoking for ≤ 6 months or are current smokers at the time of screening; 9. Known or suspected alcohol and/or drug abuse, alcoholism, i.e., drinking more than 2 units of alcohol per day on average (1 unit = 360mL of beer or 45mL of liquor or 150mL of wine with 40% alcohol); 10. Diabetic patients with poor control or fasting blood glucose > 10mmol/L at screening; 11. Patients with obvious abnormal liver and kidney function at screening: liver function (ALT, AST) exceeds 2 times the upper limit of normal, or renal function (Cr) exceeds 1.5 times of the upper limit of normal; 12. Female subjects with a positive pregnancy test or who are lactating, as well as male subjects (or their partners) or female subjects who are unable to use effective contraception or have a family plan throughout the trial period and within 6 months after the end of the study; 13. Those who have participated in other medical device clinical trials within 1 month before screening and/or other drug clinical trials within 3 months before screening; 14. Patients who cannot comply with the study procedures or are judged by the investigator to be unsuitable to participate in the trial. |
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研究实施时间: Study execute time: |
从 From 2021-12-01 00:00:00至 To 2024-05-01 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2022-07-08 00:00:00 至 To 2024-01-04 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: |
结束 /Completed |
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): |
本试验采用区组随机化方法。选取合适的区组长度,借助 SAS 9.4统计软件,按 照试验组和对照组 1:1 的比例进行受试者随机分配。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
This study uses block randomization. A suitable block length is selected, and SAS 9.4 statistical software is used to randomly assign subjects to the treatment and control groups in a 1:1 ratio. |
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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: |
公开/Public |
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盲法: |
对研究者设盲 |
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Blinding: |
Blinding of the investigators |
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试验完成后的统计结果(上传文件): |
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Calculated Results after
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是否共享原始数据: IPD sharing |
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): |
研究结束后,通过ResMan(www.medresman.org.cn)方式共享 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
After the end of the study, it was shared by ResMan (www.medresman.org.cn). |
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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: |
CRF;EDC |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
CRF;EDC |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |