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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: |
ChiCTR2500102269 |
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最近更新日期: Date of Last Refreshed on: |
2025-05-12 16:45:25 |
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注册时间: Date of Registration: |
2025-05-12 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: |
艾帕洛利托沃瑞利单抗(QL1706)联合放化疗对比单纯放化疗治疗高危局部区域晚期鼻咽癌的随机、对照、多中心、3期临床研究 |
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Public title: |
QL1706 (PD-1/CTLA-4 Bi-specific Antibody) and Chemoradiotherapy in Locoregionally-advanced Nasopharyngeal Carcinoma. |
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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: |
艾帕洛利托沃瑞利单抗(QL1706)联合放化疗对比单纯放化疗治疗高危局部区域晚期鼻咽癌的随机、对照、多中心、3期临床研究 |
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Scientific title: |
QL1706 (PD-1/CTLA-4 Bi-specific Antibody) and Chemoradiotherapy in Locoregionally-advanced Nasopharyngeal Carcinoma. |
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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: |
马骏 |
研究负责人: |
马骏 |
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Applicant: |
Jun Ma |
Study leader: |
Jun Ma |
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申请注册联系人电话: Applicant telephone: |
+86 13078892696 |
研究负责人电话: Study leader's telephone: |
+86 20 87343469 |
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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: |
majun@sysucc.org.cn |
研究负责人电子邮件: Study leader's E-mail: |
majun@sysucc.org.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: |
广东省广州市越秀区东风东路651号 |
研究负责人通讯地址: |
广东省广州市越秀区东风东路651号 |
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Applicant address: |
No. 651 Dongfeng East Road, Yuexiu District, Guangzhou City, Guangdong Province |
Study leader's address: |
No. 651 Dongfeng East Road, Yuexiu District, Guangzhou City, Guangdong 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: |
中山大学肿瘤防治中心(中山大学附属肿瘤医院中山大学肿瘤研究所) |
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Applicant's institution: |
Sun Yat-sen University Cancer Prevention and Treatment Center (Sun Yat-sen University Affiliated Cancer Hospital, Sun Yat-sen University Cancer Research Institute) |
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研究负责人所在单位: |
中山大学肿瘤防治中心(中山大学附属肿瘤医院、中山大学肿瘤研究所) |
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Affiliation of the Leader: |
Sun Yat-sen University Cancer Prevention and Treatment Center (Sun Yat-sen University Affiliated Cancer Hospital, Sun Yat-sen University Cancer Research Institute) |
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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: |
B2024-850-01 |
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: |
中山大学肿瘤防治中心伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of the Cancer Prevention and Treatment Center, Sun Yat-sen University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-01-20 00:00:00 |
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伦理委员会联系人: |
潘旭芝 |
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Contact Name of the ethic committee: |
Xuzhi Pan |
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伦理委员会联系地址: |
广东省广州市越秀区东风东路651号 |
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Contact Address of the ethic committee: |
No. 651 Dongfeng East Road, Yuexiu District, Guangzhou City, Guangdong Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 20 87343009 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
panxzh@sysucc.org.cn |
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研究实施负责(组长)单位: |
中山大学肿瘤防治中心(中山大学附属肿瘤医院、中山大学肿瘤研究所) |
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Primary sponsor: |
Sun Yat-sen University Cancer Prevention and Treatment Center (Sun Yat-sen University Affiliated Cancer Hospital, Sun Yat-sen University Cancer Research Institute) |
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研究实施负责(组长)单位地址: |
广东省广州市越秀区东风东路651号 |
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Primary sponsor's address: |
No. 651 Dongfeng East Road, Yuexiu District, Guangzhou City, Guangdong 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: |
自选课题(自筹) |
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Source(s) of funding: |
Self-selected topic (self-sponsored) |
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Target disease: |
Advanced nasopharyngeal carcinoma in a high-risk localized area |
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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: |
对于具有较高远处转移风险的局部区域晚期鼻咽癌,当前以“诱导化疗联合同期放化疗”为基础的综合治疗策略仍存在疗效不佳的问题,联合多靶点免疫治疗有望解决这一问题。艾帕洛利托沃瑞利单抗(QL1706)是一种含有固定2:1比例的抗PD-1 IgG4和抗CTLA-4 IgG1的组分的双功能抗体,其具有独特的抗癌机制、令人满意的疗效和安全性,已获批上市用于既往接受过含铂化疗治疗失败的复发或转移性宫颈癌。我们拟在高危局部区域晚期鼻咽癌患者中进行这项随机、对照、多中心、3期临床试验,对比“艾帕洛利托沃瑞利单抗联合诱导化疗后同期放化疗”和“诱导化疗后同期放化疗”的疗效和安全性差异,为局部区域晚期鼻咽癌患者的临床治疗提供“高效低毒”的新方案。 |
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Objectives of Study: |
For patients with locally advanced nasopharyngeal carcinoma (NPC) at high risk of distant metastasis, the current treatment strategy based on "induction chemotherapy combined with concurrent chemoradiotherapy" still faces the problem of poor efficacy. Combination with multi-targeted immunotherapy is expected to address this issue. AIPALORITOVARELIZUMAB (QL1706) is a bifunctional antibody containing a fixed 2:1 ratio of anti-PD-1 IgG4 and anti-CTLA-4 IgG1 components, with a unique anti-cancer mechanism and satisfactory efficacy and safety. It has been approved for marketing for recurrent or metastatic cervical cancer that has failed prior platinum-based chemotherapy. We plan to conduct a randomized, controlled, multi-center, phase 3 clinical trial in high-risk locally advanced NPC patients to compare the efficacy and safety differences between "AIPALORITOVARELIZUMAB combined with induction chemotherapy followed by concurrent chemoradiotherapy" and "induction chemotherapy followed by concurrent chemoradiotherapy," to provide a new scheme of "high efficacy and low toxicity" for the clinical treatment of locally advanced nasopharyngeal carcinoma 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.确诊年龄:18~65 岁; 2.病理确诊为“非角化性癌(WHO 标准)”的初治鼻咽癌; 3.根 据 美 国 癌 症 联 合 委 员 会 及 国 际 抗 癌 联 盟 (American Joint Committee on Cancer/ Union for International Cancer Control; AJCC/ UICC)第 9 版临床分期系统诊断为局部区域晚期鼻咽癌(T4N1 和 T1-4N2-3)。所有受试者必须在首次治疗前接受如下检查以确定临床分期:完整的病史、体格检查、血常规和生化 常 规 、 血 浆 EBV DNA 滴 度 和 血 清 学 检 查 、 鼻 咽 镜 、 头 颈 部 磁 共 振(magnetic resonance imaging; MRI)、胸片或胸部计算机断层扫描(computed to mography; CT)、腹部超声和骨显像。此外,18F-氟代脱氧葡萄糖正电子发射断层显像/CT (PET/CT)可用于替代上述最后三项影像学检查; 4.ECOG 评分:0~1 分(附录 I); 5.骨髓功能正常:白细胞计数 > 4×10^9/L,血红蛋白浓度 > 90g/L,血小板计数 >100×10^9/L; 6.肝肾功能正常:总胆红素 <= 1.5 倍正常上限;谷草转氨酶和/或谷丙转氨酶 <= 2.5倍正常上限; 碱性磷酸酶 <= 2.5 倍正常上限; 肌酐清除率 >= 60 mL/min; 7.甲状腺功能、淀粉酶和脂肪酶、垂体功能、炎症感染指标、心肌酶、心电图检查结果正常;对年龄大于 50 岁并有吸烟史的患者,要求肺功能检查结果正常;对心电图异常或既往有心血管病史(但未达到排除标准)的患者,需加做心肌功能检验和心脏彩超检查,并要求结果正常; 8.受试者必须签署知情同意书,必须愿意而且能够遵守研究方案规定的访视、治疗方案、实验室检查及其他要求; 9.有生育能力的女性受试者和具有生育能力性伴侣的男性受试者必须同意从筛查到治疗后 1 年内使用可靠的避孕措施(如避孕套、遵医嘱规律使用的避孕药)。 |
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Inclusion criteria |
1. Diagnosed age: 18-65 years old; 2. Newly diagnosed nasopharyngeal carcinoma with pathological diagnosis of "non keratinizing carcinoma (WHO standard)"; According to the 9th edition clinical staging system of the American Joint Committee on Cancer/Union for International Cancer Control (AJCC/UICC), the diagnosis is locally advanced nasopharyngeal carcinoma (T4N1 and T1-4N2-3). All subjects must undergo the following examinations to determine clinical staging before the first treatment: complete medical history, physical examination, blood and biochemical routine, plasma EBV DNA titers and serological tests, nasopharyngoscopy, head and neck magnetic resonance imaging (MRI), chest X-ray or computed to tomography (CT), abdominal ultrasound, and bone imaging. In addition, 18F fluorodeoxyglucose positron emission tomography/CT (PET/CT) can be used as an alternative to the last three imaging examinations mentioned above; 4. ECOG score: 0-1 points (Appendix I); 5. Normal bone marrow function: white blood cell count>4 × 10 ^ 9/L, hemoglobin concentration>90g/L, platelet count>100 × 10 ^ 9/L; 6. Normal liver and kidney function: total bilirubin<=1.5 times the upper limit of normal; Aspartate transaminase and/or alanine aminotransferase<=2.5 times the normal upper limit; Alkaline phosphatase<=2.5 times the normal upper limit; Creatinine clearance rate>=60 mL/min; 7. Thyroid function, amylase and lipase, pituitary function, inflammatory infection indicators, myocardial enzymes, and electrocardiogram results are normal; For patients over 50 years old with a history of smoking, normal lung function test results are required; For patients with abnormal electrocardiograms or a history of cardiovascular disease (but not meeting exclusion criteria), additional myocardial function tests and cardiac ultrasound examinations are required, and normal results are required; 8. Participants must sign an informed consent form and must be willing and able to comply with the visit, treatment plan, laboratory tests, and other requirements specified in the research protocol; 9. Female subjects with reproductive ability and male subjects with reproductive partners must agree to use reliable contraceptive measures (such as condoms, regularly prescribed birth control pills) within one year after screening and treatment. |
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排除标准: |
1.乙型病毒性肝炎表面抗原阳性且乙肝病毒定量 >1×10^3 拷贝数/毫升,或抗丙型肝炎病毒抗体阳性; 2. 抗 HIV 抗体阳性或诊断为获得性免疫缺陷综合征(即艾滋病); 3.活动性肺结核:无论治疗与否,应排除过去 1 年内有活动性结核病史的患者; 4.除外已证实以往接受规律抗结核治疗的患者,应排除有活动性肺结核病史 1 年以上的患者; 5.活动的、已知的或可疑的自身免疫性疾病(包括但不限于葡萄膜炎、肠炎、肝炎、垂体疾病、肾炎、血管炎、甲状腺机能亢进、甲状腺功能减退和需要扩张支气管的哮喘)。除外 I 型糖尿病、需要激素替代治疗的甲状腺功能减退和不需要全身性治疗的皮肤病(例如白癜风、银屑病或脱发);临床医生需针对上述疾病在入组前进行必要的病史询问、查体、检验和检查后予以排除; 6.既往 1 年内患有间质性肺病或肺炎需要口服或静脉注射类固醇治疗; 7. 慢性全身性糖皮质激素(剂量等于或超过每天 10 mg 泼尼松)或任何其他形式的免疫抑制疗法。吸入或外用皮质类固醇的受试者是符合条件的; 8.未受控的心脏病,例如:(1)心力衰竭,NYHA 水平 >= 2;(2)不稳定心绞痛;(3)过去 1 年有心肌梗死病史;(4)需要治疗或干预的室上性心律失常或室性心律失常; 9.孕期或哺乳期妇女(应考虑对性生活活跃的育龄期妇女进行妊娠试验); 10.除充分治疗的非黑色素瘤皮肤癌、宫颈原位癌和甲状腺乳头状癌外,既往或目前患有其他恶性肿瘤; 11.已知受试者既往对大分子蛋白制剂,或任何艾帕洛利托沃瑞利单抗成分过敏; 12.需要全身治疗的 1 周以内的活动性感染; 13.在首程艾帕洛利托沃瑞利单抗之前 30 天内接受活疫苗; 14.有器官移植病史; 15. 研究人员评估的其他可能危及患者安全或依从性的情况,例如需要及时治疗的严重疾病(包括精神疾病)、检验结果严重异常、具有其它家庭或社会高危风险因素。 |
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Exclusion criteria: |
1. HBsAg is positive and hepatitis B B virus quantity is>1 × 10 ^ 3 copies/ml, or anti hepatitis C virus antibody is positive; 2. Positive anti HIV antibody or acquired immunodeficiency syndrome (AIDS); 3. Active pulmonary tuberculosis: patients with active tuberculosis history in the past 1 year should be excluded regardless of treatment; 4. Except for patients who have been confirmed to have received regular anti tuberculosis treatment in the past, patients with active tuberculosis history of more than one year should be excluded; 5. Active, known or suspected autoimmune diseases (including but not limited to uveitis, enteritis, hepatitis, pituitary diseases, nephritis, vasculitis, hyperthyroidism, hypothyroidism, and asthma requiring bronchodilation). Excluding type I diabetes, hypothyroidism requiring hormone replacement therapy, and skin diseases that do not require systemic treatment (such as vitiligo, psoriasis, or alopecia); Clinical doctors need to conduct necessary medical history inquiries, physical examinations, tests, and examinations for the above-mentioned diseases before enrollment to exclude them; 6. Suffering from interstitial lung disease or pneumonia within the past year requiring oral or intravenous steroid treatment; 7. Chronic systemic corticosteroid (dose equal to or exceeding 10 mg prednisone per day) or any other form of immunosuppressive therapy. Subjects who inhale or apply corticosteroids topically are eligible; 8. Uncontrolled heart disease, such as: (1) heart failure, NYHA level>=2; (2) Unstable angina pectoris; (3) History of myocardial infarction in the past year; (4) Supraventricular arrhythmias or ventricular arrhythmias that require treatment or intervention; 9. Pregnant or lactating women (pregnancy tests should be considered for sexually active women of childbearing age); 10. Except for fully treated non melanoma skin cancer, cervical carcinoma in situ, and papillary thyroid carcinoma, those who have previously or currently suffered from other malignant tumors; 11. It is known that the subject has a history of allergies to large molecule protein preparations or any components of aparolithovirizumab; 12. Active infections that require systemic treatment within one week; 13. Receive a live vaccine within 30 days prior to the first dose of aparolithovir monoclonal antibody; 14. History of organ transplantation; 15. Other situations assessed by researchers that may endanger patient safety or compliance, such as serious illnesses (including mental illnesses) that require timely treatment, severe abnormal test results, and other family or social high-risk factors. |
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研究实施时间: Study execute time: |
从 From 2024-12-19 00:00:00至 To 2030-12-01 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2025-05-12 00:00:00 至 To 2026-12-01 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): |
研究者采用本中心随机平台产生随机数 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Randomization platform based on an online central system |
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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 |
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: |
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: |
无/No |