ChiCTR2500112891 版本V1.0 版本创建时间2025/11/20 15:59:17 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:

ChiCTR2500112891 

最近更新日期:

Date of Last Refreshed on:

2025-11-20 15:58:43 

注册时间:

Date of Registration:

2025-11-20 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

地舒单抗对男性骨质疏松症患者糖脂-心血管-骨骼代谢的影响:一项随机、开放、对照临床研究

Public title:

Glucolipid-Cardiometabolic-Osteo Effects of Denosumab on Male Osteoporosis: A Randomized Open-Label Controlled Trial (GOODMAN)

注册题目简写:

地舒单抗对男性骨质疏松症患者糖脂-心血管-骨骼代谢的影响

English Acronym:

Glucolipid-Cardiometabolic-Osteo Effects of Denosumab on Male Osteoporosis

研究课题的正式科学名称:

地舒单抗对男性骨质疏松症患者糖脂-心血管-骨骼代谢的影响:一项随机、开放、对照临床研究

Scientific title:

Glucolipid-Cardiometabolic-Osteo Effects of Denosumab on Male Osteoporosis: A Randomized Open-Label Controlled Trial (GOODMAN)

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:

孟令扬 

研究负责人:

李梅 

Applicant:

Meng Lingyang 

Study leader:

Li Mei 

申请注册联系人电话:

Applicant telephone:

+86 152 6359 1129

研究负责人电话:

Study leader's telephone:

+86 136 7131 2468

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:

mlybzmc@163.com

研究负责人电子邮件:

Study leader's E-mail:

limeilzh@sina.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:

北京市东城区帅府园1号北京协和医院内分泌科

研究负责人通讯地址:

北京市东城区帅府园1号北京协和医院内分泌科

Applicant address:

Department of Endocrinology, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing

Study leader's address:

Department of Endocrinology, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

100730

研究负责人邮政编码:

Study leader's postcode:

100730

申请人所在单位:

中国医学科学院北京协和医院

Applicant's institution:

Peking Union Medical College Hospital

研究负责人所在单位:

中国医学科学院北京协和医院

Affiliation of the Leader:

Peking Union Medical College Hospital

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:

I-25PJ1679

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:

中国医学科学院北京协和医院伦理审查委员会

Name of the ethic committee:

Ethics Review Committee of Peking Union Medical College Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-07-30 00:00:00

伦理委员会联系人:

李佳月

Contact Name of the ethic committee:

Li Jiayue

伦理委员会联系地址:

北京东城区帅府园1号

Contact Address of the ethic committee:

No. 1 Shuaifuyuan, Dongcheng District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 6915 6874

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:

中国医学科学院北京协和医院

Primary sponsor:

Peking Union Medical College Hospital

研究实施负责(组长)单位地址:

北京东城区帅府园1号

Primary sponsor's address:

No. 1 Shuaifuyuan, Dongcheng District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

中国医学科学院北京协和医院

具体地址:

北京市东城区王府井帅府园1号北京协和医院

Institution
hospital:

Peking Union Medical College Hospital

Address:

No. 1 Shuaifuyuan, Dongcheng District, Beijing

经费或物资来源:

国家自然科学基金

Source(s) of funding:

National Natural Science Foundation of China

Target disease:

Male Osteoporosis or Osteopenia

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:

本研究为实效性随机对照试验,旨在探究地舒单抗对男性骨质疏松症或骨量减少患者糖脂-心血管-骨骼代谢的影响。  

Objectives of Study:

This study is a pragmatic randomized controlled trial, aiming to investigate the glucolipid-cardiometabolic-osteo effects of denosumab on male osteoporosis.

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: 具有髋部或椎体脆性骨折史(无发生时间限制)的40岁及以上成年男性; 2: 患者签署知情同意书; 3: 50岁以下男性,全髋、股骨颈或腰椎(L1-4)骨密度Z值≤-2.0; 4: 50岁及以上男性,全髋、股骨颈或腰椎(L1-4)骨密度T值≤-1.0。

Inclusion criteria

1. Adult males aged 40 years and older with a history of fragility fracture of the hip or vertebral body (with no time limit for occurrence); 2. The patient has signed the informed consent form; 3. Males under 50 years of age with a bone mineral density (BMD) Z-score <= -2.0 at the total hip, femoral neck, or lumbar spine (L1-4); 4. Males aged 50 years and older with a bone mineral density (BMD) T-score <= -1.0 at the total hip, femoral neck, or lumbar spine (L1-4).

排除标准:

1: 诊断其他代谢性骨病,如甲状旁腺功能亢进、畸形性骨炎、骨软化症、成骨不全症等; 2: 严重肝肾功能不全:血清碱性磷酸酶水平高于正常上限的1.5倍,或谷丙氨酸转氨酶大于正常上限的3倍,或计算的肌酐清除率<35.0ml/min/1.73m^2; 3: 罹患1型糖尿病、使用胰岛素血糖仍控制不佳(糖化血红蛋白>7.5%)的2型糖尿病; 4: 罹患家族性高甘油三酯血症、家族性高胆固醇血症等遗传性脂质代谢异常性疾病; 5: 罹患类风湿性关节炎、系统性红斑狼疮等结缔组织病; 6: 罹患转移性实体肿瘤或血液系统恶性肿瘤; 7: 地舒单抗禁忌证:低钙血症、对地舒单抗活性成份或任何辅料成份过敏; 8: 1年内接受过地舒单抗、双膦酸盐、特立帕肽或罗莫珠单抗治疗;6月内接受糖皮质激素治疗超过3月以上者;6月内使用过噻唑烷二酮类、维生素K2、降钙素、合成代谢类固醇、生长激素者; 9: 外力引起的暴力性骨折。

Exclusion criteria:

1. Diagnosis of other metabolic bone diseases, such as hyperparathyroidism, Paget's disease of bone, osteomalacia, osteogenesis imperfecta, etc. 2. Severe hepatic or renal insufficiency: serum alkaline phosphatase level higher than 1.5 times the upper limit of normal, or alanine aminotransferase greater than 3 times the upper limit of normal, or calculated creatinine clearance rate < 35.0 ml/min/1.73m2; 3. Type 1 diabetes mellitus, or type 2 diabetes mellitus with poorly controlled blood glucose despite insulin use (glycated hemoglobin > 7.5%); 4. Hereditary lipid metabolism disorders such as familial hypertriglyceridemia and familial hypercholesterolemia; 5. Connective tissue diseases such as rheumatoid arthritis and systemic lupus erythematosus; 6. Metastatic solid tumors or hematological malignancies; 7. Contraindications to denosumab: hypocalcemia, hypersensitivity to the active ingredient of denosumab or any of its excipients; 8. Receipt of denosumab, bisphosphonates, teriparatide, or romosozumab within 1 year; receipt of glucocorticoid therapy for more than 3 months within 6 months; use of thiazolidinediones, vitamin K2, calcitonin, anabolic steroids, or growth hormone within 6 months; 9. Traumatic fractures caused by external force.

研究实施时间:

Study execute time:

From 2025-07-01 00:00:00 To 2027-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-12-01 00:00:00 To 2027-06-30 00:00:00  

干预措施:

Interventions:

组别:

地舒单抗组

样本量:

300

Group:

Denosumab Group

Sample size:

干预措施:

注射地舒单抗、补充钙和维生素D

干预措施代码:

Intervention:

Injection of denosumab, and supplementation of calcium and vitamin D

Intervention code:

组别:

对照组

样本量:

300

Group:

Control Group

Sample size:

干预措施:

补充钙和维生素D

干预措施代码:

Intervention:

Supplementation of calcium and vitamin D

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China 

Province:

Beijing 

City:

 

单位(医院):

中国医学科学院北京协和医院 

单位级别:

三甲 

Institution
hospital:

Peking Union Medical College Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江西 

市(区县):

南昌 

Country:

China 

Province:

Jiangxi 

City:

Nanchang 

单位(医院):

江西省人民医院 

单位级别:

三甲 

Institution
hospital:

Jiangxi Provincial People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏 

市(区县):

苏州 

Country:

China 

Province:

Jiangsu 

City:

Suzhou 

单位(医院):

苏州大学附属第二医院 

单位级别:

三甲 

Institution
hospital:

Second Affiliated Hospital of Soochow University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建 

市(区县):

福州 

Country:

China 

Province:

Fujian 

City:

Fuzhou 

单位(医院):

福建省立医院 

单位级别:

三甲 

Institution
hospital:

Fujian Provincial Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

贵州 

市(区县):

贵阳 

Country:

China 

Province:

Guizhou 

City:

Guiyang 

单位(医院):

贵州医科大学附属医院 

单位级别:

三甲 

Institution
hospital:

The Affiliated Hospital of Guizhou Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川 

市(区县):

成都 

Country:

China 

Province:

Sichuan 

City:

Chengdu 

单位(医院):

四川大学华西医院 

单位级别:

三甲 

Institution
hospital:

West China Hospital, Sichuan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

辽宁 

市(区县):

沈阳 

Country:

China 

Province:

Liaoning 

City:

Shenyang 

单位(医院):

中国医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Hospital of China Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖南 

市(区县):

长沙 

Country:

China 

Province:

Hunan 

City:

Changsha 

单位(医院):

中南大学湘雅二医院 

单位级别:

三甲 

Institution
hospital:

The Second Xiangya Hospital of Central South University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

山东 

市(区县):

济南 

Country:

China 

Province:

Shandong 

City:

Jinan 

单位(医院):

山东省立医院 

单位级别:

三甲 

Institution
hospital:

Shandong Provincial Hospital

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):

上海市第六人民医院 

单位级别:

三甲 

Institution
hospital:

Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiaotong University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

心肌肌钙蛋白

指标类型:

次要指标

Outcome:

Cardiac troponin(cTn)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脂代谢指标

指标类型:

次要指标

Outcome:

Lipid Metabolism Indicators

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

糖代谢指标

指标类型:

次要指标

Outcome:

Glucose Metabolism Indicators

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

药物不良反应

指标类型:

副作用指标

Outcome:

Adverse Drug Reactions

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血管钙化程度

指标类型:

次要指标

Outcome:

Degree of Vascular Calcification

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胸腰椎侧位X线片及骨折部位的X线

指标类型:

次要指标

Outcome:

Lateral X-ray Films of the Thoracic and Lumbar Spine and X-rays of Fracture Sites

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

椅子坐立测试

指标类型:

次要指标

Outcome:

Chair Stand Test(CST)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

骨小梁评分(TBS)

指标类型:

次要指标

Outcome:

Trabecular Bone Score(TBS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

VAS疼痛评分

指标类型:

次要指标

Outcome:

Visual Analogue Scale(VAS)Pain Score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

骨转换指标

指标类型:

主要指标

Outcome:

Bone Turnover Markers(BTMs)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

炎症指标

指标类型:

次要指标

Outcome:

Inflammatory Indicators

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

继发性骨质疏松病因筛查指标

指标类型:

次要指标

Outcome:

Screening Indicators for the Etiology of Secondary Osteoporosis

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌肉量

指标类型:

次要指标

Outcome:

Muscle Mass

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

性激素水平

指标类型:

次要指标

Outcome:

Sex Hormone Levels

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生活方式

指标类型:

次要指标

Outcome:

Lifestyle

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血尿常规

指标类型:

次要指标

Outcome:

Routine Blood and Urine Tests

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

新发骨折

指标类型:

次要指标

Outcome:

New-onset Fractures

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心脏代谢指数(CMI)

指标类型:

次要指标

Outcome:

Cardiometabolic Index(CMI)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

骨密度

指标类型:

主要指标

Outcome:

Bone Mineral Density(BMD)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

钙磷代谢指标

指标类型:

次要指标

Outcome:

Calcium-Phosphorus Metabolism Indicators

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肝肾功能

指标类型:

次要指标

Outcome:

Hepatic and Renal Function

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

健康相关生活质量(HR-QoL)评分

指标类型:

次要指标

Outcome:

Health-Related Quality of Life(HR-QoL)Score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

握力

指标类型:

次要指标

Outcome:

Grip Strength

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血浆

组织:

Sample Name:

Plasma

Tissue:

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

标本中文名:

血清

组织:

Sample Name:

Serum

Tissue:

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

标本中文名:

全血

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 40 years
最大 Max age 90 years

性别:

男性

Gender:

Male

随机方法(请说明由何人用什么方法产生随机序列):

北京大学临床研究所统一提供的电子交互式网络应答系统(IWRS)进行中央随机化

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

Central randomization was performed using the electronic interactive web response system (IWRS) provided by the Peking University Clinical Research Institute.

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:

Blinding:

None

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

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):

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

None

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:

使用病例报告表采集数据,使用受试者注册登记系统进行数据管理

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

Data collection is conducted using case report forms, and data management is performed through the subject registration system.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2025-11-20 15:58:43