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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: |
ChiCTR2500113364 |
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最近更新日期: Date of Last Refreshed on: |
2025-11-27 11:32:12 |
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注册时间: Date of Registration: |
2025-11-27 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: |
评价氨基酸(15)腹膜透析液在合并营养不良的腹膜透析患者中有效性及安全性的一项多中心、前瞻性、真实世界研究 |
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Public title: |
A Multicenter, Prospective, Real-World Study to Evaluate the Efficacy and Safety of Amino Acid (15) Peritoneal Dialysis Solution in Peritoneal Dialysis Patients with Malnutrition |
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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: |
评价氨基酸(15)腹膜透析液在合并营养不良的腹膜透析患者中有效性及安全性的一项多中心、前瞻性、真实世界研究 |
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Scientific title: |
A Multicenter, Prospective, Real-World Study to Evaluate the Efficacy and Safety of Amino Acid (15) Peritoneal Dialysis Solution in Peritoneal Dialysis Patients with Malnutrition |
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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: |
俞小芳 |
研究负责人: |
俞小芳 |
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Applicant: |
Xiaofang Yu |
Study leader: |
Xiaofang Yu |
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申请注册联系人电话: Applicant telephone: |
+86 21 6404 1990 |
研究负责人电话: Study leader's telephone: |
+86 21 64041990 |
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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: |
yu.xiaofang@zs-hospital.sh.cn |
研究负责人电子邮件: Study leader's E-mail: |
yu.xiaofang@zs-hospital.sh.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: |
上海市徐汇区枫林路180号 |
研究负责人通讯地址: |
上海市徐汇区枫林路180号 |
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Applicant address: |
180 Fenglin Road, Xuhui District, Shanghai |
Study leader's address: |
180 Fenglin Road, Xuhui 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: |
复旦大学附属中山医院 |
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Applicant's institution: |
Fudan University Affiliated Zhongshan Hospital |
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研究负责人所在单位: |
复旦大学附属中山医院 |
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Affiliation of the Leader: |
Zhongshan Hospital, Fudan University |
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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: |
B2025-563R |
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: |
复旦大学附属中山医院医学伦理委员会分委会一 |
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Name of the ethic committee: |
Ethics Committee of Zhongshan Hospital Fudan University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-09-22 00:00:00 |
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伦理委员会联系人: |
杨梦婕 |
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Contact Name of the ethic committee: |
Yang MengJie |
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伦理委员会联系地址: |
上海市徐汇区枫林路180号 |
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Contact Address of the ethic committee: |
180 Fenglin Road, Xuhui District, Shanghai |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 21 31587871 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
yang.mengjie@zs-hospital.sh.cn |
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研究实施负责(组长)单位: |
复旦大学附属中山医院 |
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Primary sponsor: |
Zhongshan Hospital, Fudan University |
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研究实施负责(组长)单位地址: |
上海市徐汇区枫林路180号 |
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Primary sponsor's address: |
180 Fenglin Road, Xuhui District, Shanghai |
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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: |
江苏淮安双鹤医药有限责任公司 |
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Source(s) of funding: |
Jiangsu Huai'an Shuanghe Pharmaceutical Co., Ltd |
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Target disease: |
Abdominal dialysis patients with combined malnutrition |
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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: |
上市后药物 | ||||||||||||||||||||||
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Study phase: |
4 |
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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: |
评价氨基酸(15)腹膜透析液与葡萄糖腹膜透析液相比,治疗后6个月血清白蛋白(ALB)、前白蛋白(PAB)水平对比基线变化的差异。 |
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Objectives of Study: |
Evaluate the differences in baseline changes in serum albumin (ALB) and prealbumin (PAB) levels between amino acid (15) peritoneal dialysis fluid and glucose peritoneal dialysis fluid at 6 months after treatment. |
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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: |
1.18岁≤年龄≤85岁,性别不限; 2.稳定的腹透患者,腹膜透析治疗≥3个月,且研究期间无计划行肾移植术; 3.符合蛋白质能量消耗(PEW)诊断(2008年国际肾脏病营养与代谢学会[ISRNM]),即如下3个标准中至少2个,且血清ALB≤30 g/L; a) 体重变化:BMI<22 kg/m2(65岁以下),BMI<23 kg/m2(65岁以上);或3个月内非预期体重下降>5%或半年内>10%;或体脂百分比<10%; b) 饮食不足:蛋白质摄入不足(每日蛋白质摄入量<0.8 g/kg/d)至少2个月,或能量摄入不足(每日能量摄入量<25 kcal/kg/d)至少2个月; c) 肌肉量减少:3个月内肌肉量丢失>5%或半年内>10%;或上臂肌围下降>参照人群上臂围中位数10%; 4.透析方案符合每周总Kt/V≥1.7; 5.患者或家属能够理解研究方案并愿意参与本研究,签书面知情同意书; 6.患者依从性良好,自愿按计划接受随诊、治疗、实验室检查以及其他研究步骤。 |
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Inclusion criteria |
1.18 <=years old <= 85 years old, gender not limited; 2.Stable peritoneal dialysis patients who have undergone peritoneal dialysis treatment for >= 3 months and have no planned kidney transplantation during the study period; 3.Meet the criteria for protein energy expenditure (PEW) diagnosis (International Society of Nephrology Nutrition and Metabolism [ISRNM], 2008), i.e. at least 2 out of the following 3 criteria, and serum ALB <= 30 g/L; (1). Weight changes: BMI<22 kg/m^2 (under 65 years old), BMI<23 kg/m^2 (over 65 years old); Or unexpected weight loss of>5% within 3 months or>10% within 6 months; Or body fat percentage<10%; (2).Lack of diet: Insufficient protein intake (daily protein intake<0.8 g/kg/d) for at least 2 months, or insufficient energy intake (daily energy intake<25 kcal/kg/d) for at least 2 months; (3). Decreased muscle mass: loss of muscle mass>5% within 3 months or>10% within 6 months; Or the decrease in upper arm muscle circumference is greater than the median upper arm circumference of the reference population by 10%; 4.The dialysis plan meets the weekly total Kt/V requirement of >= 1.7; 5.Patients or their families are able to understand the research protocol and are willing to participate in this study, and sign a written informed consent form; 6.The patient has good compliance and voluntarily accepts follow-up, treatment, laboratory tests, and other research steps according to the plan. |
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排除标准: |
1.氨基酸(15)腹膜透析液禁忌症: a)对研究药物或其中任何成分过敏; b)血清尿素水平>38 mmol/L; c)筛选时存在尿毒症症状,如明显食欲减退、恶心、呕吐等; d)无法纠正的代谢性酸中毒:CO2CP<18 mmol/L或 HCO3-<17 mmol/L; e)各种先天性氨基酸代谢异常; f)有肝胆系统严重并发症的患者:门冬氨酸氨基转移酶(AST)或丙氨酸氨基转移酶(ALT)>3倍正常值上限,血总胆红>2倍正常值上限; g)活动期肝炎,乙型肝炎或丙型肝炎活动期,肝硬化、活动性肝病或人类免疫缺陷病毒(HIV)血清反应阳性; h)无法纠正的重度低血钾症:血清钾≤2.5 mmol/L; i)存在不可纠正的机械性缺陷,影响疗效或增加感染风险; j)有丧失腹膜功能的病史,或因广泛粘连严重影响腹膜功能; |
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Exclusion criteria: |
1.Contraindications for amino acid (15) peritoneal dialysis fluid: (1) Allergic to the investigational drug or any of its components;(2) Serum urea level>38 mmol/L; (3) There are symptoms of uremia during screening, such as significant loss of appetite, nausea, vomiting, etc; (4) Irreversible metabolic acidosis: CO2CP<18 mmol/L or HCO3-<17 mmol/L; (5) Various congenital amino acid metabolism abnormalities; (6)Patients with severe complications of the liver and gallbladder system: Aspartate aminotransferase (AST) or alanine aminotransferase (ALT)>3 times the upper limit of normal values, total bilirubin>2 times the upper limit of normal values; (7) Active hepatitis, active hepatitis B or C, cirrhosis, active liver disease, or positive for human immunodeficiency virus (HIV) serum reaction; (8) Severe hypokalemia that cannot be corrected: serum potassium ≤ 2.5 mmol/L; (9) There are uncorrectable mechanical defects that affect therapeutic efficacy or increase the risk of infection; (10) History of loss of peritoneal function or severe impact on peritoneal function due to extensive adhesions; 2.diabetes patients with poor blood glucose control (HbA1c>8.5%); 3.Have suffered from peritonitis within the past 3 months before the screening period, or have not fully recovered from the effects of previous peritonitis when participating in the trial; 4.Severe gastrointestinal diseases, such as gastrointestinal bleeding, intestinal obstruction, severe indigestion, inflammatory bowel disease, etc; 5.If there is malignant tumor or the expected survival period determined by the researcher is less than 6 months; 6.Pregnant or lactating women of childbearing age do not agree to use effective contraceptive measures during the trial period; 7.Currently participating in other intervention studies; 8.Researchers believe that patients are not suitable for any other circumstances to participate in this study. |
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研究实施时间: Study execute time: |
从 From 2025-09-23 00:00:00至 To 2027-06-30 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2025-11-27 00:00:00 至 To 2026-12-31 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): |
由随机化独立统计师根据方案要求,利用区组随机分组的方法,使用SAS程序产生受试者随机序列。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
According to the protocol requirements, a randomized independent statistician uses the method of block randomization to generate a random sequence of subjects using SAS program. |
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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 |
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Blinding: |
Open-label study |
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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): |
不共享 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Do not share |
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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: |
本研究采用电子化数据采集系统(EDC)。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
This study used an electronic data collection system (EDC). |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |