ChiCTR2000034860 版本V1.5 版本创建时间2020/07/23 02:55:52 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:

ChiCTR2000034860 

最近更新日期:

Date of Last Refreshed on:

2020-07-23 02:54:12 

注册时间:

Date of Registration:

2020-07-22 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

重症烧伤患者侵袭性真菌感染早期诊断标准:NGS测序技术检测与传统方法检测的对比研究

Public title:

Early diagnostic criteria for invasive fungal infection in severe burns: comparative study of next-generation sequencing technology detection and traditional method detection

注册题目简写:

English Acronym:

研究课题的正式科学名称:

重症烧伤患者侵袭性真菌感染早期诊断标准:NGS测序技术检测与传统方法检测的对比研究

Scientific title:

Early diagnostic criteria for invasive fungal infection in severe burns: comparative study of next-generation sequencing technology detection and traditional method detection

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:

邓嘉雯 

研究负责人:

汪道新 

Applicant:

Deng Jiawen 

Study leader:

Wang Daoxin 

申请注册联系人电话:

Applicant telephone:

+86 13602656402

研究负责人电话:

Study leader's telephone:

+86 13662214896

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:

644856602@qq.com

研究负责人电子邮件:

Study leader's E-mail:

szwhe@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:

深圳市福田区笋岗西路3002号

研究负责人通讯地址:

深圳市福田区笋岗西路3002号

Applicant address:

3002 Sungang Road West, Futian District, Shenzhen, Guangdong, China

Study leader's address:

3002 Sungang Road West, Futian District, Shenzhen, Guangdong, China

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:

申请人所在单位:

深圳市第二人民医院

Applicant's institution:

The Second People's Hospital of Shenzhen

研究负责人所在单位:

深圳市第二人民医院

Affiliation of the Leader:

The Second People's Hospital of Shenzhen

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:

20191211002-FS01

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:

深圳市第二人民医院临床科研伦理委员会

Name of the ethic committee:

Shenzhen Second People's Hospital Clinical Research Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2020-04-29 00:00:00

伦理委员会联系人:

陈旭红

Contact Name of the ethic committee:

Chen Xuhong

伦理委员会联系地址:

深圳市福田区笋岗西路3002号

Contact Address of the ethic committee:

3002 Sungang Road West, Futian District, Shenzhen, Guangdong, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

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:

深圳市第二人民医院

Primary sponsor:

The Second People's Hospital of Shenzhen

研究实施负责(组长)单位地址:

深圳市福田区笋岗西路3002号

Primary sponsor's address:

3002 Sungang Road West, Futian District, Shenzhen, Guangdong, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东

市(区县):

深圳

Country:

China

Province:

Guangdong

City:

Shenzhen

单位(医院):

深圳市第二人民医院

具体地址:

福田区笋岗西路3002号

Institution
hospital:

The Second People's Hospital of Shenzhen

Address:

3002 Sungang Road West, Futian District

经费或物资来源:

高水平医院建设项目

Source(s) of funding:

High-level hospital construction project

Target disease:

Invasive fungal infection in severe burns

Target disease code:

研究类型:

诊断试验

Study type:

Diagnostic test

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

非随机对照试验 

Study design:

Non randomized control 

研究目的:

本项目研究拟计划对严重烧伤、真菌感染高风险患者采集的样本应用二代测序技术手段进行检测,将测序分析的结果与传统检测等方法进行比对,探讨NGS技术在真菌感染诊断中的灵敏度和准确性,为提高真菌感染诊断的准确率和提高患者的生存率提供有价值的研究结果;同时,对确诊感染患者的样本进行相关耐药基因的检测分析,可指导临床用药,制定个体化治疗方案,具有重要的理论和指导意义。  

Objectives of Study:

The project is planned to apply samples of second-generation sequencing to the samples collected from patients with high risk of severe burns and fungal infections, compare the results of sequencing analysis with traditional methods, and discuss the sensitivity of NGS technology in the diagnosis of fungal infections. And accuracy, providing valuable research results for improving the accuracy of fungal infection diagnosis and improving the survival rate of patients; at the same time, the analysis of related drug resistance genes in samples of patients with diagnosed infections can guide clinical medication and formulate individualization The treatment plan has important theoretical and guiding significance.

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 年龄18-70岁,性别不限;
② 烧伤(火焰烧伤、电烧伤、化学烧伤、各种热液烫伤)总面积为30%及以上者;
③ 烧伤后24小时内入院者;
④ 无传染性疾病;
⑤ 签署同意书:试验前受试者均自愿签署知情同意书。

Inclusion criteria

1. Patients aged 18-70 years, regardless of gender;
2. Burn patients (flame burn, electric burn, chemical burn, various hydrothermal burns) with a total area of 30% or more;
3. Patients admitted to hospital within 24 hours after burn;
4. Patients without infectious diseases;
5. Signing consent: all subjects voluntarily signed informed consent before the experiment.

排除标准:

有严重免疫缺陷疾病,如艾滋病等患者。

Exclusion criteria:

Patients with severe immunodeficiency diseases, such as AIDS.

研究实施时间:

Study execute time:

From 2020-08-01 00:00:00 To 2022-11-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-08-01 00:00:00 To 2022-11-30 00:00:00  

诊断试验:

Diagnostic Tests:

金标准或参考标准(即可准确诊断某疾病的单项方法或多项联合方法,在本研究中用于诊断是否有该病的临床参考标准):

传统方法检测 包括(微生物学培养、组织病学检查、半乳甘露聚糖(GM)以及1,3-β-D葡聚糖(BDG)检测)

Gold Standard or Reference Standard (The clinical reference standards required to establish the presence or absence of the target condition in the tested population in present study):

Traditional method detection (Microbiological culture, histopathological examination, GM, BDG)

指标试验(即本研究的待评估诊断试验,无论为方法、生物标志物或设备,均请列出名称):

a.宏基因组测序:采集患者疑似感染部位组织,分离提取DNA或采集患者和对照组健康人的血浆,分离血浆cell-free DNA,进行宏基因组测序,对数据进行分析比对;其中移除确定为人类的序列reads,剩下的序列则与病原体数据库进行mapping比对,研究鉴定微生物物种,种群结构等; b.18S及ITS测序:对采集的患者疑似感染部位组织进行分离提取DNA,设计特定引物进行18S、ITS测序。

Index test:

1. Metagenome sequencing: collect tissues from suspected infection sites of patients, isolate DNA, or collect plasma from patients and healthy individuals, isolate plasma cell-free DNA, perform metagenomic sequencing, and analyze and compare data 2. 18S and ITS sequencing.

目标人群(可以是某种疾病患者或正常人群,详细描述其疾病特征,注意应纳入符合分布特点的全序列病例,具有良好的代表性)

烧伤(火焰烧伤、电烧伤、化学烧伤、各种热液烫伤)总面积为30%及以上者 (依据2012年4月第28卷2期《中华烧伤杂志》发表的《烧伤侵袭性真菌感染诊断与防治指南(2012版)》将试验组分为三组,分别是确诊侵袭性真菌感染组、疑诊侵袭性真菌感染组以及无真菌感染组)。

例数:

Sample size:

30

Target condition (The target condition is a particular disease or disease stage that the index test will be intended to identify. Please specify the characteristics in detail; the population should has a complete spectrum and good representative):

Burn patients (flame burn, electric burn, chemical burn, various hydrothermal burns) with a total area of 30% or more (invasive fungal infection group, suspected invasive fungal infection group and non fungal infection group).

容易混淆的疾病人群(即与目标疾病不易区分的一种或多种不同疾病,应避免采用正常人群对照的病例-对照设计):

例数:

Sample size:

0

Population with condition difficult to distinguish from the target condition, the normal population in a case-control study design should be avoid:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东 

市(区县):

深圳 

Country:

China 

Province:

Guangdong 

City:

Shenzhen 

单位(医院):

深圳市第二人民医院 

单位级别:

三甲医院 

Institution
hospital:

The Second People's Hospital of Shenzhen

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

观察患者发生侵袭性真菌感染时基因测序中是否能检测到相关基因

指标类型:

主要指标

Outcome:

Observe whether relevant genes can be detected in gene sequencing when patients have invasive fungal infections

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

SEN, SPE, ACC, AUC of ROC

指标类型:

主要指标

Outcome:

SEN, SPE, ACC, AUC of ROC

Type:

Primary 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:

血液

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:

标本中文名:

粪便

组织:

Sample Name:

Stool

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:

烧伤创面组织

组织:

Sample Name:

Burn wound tissue

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

该项目为非随机临床试验。

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

This project is a non-random clinical trial.

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

盲法:

未说明

Blinding:

Not stated

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):

项目组根据研究进程择期选择具体方式公开原始数据

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

According to the progress of the research, raw research data should be made freely available to all researchers in specific ways

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:

研究者根据受试者的原始观察记录,将数据及时、完整、正确、清晰地载入病例记录表。将数据录入相应的数据库系统。电子数据文件分类保存,并有多个备份保存于不同记录介质上,妥善保存,防治损坏。

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

Based on the original observation records,researchers will completely write accurate data into case report forms in time. Input the data into corresponding database system.Electronic data will be conserved and backup.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2020-07-22 22:24:15