质子泵抑制剂治疗2型糖尿病的疗效及机制研究

注册号:

Registration number:

ChiCTR-OOC-15005859 

最近更新日期:

Date of Last Refreshed on:

2015-01-21 23:09:09 

注册时间:

Date of Registration:

2015-01-20 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

质子泵抑制剂治疗2型糖尿病的疗效及机制研究

Public title:

Efficacy and mechanism of proton pump inhibitor therapy for type 2 diabetes

注册题目简写:

English Acronym:

研究课题的正式科学名称:

质子泵抑制剂治疗2型糖尿病的疗效及机制研究

Scientific title:

Efficacy and mechanism of proton pump inhibitor therapy for type 2 diabetes

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:

郑林福 

研究负责人:

王雯 

Applicant:

Linfu Zheng 

Study leader:

Wen Wang 

申请注册联系人电话:

Applicant telephone:

+86 18060486985

研究负责人电话:

Study leader's
telephone:

+86 13860628134

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:

2010zlf@163.com

研究负责人电子邮件:

Study leader's E-mail:

wangw68@medmail.com.cn

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:

福建省福州市西二环北路156号南京军区福州总医院消化内科

研究负责人通讯地址:

福建省福州市西二环北路156号南京军区福州总医院消化内科

Applicant address:

156 West Second Ring Road, Fuzhou , Nanjing Military Region, Fuzhou General Hospital of Gastroenterology

Study leader's address:

156 West Second Ring Road, Fuzhou , Nanjing Military Region, Fuzhou General Hospital of Gastroenterology

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:

南京军区福州总医院

Applicant's institution:

Fuzhou General Hospital of Nanjing Military Region

研究负责人所在单位:

Affiliation of the Leader:

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2015003

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

南京军区福州总医院伦理委员会

Name of the ethic committee:

Nanjing Military Region, Fuzhou General Hospital Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2015-01-14 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

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:

南京军区福州总医院

Primary sponsor:

Fuzhou General Hospital of Nanjing Military Region

研究实施负责(组长)单位地址:

福建省福州市西二环北路156号南京军区福州总医院消化内科

Primary sponsor's address:

156 West Second Ring Road, Fuzhou , Nanjing Military Region, Fuzhou General Hospital of Gastroenterology

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

福建

市(区县):

Country:

China

Province:

Fujian

City:

单位(医院):

南京军区福州总医院

具体地址:

福建省福州市西二环北路156号南京军区福州总医院消化内科

Institution
hospital:

Fuzhou General Hospital of Nanjing Military Region

Address:

156 West Second Ring Road, Fuzhou , Nanjing Military Region, Fuzhou General Hospital of Gastroenterology

经费或物资来源:

内分泌科创新团队基金

Source(s) of funding:

Innovation Fund team of Endocrinology

研究疾病:

糖尿病  

Target disease:

type 2 diabetes

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

单臂 

Study design:

Single arm 

研究目的:

2型糖尿病的患病率及就诊率越来越多,耗费巨大的医疗资源,而质子泵抑制剂(PPI)是酸相关治疗的一线用药,我们前期研究发现PPI对糖尿病有一定的降糖效应,且我们的动物实验也发现PPI对糖尿病大鼠有降糖作用,然而目前对PPI治疗2型糖尿病的治疗机制仍未明确。因此,本研究结合国内外2型糖尿病的基础及临床研究现状,本研究拟探究不同剂量PPI治疗2型糖尿病过程中糖尿病相关指标的变化,及检测PPI治疗后糖尿病患者胃泌素、GLP-1、肠抑胃肽、胆囊收缩素、胰高血糖素、PYY、游离脂肪酸、胆汁酸等的变化,证实PPI治疗2型糖尿病的疗效及机制。  

Objectives of Study:

The prevalence and treatment of type 2 diabetes become more and more costly. The proton pump inhibitor (PPI) is a first-line treatment of acid-related medication. Previous studies we found that PPI have some hypoglycemic effect in diabetes, and our animal experiments have confirmed this effect in diabetic rats, but the mechanism remains unclear. Therefore, we intends to explore different doses of PPI treatment of diabetes-related changes in indicators of type 2 diabetes during PPI therapy and detection of gastrin diabetes, GLP-1 changes in gastric inhibitory peptide, cholecystokinin, glucagon, PYY, free fatty acids, bile acids, etc., confirming the efficacy and mechanism of PPI therapy in type 2 diabetes.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1、1型糖尿病、及其急性并发症以及严重基础疾病患者。严重心脑血管疾病、肝肾功能不全、凝血功能障碍等病变;
2、严重糖尿病肾病、糖尿病自主神经病变等相关并发症;
3、受试前1月使用影响胃肠运动的药物。
4、继发性糖尿病、T2DM急性并发症如酮症酸中毒及应激状态;
5、心肺功能不全、贫血等缺氧状态;
6、急、慢性酸中毒;
7、急慢性胃炎、急慢性消化系溃疡、急性胰腺炎、胰腺癌等各种胃肠道疾病;
8、肝硬化、肝癌;
9、妊娠妇女。
10、空腹血糖>10mmol/L.

Exclusion criteria:

1. Type 1 diabetes, and acute complications and severe diseases. Including: Severe cardiovascular disease, liver and kidney dysfunction, coagulation disorders and other diseases;
2. Severe diabetic nephropathy, diabetic autonomic neuropathy and other complications;
3. Use of medications that affect gastrointestinal motility drugs for last 1 month;
4. The complications such as diabetic ketoacidosis and acute stress of type 2 diabetes;
5. Acute and chronic gastritis, acute and chronic digestive ulcer, acute pancreatitis, pancreatic cancer and other gastrointestinal diseases;
6. Cardiopulmonary dysfunction, anemia and hypoxia;
7. acute and chronic acidosis;
8. Cirrhosis, liver cancer;
9. Pregnant women;
10. Fasting glucose >10mmol/L.

研究实施时间:

Study execute time:

From 1990-01-01 00:00:00 To 1990-01-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2015-01-20 00:00:00 To 2016-01-20 00:00:00

干预措施:

Interventions:

组别:

Case series

样本量:

40

Group:

Case series

Sample size:

干预措施:

服用PPI

干预措施代码:

Intervention:

Taking PPI

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

福建 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

南京军区福州总医院 

单位级别:

三级甲等 

Institution
hospital:

Fuzhou General Hospital of Nanjing Military Region

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

体重指数

指标类型:

主要指标

Outcome:

BMI

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

空腹血糖

指标类型:

主要指标

Outcome:

Fasting plasma glucose

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

糖化血红蛋白

指标类型:

主要指标

Outcome:

Glycated hemoglobin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

空腹胰岛素

指标类型:

主要指标

Outcome:

Fasting insulin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

空腹C肽

指标类型:

主要指标

Outcome:

Fasting C-peptide

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总胆固醇

指标类型:

主要指标

Outcome:

total cholesterol

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总甘油三脂

指标类型:

主要指标

Outcome:

Total triglyceride

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总胆汁酸

指标类型:

主要指标

Outcome:

Total Bile Acid

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

高密度脂蛋白

指标类型:

主要指标

Outcome:

High-density lipoprotein

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低密度脂蛋白

指标类型:

主要指标

Outcome:

Low-density lipoprotein

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胃泌素

指标类型:

主要指标

Outcome:

gastrin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胰高血糖素样肽

指标类型:

主要指标

Outcome:

GLP-1

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肠抑胃肽

指标类型:

主要指标

Outcome:

Gastric inhibitory peptide

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胆囊收缩素

指标类型:

主要指标

Outcome:

cholecystokinin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胰高血糖素

指标类型:

主要指标

Outcome:

Glucagon

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

多肽YY

指标类型:

主要指标

Outcome:

PYY

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

游离脂肪酸

指标类型:

主要指标

Outcome:

free fatty acid

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

使用后销毁  

说明

Fate of sample:

Destruction 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 18 years
最大 Max age 70 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):

N/A

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

N/A

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:

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

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):

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:

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

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2015-01-21 23:09:09