粒细胞集落刺激因子治疗薄型子宫内膜辅助生殖冷冻胚胎移植的有效性和安全性:一项随机对照研究

注册号:

Registration number:

ChiCTR2100049821 

最近更新日期:

Date of Last Refreshed on:

2022-04-15 07:41:04 

注册时间:

Date of Registration:

2021-08-10 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

粒细胞集落刺激因子治疗薄型子宫内膜辅助生殖冷冻胚胎移植的有效性和安全性:一项随机对照研究

Public title:

Efficacy and safety of granulocyte colony stimulating factor in the treatment of thin endometrium assisted reproductive frozen embryo transfer: a randomized controlled study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

粒细胞集落刺激因子治疗薄型子宫内膜辅助生殖冷冻胚胎移植的有效性和安全性:一项随机对照研究

Scientific title:

Efficacy and safety of granulocyte colony stimulating factor in the treatment of thin endometrium assisted reproductive frozen embryo transfer: a randomized controlled study

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:

王芳 

研究负责人:

王芳 

Applicant:

Wang Fang 

Study leader:

Wang Fang 

申请注册联系人电话:

Applicant telephone:

+86 13919302888

研究负责人电话:

Study leader's
telephone:

+86 13919302888

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:

ery_fwang@lzu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

ery_fwang@lzu.edu.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:

甘肃省兰州市城关区萃英门82号

研究负责人通讯地址:

甘肃省兰州市城关区萃英门82号

Applicant address:

82 Cuiying Road, Chengguan District, Lanzhou, Gansu, China

Study leader's address:

82 Cuiying Road, Chengguan District, Lanzhou, Gansu, China

申请注册联系人邮政编码:

Applicant postcode:

730000

研究负责人邮政编码:

Study leader's postcode:

730000

申请人所在单位:

兰州大学第二医院

Applicant's institution:

Lanzhou University Second Hospital

研究负责人所在单位:

兰州大学第二医院

Affiliation of the Leader:

Lanzhou University Second Hospital

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:

2021A-410

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:

兰州大学第二医院医学伦理委员会

Name of the ethic committee:

Medical Ethics committee of The Second Hospital of Lanzhou University

伦理委员会批准日期:

Date of approved by ethic committee:

2021-06-18 00:00:00

伦理委员会联系人:

任伟

Contact Name of the ethic committee:

Ren Wei

伦理委员会联系地址:

甘肃省兰州市城关区萃英门82号

Contact Address of the ethic committee:

82 Cuiying Road, Chengguan District, Lanzhou, Gansu, 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:

兰州大学第二医院

Primary sponsor:

Lanzhou University Second Hospital

研究实施负责(组长)单位地址:

甘肃省兰州市城关区萃英门82号

Primary sponsor's address:

82 Cuiying Road, Chengguan District, Lanzhou, Gansu, 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):

甘肃

市(区县):

兰州

Country:

China

Province:

Gansu

City:

Lanzhou

单位(医院):

兰州大学第二医院

具体地址:

城关区萃英门82号

Institution
hospital:

Lanzhou University Second Hospital

Address:

82 Cuiying Road, Chengguan District

经费或物资来源:

兰州大学项目

Source(s) of funding:

Lanzhou University Project

研究疾病:

薄型子宫内膜  

Target disease:

thin endometrium

研究疾病代码:

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:

主要目的:研究粒细胞集落刺激因子(G-CSF)在拟行辅助生殖的薄型子宫内膜患者中的有效性和安全性。  

Objectives of Study:

Main purpose: To investigate the efficacy and safety of granulocyte colony stimulating factor (G-CSF) in patients with thin endometrium undergoing assisted reproduction.

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.超声及宫腔镜检查发现子宫结构异常如子宫腺肌病、黏膜下子宫肌瘤、宫腔粘连、子宫内膜炎(CD38或CD138阳性者)、子宫内膜息肉、完全纵隔子宫、T型子宫等;
2.其他影响胚胎着床的因素如输卵管积水等;
3.合并严重肝、肾、心、肺功能障碍者、潜在感染、恶性肿瘤、血液系统疾病,尤其是骨髓中幼稚粒细胞未显著减少的骨髓性白血病患者或外周血中检出幼稚粒细胞的骨髓性白血病患者;
4.合并有神经、精神疾患而无法合作或不愿合作者;
5.G-CSF的禁忌症(镰状细胞性贫血症、上呼吸道感染、肺炎或慢性中性粒细胞减少症、自身免疫性血小板紫癜者);
6.近3个月使用过粒细胞集落刺激因子药物者;
7.研究者认为具有其他任何不宜参加本试验医学情况;
8.无1枚优质胚胎者。

Exclusion criteria:

1. Ultrasound and hysteroscopy found abnormal uterine structure such as adenomyosis, submucosal uterine fibroids, intrauterine adhesions, endometritis (positive for CD38 or CD138), endometrial polyps, completely septate uterus, T type uterus, etc.;
2. Other factors affecting embryo implantation such as hydrosalpinx;
3. Patients with severe liver, kidney, heart, and lung dysfunction, potential infection, malignant tumor, and hematological diseases, especially myeloid leukemia patients with no significant reduction in myeloid cells in the bone marrow or those with myeloid cells detected in peripheral blood. myeloid leukemia patients;
4. Combining with neurological and mental disorders and unable to cooperate or unwilling to cooperate;
5. Contraindications of G-CSF (sickle cell anemia, upper respiratory tract infection, pneumonia or chronic neutropenia, autoimmune platelet purpura);
6. Those who have used granulocyte colony-stimulating factor drugs in the past 3 months;
7. The researcher believes that there are any other medical conditions that are not suitable for participating in this trial;
8. Those who do not have 1 high-quality embryo.

研究实施时间:

Study execute time:

From 2021-09-01 00:00:00 To 2022-12-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-09-01 00:00:00 To 1990-01-01 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

104

Group:

Experimental group

Sample size:

干预措施:

粒细胞集落刺激因子

干预措施代码:

Intervention:

Granulocyte colony stimulating factor

Intervention code:

组别:

对照组

样本量:

104

Group:

Control group

Sample size:

干预措施:

生理盐水

干预措施代码:

Intervention:

Physiological saline

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

甘肃 

市(区县):

兰州 

Country:

China

Province:

Gansu

City:

Lanzhou

单位(医院):

兰州大学第二医院 

单位级别:

三级甲等 

Institution
hospital:

Lanzhou University Second Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川 

市(区县):

重庆 

Country:

China

Province:

Sichuan

City:

Chongqing

单位(医院):

重庆医科大学第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Chongqing Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

瑞安 

Country:

China

Province:

Guangdong

City:

Ruian

单位(医院):

瑞安市人民医院 

单位级别:

三级甲等 

Institution
hospital:

Ruian People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广东药科大学附属第三医院 

单位级别:

三级甲等 

Institution
hospital:

The Third Affiliated Hospital of Guangdong Pharmaceutical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北 

市(区县):

石家庄 

Country:

China

Province:

Hebei

City:

Shijiazhuang

单位(医院):

河北计划生育科学技术研究院 

单位级别:

三级甲等 

Institution
hospital:

Hebei Institute of Family Planning Science and Technology

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

青海 

市(区县):

西宁 

Country:

China

Province:

Qinghai

City:

Xining

单位(医院):

青海省人民医院和青海红十字医院七家生殖中心 

单位级别:

三级甲等 

Institution
hospital:

Seven reproductive centers of Qinghai Provincial People's Hospital and Qinghai Red Cross Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

子宫内膜厚度

指标类型:

主要指标

Outcome:

Endometrial thickness

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

临床妊娠率

指标类型:

主要指标

Outcome:

Clinical pregnancy rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胚胎移植着床率

指标类型:

主要指标

Outcome:

Implantation rate of embryo transfer

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

取消周期率

指标类型:

次要指标

Outcome:

Cancel the period rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

多胎妊娠率

指标类型:

次要指标

Outcome:

Multiple pregnancy rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

早期流产率

指标类型:

次要指标

Outcome:

Early abortion rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

分娩率

指标类型:

次要指标

Outcome:

births

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

活产率

指标类型:

次要指标

Outcome:

Live-birth rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

新生儿出生体重

指标类型:

次要指标

Outcome:

Birth weight

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

新生儿异常情况

指标类型:

次要指标

Outcome:

Neonatal abnormalities

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

新生儿Apgar评分

指标类型:

次要指标

Outcome:

Neonatal Apgar score

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 20 years
最大 Max age 45 years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

本研究采用第三方中央随机化系统(IWRS),按照区组竞争入组随机的方法实施,随机过程对研究者保持盲态。试验组和对照组的比例为1:1。 受试者筛选成功后,由药物管理员登录中央随机化系统,根据系统提示输入受试者基本信息,包括受试者筛选号和姓名缩写等。随机系统根据不同中心作为分层因素进行随机分配,给出受试者编码(SSID,6位)和随机号(4位),每位受试者的SSID号和随机号均是唯一且被相互绑定的。 随机号产生后,由药物管理员再次登录中央随机化系统,根据随机系统的分组提示信息,告知临床研究者受试者组别,并对受试者进行相应的干预。

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

The third party central randomization system (IWRS) was used in this study, and the randomization process was carried out according to the block competition randomization method. The randomization process was kept blind to the researcher. The ratio of experimental group and control group was 1:1. After successful

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:

对受试者(患者)、疗效评价者(医生)施盲。 设盲方法:研究者和药物管理员登录中央随机化系统的权限各自独立,由研究者和统计人员分别登录操作。盲底信息由随机化系统隐藏,以避免研究者获取。在病例报告表中仅体现受试者的随机号,不体现受试者的组别。研究者和评价者在研究过程中和研究评价时均不知道受试者组别。研究药物采用避光输液器和遮光罩遮挡输注,避免受试者或其他参与研究的人员了解组别信息。研究过程中,只有药物管理员和研究者了解受试者的组别信息,但他们不参与研究数据收集和研究结果评价。所有参与研究的人员均签署保密承诺书,避免泄盲。 紧急破盲:当受试者发生紧急情况需要知道其组别时,研究者可在随机系统内进行紧急破盲,随机系统会告知该受试者的分组信息,并记录紧急破盲操作。紧急破盲后,研究者应在24小时内与监查员取得联系,报告破盲原因。破盲后研究者需在病例报告表中详细记录破盲的理由、日期、处理情况和处理结果并签字。破盲后的受试者必须退出研究。

Blinding:

Blind subjects (patients) and efficacy evaluators (doctors). Blind method: the investigator and the drug administrator have independent access to the central randomization system, and the investigator and statistician log in separately. The blind background information is hidden by the randomization system to avoid researchers' access. Only the random number of the subject is reflected in the case report form, but the group of the subject is not reflected. Neither the investigator nor the evaluator knew the subject group during the study or at the time of study evaluation. The study drugs were administered with a light-repellent infusion device and a light shield to prevent subjects or other study participants from learning about the group information. During the study, only the pharmacists and researchers are aware of the group information of the subjects, but they do not participate in the collection of study data and the evaluation of study results. All participants in the study signed a confidentiality commitment to avoid blindness. Emergency blindness: When a subject needs to know his/her group in an emergency, the researcher can perform emergency blindness in the randomization system, which will inform the grouping information of the subject and record the emergency blindness operation. After emergency blindness, the investigator should contact the inspector within 24 hours to report the cause of the blindness. After the blindness is broken, the researcher should record the reason, date, treatment situation and treatment result in detail in the case report form and sign it. Subjects must drop out of the study after blindness is broken.

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

是Yes

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):

2025.7.30上传中国临床试验注册中心

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

Upload to the China Clinical Trial Registration center on July 30,2025

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:

使用病例记录表采集和管理数据

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

Collect and manage data using CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2021-08-10 04:28:40