基于Th17/Treg平衡探讨骨痨汤对骨结核性免疫紊乱及肝损的调节机制

注册号:

Registration number:

ChiCTR2200058336 

最近更新日期:

Date of Last Refreshed on:

2022-12-11 17:58:45 

注册时间:

Date of Registration:

2022-04-06 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于Th17/Treg平衡探讨骨痨汤对骨结核性免疫紊乱及肝损的调节机制

Public title:

To explore the regulatory mechanism of Gulao Decoction on bone tuberculosis immune disorder and liver damage based on Th17 / Treg balance

注册题目简写:

English Acronym:

研究课题的正式科学名称:

骨痨汤对骨结核性免疫紊乱及肝损的调节机制

Scientific title:

Regulatory mechanism of Gulao Decoction on bone tuberculosis immune disorder and liver damage

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:

ChiMCTR2200005817

申请注册联系人:

卞恒杰 

研究负责人:

王睿 

Applicant:

Bian Hengjie 

Study leader:

Wang Rui 

申请注册联系人电话:

Applicant telephone:

+86 15195755820

研究负责人电话:

Study leader's
telephone:

+86 13912966161

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:

635113750@qq.com

研究负责人电子邮件:

Study leader's E-mail:

626833435@qq.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:

江苏省南京市孝陵卫179号

研究负责人通讯地址:

江苏省南京市孝陵卫179号

Applicant address:

179 Xiaolingwei Street, Nanjing, Jiangsu

Study leader's address:

179 Xiaolingwei Street, Nanjing, Jiangsu

申请注册联系人邮政编码:

Applicant postcode:

210014

研究负责人邮政编码:

Study leader's postcode:

210014

申请人所在单位:

南京市中西医结合医院

Applicant's institution:

Nanjing Integrated Traditional Chinese and Western Medicine Hospital

研究负责人所在单位:

南京市中西医结合医院

Affiliation of the Leader:

Nanjing Integrated Traditional Chinese and Western Medicine 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:

2022016

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:

南京市中西医结合医院伦理委员会

Name of the ethic committee:

Ethics Committee of Nanjing Integrated Traditional Chinese and Western Medicine Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2022-02-22 00:00:00

伦理委员会联系人:

刘万里

Contact Name of the ethic committee:

Liu Wanli

伦理委员会联系地址:

江苏省南京市孝陵卫179号

Contact Address of the ethic committee:

179 Xiaolingwei Street, Nanjing, Jiangsu

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 25 85370737

伦理委员会联系人邮箱:

Contact email of the ethic committee:

215580038@qq.com

研究实施负责(组长)单位:

南京市中西医结合医院

Primary sponsor:

Nanjing Integrated Traditional Chinese and Western Medicine Hospital

研究实施负责(组长)单位地址:

江苏省南京市孝陵卫179号

Primary sponsor's address:

179 Xiaolingwei Street, Nanjing, Jiangsu

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

江苏

市(区县):

南京

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

南京市中西医结合医院

具体地址:

孝陵卫179号

Institution
hospital:

Nanjing Integrated Traditional Chinese and Western Medicine Hospital

Address:

179 Xiaolingwei Street

经费或物资来源:

医院资助

Source(s) of funding:

Hospital funding

研究疾病:

骨结核  

Target disease:

Bone tuberculosis

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:

探索性研究/预试验 

Study phase:

0

研究设计:

横断面 

Study design:

Cross-sectional 

研究目的:

探索骨痨汤通过Th17/Treg平衡对骨结核患者免疫紊乱及肝损的调节机制,为骨痨汤减毒增效的临床作用提供确切依据,发掘抗结核疗效特异性指标。  

Objectives of Study:

To explore the regulatory mechanism of tuberculosis soup on immune disorders and liver damage in patients with bone tuberculosis through Th17/Treg balance, to provide the exact basis for the clinical effect of tuberculosis soup in attenuating toxicity and enhancing efficacy, and to explore the specific indexes of anti-tuberculosis efficacy.

药物成份或治疗方案详述:

骨痨汤:拳参10g、虎杖10g、瓜子金10g、忍冬藤10g、黄芪15g、赤芍10g、怀牛膝10g、徐长卿10g、紫花地丁10g、当归10g。由医院煎药室统一熬制,浓缩成300ml平均分装2袋,早晚各服1袋。 利福平:针剂,0.45g/支,批准文号:国药准字H20041320;生产厂家:重庆华邦制药有限公司;用法:溶解于10ml灭菌注射用水,配5%葡萄糖注射液500ml静滴,每日一次;胶囊,150mg/粒,批准文号:国药准字H21021905;生产厂家:沈阳红旗制药有限公司;用法:450mg口服,每日一次,晨服;针剂使用4周,4周后改为胶囊。 异烟肼片:0.1g/片,批准文号:国药准字H33021636;生产厂家:杭州民生药业集团有限公司;用法:0.3g口服,每日一次,晨服。 盐酸乙胺丁醇片:0.25g/片,批准文号:国药准字H42022126;生产厂家:宜昌人福药业有限责任公司;用法:0.75g口服,每日一次,晨服。 试验组:骨痨汤+标准抗结核(利福平+异烟肼+乙胺丁醇)。 对照组:标准抗结核(利福平+异烟肼+乙胺丁醇)。 

Description for medicine or protocol of treatment in detail:

Gulao Decoction: 10 g of Radix Codonopsis, 10 g of Polygonum cuspidatum, 10 g of melon seed gold, 10 g of honeysuckle vine, 15 g of astragalus root, 10 g of red peony root, 10 g of Achyranthes bidentata, 10 g of Xu Changqing, 10 g of Viola and 10 g of Angelica sinensis. It is uniformly brewed by the decocting room of the hospital, concentrated into 300ml, evenly packed into 2 bags, and taken in the morning and evening. Rifampicin: injection, 0.45g/dose, approval No.: gyzz h20041320; Manufacturer: Chongqing Huabang Pharmaceutical Co., Ltd.; Usage: dissolve in 10ml of sterilized water for injection, add 500ml of 5% glucose injection intravenously, once a day; Capsule, 150mg / capsule, approval No.: gyzz h21021905; Manufacturer: Shenyang Hongqi Pharmaceutical Co., Ltd.; Usage: 450mg orally, once a day, taken in the morning; The injection was used for 4 weeks and changed to capsule after 4 weeks. Isoniazid tablets: 0.1g/tablet, approval number: gyzz h33021636; Manufacturer: Hangzhou Minsheng Pharmaceutical Group Co., Ltd.; Usage: 0.3g orally, once a day, taken in the morning. Ethambutol hydrochloride tablets: 0.25g/tablet, approval number: gyzz h42022126; Yichang Pharmaceutical Co., Ltd.; Usage: 0.75g orally, once a day, taken in the morning. Experimental group: Gulao Decoction + standard anti tuberculosis (rifampicin + isoniazid + ethambutol). Control group: Standard anti tuberculosis (rifampicin + isoniazid + ethambutol). 

纳入标准:

Inclusion criteria

排除标准:

1.化脓性脊柱炎、终板炎、脊柱肿瘤、强直性脊柱炎、腰椎间盘突出症等相关鉴别诊断疾病;
2.有心、脑、肝、肾及造血等系统严重原发性疾病者;
3.艾滋病等免疫缺陷疾病;
4.精神类疾病;
5.严重过敏体质等患者。

Exclusion criteria:

1. Suppurative spondylitis, endlaminitis, spinal tumor, ankylosing spondylitis, lumbar disc herniation and other related differential diagnosis diseases;
2. Patients with serious primary diseases of the heart, brain, liver, kidney and hematopoietic system;
3. Immunodeficiency diseases such as AIDS;
4. Mental diseases;
5. Patients with severe allergies.

研究实施时间:

Study execute time:

From 2023-01-01 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-01-01 00:00:00 To 2024-12-31 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

34

Group:

Experimental group

Sample size:

干预措施:

骨痨汤+标准抗结核

干预措施代码:

Intervention:

Gulao Decoction + standard anti tuberculosis

Intervention code:

组别:

对照组

样本量:

34

Group:

Control group

Sample size:

干预措施:

标准抗结核

干预措施代码:

Intervention:

Standard anti tuberculosis

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江苏 

市(区县):

南京 

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

南京市中西医额结合医院 

单位级别:

三甲 

Institution
hospital:

Nanjing Integrated Traditional Chinese and Western Medicine Hospital

Level of the institution:

Teritary A

测量指标:

Outcomes:

指标中文名:

Th17/Treg

指标类型:

主要指标

Outcome:

Th17/Treg

Type:

Primary indicator

测量时间点:

试验开始时、试验4周、试验12周

测量方法:

Measure time point of outcome:

At the beginning of the test, 4 weeks and 12 weeks

Measure method:

指标中文名:

谷草转氨酶

指标类型:

主要指标

Outcome:

AST

Type:

Primary indicator

测量时间点:

试验开始时、试验4周、试验12周

测量方法:

Measure time point of outcome:

At the beginning of the test, 4 weeks and 12 weeks

Measure method:

指标中文名:

谷丙转氨酶

指标类型:

主要指标

Outcome:

ALT

Type:

Primary indicator

测量时间点:

试验开始时、试验4周、试验12周

测量方法:

Measure time point of outcome:

At the beginning of the test, 4 weeks and 12 weeks

Measure method:

指标中文名:

尿CTX-Ⅰ

指标类型:

主要指标

Outcome:

Urinary CTX-I

Type:

Primary indicator

测量时间点:

试验开始时、试验4周、试验12周

测量方法:

Measure time point of outcome:

At the beginning of the test, 4 weeks and 12 weeks

Measure method:

指标中文名:

尿吡啶啉

指标类型:

主要指标

Outcome:

Urinary pyridinoline

Type:

Primary indicator

测量时间点:

试验开始时、试验4周、试验12周

测量方法:

Measure time point of outcome:

At the beginning of the test, 4 weeks and 12 weeks

Measure method:

指标中文名:

尿脱氧吡啶啉

指标类型:

主要指标

Outcome:

Urinary deoxypyridinoline

Type:

Primary indicator

测量时间点:

试验开始时、试验4周、试验12周

测量方法:

Measure time point of outcome:

At the beginning of the test, 4 weeks and 12 weeks

Measure method:

指标中文名:

相关炎症因子

指标类型:

主要指标

Outcome:

Related inflammatory factors

Type:

Primary indicator

测量时间点:

试验开始时、试验4周、试验12周

测量方法:

Measure time point of outcome:

At the beginning of the test, 4 weeks and 12 weeks

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:

标本中文名:

尿液

组织:

Sample Name:

urine

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 80 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):

骨结核患者68例,试验负责人使用SAS9.3统计软件包生成随机数字表,随机分为试验组和观察组各34例;

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

68 patients with bone tuberculosis were treated with sas9 3 the statistical software package generates a random number table, which is randomly divided into experimental group and observation group, with 34 cases in each group;

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

否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):

-

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:

有/Yes

注册人:

Name of Registration:

 2022-04-06 23:47:19