评价血必净注射液对慢性阻塞性肺疾病急性发作(AECOPD)改善作用的随机、对照、多中心临床研究

注册号:

Registration number:

ChiCTR-IPR-17011667 

最近更新日期:

Date of Last Refreshed on:

2017-06-15 08:56:13 

注册时间:

Date of Registration:

2017-06-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

评价血必净注射液对慢性阻塞性肺疾病急性发作(AECOPD)改善作用的随机、对照、多中心临床研究

Public title:

Evaluate the Efficacy ofXuebijingInjection in Acute Exacerbations of COPD: a Multicentre Randomised Controlled Trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

评价血必净注射液对慢性阻塞性肺疾病急性发作(AECOPD)改善作用的随机、对照、多中心临床研究

Scientific title:

Evaluate the Efficacy ofXuebijingInjection in Acute Exacerbations of COPD: a Multicentre Randomised Controlled Trial

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:

谢社玲 

研究负责人:

解立新 

Applicant:

Sheling Xie 

Study leader:

Lixin Xie 

申请注册联系人电话:

Applicant telephone:

+86 13810313125

研究负责人电话:

Study leader's
telephone:

+86 13911252807

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:

wpq312@163.com

研究负责人电子邮件:

Study leader's E-mail:

xielx@126.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:

北京市海淀区复兴路28号

研究负责人通讯地址:

北京市海淀区复兴路28号

Applicant address:

28 Fuxing Road, Haidian District, Beijing

Study leader's address:

28 Fuxing Road, Haidian District, Beijing

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:

中国人民解放军总医院

Applicant's institution:

Chinese PLA General Hospital

研究负责人所在单位:

中国人民解放军总医院

Affiliation of the Leader:

Chinese PLA General 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:

S2016-061-01

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:

中国人民解放军总医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Chinese People’s Liberation Army General Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2016-07-07 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:

中国人民解放军总医院

Primary sponsor:

Chinese PLA General Hospital

研究实施负责(组长)单位地址:

北京市海淀区复兴路28号

Primary sponsor's address:

28 Fuxing Road, Haidian District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

中国人民解放军总医院

具体地址:

北京市海淀区复兴路28号

Institution
hospital:

Chinese PLA General Hospital

Address:

28 Fuxing Road, Haidian District, Beijing

经费或物资来源:

国家卫生计生委医药卫生科技发展研究中心

Source(s) of funding:

Development Center for Medical Science and Technology National Health and Family Planning Commission of the People’s Republic of China

研究疾病:

慢性阻塞性肺疾病急性发作  

Target disease:

Acute exacerbation of chronic obstructive pulmonary disease (AECOPD)

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:

评价血必净注射液对AECOPD的改善作用和安全性,及其作用机制的初步探讨  

Objectives of Study:

To assess the efficacy and safety of Xuebijing injection for acute exacerbation of chronic obstructive pulmonary disease(AECOPD), and explore its action mechanism preliminary.

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.孕妇、哺乳期妇女
2.对血必净及其成分过敏,或严重过敏体质者
3.本次急性发作超过72小时
4.精神疾病患者
5.严重原发性疾病(活动性肺结核、哮喘、囊性肺纤维化、肺结节病、肺间质纤维化、不能控制的恶性肿瘤、血液疾病、老年痴呆和HIV等)
6.伴发肺栓塞、休克、DIC、急性心肌梗死、上消化道出血、气胸、心功能≥IV级、严重肝肾功能障碍(SOFA评分肝或肾脏单项≥3分)
7.AECOPD合并严重低氧血症者,氧合指数<150或有创机械通气的患者
8.30天内参加过其他干预性临床研究
9.研究者判断不能完成或不宜参加本研究者(持续1个月以上的血液透析、脏器移植术后、存在潜在医疗纠纷风险、心衰限制液体量者等)

Exclusion criteria:

1. Pregnant women, lactating women;
2. Be allergic to Xuebijing or severe allergic constitution;
3. Acute exacerbation of COPD onset of more than 72 hours;
4. Mental incompetence or active psychiatric illness;
5. Primary diseasesActive tuberculosis, Asthma, Cystic fibrosis, Pulmonary sarcoidosis, Pulmonary interstitial fibrosis, Malignant neoplasms, Blood system diseases, senile dementia, HIV;
6. ComplicationsPulmonary embolism, Shock, DIC, Unstable cardiovascular disease, Upper gastrointestinal bleeding, Pneumothorax, Nyha class IV or higher, Severe liver and kidney dysfunction;
7. AECOPD with severe hypoxemiaoxygenation index <150 or received Endotracheal intubation invasive mechanical ventilation;
8. Participation in another experimental protocol within 30 days of study entry;
9. The investigator judged that the subject could not be completed or should not participate in the trialHemodialysis more than 1 mouthOrgan transplant patients with potential medical dispute.

研究实施时间:

Study execute time:

From 2017-01-01 00:00:00 To 2019-03-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2017-07-01 00:00:00 To 2018-12-31 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

150

Group:

Experimental

Sample size:

干预措施:

50ml血必净+100ml0.9%NaCl,q12h静滴60mins,疗程5天

干预措施代码:

Intervention:

Xuebijing injection 50ml in 100ml of Normal Saline IV, in 60mins, per 12 hours. administration of the agent for consecutive 5 days

Intervention code:

组别:

对照组

样本量:

150

Group:

Comparator

Sample size:

干预措施:

150ml0.9%NaCl,q12h静滴60mins,疗程5天

干预措施代码:

Intervention:

Normal Saline 150ml IV, in 60mins, per 12 hours. administration of the agent for consecutive 5 days

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

中国人民解放军总医院 

单位级别:

三级甲等 

Institution
hospital:

Chinese PLA General Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

中国人民解放军总医院第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

First Hospitals affiliated to the China PLA General Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

海军总医院 

单位级别:

三级甲等 

Institution
hospital:

Navy General Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

中国人民解放军火箭军总医院 

单位级别:

三级甲等 

Institution
hospital:

Chinese People's Liberation ArmyRocket Force General Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

中国人民解放军第三零七医院 

单位级别:

三级甲等 

Institution
hospital:

Chinese People's Liberation Army307 Hospital of PLA

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京世纪坛医院 

单位级别:

三级甲等 

Institution
hospital:

Beijing Shijitan Hospital,Capital Medical University

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

天津 

市(区县):

 

Country:

China

Province:

Tianjin

City:

单位(医院):

天津市第一中心医院 

单位级别:

三级甲等 

Institution
hospital:

Tianjin First Center Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

辽宁 

市(区县):

沈阳 

Country:

China

Province:

Liaoning

City:

Shenyang

单位(医院):

沈阳军区总医院 

单位级别:

三级甲等 

Institution
hospital:

General Hospital of Shenyang Military

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

辽宁 

市(区县):

沈阳 

Country:

China

Province:

Liaoning

City:

Shenyang

单位(医院):

中国医科大学附属第四医院 

单位级别:

三级甲等 

Institution
hospital:

The Fourth Affiliated Hospital of China Medical University

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

气管插管有创机械通气率

指标类型:

主要指标

Outcome:

Invasive mechanical ventilation 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:

28天病死率

指标类型:

次要指标

Outcome:

28-day mortality

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血气分析结果(包括血乳酸)

指标类型:

次要指标

Outcome:

Blood gas analysis (including blood lactic acid)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

APACHEⅡ评分改善程度评价

指标类型:

次要指标

Outcome:

APACHE II score improvement

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

实验室指标评价:血尿常规、肝肾功能、凝血功能

指标类型:

次要指标

Outcome:

Laboratory index: blood routine and routine urine, hepatic and renal functions, coagulative function

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

炎症指标

指标类型:

次要指标

Outcome:

Inflammatory indicators

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

免疫指标

指标类型:

次要指标

Outcome:

immunity indexes

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

并发症发生情况

指标类型:

次要指标

Outcome:

Complications

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院时间和住ICU时间

指标类型:

次要指标

Outcome:

Length of stay in hospital and ICU

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:

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

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:

标本中文名:

便

组织:

Sample Name:

stool

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 85 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):

采用中央随机化系统(IWRS),试验组和对照组的受试者比例为1:1。

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

Randomization was completed by an independent data center using an interactive web response system (IWRS). The enrolled patients were randomized into two groups in a 1:1 ratio.

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:

Blinding:

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):

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):

Chinese Clinical Trial Registry

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:

电子数据采集系统由IBM Clinical Development支持,数据管理程序符合ICH-GCP

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

Electronic data capture system supported by IBM Clinical Development and data management process compliance with ICH-GCP

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2017-06-15 08:56:13