周围神经交叉移位治疗出血性脑卒中后上肢偏瘫的III期多中心临床试验

注册号:

Registration number:

ChiCTR-IIR-17011173 

最近更新日期:

Date of Last Refreshed on:

2017-04-18 17:13:14 

注册时间:

Date of Registration:

2017-04-18 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

周围神经交叉移位治疗出血性脑卒中后上肢偏瘫的III期多中心临床试验

Public title:

Phase III Multi-center Trial of Peripheral Nerve Rewiring for Treating Hemiplegic Upper Extremity after Hemorrhagic Stroke

注册题目简写:

English Acronym:

研究课题的正式科学名称:

周围神经交叉移位治疗出血性脑卒中后上肢偏瘫的III期多中心临床试验

Scientific title:

Phase III Multi-center Trial of Peripheral Nerve Rewiring for Treating Hemiplegic Upper Extremity after Hemorrhagic Stroke

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:

华续赟 

研究负责人:

徐文东 

Applicant:

Xuyun Hua 

Study leader:

Wendong Xu 

申请注册联系人电话:

Applicant telephone:

+86 13564020161

研究负责人电话:

Study leader's
telephone:

+86 18916120869

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:

swrhxy@126.com

研究负责人电子邮件:

Study leader's E-mail:

wendongxu@fudan.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:

上海市西康路259号3号楼8楼

研究负责人通讯地址:

上海市西康路259号3号楼8楼

Applicant address:

8th Floor, 3 Building, 259 Xikang Road, Shanghai, China

Study leader's address:

8th Floor, 3 Building, 259 Xikang Road, Shanghai, China

申请注册联系人邮政编码:

Applicant postcode:

200040

研究负责人邮政编码:

Study leader's postcode:

200040

申请人所在单位:

复旦大学附属华山医院

Applicant's institution:

Huashan Hospital Affiliated to Fudan University

研究负责人所在单位:

复旦大学附属华山医院

Affiliation of the Leader:

Huashan Hospital Affiliated to Fudan University

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:

2014-002

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:

复旦大学附属华山医院伦理审查委员会

Name of the ethic committee:

Institutional Review Boards of Huashan Hospital affiliated to Fudan University

伦理委员会批准日期:

Date of approved by ethic committee:

2014-01-25 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:

复旦大学附属华山医院

Primary sponsor:

Huashan Hospital affiliated to Fudan University

研究实施负责(组长)单位地址:

上海市静安区乌鲁木齐中路12号

Primary sponsor's address:

12 Middle Wulumuqi Road, Jingan, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

静安区

Country:

China

Province:

Shanghai

City:

Jingan District

单位(医院):

复旦大学附属华山医院

具体地址:

上海市静安区乌鲁木齐中路12号

Institution
hospital:

Huashan Hospital affiliated to Fudan University

Address:

12 Middle Wulumuqi Road,Jingan, Shanghai

经费或物资来源:

国家863计划

Source(s) of funding:

Programs in 863 Project

研究疾病:

出血性脑卒中  

Target disease:

Hemorrhagic Stroke

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:

III期临床试验 

Study phase:

3

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

证实出血性脑卒中慢性期可以通过周围神经交叉移位手术诱发健侧大脑半球发生新的脑重塑,从而增强瘫痪上肢的功能恢复,为恢复脑卒中慢性期的肢体偏瘫提供新的治疗思路和方法。  

Objectives of Study:

To investigate patients with hemiplegic hand at the chronic stage of hemorrhagic stroke can be treated by peripheral nerve rewiring (PNR) surgery by inducing contralesional hemisphere compensation. We aimed to provide a new concept and method for treating hemiplegic paralysis for chronic stage stroke.

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)有糖尿病、心肺疾病等严重系统性疾病不能耐受手术者;
(2)确诊精神病、重度抑郁症(有自杀倾向)或癫痫患者、有精神病或癫痫的家族史者;
(3)存在挛缩或骨关节畸形;
(4)6个月内进行过肉毒素注射治疗

Exclusion criteria:

(1) Presence of severe systemic diseases such as diabetes mellitus or cardiopulmonary diseases, contraindicating surgery;
(2) A family history of psychosis, major depression, suicidal ideation, or epilepsy, mental illness, or epilepsy;
(3) Presence of severe, fixed contracture or joint deformity;
(4) Have received Botulinum toxin injection in 6 monthes before adimission.

研究实施时间:

Study execute time:

From 2017-05-01 00:00:00 To 2020-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2017-05-01 00:00:00 To 2018-12-31 00:00:00

干预措施:

Interventions:

组别:

手术组

样本量:

80

Group:

Surgery Group

Sample size:

干预措施:

周围神经交叉移位术+康复治疗

干预措施代码:

Intervention:

Peripheral nerve rewiring surgery + rehabilitation therapy

Intervention code:

组别:

对照组

样本量:

80

Group:

Control group

Sample size:

干预措施:

康复治疗

干预措施代码:

Intervention:

rehabilitation therapy

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

黑龙江 

市(区县):

哈尔滨 

Country:

China

Province:

Heilongjiang

City:

Harbin

单位(医院):

哈尔滨市第一医院 

单位级别:

三甲 

Institution
hospital:

No. 1 Hospital of Harbin

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

吉林 

市(区县):

长春 

Country:

China

Province:

Jilin

City:

Changchun

单位(医院):

吉林大学中日联谊医院 

单位级别:

三甲 

Institution
hospital:

China-Japan Union Hospital of Jilin

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):

沈阳医学院附属中心医院 

单位级别:

三甲 

Institution
hospital:

Central Hospital Affiliated to Shenyang Medical College

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

宁夏回族自治区 

市(区县):

银川 

Country:

China

Province:

Ningxia Hui Autonomous Region

City:

Yingchuan

单位(医院):

武警宁夏总队医院 

单位级别:

三甲 

Institution
hospital:

Ningxia Armed Police Corps Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

内蒙古自治区 

市(区县):

呼和浩特 

Country:

China

Province:

Inner Mongolia Autonomous region

City:

Hohhot

单位(医院):

内蒙古医科大学附属第二医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital of Inner Mongolia Medical University

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Nantong University

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

Fugl-Meyer量表

指标类型:

主要指标

Outcome:

Fugl-Meyer Scale

Type:

Primary indicator

测量时间点:

干预前及干预后2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

Wolf 量表

指标类型:

次要指标

Outcome:

Wolf Scale

Type:

Secondary indicator

测量时间点:

干预前及干预后2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

Modified Ashworth Scale量表

指标类型:

次要指标

Outcome:

Modified Ashworth Scale

Type:

Secondary indicator

测量时间点:

干预前及干预后1周、2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

患侧上肢肌力

指标类型:

次要指标

Outcome:

Muscle Power of the Affected Upper Extremity

Type:

Secondary indicator

测量时间点:

干预前及干预后1周、2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 1 week, 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

患侧上肢触觉阈值

指标类型:

次要指标

Outcome:

Tactile threshold of the Affected Upper Extremity

Type:

Secondary indicator

测量时间点:

干预前及干预后1周、2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 1 week, 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

健侧上肢肌力

指标类型:

副作用指标

Outcome:

Muscle Power of the Normal Upper Extremity

Type:

Adverse events

测量时间点:

干预前及干预后1周、2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 1 week, 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

健侧上肢触觉阈值

指标类型:

副作用指标

Outcome:

Tactile threshold of the Normal Upper Extremity

Type:

Adverse events

测量时间点:

干预前及干预后1周、2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 1 week, 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

关节活动度

指标类型:

次要指标

Outcome:

Range of motion of the joint

Type:

Secondary indicator

测量时间点:

干预前及干预后2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 1 week, 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

MMSE量表

指标类型:

次要指标

Outcome:

MMSE Scale

Type:

Secondary indicator

测量时间点:

干预前及干预后2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 1 week, 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

汉密尔顿抑郁量表

指标类型:

次要指标

Outcome:

Hamilton Depression Rating Sc

Type:

Secondary indicator

测量时间点:

干预前及干预后2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 1 week, 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

指标中文名:

生活质量评价量表SF-36

指标类型:

次要指标

Outcome:

the MOS item short from health survey, SF-36

Type:

Secondary indicator

测量时间点:

干预前及干预后2、4、6、8、10、12月

测量方法:

Measure time point of outcome:

Pre-interventiaon and at 1 week, 2, 4, 6, 8, 10, 12 months after intervention

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

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 35 years
最大 Max age 60 years

性别:

男性

Gender:

Male

随机方法(请说明由何人用什么方法产生随机序列):

由第三方采用软件随机数方法进行随机分组

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

Software for generating random numbers was used for randomization by a third party

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:

检查者单盲法

Blinding:

examiner-blinded

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):

复旦大学附属华山医院

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

Huashan Hospital, Fudan University

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:

复旦大学附属华山医院

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

Huashan Hospital, Fudan University

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2017-04-18 17:13:14