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注册号: Registration number: |
ChiCTR2300074040 |
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最近更新日期: Date of Last Refreshed on: |
2023-07-27 18:21:45 |
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注册时间: Date of Registration: |
2023-07-27 00:00:00 |
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注册号状态: |
补注册 |
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Registration Status: |
Retrospective registration |
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注册题目: |
氢溴酸樟柳碱注射液治疗急性缺血性脑卒中的Ⅲ期临床试验 |
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Public title: |
Phase III clinical trial of anisodine hydrobromide injection in the treatment of acute ischemic stroke |
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注册题目简写: |
樟柳碱Ⅲ期 |
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English Acronym: |
Anisodine Phase III |
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研究课题的正式科学名称: |
氢溴酸樟柳碱注射液治疗急性缺血性脑卒中的有效性和安全性 前瞻性、多中心、随机、双盲、安慰剂平行对照临床试验 |
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Scientific title: |
Prospective, multicenter, randomized, double-blind, placebo-controlled clinical trial of the efficacy and safety of anisodine hydrobromide injection in the treatment of acute ischemic stroke |
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研究课题代号(代码): Study subject ID: |
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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: |
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申请注册联系人: |
万峰 |
研究负责人: |
王拥军 |
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Applicant: |
Wan Feng |
Study leader: |
Wang Yongjun |
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申请注册联系人电话: Applicant telephone: |
+86 136 7803 8143 |
研究负责人电话:
Study leader's |
+86 139 1117 2565 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
13678038143@126.com |
研究负责人电子邮件: Study leader's E-mail: |
yongjunwang111@aliyun.com |
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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): |
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申请注册联系人通讯地址: |
四川省彭州市天彭镇东三环路二段133号 |
研究负责人通讯地址: |
北京市丰台区南四环西路119号 |
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Applicant address: |
133 Second Section, East Third Ring Road, Tianpeng Town, Pengzhou, Sichuan, China |
Study leader's address: |
119 South Fourth Ring West Road, Fengtai District, Beijing,China |
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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: |
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申请人所在单位: |
成都第一制药有限公司 |
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Applicant's institution: |
Chengdu First Pharmaceutical |
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研究负责人所在单位: |
首都医科大学附属北京天坛医院 |
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Affiliation of the Leader: |
Beijing Tiantan Hospital,Capital,Medical University |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
YW2022-022-02 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
首都医科大学附属北京天坛医院医学伦理委员会 |
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Name of the ethic committee: |
IRB of Beijing Tiantan Hospital,Capital Medical University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2022-05-30 00:00:00 | ||
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伦理委员会联系人: |
肖淑萍 |
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Contact Name of the ethic committee: |
Xiao Shuping |
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伦理委员会联系地址: |
北京市丰台区南四环西路119号 |
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Contact Address of the ethic committee: |
119 South Fourth Ring West Road, Fengtai District, Beijing,China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 10 5997 8555 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
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研究实施负责(组长)单位: |
首都医科大学附属北京天坛医院 |
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Primary sponsor: |
Beijing Tiantan Hospital,Capital,Medical University |
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研究实施负责(组长)单位地址: |
北京市丰台区南四环西路119号 |
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Primary sponsor's address: |
119 South Fourth Ring West Road, Fengtai District, Beijing,China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
成都第一制药有限公司 |
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Source(s) of funding: |
Chengdu First Pharmaceutical |
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研究疾病: |
急性缺血性脑卒中 |
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Target disease: |
acute ischemic stroke |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
III期临床试验 | ||||||||||||||||||||||
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Study phase: |
3 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
主要目的: 在静脉溶栓治疗的基础上,评价氢溴酸樟柳碱注射液与安慰剂平行 对照治疗发病 24 小时内的急性缺血性脑卒中患者的有效性。 次要目的: 在静脉溶栓治疗的基础上,评价氢溴酸樟柳碱注射液与安慰剂平行 对照治疗发病 24 小时内的急性缺血性脑卒中患者的安全性 。 |
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Objectives of Study: |
Main purpose: On the basis of intravenous thrombolytic therapy, evaluate the parallel of anisodine hydrobromide injection and placebo The effectiveness of controlled treatment for acute ischemic stroke patients within 24 hours of onset. Secondary purpose: On the basis of intravenous thrombolytic therapy, evaluate the parallel of anisodine hydrobromide injection and placebo The safety of controlled treatment for acute ischemic stroke patients within 24 hours of onset. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
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Inclusion criteria |
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排除标准: |
(1) 随机入组前3个月内参加了其它药物/器械临床研究并使用了试验药物/器械者; (2) 此次入院后CT/MRI提示大面积梗死; 注:根据影像学显示梗死范围定义,包括“大脑半球大面积梗死”(发病6h内CT平扫显示梗死区>1/3大脑中动脉供血区,或发病6h后至7d内CT平扫显示梗死区>1/2大脑中动脉供血区;或发病6h内MRI-DWI显示梗死体积>80ml,或发病14h内MRI-DWI显示梗死体积>145ml)和“小脑大面积脑梗死”(采用影像梗死直径>3cm)[1]。 (3) 溶栓后、给药前症状恶化,NIHSS评分增加2分及以上者; (4) 此次发病已接受或拟接受血管内治疗(包括:血管内机械取栓、血管内血栓抽吸、动脉溶栓、血管成形术及支架置入术等)者或动静脉桥接治疗者; (5) 静脉溶栓前症状迅速改善的卒中,或怀疑为其他原因导致的急性缺血症状; (6) 此次入院后CT/MRI提示颅内出血(脑实质出血、脑室内出血、蛛网膜下腔出血、硬膜下/外血肿)的证据,或研究者判断有颅内出血的症状提示; (7) 既往有颅内出血史;筛选前3个月内有严重头颅外伤史、卒中史或心梗病史; (8) 伴有颅内肿瘤、巨大颅内动脉瘤; (9) 伴有主动脉弓夹层; (10) 筛选前2周内有大型外科手术;或筛选前3个月内有过颅内或椎管内手术; (11) 当前伴有活动性内脏出血;或筛选前1周内有在不易压迫止血部位的动脉穿刺;或筛选前3周内发生过胃肠或泌尿系统出血; (12) 已知有急性出血倾向者,包括:血小板计数<100×109/L、合并血友病等;或部分活化凝血酶时间大于正常上限的3倍者; (13) 口服抗凝剂,且国际标准化比值>1.7或凝血酶原时间>15s; (14) 静脉溶栓前24小时内接受过低分子肝素治疗,48小时内使用过凝血酶抑制剂或Xa因子抑制剂; (15) 血糖<2.8mmol/L或>22.22mmol/L; (16) 合并有严重的肝肾原发疾病,AST或ALT大于正常上限2倍,血清肌酐>2.0mg/dL或>176.8µmol/L者; (17) 经积极降压治疗后,高血压仍未得到控制:收缩压≥180mmHg,或舒张压≥100mmHg者; (18) 既往患有低血压或筛选时连续3次测量血压均<90/60mmHg者; (19) 既往有癫痫病史或脑卒中发病时出现过癫痫症状者; (20) 完全性房室传导阻滞者;或心率失常,心率<60次/分或>100次/分;或根据美国纽约心脏病协会(NYHA)心功能分级为Ⅱ级以上;或筛选前6个月内有因充血性心力衰竭导致住院者; (21) 临床出现脑疝征象,如一侧或双侧瞳孔扩大、固定,意识障碍(NIHSS评分Ia项≥2分); (22) 妊娠、哺乳期或者试验期间准备妊娠的女性受试者。根据研究者的判断,不能在签署知情同意书至研究结束期间采取医学上认可的可靠避孕方法避孕的育龄期患者; (23) 预先存在精神疾病、痴呆、失语等不能配合评分或不能反映AE者; (24) 合并恶性肿瘤或其它危重疾病者; (25) 3个月内有重度损伤及手术史者; (26) 既往有谵妄病史者; (27) 对研究药物或者类似化学结构的药物有过敏的经历者; (28) 诊断为青光眼者; (29) 伴有其他情况,且经研究者评估认为参加研究可能会加重受试者的风险或研究者认为不适合参与此项研究。 |
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Exclusion criteria: |
(1) Individuals who have participated in clinical studies of other drugs/devices and used investigational drugs/devices within 3 months prior to randomization; (2) After this admission, CT/MRI showed a large area of infarction; Note: According to the definition of infarct size displayed on imaging, This includes "large cerebral hemisphere infarction" (CT plain scan within 6 hours of onset shows infarction area>1/3 of the middle cerebral artery supply area, or CT plain scan shows infarction area>1/2 of the middle cerebral artery supply area within 6 hours to 7 days of onset; or MRI-DWI shows infarction volume>80ml within 6 hours of onset, or MRI-DWI shows infarction volume>145ml within 14 hours of onset) and "large cerebellar infarction" (using imaging infarction diameter>3cm). (3) Symptoms worsen after thrombolysis and before administration, and NIHSS score increases by 2 points or more; (4) Those who have received or intend to receive endovascular treatment (including mechanical thrombectomy, intravascular thrombus aspiration, arterial thrombolysis, angioplasty, and stent placement) or arteriovenous bridging treatment for this disease; (5) Stroke with rapidly improving symptoms before intravenous thrombolysis, or suspected acute ischemic symptoms caused by other reasons; (6) Evidence of intracranial hemorrhage (cerebral parenchymal hemorrhage, intraventricular hemorrhage, subarachnoid hemorrhage, subdural/epidural hematoma) indicated by CT/MRI after this admission, or indications of symptoms of intracranial hemorrhage judged by the researcher; (7) Previous history of intracranial hemorrhage; Have a history of severe head injury, stroke, or myocardial infarction within the first 3 months of screening; (8) Accompanying intracranial tumors and giant intracranial aneurysms; (9) Accompanied by aortic arch dissection; (10) Major surgical procedures within 2 weeks prior to screening; Have undergone intracranial or spinal surgery within the first 3 months of screening; (11) Currently accompanied by active visceral bleeding; Or if there is an arterial puncture at a site that is not easy to compress and stop bleeding within one week before screening; Or gastrointestinal or urinary system bleeding occurred within 3 weeks before screening; (12) Known to have a tendency for acute bleeding, including platelet count<100 × 109/L, combined with hemophilia, etc; Or partially activated thrombin time greater than three times the normal upper limit; (13) Oral anticoagulants with an internationally standardized ratio>1.7 or prothrombin time>15 seconds; (14) Receive low molecular weight heparin treatment within 24 hours before intravenous thrombolysis, and use thrombin inhibitors or Xa factor inhibitors within 48 hours; (15) Blood glucose<2.8mmol/L or>22.22mmol/L; (16) Those with severe primary liver and kidney diseases, AST or ALT greater than twice the normal upper limit, and serum creatinine>2.0mg/dL or>176.8 µ mol/L; (17) After active antihypertensive treatment, hypertension has not been controlled: systolic blood pressure ≥ 180mmHg, or diastolic blood pressure ≥ 100mmHg; (18) Individuals who have previously suffered from hypotension or whose blood pressure was less than 90/60mmHg for three consecutive measurements during screening; (19) Individuals with a history of epilepsy or experiencing symptoms of epilepsy during stroke onset; (20) Completeness atrioventricular block; Or arrhythmia, with a heart rate of<60 beats/minute or>100 beats/minute; Or according to the New York Heart Association (NYHA) cardiac function rating of Level II or above; Or those who have been hospitalized due to congestive heart failure within 6 months prior to screening; (21) Clinical manifestations of cerebral hernia, such as dilated or fixed pupils on one or both sides, and disturbance of consciousness (NIHSS score Ia ≥ 2 points); (22) Female subjects who are pregnant, lactating, or preparing for pregnancy during the trial period. According to the judgment of the researchers, patients of childbearing age who cannot use medically recognized and reliable contraceptive methods between the signing of the informed consent form and the end of the study; (23) Those with pre existing mental illness, dementia, aphasia, etc. who cannot cooperate with the scoring or cannot reflect AE; (24) Patients with malignant tumors or other critically ill conditions; (25) Those with a history of severe injury and surgery within 3 months; (26) Those with a previous history of delirium; (27) Individuals who have experience of allergies to research drugs or drugs with similar chemical structures; (28) Diagnosed as glaucoma; (29) Accompanied by other circumstances, and assessed by the researcher that participating in the study may increase the risk of the subject, or the researcher believes that it is not suitable to participate in this study. |
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研究实施时间: Study execute time: |
从 From 2022-01-01 00:00:00至 To 2024-06-30 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2022-10-01 00:00:00 至 To 2023-12-31 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
正在进行 Recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
本试验采用双盲设计,研究期间,研究人员和受试者均不知道药物分配情况。 随机表由SAS 软件( 9.4 或以上版本)采用分层区组随机化方法产生,以年龄≤ 70岁和> 70 岁为分层因素,确保试验组和安慰剂组年龄分布均衡。试验组:安慰剂组样本量比例 1 1, 采用中央随机系统( IWRS )分配随机号。 随机具有重现性,所设定的区组长度及种子数等参数记录在盲底中。 本研究将为每位受试者分配一个唯一的筛选号,本研究受试者筛选号格式为三位阿拉伯数字的中心编号 + 四位阿拉 伯数字筛选顺序号。筛选号将根据各中心受试者签署知情同意书的先后顺序从小到大依次给与。例如:第 11 家中心第 2 例参加筛选的受试者筛选号为“ 011S0002 ”。 各中心筛选合格的受试者按照筛选号从小到大的顺序分配随机号。 随机号的编制规则为R+ 四位阿拉伯数字,从 R0001 依次编写至 R1266 。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
This experiment adopts a double-blind design, and during the study period, neither the researchers nor the subjects were aware of the drug distribution. Random Table by SAS software (version 9.4 or above) is generated using a hierarchical block randomization method, with age ≤ 70 Age and>70 years old are stratified factors to ensure a balanced age distribution between the experimental group and the placebo group. Experimental group: placebo group sample. The cost to quantity ratio is 1, and the central random system (IWRS) is used to allocate random numbers. Randomness has reproducibility, and the set parameters such as block length and seed number are recorded in a blind background. This study will assign a unique screening number to each subject, and the format of the screening number for this study subject is three digits The center number of Arabic numerals+the four digit Arabic numeral filtering sequence number. The screening number will be based on the subjects in each cent |
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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 |
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盲法: |
药品随机以SAS 软件( 9.4 或以上版本)采用区组随机产生盲底。导入至 IWRS 系统中,并在 IWRS 中设置所需参数。 IWRS 配置完成并测试合格后,由随机化专员将药品编号的随机信息从系统中导出,交给编盲人员准备现场编盲。 盲法的实施由编盲人员现场实施,根据随机的信息将相应的药物编号粘贴到治疗组 与对照组 的包装上,完成粘贴后按药物编号顺序将治疗组和对照组药物 全部混合完成盲法 操作。盲法的整个实施过程记录于现场编盲记录中。 完成药物编盲后,编盲人员将纸质药物随机表销毁,IWRS 会将盲底电子化保存。 |
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Blinding: |
Randomly generate a blind base for drugs using SAS software (version 9.4 or above) using block randomization. Import into the IWRS system and set the required parameters in IWRS. After completing the IWRS configuration and passing the testing, the randomization specialist will export the random information of the drug number from the system and hand it over to the blinding personnel for on-site blinding preparation. The implementation of the blinding method is carried out on-site by the blinding personnel. Based on random information, the corresponding drug numbers are pasted onto the packaging of the treatment group and the control group. After the pasting is completed, all the drugs in the treatment group and the control group are mixed according to the drug number order to complete the blinding operation. The entire implementation process of the blind method is recorded in the on-site blind recording. After completing drug blinding, the blinding personnel will destroy the paper drug randomization table, and IWRS will electronically save the blinding background. |
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试验完成后的统计结果(上传文件): |
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Calculated Results after
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是否共享原始数据: IPD sharing |
否No |
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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): |
发表文章, EDC;https://study.cims-medtech.com/CIMS_V5/PlatFrame.aspx |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
article, EDC;https://study.cims-medtech.com/CIMS_V5/PlatFrame.aspx |
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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: |
EDC;https://study.cims-medtech.com/CIMS_V5/PlatFrame.aspx |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
EDC;https://study.cims-medtech.com/CIMS_V5/PlatFrame.aspx |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |