基于HIF-1/IL-17信号通路探讨“七龙天”胶囊干预高海拔COPD气道重塑的临床疗效与效应机制

注册号:

Registration number:

ChiCTR2300079285 

最近更新日期:

Date of Last Refreshed on:

2023-12-29 10:36:20 

注册时间:

Date of Registration:

2023-12-29 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于HIF-1/IL-17信号通路探讨“七龙天”胶囊干预高海拔COPD气道重塑的临床疗效与效应机制

Public title:

To explore the clinical efficacy and effect mechanism of "Qilongtian" capsule in the intervention of airway remodeling based on HIF-1 / IL-17 signaling pathway

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于HIF-1/IL-17信号通路探讨“七龙天”胶囊干预高海拔COPD气道重塑的临床疗效与效应机制

Scientific title:

To explore the clinical efficacy and effect mechanism of "Qilongtian" capsule in the intervention of airway remodeling based on HIF-1 / IL-17 signaling pathway

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:

宋嘉懿 

研究负责人:

宋嘉懿 

Applicant:

Song Jiayi 

Study leader:

Song Jiayi 

申请注册联系人电话:

Applicant telephone:

+86 63808723

研究负责人电话:

Study leader's
telephone:

+86 63808723

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:

610486036@qq.com

研究负责人电子邮件:

Study leader's E-mail:

610486036@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:

云南省昆明市呈贡区祥园街2628号

研究负责人通讯地址:

云南省昆明市呈贡区祥园街2628号

Applicant address:

No. 2628, Xiangyuan Street, Chenggong District, Kunming City, Yunnan Province

Study leader's address:

No. 2628, Xiangyuan Street, Chenggong District, Kunming City, Yunnan Province

申请注册联系人邮政编码:

Applicant postcode:

650000

研究负责人邮政编码:

Study leader's postcode:

650000

申请人所在单位:

昆明市中医医院

Applicant's institution:

Kunming Municipal Hospital of Traditional Chinese Medicine

研究负责人所在单位:

昆明市中医医院

Affiliation of the Leader:

Kunming Municipal Hospital of Traditional Chinese Medicine

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:

伦审(2023-057-01)号

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:

昆明市中医医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Kunming Municipal Hospital of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2023-12-25 00:00:00

伦理委员会联系人:

樊睿

Contact Name of the ethic committee:

Fan Rui

伦理委员会联系地址:

云南省昆明市呈贡区祥园街2628号

Contact Address of the ethic committee:

No. 2628, Xiangyuan Street, Chenggong District, Kunming City, Yunnan Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 63804983

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:

昆明市中医医院

Primary sponsor:

Kunming Municipal Hospital of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

云南省昆明市呈贡区祥园街2628号

Primary sponsor's address:

No. 2628, Xiangyuan Street, Chenggong District, Kunming City, Yunnan Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

云南

市(区县):

Country:

China

Province:

Yunnan

City:

单位(医院):

昆明市中医医院

具体地址:

呈贡区祥园街2628号

Institution
hospital:

Kunming Municipal Hospital of Traditional Chinese Medicine

Address:

No. 2628, Xiangyuan Street, Chenggong District

经费或物资来源:

国家自然科学基金项目(82260924)

Source(s) of funding:

National Natural Science Foundation of China(82260924)

研究疾病:

慢性阻塞性肺病  

Target disease:

Chronic obstructive pulmonary disease

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:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

1. 主要目的:采用随机、双盲、安慰剂对照研究方法,证实云药七龙天胶囊治疗高海拔COPD安全有效,观察对气道重塑的影响,明确七龙天对高原COPD-SAR形成的干预作用,为临床应用提供依据。 2. 次要目的:评价云药七龙天胶囊治疗高原慢性阻塞性肺疾病的有效性和安全性,建立集治疗、预防及康复于一体的高原慢阻肺中医全病程治疗方案,提高高原慢阻肺的防治水平。  

Objectives of Study:

1. Main objective: To use randomized, double-blind, placebo-controlled research methods to confirm the safety and effectiveness of Qilongtian Capsule in the treatment of high-altitude COPD, to observe the effect on airway remodeling, to clarify the intervention effect of Qilongtian on the formation of high-altitude COPD-SAR, and to provide a basis for clinical application. 2. Secondary objective: To evaluate the efficacy and safety of Qilongtian Capsule in the treatment of high-altitude chronic obstructive pulmonary disease, to establish a full-course TCM treatment plan integrating treatment, prevention and rehabilitation, and to improve the prevention and treatment level of high-altitude COPD.

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)其他肺部疾病(主支气管扩张症、囊性肺纤维化、毛细支气管炎、肺切除、肺癌、弥漫性间质性肺疾病、肺结核、严重支气管扩张症、肺部肿瘤等); 2)严重的心脏系统疾病(充血性心力衰竭,按照NYHA分级严重程度级别为III~Ⅳ级;影响血液动力学状况的显著心律失常或心瓣膜异常;近1个月内有不稳定性心绞痛或心肌梗死病史); 3)静息心率>120次/分,或收缩压>180mmHg,或舒张压>100mmHg; 4)年龄<40岁,或年龄>85岁; 5)严重的消化系统、内分泌系统、神经系统疾病或其他疾病者; 6)严重的精神疾病或有抑郁障碍病史,妊娠、哺乳期妇女、计划怀孕或不能采用可靠的避孕措施者; 7)下肢活动受限等难以完成六分钟步行试验者; 8)具有临床意义的实验室检查指标异常(如ALT>2ULN、AST>2ULN或Scr>1.5ULN),需要进一步接受临床评估; 9)筛选前30天内参与过任何临床试验的患者,或之前已经被纳入本试验的患者; 10)需要长期使用全身激素剂量不稳定或激素剂量超过相当于强的松10mg/d的剂量、或长期使用抗生素等; 11)试验前1年中有酗酒和药物滥用的情况; 12)疑似对以下任一物质过敏,或者具有应用以下任一物质的禁忌症,包括:试验药物和急救药物的活性成分,以及试验药物或急救药物中所含的其他成分; 13)罹患任何有可能干扰试验程序或者试验评估的伴随疾病,或其他研究者认为不适合入选本试验的情况。

Exclusion criteria:

1) Other lung diseases (main bronchiectasis, cystic pulmonary fibrosis, bronchiolitis, lung resection, lung cancer, diffuse interstitial lung disease, tuberculosis, severe bronchiectasis, lung tumors, etc.) ; 2) Severe cardiac disease (congestive heart failure, severity grade III~IV. according to NYHA classification; Significant cardiac arrhythmias or valvular abnormalities affecting hemodynamic conditions; History of unstable angina pectoris or myocardial infarction within the past 1 month); 3) Resting heart rate > 120 beats/min, or systolic blood pressure > 180mmHg, or diastolic blood pressure > 100mmHg; 4) Age < 40 years old, or age > 85 years old; 5) Severe digestive system, endocrine system, nervous system disease or other diseases; 6) Severe mental illness or history of depressive disorder, pregnant, lactating women, planning to become pregnant, or unable to use reliable contraceptive measures; 7) Those who have difficulty completing the six-minute walk test due to limited movement of the lower limbs; 8) Clinically significant abnormal laboratory test indicators (such as ALT>2ULN, AST>2ULN, or Scr>1.5ULN), requiring further clinical evaluation; 9) Patients who have participated in any clinical trial within 30 days prior to screening, or who have been previously enrolled in this trial; 10) Long-term use of systemic hormones, unstable doses, or hormone doses exceeding the dose equivalent to prednisone 10mg/d, or long-term use of antibiotics, etc.; 11) Alcohol and drug abuse in the 1 year prior to the trial; 12) Suspected allergy to any of the following substances, or contraindications to the use of any of the following substances, including: the active ingredients of the test drug and the rescue drug, and other components contained in the test drug or the rescue drug; 13) Suffering from any concomitant disease that may interfere with the trial procedure or trial evaluation, or other conditions that the investigator deems unsuitable for inclusion in this trial.

研究实施时间:

Study execute time:

From 2024-01-01 00:00:00 To 2025-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-01-01 00:00:00 To 2025-06-30 00:00:00

干预措施:

Interventions:

组别:

治疗组

样本量:

33

Group:

Treatment group

Sample size:

干预措施:

七龙天胶囊

干预措施代码:

Intervention:

Qilongtian Capsule

Intervention code:

组别:

对照组

样本量:

33

Group:

Control group

Sample size:

干预措施:

七龙天胶囊安慰剂

干预措施代码:

Intervention:

Qilongtian capsule placebo

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

云南省 

市(区县):

 

Country:

China

Province:

Yunnan

City:

单位(医院):

昆明市中医医院 

单位级别:

三甲 

Institution
hospital:

Kunming Municipal Hospital of Traditional Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

肺功能

指标类型:

主要指标

Outcome:

Pulmonary function

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

C反应蛋白

指标类型:

次要指标

Outcome:

C-reactive protein

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白介素-6

指标类型:

次要指标

Outcome:

IL-6

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

缺氧诱导因子-1α

指标类型:

次要指标

Outcome:

HIF-1α

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白介素-17b

指标类型:

次要指标

Outcome:

IL-17b

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

转化生长因子-β1

指标类型:

次要指标

Outcome:

TGF-β1

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

基质金属蛋白酶-9

指标类型:

次要指标

Outcome:

MMP-9

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 40 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):

采用随机数字表方法,随机数字表(盲底)由统计学专业人员提供,利用Excel软件产生。

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

The random number table method is adopted, and the random number table (blind bottom) is provided by statistics professionals and generated using Excel software.

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:

双盲; 本次试验采用二级盲法设计,第一级盲底为各病例号所对应的组别(如A组、B组),第二级盲底为每组所对应的处置方案(如试验组、对照组)。

Blinding:

Double blinding; This experiment adopts a two-level blind design. The first level blind base is the group corresponding to each case number (such as Group A and Group B), and the second level blind base is the disposal plan corresponding to each group (such as the experimental group and the control group).

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):

None

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:

病例记录表

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

Case record form

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2023-12-29 10:36:16