基于血清代谢组学及定量MRI对独活寄生汤防治肝肾亏虚型椎间盘突出症的临床观察研究

注册号:

Registration number:

ChiCTR2400084420 

最近更新日期:

Date of Last Refreshed on:

2024-05-16 11:07:36 

注册时间:

Date of Registration:

2024-05-16 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于血清代谢组学及定量MRI对独活寄生汤防治肝肾亏虚型椎间盘突出症的临床观察研究

Public title:

Clinical observation of Duhuo Jisheng decoction in the prevention and treatment of intervertebral disc herniation with liver and kidney deficiency based on serum metabonomics and quantitative MRI

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于血清代谢组学及定量MRI对独活寄生汤防治肝肾亏虚型椎间盘突出症的临床观察研究

Scientific title:

Clinical observation of Duhuo Jisheng decoction in the prevention and treatment of intervertebral disc herniation with liver and kidney deficiency based on serum metabonomics and quantitative MRI

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:

金晖 

研究负责人:

曾景奇 

Applicant:

JIN HUI 

Study leader:

ZENG JING QI 

申请注册联系人电话:

Applicant telephone:

+86 188 7475 4725

研究负责人电话:

Study leader's
telephone:

+86 139 7313 7130

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:

1318617063@qq.com

研究负责人电子邮件:

Study leader's E-mail:

846484577@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:

湖南省长沙市蔡锷北路233号

研究负责人通讯地址:

湖南省长沙市蔡锷北路233号

Applicant address:

233 CAI 'e Bei Lu, Changsha City, Hunan Province, China

Study leader's address:

233 CAI 'e Bei Lu, Changsha City, Hunan Province, China

申请注册联系人邮政编码:

Applicant postcode:

430105

研究负责人邮政编码:

Study leader's postcode:

430105

申请人所在单位:

湖南中医药大学第二附属医院

Applicant's institution:

The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine

研究负责人所在单位:

湖南中医药大学第二附属医院

Affiliation of the Leader:

The Second Affiliated Hospital of Hunan University 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:

2024-KY-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:

湖南中医药大学第二附属医院伦理委员会

Name of the ethic committee:

Ethics Committee of the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2024-03-15 00:00:00

伦理委员会联系人:

向黎

Contact Name of the ethic committee:

XIANG LI

伦理委员会联系地址:

湖南省长沙市蔡锷北路233号

Contact Address of the ethic committee:

233 CAI 'e Bei Lu, Changsha City, Hunan Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 151 1615 4385

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:

湖南中医药大学第二附属医院

Primary sponsor:

The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

湖南省长沙市蔡锷北路233号

Primary sponsor's address:

233 CAI 'e Bei Lu, Changsha City, Hunan Province, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

湖南省

市(区县):

长沙市

Country:

china

Province:

Hunan province

City:

Changsha City

单位(医院):

湖南中医药大学第二附属医院

具体地址:

湖南省长沙市蔡锷北路233号

Institution
hospital:

The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine

Address:

233 CAI 'e Bei Lu, Changsha City, Hunan Province, China

经费或物资来源:

2024年度湖南省中医药管理局一般课题

Source(s) of funding:

General Project of Hunan Traditional Chinese Medicine Administration in 2024

研究疾病:

腰椎间盘突出症  

Target disease:

protrusion of lumbar intervertebral disc

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:

随机平行对照 

Study design:

Parallel 

研究目的:

通过血清代谢组学以及定量MRI对中药复方防治LDH的机制进行评估检测,通过分析LDH疾病发生发展以及治疗过程中人体内源性代谢物的变化,结合定量MRI对相应椎间盘基质、蛋白、水分含量变化的测定,为明确独活寄生汤防治LDH具体作用机制提供客观支持。  

Objectives of Study:

Serum metabolomics and quantitative MRI were used to evaluate and detect the mechanism of traditional Chinese medicine compound in the prevention and treatment of LDH. By analyzing the changes of endogenous metabolites in the human body during the occurrence and development of LDH disease and the treatment process, combined with quantitative MRI to measure the changes of the corresponding intervertebral disc matrix, protein and water content. This study provides objective support for clarifying the specific mechanism of Duhuo-Jisheng decoction in the prevention and treatment of LDH.

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不符合腰椎间盘突出症诊断标准和纳入标准的患者; ②椎管狭窄、椎体肿瘤或结核等疾病引起的; ③合并腰椎滑脱、腰椎骨折、腰椎结核及骨肿瘤患者; ④体质容易过敏者; ⑤既往有腰椎手术病史; ⑥伴有下肢肌无力和神经源性跛行; ⑦严重心血管系统、肝、肾、造血系统等疾病、精神病患者、怀孕妇女;同时参加其他临床研究者; ⑧椎间盘巨大突出或是脱出,手术指证明确者; ⑨马尾综合征,出现明显神经功能损害,尤其是继发性排便功能障碍。

Exclusion criteria:

① Patients who did not meet the diagnostic criteria and inclusion criteria of lumbar disc herniation; ② caused by diseases such as spinal stenosis, vertebral tumor or tuberculosis; ③ patients with lumbar spondylolisthesis, lumbar fracture, lumbar tuberculosis and bone tumor; ④ people who are susceptible to allergy; (5) previous history of lumbar surgery; ⑥ lower limb muscle weakness and neurogenic claudication; ⑦ Severe diseases of cardiovascular system, liver, kidney, hematopoietic system, mental patients, pregnant women; Participating in other clinical investigators; ⑧ huge herniated or prolapsed intervertebral disc with definite surgical indications; ⑨ Cauda equina syndrome, obvious neurological impairment, especially secondary defecation dysfunction.

研究实施时间:

Study execute time:

From 2024-01-01 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-06-01 00:00:00 To 2025-05-31 00:00:00

干预措施:

Interventions:

组别:

常规治疗组

样本量:

30

Group:

Conventional treatment group

Sample size:

干预措施:

常规治疗

干预措施代码:

Intervention:

Conventional treatment

Intervention code:

组别:

独活寄生汤+常规治疗组

样本量:

30

Group:

Duhuo Jisheng decoction + conventional treatment group

Sample size:

干预措施:

常规治疗+ 独活寄生汤

干预措施代码:

Intervention:

Conventional treatment + Duhuo Jisheng decoction

Intervention code:

组别:

正常组

样本量:

30

Group:

normal group

Sample size:

干预措施:

招募正常人,不进行如何干预。

干预措施代码:

Intervention:

Normal people were recruited and no intervention was carried out.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

湖南省 

市(区县):

长沙市 

Country:

china

Province:

Hunan province

City:

Changsha City

单位(医院):

湖南中医药大学第二附属医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

年龄

指标类型:

次要指标

Outcome:

age

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

病程时间

指标类型:

次要指标

Outcome:

Duration of disease

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

身高

指标类型:

次要指标

Outcome:

height

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体重

指标类型:

次要指标

Outcome:

weight

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中医证候评分

指标类型:

主要指标

Outcome:

Chinese medicine symptom complex score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Oswestry功能障碍指数

指标类型:

主要指标

Outcome:

Oswestry Disability Index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

日本骨科协会下腰痛评分

指标类型:

主要指标

Outcome:

Japanese Orthopaedic Association Low Back Pain Score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

简化McGill疼痛量表

指标类型:

主要指标

Outcome:

Simplified McGill Pain Scale

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

世界卫生组织生存质量量表简表

指标类型:

主要指标

Outcome:

World Health Organization Quality of Life questionnaire-short form

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白细胞介素-1β

指标类型:

次要指标

Outcome:

IL-1β

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肿瘤坏死因子-α

指标类型:

次要指标

Outcome:

TNF-α

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

红细胞沉降率

指标类型:

次要指标

Outcome:

erythrocyte sedimentation rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

超敏C反应蛋白

指标类型:

次要指标

Outcome:

High sensitive 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:

定量核磁共振影像数据

指标类型:

次要指标

Outcome:

Quantitative magnetic resonance imaging data

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:

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:

标本中文名:

粪便

组织:

Sample Name:

faeces

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:

髓核组织

组织:

已退变椎间盘组织

Sample Name:

Nucleus pulposus tissue

Tissue:

Degenerated disc 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 18 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):

第三方数据管理机构,由电脑生成随机序列。

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

Third-party data management agency, computer generated random sequences.

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:

研究采用单盲法,即盲病人,受试者之间不交流,使受试者不清楚分组情况。盲法评价与分析,由不知分组情况的第三方进行评估和统计分析,实行研究者、操作者与评价统计者的三分离原则。

Blinding:

The study was single-blinded, that is, the patients were blinded, and the subjects did not communicate with each other, so that the subjects were not aware of the group assignment. The blinded evaluation and analysis were performed by a third party who was unaware of the grouping, and the three separation principles of researchers, operators and evaluation statisticians were implemented.

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

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):

如有学术研究需要,请通过发邮件到1318617063@qq.com索取原始数据

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

If there is a need for academic research, please send an email to 1318617063@qq.com Requesting raw data

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:

 2024-05-16 11:07:32