肠菌移植改善早期非典型孤独症谱系障碍的前瞻性研究

注册号:

Registration number:

ChiCTR2500097424 

最近更新日期:

Date of Last Refreshed on:

2025-02-19 11:13:54 

注册时间:

Date of Registration:

2025-02-19 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

肠菌移植改善早期非典型孤独症谱系障碍的前瞻性研究

Public title:

The Prospective Study of Fecal Microbiota Transplantation for Improving Early Atypical Autism Spectrum Disorder

注册题目简写:

English Acronym:

研究课题的正式科学名称:

肠菌移植改善早期非典型孤独症谱系障碍的随机对照研究

Scientific title:

The Randomized Controlled Study of Fecal Microbiota Transplantation for Improving Early Atypical Autism Spectrum Disorder

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:

李悠然 

研究负责人:

李悠然 

Applicant:

Youran Li 

Study leader:

Youran Li 

申请注册联系人电话:

Applicant telephone:

+86 135 6416 7695

研究负责人电话:

Study leader's
telephone:

+86 135 6416 7695

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:

liyr@shchildren.com.cn

研究负责人电子邮件:

Study leader's E-mail:

liyr@shchildren.com.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:

上海市普陀区泸定路355号

研究负责人通讯地址:

上海市普陀区泸定路355号

Applicant address:

355 Luding Road, Putuo District, Shanghai

Study leader's address:

355 Luding Road, Putuo District, Shanghai

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:

上海市儿童医院

Applicant's institution:

Shanghai Children’s Hospital

研究负责人所在单位:

上海市儿童医院

Affiliation of the Leader:

Shanghai Children’s 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:

2024R152-E02

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:

上海市儿童医院伦理委员会

Name of the ethic committee:

Ethics Review Committee, Shanghai Children's Hospital, Shanghai Jiao Tong University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-01-23 00:00:00

伦理委员会联系人:

何蕾

Contact Name of the ethic committee:

Lei He

伦理委员会联系地址:

上海市普陀区泸定路355号科教楼604

Contact Address of the ethic committee:

Room 604, Science and Education Building, 355 Luding Road, Putuo District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 5297 6581

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:

上海市儿童医院

Primary sponsor:

Shanghai Children’s Hospital

研究实施负责(组长)单位地址:

上海市普陀区泸定路355号

Primary sponsor's address:

355 Luding Road, Putuo District, 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):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市卫生健康委员会

具体地址:

世博村路300号4号楼

Institution
hospital:

Shanghai Municipal Health Commission

Address:

Building 4, No. 300 Expo Village Road

经费或物资来源:

上海市卫生健康委员会临床研究专项

Source(s) of funding:

Shanghai Municipal Health Commission Clinical Research Special Project

研究疾病:

早期非典型孤独症谱系障碍  

Target disease:

Early Atypical Autism Spectrum Disorder

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:

本研究基于微生物-肠-脑轴在ASD中调节神经发育的重要作用,拟明确FMT对EAASD患儿进行干预的临床疗效和安全性,分析粪便肠道菌群及血浆神经递质的相互作用,为预防ASD和治疗EAASD提供新的思路和策略。  

Objectives of Study:

This study is based on the important role of the microbiota-gut-brain axis in regulating neurodevelopment in ASD. It aims to clarify the clinical efficacy and safety of FMT interventions in children with early atypical autism spectrum disorder (EAASD), analyze the interactions between fecal gut microbiota and plasma neurotransmitters, and provide new ideas and strategies for the prevention of ASD and the treatment of EAASD.

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:

合并其他系统严重疾病:如心血管疾病、呼吸系统疾病等。 脑部器质性疾病史:如脑外伤、脑瘫、脑炎等。 肠道器质性病变:如先天性巨结肠、肠梗阻、肠套叠等。 近期使用影响肠道菌群的药物:近3个月内使用益生菌、抗生素、抑酸剂等。 依从性差:无法按要求完成研究流程或随访。 其他特殊情况:如生命体征不稳定,或研究者认为不适合参与本研究的情况。

Exclusion criteria:

Combined with other serious systemic diseases: such as cardiovascular diseases, respiratory diseases, etc. History of organic diseases of the brain: such as traumatic brain injury, cerebral palsy, encephalitis, etc. Organic intestinal lesions: such as Hirschsprung's disease, intestinal obstruction, intussusception, etc. Recent use of drugs that affect the intestinal flora: use of probiotics, antibiotics, antacids, etc. in the past 3 months. Poor compliance: Inability to complete the study process or follow-up as required. Other special circumstances: such as unstable vital signs, or situations that the investigator considers unsuitable to participate in this study.

研究实施时间:

Study execute time:

From 2025-03-01 00:00:00 To 2027-09-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-03-01 00:00:00 To 2027-09-30 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

32

Group:

Experimental group

Sample size:

干预措施:

肠菌移植

干预措施代码:

Intervention:

Fecal microbiota transplantation

Intervention code:

组别:

对照组

样本量:

32

Group:

Control group

Sample size:

干预措施:

常规康复治疗

干预措施代码:

Intervention:

Conventional rehabilitation therapy

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市儿童医院 

单位级别:

三级甲等 

Institution
hospital:

Shanghai Children’s Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

儿童孤独症评定量表分数

指标类型:

主要指标

Outcome:

The score of the Childhood Autism Rating Scale (CARS)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

孤独症行为评定量表分数

指标类型:

主要指标

Outcome:

The score of the Autism Behavior Rating Scale (ABC)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

自闭症诊断观察量表(第二版)分数

指标类型:

主要指标

Outcome:

The score of the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良反应

指标类型:

主要指标

Outcome:

Adverse events

Type:

Primary 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:

粪便

组织:

Sample Name:

Fecal

Tissue:

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation 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 0.8 years
最大 Max age 3 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):

纳入64例EAASD儿童作为受试对象,按随机表以1:1比例随机化分入试验组(32例)和对照组(32例)

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

Sixty-four children with EAASD were included as subjects and were randomized into an experimental group (32 cases) and a control group (32 cases) in a 1:1 ratio using a random table.

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:

None

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):

研究公开发表后6月内通过S-Trial http://172.17.205.68:10000/ctms_web_v4/index.html#/login共享原始数据,可通过联系研究者liyr@shchildren.com.cn征得同意后使用

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

Original data can be shared through S-Trial (http://172.17.205.68:10000/ctms_web_v4/index.html#/login) within six months after the research is publicly published. Permission for use can be obtained by contacting the researcher at liyr@shchildren.com.cn.

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:

使用纸质病例记录表及铨融(苏州)医药科技开发有限公司EDC电子数据采集系统S-Trial(http://172.17.205.68:10000/ctms_web_v4/index.html#/login)

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

Case Record Form and S-Trial EDC electronic data acquisition system of Quanrong (Suzhou) Medical Technology Development Company (http://172.17.205.68:10000/ctms_web_v4/index.html#/login)

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2025-02-19 11:13:50