褪黑素对青光眼的视神经保护研究

注册号:

Registration number:

ChiCTR2500101268 

最近更新日期:

Date of Last Refreshed on:

2025-04-22 20:39:21 

注册时间:

Date of Registration:

2025-04-22 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

褪黑素对青光眼的视神经保护研究

Public title:

Protective effect of melatonin on optic nerve in glaucoma

注册题目简写:

English Acronym:

研究课题的正式科学名称:

外源性褪黑素对原发性开角型青光眼的视神经保护疗效及安全性:一项单臂、前瞻性的临床研究

Scientific title:

Neuroprotective Efficacy and Safety of Exogenous Melatonin in Primary Open-Angle Glaucoma: A Single-Arm, Prospective Clinical Study

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:

黄晶晶 

研究负责人:

黄晶晶 

Applicant:

Huang Jingjing 

Study leader:

Huang Jingjing 

申请注册联系人电话:

Applicant telephone:

+86 13632333129

研究负责人电话:

Study leader's
telephone:

+86 20 66615460

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:

huangjingjing@gzzoc.com

研究负责人电子邮件:

Study leader's E-mail:

huangjingjing@gzzoc.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:

广东省广州市天河区金穗路7号

研究负责人通讯地址:

广州市天河区金穗路7号

Applicant address:

7 Jinsui Road, Tianhe District, Guangzhou City, Guangdong Province

Study leader's address:

No. 7, Jinsui Road, Tianhe District, Guangzhou

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:

中山大学中山眼科中心,眼科学国家重点实验室,广东省眼科视觉科学重点实验室,广州,510060

Applicant's institution:

Zhongshan Ophthalmic Center, Sun Yat-sen University

研究负责人所在单位:

中山大学中山眼科中心

Affiliation of the Leader:

The Zhongshan Ophthalmic Center,Sun Yat-sen 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:

2024KYPJ164

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:

中山大学中山眼科中心医学伦理委员会

Name of the ethic committee:

Ethics committee,Zhongshan Eye Center, Sun Yat-sen University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-01-24 00:00:00

伦理委员会联系人:

颜彦杰

Contact Name of the ethic committee:

Yan Yanjie

伦理委员会联系地址:

广州市天河区金穗路7号

Contact Address of the ethic committee:

No. 7, Jinsui Road, Tianhe District, Guangzhou

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 20 6661 0729

伦理委员会联系人邮箱:

Contact email of the ethic committee:

yanyanjie@gzzoc.com

研究实施负责(组长)单位:

中山大学中山眼科中心

Primary sponsor:

The Zhongshan Ophthalmic Center,Sun Yat-sen University

研究实施负责(组长)单位地址:

广州市天河区金穗路7号

Primary sponsor's address:

No. 7, Jinsui Road, Tianhe District, Guangzhou

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东

市(区县):

Country:

China

Province:

Guangdong

City:

单位(医院):

中山大学中山眼科中心

具体地址:

广州市天河区金穗路7号

Institution
hospital:

The Zhongshan Ophthalmic Center,Sun Yat-sen University

Address:

No. 7, Jinsui Road, Tianhe District, Guangzhou

经费或物资来源:

广东省自然科学基金面上项目

Source(s) of funding:

Natural Science Foundation of Guangdong Province

研究疾病:

原发性开角型青光眼 1. 早期症状:隐匿起病:早期无明显症状; 2.中晚期症状:视野缺损加重,视野范围缩小; 3. 伴随特征:眼压升高。  

Target disease:

Primary open-angle glaucoma 1. Early symptoms: insidious onset: no obvious symptoms in the early stage; 2. Middle and late symptoms: increased visual field defect and reduced visual field; 3. Accompanying features: increased intraocular pressure

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:

单臂 

Study design:

Single arm 

研究目的:

评估补充外源性褪黑素对原发性开角型青光眼的视神经保护疗效  

Objectives of Study:

To evaluate the protective effect of exogenous melatonin supplementation on the optic nerve of primary open-angle glaucoma

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.a. 先天性青光眼;青少年型青光眼;继发性开角型青光眼,如外伤后、假性剥脱性或色素性青光眼;闭角型青光眼;
2.b. 既往眼表及眼内手术史;既往眼外伤史;
3.c. 角膜、晶状体、视网膜脉络膜或其他视神经疾病(翼 状胬肉、轻中度白内障除外);
4.d. 支气管哮喘、或其他反应性气道疾病、严重心力衰 竭、窦性心动过缓、低血压和、肾脏疾病和糖尿病;
5.e. 通过病史采集得知妊娠期或哺乳期女性,有生育意 愿且不愿意接受可能影响生育能力的药物治疗的男性;
6.f. 3个月内参加任何其他临床试验并通过全身或眼部给药;
7.g. 化疗史、恶性肿瘤病史;自身免疫性或免疫抑制疾病;
8.h. 吸毒史及酗酒史;
9.i. 需要晚上值班者;长期口服褪黑素者;抑郁症患者; 服用硝苯地平或氟伏沙明、苯二氮卓类或非苯二氮卓类催眠 药(扎来普隆、唑吡坦和佐匹克隆);

Exclusion criteria:

1. Congenital glaucoma; Juvenile glaucoma; Secondary open-angle glaucoma, such as post-traumatic, pseudoexfoliative or pigmentary glaucoma; Angle-closure glaucoma; 2. Previous history of ocular surface and intraocular surgery; Previous history of eye trauma; 3. Corneal, lens, retinochoroid or other optic nerve diseases (except pterygium, mild to moderate cataract); 4. bronchial asthma, or other reactive airway disease, severe heart failure, sinus bradycardia, hypotension, kidney disease, and diabetes; 5. Men who are known through medical history collection to be pregnant or lactating women, have a desire to have children and are unwilling to receive medical treatment that may affect fertility; 6. Participate in any other clinical trial within 3 months and administer the drug through the whole body or eye; 7. History of chemotherapy and malignant tumor; Autoimmune or immunosuppressive diseases; 8. History of drug and alcohol abuse; 9. Night watch required; Long-term oral melatonin; Patients with depression; Taking nifedipine or fluvoxamine, benzodiazepines or non-benzodiazepine hypnotics (zalyplon, Zolpidem and Zopiclone);

研究实施时间:

Study execute time:

From 2025-05-01 00:00:00 To 2027-05-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-05-01 00:00:00 To 2027-01-01 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

22

Group:

treatment group

Sample size:

干预措施:

口服褪黑素

干预措施代码:

Intervention:

Oral melatonin

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

中山大学中山眼科中心 

单位级别:

三级甲等 

Institution
hospital:

The Zhongshan Ophthalmic Center,Sun Yat-sen University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

视野 MD 进展率

指标类型:

主要指标

Outcome:

Visual field MD progression rate

Type:

Primary indicator

测量时间点:

首次入组后每三个月。

测量方法:

使用 Humphrey Visual Field Analyzer (Zeiss-Humphrey Systems, Dublin, CA,USA) 30-2 SITA 标准策略,在每次随访期间采纳可靠的指数。一个 可靠的视野测试被定义为固定损失率小于 20%,假阳性和假阴性结果为 15%。为 了估计视野进展速度,我们用线性最小二乘法计算了 MD 值的斜率(dB/y)。采 用近五次以上可靠视野测量

Measure time point of outcome:

eyery three months

Measure method:

Using Humphrey Visual Field Analyzer (Zeiss-Humphrey Systems, Dublin, CA,USA) 30-2 SITA standard strategy, adopting a reliable index during each follow-up period A reliable visual field test was defined as a fixed loss rate of less than 20% with a false-positive and false-negative result of 15% to estimate the rate of visual field progression. We calculated the slope (dB/y) of the MD value using linear least squares Calculate baseline MD slope (dB/y) with more than five reliable perimetry measur

指标中文名:

睡眠及情绪评价

指标类型:

次要指标

Outcome:

Sleep and mood evaluation

Type:

Secondary indicator

测量时间点:

测量方法:

PSQI量表, BDI得分

Measure time point of outcome:

Measure method:

PSQI scale, BDI score

采集人体标本:

Collecting sample(s)
from participants:

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:

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 36 years
最大 Max age 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):

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

None

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

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):

不共享

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

N/A

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:

CRF,原始数据的记录和收集:制订详细数据登记表,并由研究者统一进行受试者数据收集和记录

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

CRF, Recording and Collection of Raw Data: A detailed data registry form is developed, and the investigator collects and records the subject data in a unified manner

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2025-04-22 20:38:16