添加GYS-016治疗耐利福平/耐多药肺结核:一项前瞻性、单中心、开放标签、随机对照IIa期临床研究

注册号:

Registration number:

ChiCTR2600121616 

最近更新日期:

Date of Last Refreshed on:

2026-04-01 11:58:11 

注册时间:

Date of Registration:

2026-04-01 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

添加GYS-016治疗耐利福平/耐多药肺结核:一项前瞻性、单中心、开放标签、随机对照IIa期临床研究

Public title:

Incorporate GYS-016 into the treatment regimen for Rifampicin resistance /Multidrug resistance tuberculosis: A Prospective, Single-Center, Open-Label, Randomized Controlled Phase IIa Clinical Trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

添加GYS-016治疗耐利福平/耐多药肺结核:一项前瞻性、单中心、开放标签、随机对照IIa期临床研究

Scientific title:

Incorporate GYS-016 into the treatment regimen for Rifampicin resistance /Multidrug resistance tuberculosis: A Prospective, Single-Center, Open-Label, Randomized Controlled Phase IIa Clinical Trial

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:

刘轾彬 

研究负责人:

孙勤 

Applicant:

Liu Zhibin 

Study leader:

Qin Sun 

申请注册联系人电话:

Applicant telephone:

+86 137 6447 7467

研究负责人电话:

Study leader's
telephone:

+86 137 7428 9331

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:

liuzhibintj@163.com

研究负责人电子邮件:

Study leader's E-mail:

sunqinbonjour@163.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:

中国上海市杨浦区政民路507号

研究负责人通讯地址:

中国上海市杨浦区政民路507号

Applicant address:

507 Zhengmin Road, Yangpu District, Shanghai, China

Study leader's address:

507 Zhengmin Road, Yangpu District, Shanghai, China

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:

上海市肺科医院

Applicant's institution:

Shanghai Pulmonary Hospital

研究负责人所在单位:

上海市肺科医院

Affiliation of the Leader:

Shanghai Pulmonary 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:

L25-495

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:

上海市肺科医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Shanghai Pulmonary Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-03-26 00:00:00

伦理委员会联系人:

桂涛

Contact Name of the ethic committee:

Tao Gui

伦理委员会联系地址:

中国上海市杨浦区政民路507号

Contact Address of the ethic committee:

507 Zhengmin Road, Yangpu District, Shanghai, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 136 1160 2641

伦理委员会联系人邮箱:

Contact email of the ethic committee:

liuzhibintj@163.com

研究实施负责(组长)单位:

上海市肺科医院

Primary sponsor:

Shanghai Pulmonary Hospital

研究实施负责(组长)单位地址:

中国上海市杨浦区政民路507号

Primary sponsor's address:

507 Zhengmin Road, Yangpu District, Shanghai, 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):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市肺科医院

具体地址:

中国上海市杨浦区政民路507号

Institution
hospital:

Shanghai Pulmonary Hospital

Address:

507 Zhengmin Road, Yangpu District, Shanghai, China

经费或物资来源:

上海市肺科医院2024年度研究型医师人才计划项目

Source(s) of funding:

2024 Research-Oriented Physician Talent Program of Shanghai Pulmonary Hospital

研究疾病:

肺结核  

Target disease:

Pulmonary Tuberculosis

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:

II期临床试验 

Study phase:

2

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

1. 评价GYS-016作为结核病宿主导向治疗(HDT)药物,辅助治疗耐药肺结核的安全性和初步疗效,并探索GYS-016的最佳用药疗程; 2. 探究GYS-016辅助治疗耐药结核病对宿主免疫系统的影响及其机制,为结核病的HDT治疗提供创新思路; 3. 建立一种以结核病抗菌治疗为主、GYS-016 HDT为辅的全新综合治疗策略,最终应用于临床,真正做到从实验室到临床的转化。  

Objectives of Study:

1. To evaluate the safety and preliminary efficacy of GYS-016 as a host-directed therapy (HDT) agent adjunctive to drug-resistant pulmonary tuberculosis treatment, and to explore the optimal treatment duration of GYS-016. 2. To investigate the effects and mechanisms of GYS-016 adjunctive therapy on the host immune system in drug-resistant tuberculosis, providing innovative insights for HDT in tuberculosis management. 3. To establish a novel comprehensive treatment strategy combining antitubercular therapy as the primary approach with GYS-016 HDT as an adjunct, ultimately achieving clinical translation from bench to bedside.

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.既往对方案中使用的任何药物有过敏反应史; 2.合并严重的肝、肾、代谢、自身免疫性疾病、神经、精神或内分泌疾病、血液系统疾病、恶性肿瘤,以及长期服用免疫抑制剂药物者; 3.妊娠; 4.经治疗前评估不适宜参加本项目; 5.参加其它临床试验。

Exclusion criteria:

1. History of allergic reactions to any drugs used in the study protocol. 2. Concomitant severe medical conditions, including: Hepatic, renal, metabolic, or autoimmune disorders Neurological, psychiatric, or endocrine diseases Hematologic malignancies or active cancers Long-term use of immunosuppressive agents. 3. Pregnancy. 4. Deemed ineligible for participation after baseline evaluation. 5. Current enrollment in other clinical trials.

研究实施时间:

Study execute time:

From 2025-06-02 00:00:00 To 2028-05-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-06-06 00:00:00 To 2027-12-31 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

20

Group:

Experimental Group

Sample size:

干预措施:

在《WHO耐药结核病治疗指南》推荐的6个月短程标准化疗方案(6BDLLfxC:对氟喹诺酮类药物的耐药性未知则BDLLfxC,对喹诺酮类药物敏感则BDLLfx,对氟喹诺酮类药物耐药则BDLC)基础上,添加GYS-016片宿主导向治疗

干预措施代码:

Intervention:

Based on the 6-month short-course standardized regimen for drug-resistant TB recommended in the WHO Guidelines on Tuberculosis Treatment (6BDLLfxC: BDLLfxC if fluoroquinolone resistance is unknown, BDLLfx if susceptible to fluoroquinolones, BDLC if resistant to fluoroquinolones), add the host-directed therapy (HDT) drug GYS-016 tablets.

Intervention code:

组别:

对照组

样本量:

20

Group:

Control Group

Sample size:

干预措施:

单纯WHO推荐的6个月短程标准化疗方案(6BDLLfxC:对氟喹诺酮类药物的耐药性未知则BDLLfxC,对喹诺酮类药物敏感则BDLLfx,对氟喹诺酮类药物耐药则BDLC)

干预措施代码:

Intervention:

Simplified 6-month short-course standardized treatment regimen recommended by WHO (6BDLLfxC): BDLLfxC if fluoroquinolone resistance is unknown, BDLLfx if susceptible to fluoroquinolones, BDLC if resistant to fluoroquinolones.

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):

上海市肺科医院 

单位级别:

三级 

Institution
hospital:

Shanghai Pulmonary Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

痰抗酸杆菌涂片

指标类型:

主要指标

Outcome:

Sputum Acid-Fast Bacilli (AFB) Smear

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

痰结核菌培养

指标类型:

主要指标

Outcome:

Sputum Mycobacterium tuberculosis culture

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

影像学检查

指标类型:

次要指标

Outcome:

Imaging examination

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

药物敏感性试验

指标类型:

附加指标

Outcome:

Drug susceptibility test

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血常规检测

指标类型:

副作用指标

Outcome:

Blood routine test

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血生化检测

指标类型:

副作用指标

Outcome:

Blood biochemical test

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心电图

指标类型:

副作用指标

Outcome:

Electrocardiogram

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

临床症状

指标类型:

次要指标

Outcome:

Clinical symptoms

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

早期杀菌活性试验

指标类型:

主要指标

Outcome:

Early Bactericidal Activity (EBA) Test

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

连续痰菌落计数

指标类型:

主要指标

Outcome:

Serial Sputum Colony Counting (SSCC)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

尿常规

指标类型:

副作用指标

Outcome:

Routine Urine Test

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

尿酸

指标类型:

副作用指标

Outcome:

Uric acid

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

外周血PBMC的iNOS

指标类型:

次要指标

Outcome:

iNOS in peripheral blood PBMCs

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

外周血浆中GYS-016

指标类型:

主要指标

Outcome:

GYS-016 in peripheral blood plasma

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:

支气管镜灌洗液

组织:

Sample Name:

BALF

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:

痰液

组织:

Sample Name:

Sputum

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:

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 16 years
最大 Max age 70 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):

随机数字表法

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

Random Number Table Method

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:

Blinding:

None

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):

联系负责人:孙勤;电话:+86 137 7428 9331;电子邮件: sunqinbonjour@163.com;通讯地址:上海市杨浦区政民路507号

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

Contacting the person in charge: Qin Sun;Telephone:+86 137 7428 9331;E-mail: sunqinbonjour@163.com;Address:507 Zhengmin Road, Yangpu District, Shanghai, China

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, CRF

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:

 2026-04-01 11:57:59