噬菌体联合抗生素治疗多重耐药菌感染的前瞻性临床研究

注册号:

Registration number:

ChiCTR2600116642 

最近更新日期:

Date of Last Refreshed on:

2026-01-13 11:46:21 

注册时间:

Date of Registration:

2026-01-13 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

噬菌体联合抗生素治疗多重耐药菌感染的前瞻性临床研究

Public title:

Phage-Antibiotic Combination Therapy for Multidrug-Resistant Infections: A Prospective Study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

噬菌体联合抗生素治疗多重耐药菌感染的前瞻性临床研究

Scientific title:

Phage-Antibiotic Combination Therapy for Multidrug-Resistant Infections: A Prospective 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:

周泱 

研究负责人:

卢洪洲/周泱 

Applicant:

Zhou Yang 

Study leader:

Lu Hongzhou/ Zhou Yang 

申请注册联系人电话:

Applicant telephone:

+86 130 0884 9326

研究负责人电话:

Study leader's
telephone:

+86 755 6122 2333

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:

516472422@qq.com

研究负责人电子邮件:

Study leader's E-mail:

yangzhou@szsy.sustech.edu.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:

深圳市龙岗区布澜路29号

研究负责人通讯地址:

深圳市龙岗区布澜路29号

Applicant address:

No. 29, Bulan Road,Longgang District,Shenzhen, Guangdong Province,China

Study leader's address:

No. 29, Bulan Road,Longgang District,Shenzhen, Guangdong Province,China

申请注册联系人邮政编码:

Applicant postcode:

518000

研究负责人邮政编码:

Study leader's postcode:

518000

申请人所在单位:

深圳市第三人民医院

Applicant's institution:

Shenzhen Third people‘ Hospital

研究负责人所在单位:

深圳市第三人民医院

Affiliation of the Leader:

Shenzhen Third people‘ 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:

深圳三院伦审科研字[2025-186-02]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:

深圳市第三人民医院伦理委员会

Name of the ethic committee:

Shenzhen Third People's Hospital Research Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2025-10-29 00:00:00

伦理委员会联系人:

韩雨

Contact Name of the ethic committee:

Han Yu

伦理委员会联系地址:

广东省深圳市龙岗区布澜路29号

Contact Address of the ethic committee:

No. 29, Bulan Road,Longgang District,Shenzhen, Guangdong Province,China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 755 6122 2333

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:

深圳市第三人民医院

Primary sponsor:

Shenzhen Third people‘ Hospital

研究实施负责(组长)单位地址:

广东省深圳市龙岗区布澜路29号

Primary sponsor's address:

No. 29, Bulan Road,Longgang District,Shenzhen, Guangdong 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):

广东

市(区县):

深圳

Country:

China

Province:

Guangdong

City:

Shenzhen

单位(医院):

深圳市第三人民医院

具体地址:

广东省深圳市龙岗区布澜路29号

Institution
hospital:

Shenzhen Third people‘ Hospital

Address:

No. 29, Bulan Road,Longgang District,Shenzhen, Guangdong Province,China

经费或物资来源:

深圳市科技计划项目

Source(s) of funding:

Shenzhen Science and Technology Program

研究疾病:

多重耐药细菌感染  

Target disease:

Multidrug-resistant bacterial infections

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:

I期+II期 

Study phase:

1-2

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究针对由多重耐药细菌引起的感染患者,开展单中心、随机对照、前瞻性研究。以噬菌体的有效性(临床指标,微生物指标)和安全性为主要结局指标,评估噬菌体治疗在多重耐药细菌感染患者中的疗效与临床价值。  

Objectives of Study:

This single-center, randomized, controlled, prospective study was conducted in patients with infections caused by multidrug-resistant bacteria. The efficacy and clinical value of phage therapy in patients with multidrug-resistant bacterial infections were evaluated using phage efficacy (clinical and microbiological indicators) and safety as primary outcome measures.

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. 细菌感染能被抗生素治疗有效控制; 2. 未配型到有效的噬菌体; 3. 无可行的噬菌体给药途径,或对给药途径(雾化吸入、 置管、 灌注、 湿敷) 有禁忌证; 4. 患者拒绝接受菌体治疗 5. 经研究者判定不适合参与本研究的患者

Exclusion criteria:

1. The bacterial infection can be effectively controlled by antibiotic treatment; 2. No effective phage has been identified; 3. No feasible route of phage administration is available, or there are contraindications to the route of administration (nebulized inhalation, catheter placement, instillation, wet compress); 4. The patient refuses phage therapy; 5. The patient is deemed unsuitable for participation in this study by the investigator.

研究实施时间:

Study execute time:

From 2026-01-15 00:00:00 To 2028-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-01-15 00:00:00 To 2028-12-31 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:

筛选目标菌的噬菌体外用(雾化或局部给药)7至14天 抗生素静脉给药14至18天

干预措施代码:

Intervention:

Phages for screening target bacteria are administered in vitro (by nebulization or local application) for 7 to 14 days. Antibiotics administered intravenously for 14 to 18 days

Intervention code:

组别:

对照组

样本量:

20

Group:

control group

Sample size:

干预措施:

生理盐水外用(雾化或局部给药)7至14天 抗生素静脉给药14天至18天

干预措施代码:

Intervention:

Normal saline are administered in vitro (by nebulization or local application) for 7 to 14 days. Antibiotics administered intravenously for 14 to 18 days

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东省 

市(区县):

深圳市 

Country:

China

Province:

guangdong

City:

shenzhen

单位(医院):

深圳市第三人民医院 

单位级别:

三甲 

Institution
hospital:

Shenzhen Third people‘ Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

临床有效率

指标类型:

主要指标

Outcome:

Clinical response rate

Type:

Primary indicator

测量时间点:

4周

测量方法:

目标菌负荷载量下降和/或 临床症状改善

Measure time point of outcome:

4 weeks

Measure method:

Decreased target bacterial load and/or improved clinical symptoms

指标中文名:

细菌清除率

指标类型:

次要指标

Outcome:

Bacterial clearance 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:

住院时间

指标类型:

次要指标

Outcome:

Length of hospital stay

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:

组织:

Sample Name:

Sputum

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:

标本中文名:

尿

组织:

Sample Name:

Urine

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:

大便

组织:

Sample Name:

faeces

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:

肺泡灌洗液

组织:

Sample Name:

alveolar lavage fluid

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:

穿刺液

组织:

Sample Name:

puncture fluid

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 18 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):

区域化随机:研究分为试验组和对照组对多重耐药菌的效果,计划入组40人。临床团队实施区域化随机序列号,研究团队负责提供治疗密闭包(噬菌体或生理盐水)。分层因素:疾病严重程度(轻症、重症)。过程:初步预期20个轻症和20个重症。不同分层生成一个包含20个分配的随机序列(如:A, B, B, A, …);为“重症层”生成一个包含20个分配的随机序列。

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

Regional randomization: The study divides participants into an experimental group and a control group to assess the effects of multidrug-resistant bacteria, with a planned enrollment of 40 participants. The clinical team will implement regional randomization, while the research team will provide closed treatment packages (phage or saline). Stratification factor: Disease severity (mild, severe). Procedure: Initially, 20 mild cases and 20 severe cases are expected. A random sequence containing 20 allocations will be generated for each stratum (e.g., A, B, B, A, …); a random sequence containing 20 allocations will be generated for the "severe stratum".

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:

开放

Blinding:

Open label

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):

论文

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

Paper

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:

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:

 2026-01-13 11:46:15