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注册号: Registration number: |
ChiCTR2500115067 |
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最近更新日期: Date of Last Refreshed on: |
2025-12-22 11:59:58 |
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注册时间: Date of Registration: |
2025-12-22 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
GS3-007a 干混悬剂用于成人生长激素缺乏症(AGHD)诊断的临床研究 |
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Public title: |
A Study of GS3-007a for Oral Suspension in the Diagnosis of AGHD |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
GS3-007a干混悬剂单次口服用于成人生长激素缺乏症(AGHD)诊断的多中心、随机、开放、三交叉设计的II期临床研究 |
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Scientific title: |
Phase II Clinical Study of Single Oral Administration of GS3-007a for Oral Suspension in the Diagnosis of Adult Growth Hormone Deficiency (AGHD): A Multicenter, Randomized, Open-Label, Three-Way Crossover Trial |
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研究课题代号(代码): Study subject ID: |
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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: |
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申请注册联系人: |
刘廷 |
研究负责人: |
潘慧 |
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Applicant: |
Liu Ting |
Study leader: |
Pan Hui |
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申请注册联系人电话: Applicant telephone: |
+86 18946532759 |
研究负责人电话:
Study leader's |
+86 10 69155685 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
liuting01@genscigroup.com |
研究负责人电子邮件: Study leader's E-mail: |
panhui200111111@163.com |
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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): |
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申请注册联系人通讯地址: |
吉林省长春市高新区海容广场42楼 |
研究负责人通讯地址: |
北京市东城王府井帅府园1号(100730) |
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Applicant address: |
42nd Floor, Tower B, Gaoxin Hairong Plaza, Intersection of Weishan Road and Zhenyu Street, Chaoyang |
Study leader's address: |
No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing |
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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: |
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申请人所在单位: |
长春金赛药业有限责任公司 |
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Applicant's institution: |
Changchun Jinsai Pharmaceutical Co., Ltd. |
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研究负责人所在单位: |
中国医学科学院北京协和医院 |
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Affiliation of the Leader: |
Peking Union Medical College Hospital |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
KS20251824 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
中国医学科学院北京协和医院药物临床试验伦理委员会 |
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Name of the ethic committee: |
Ethics Committee for Clinical Trials of Drugs at Peking Union Medical College Hospital Chinese Academy of Medical Sciences |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-12-09 00:00:00 | ||
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伦理委员会联系人: |
董粤 |
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Contact Name of the ethic committee: |
Dong Yue |
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伦理委员会联系地址: |
北京市东城王府井帅府园1号 |
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Contact Address of the ethic committee: |
No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 10 69154183 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
dongyue@pumch.cn |
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研究实施负责(组长)单位: |
中国医学科学院北京协和医院 |
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Primary sponsor: |
Peking Union Medical College Hospital |
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研究实施负责(组长)单位地址: |
北京市东城王府井帅府园1号 |
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Primary sponsor's address: |
No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
长春金赛药业有限责任公司 |
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Source(s) of funding: |
Changchun Jinsai Pharmaceutical Co., Ltd. |
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研究疾病: |
成人生长激素缺乏症 |
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Target disease: |
Adult Growth Hormone Deficiency |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
II期临床试验 | ||||||||||||||||||||||
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Study phase: |
2 |
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研究设计: |
随机交叉对照 |
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Study design: |
Cross-over |
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研究目的: |
主要目的: 评价 GS3-007a 干混悬剂不同剂量对 AGHD 的诊断效能 次要目的: 确定 GS3-007a 干混悬剂诊断 AGHD的 GH 峰值浓度的诊断临界值(cutoff) 评价不同剂量的GS3-007a干混悬剂单次口服的安全性和耐受性 评价GS3-007a干混悬剂在疑似AGHD受试者中药代动力学(PK)特征 评价GS3-007a干混悬剂在疑似AGHD受试者中的药效动力学(PD)特征 评价GS3-007a干混悬剂和ITT诊断AGHD的一致性 |
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Objectives of Study: |
Primary Objective:To evaluate the diagnostic efficacy of different doses of GS3-007a for Suspension in the diagnosis of AGHD.Secondary Objectives:To determine the diagnostic cutoff value of the peak growth hormone (GH) concentration of GS3-007a for Suspension in the diagnosis of AGHD.To evaluate the safety and tolerability of a single oral administration of different doses of GS3-007a for Suspension.To evaluate the pharmacokinetic (PK) characteristics of GS3-007a for Suspension in subjects with suspected AGHD.To evaluate the pharmacodynamic (PD) characteristics of GS3-007a for Suspension in subjects with suspected AGHD.To evaluate the consistency between GS3-007a for Suspension and ITT in the diagnosis of AGHD. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
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Inclusion criteria |
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排除标准: |
1.已知或疑似对生长激素促释放肽类药物或其制剂辅料过敏者,或已知对胰岛素或其辅料过敏者; 2.筛选前6个月内,新发的以下有临床意义的疾病,不适于进行ITT: a)存在慢性充血性心力衰竭病史,纽约心脏学会(NYHA)心功能III级及以上者(见10.2.1附录1); b)其他有临床意义的心脑血管疾病,例如未控制的严重高血压、严重心律失常、脑卒中或短暂性脑缺血发作、明确诊断的冠心病; c)创伤性脑损伤; 3.筛选前30天内接受过短效GH治疗; 4.筛选前90天内接受过长效GH治疗; 5.本研究首次用药前7天内进行过生长激素激发试验; 6.筛选期甲状腺功能异常,或使用甲状腺素替代治疗者在本研究首次用药前8周内调整过甲状腺素剂量; 7.筛选期性腺功能异常(研究者判断受试者已处于绝经期,或性腺功能低下受试者经研究者判断无需补充激素替代治疗者不属于排除标准),或使用睾酮、雌激素替代治疗者,在本研究首次用药前30天内调整过睾酮、雌激素剂量; 8.筛选期肾上腺功能异常,或使用糖皮质激素替代治疗者,在本研究首次用药前30天内调整过糖皮质激素剂量(肾上腺功能不全患者允许短期按需调整糖皮质激素的剂量,即允许“应激剂量”:每6周内最多使用2次,每次使用时间最长5天,剂量最多可达到稳定剂量的3倍); 9.使用去氨加压素治疗者,在本研究首次用药前30天内调整过去氨加压素剂量; 10.筛选期女性骨龄< 15岁,男性骨龄< 17岁(可接受筛选前6个月内拍摄的骨龄片,需要筛选时研究中心重新评估); 11.筛选前确诊1型糖尿病,或筛选前确诊2型糖尿病且未经治疗或控制不佳[控制不佳定义为筛选期糖化血红蛋白(HbA1c)> 8.0%]; 12.体重指数(BMI)≥ 40.0 kg/m2; 13.筛选前6个月内接受过大型外科手术(如冠脉搭桥、肝肾切除、妇科手术等); 14.筛选前3个月内发生急性神经、消化、呼吸、循环、内分泌、血液等系统疾病,经研究者判断可能影响试验用药品的吸收、分布、代谢和排泄及安全性评价的疾病; 15.筛选前存在恶性肿瘤既往史或现病史者; 16.筛选时活动性库欣病患者,或在首次给药前30天内接受超生理剂量糖皮质激素治疗者; 17.筛选期心电图提示QTc间期> 450 ms(根据Fridericia校正公式,其中QTcF=QT/∛RR),或有QTc间期延长病史者,或其他有临床意义的心电图异常,或使用可能延长QT间期的药物(见10.2.2附录2,在不影响受试者安全的情况下可以停药,经过至少5个半衰期洗脱后可以筛选); 18.筛选期鞍区磁共振成像(MRI)扫描(建议采用磁共振对比剂增强)目前存在未经治疗的颅内肿瘤生长者; 19.有临床症状的精神疾病的病史且筛选时仍持续存在; 20.有帕金森氏病、癫痫病史且筛选时仍持续存在; 21.筛选期血人绒毛膜促性腺激素(hCG)阳性女性,或哺乳期女性,或计划在筛选期开始到随访期完成期间怀孕的女性; 22.筛选期肝功能指标符合以下任何一种情况: a)血清天门冬氨酸氨基转移酶> 1.5×正常值上限(ULN); b)丙氨酸氨基转移酶> 1.5×ULN; c)γ-谷氨肽转移酶> 2.0×ULN; d)血清总胆红素> 1.5×ULN; 23.筛选期血肌酐> 1.5×ULN; 24.筛选期使用过直接影响垂体分泌生长激素的药物(例如IGF-1、生长激素促释放的肽类/非肽类药物、可乐定、左旋多巴和多巴胺激动剂)或刺激生长抑素释放的药物(抗毒蕈碱剂,例如阿托品),本研究首次给药前需停药> 5个半衰期; 25.使用CYP3A4/5强效抑制剂和强效诱导剂(见10.2.3附录3,在不影响受试者安全的情况下可以停药,经过至少5个半衰期洗脱后可以筛选); 26.筛选前1个月内参加过其他任何药物或医疗器械的临床试验者(参加临床试验的定义以受试者接受试验用药品给药为准)或筛选时尚在药物的5个半衰期内(以时间较长者为准); 27.从筛选期开始到随访期完成,不愿意采取方案规定的避孕方式,包括:禁欲异性性交(常规且持续禁欲),男性受试者(或女性受试者男性配偶)使用男用避孕套,或任意一方已行绝育术; 28.研究者认为不适合入选本临床试验的其他情况。 |
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Exclusion criteria: |
1.Subjects with known or suspected allergy to growth hormone-releasing peptides or their formulation excipients, or known or suspected allergy to insulin or its excipients; 2.Subjects with newly developed clinically significant diseases listed below within 6 months prior to screening, who are not suitable for receiving ITT;a) History of chronic congestive heart failure, New York Heart Association (NYHA) functional class III or higher (see Appendix 1 in section 10.2.1); b) Other clinically significant cardiovascular or cerebrovascular diseases, such as uncontrolled severe hypertension, severe arrhythmias, stroke or transient ischemic attack, and clearly diagnosed coronary heart disease; c) Traumatic brain injury; 3.Subjects who have received short-acting GH therapy within 30 days prior to screening; 4.Received long-acting growth hormone (GH) therapy within 90 days prior to screening; 5.Subjects who have undergone a growth hormone stimulation test within 7 days prior to the first administration of study drug in this trial; 6.Subjects with abnormal thyroid function during the screening period, or those receiving thyroid hormone replacement therapy who have adjusted their thyroid hormone dosage within 8 weeks prior to the first administration of study drug in this trial; 7.Subjects with abnormal gonadal function during the screening period (subjects judged by the investigator to be in menopause, or those with hypogonadism who are not deemed to require hormone replacement therapy by the investigator are not subject to this exclusion criterion), or those receiving testosterone or estrogen replacement therapy who have adjusted their testosterone or estrogen dosage within 30 days prior to the first administration of study drug in this trial; 8.Subjects with abnormal adrenal function during the screening period, or those receiving glucocorticoid replacement therapy who have adjusted their glucocorticoid dosage within 30 days prior to the first administration of study drug in this trial (patients with adrenal insufficiency are permitted to make short-term, as-needed adjustments to glucocorticoid dosage, i.e., "stress doses" are allowed: a maximum of 2 times within every 6 weeks, with each course of use lasting no more than 5 days and the dosage not exceeding 3 times the stable dose); 9.Subjects receiving desmopressin therapy who have adjusted their desmopressin dosage within 30 days prior to the first administration of study drug in this trial; 10.Female subjects with a bone age < 15 years old and male subjects with a bone age < 17 years old during the screening period (bone age films taken within 6 months prior to screening are acceptable, but need to be re-evaluated by the study center at the time of screening); 11.Subjects diagnosed with type 1 diabetes prior to screening, or those diagnosed with type 2 diabetes prior to screening who are either untreated or poorly controlled [poor control is defined as glycated hemoglobin (HbA1c) > 8.0% during the screening period]; 12.Body Mass Index (BMI) >= 40.0 kg/m^2; 13.Subjects who have undergone major surgery (such as coronary artery bypass grafting, hepatectomy/nephrectomy, gynecological surgery, etc.) within 6 months prior to screening; 14.Subjects who had acute diseases of the nervous, digestive, respiratory, circulatory, endocrine, hematological or other systems within 3 months prior to screening, and which are judged by the investigator to potentially affect the absorption, distribution, metabolism, excretion of the investigational product and the safety evaluation; 15.Subjects with a past or current history of malignant tumors prior to screening; 16.Subjects with active Cushing’s disease at screening, or those who have received supraphysiological doses of glucocorticoid therapy within 30 days prior to the first administration; 17.Subjects with currently untreated intracranial tumor growth identified by sellar region magnetic resonance imaging (MRI) scan (contrast-enhanced MRI is recommended) during the screening period; 18.Subjects with a QTc interval > 450 ms on electrocardiogram (ECG) during screening (calculated using the Fridericia correction formula, where QTcF=QT/∛RR), or those with a history of QTc interval prolongation, or other clinically significant ECG abnormalities, or those taking drugs that may prolong the QTc interval (see Appendix 2, Section 10.2.2; in cases that do not affect subject safety, the drug may be discontinued and screening can be performed after an elution period of at least 5 half-lives); 19.Subjects with a history of clinically symptomatic mental illness that persists at screening; 20.Subjects with a history of Parkinson’s disease or epilepsy that persists at screening; 21.Female subjects with a positive human chorionic gonadotropin (hCG) test result during screening, or lactating females, or females planning to become pregnant from the start of screening until the completion of the follow-up period; 22.Subjects with liver function indicators meeting any of the following criteria during the screening period:a) Serum aspartate aminotransferase > 1.5×upper limit of normal (ULN);b) Alanine aminotransferase > 1.5×ULN;c) γ-glutamyl transferase > 2.0×ULN;d) Serum total bilirubin > 1.5×ULN; 23.Serum creatinine > 1.5×upper limit of normal (ULN) during the screening period; 24.Subjects who have used drugs that directly affect pituitary growth hormone secretion (e.g., IGF-1, growth hormone-releasing peptides/non-peptides, clonidine, levodopa, and dopamine agonists) or drugs that stimulate somatostatin release (antimuscarinic agents, e.g., atropine) during the screening period; these drugs must be discontinued for more than 5 half-lives prior to the first administration of the investigational product in this study. 25.Subjects using strong CYP3A4/5 inhibitors or strong CYP3A4/5 inducers (see Appendix 3, Section 10.2.3; if it does not affect the subject’s safety, the drug may be discontinued and screening can be conducted after an elution period of at least 5 half-lives); 26.Subjects who participated in any other clinical trials of drugs or medical devices within 1 month prior to screening (participation in a clinical trial is defined as the subject having received administration of the investigational product) or who are still within 5 half-lives of the trial drug at the time of screening (whichever is longer); 27.Subjects who are unwilling to adopt the contraceptive methods specified in the protocol from the start of screening until the completion of the follow-up period, including: abstinence from heterosexual intercourse (regular and continuous abstinence), male subjects (or male spouses of female subjects) using male condoms, or either party having undergone sterilization; 28.Other circumstances that the investigator deems inappropriate for inclusion in this clinical trial. |
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研究实施时间: Study execute time: |
从 From 2025-12-15 00:00:00至 To 2026-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2025-12-30 00:00:00 至 To 2026-06-30 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
研究者应用中央随机系统(IWRS)进行受试者随机化 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Investigators use the Interactive Web Response System (IWRS) to perform subject randomization. |
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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 |
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盲法: |
开放标签 |
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Blinding: |
Open-label study |
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是否共享原始数据: IPD sharing |
否No |
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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): |
无 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
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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: |
EDC |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
EDC |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |