富血小板血浆治疗食管内镜黏膜下剥离术后溃疡的单中心、随机、对照临床研究

注册号:

Registration number:

ChiCTR2600116841 

最近更新日期:

Date of Last Refreshed on:

2026-01-15 15:20:16 

注册时间:

Date of Registration:

2026-01-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

富血小板血浆治疗食管内镜黏膜下剥离术后溃疡的单中心、随机、对照临床研究

Public title:

Effectiveness of Platelet-Rich Plasma for the Healing of Ulcers after Esophageal Endoscopic Submucosal Dissection: A Single-Center, Randomized, Controlled Clinical Study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

富血小板血浆治疗食管内镜黏膜下剥离术后溃疡的单中心、随机、对照临床研究

Scientific title:

Effectiveness of Platelet-Rich Plasma for the Healing of Ulcers after Esophageal Endoscopic Submucosal Dissection: A Single-Center, Randomized, Controlled 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:

蒋康 

研究负责人:

汪芳裕 

Applicant:

Kang Jiang 

Study leader:

Fangyu Wang 

申请注册联系人电话:

Applicant telephone:

+86 25 8086 0051

研究负责人电话:

Study leader's
telephone:

+86 25 8086 3384

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:

903773305@qq.com

研究负责人电子邮件:

Study leader's E-mail:

wangfy65@nju.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:

江苏南京市玄武区中山东路305号南京大学医学院附属金陵医院

研究负责人通讯地址:

江苏南京市玄武区中山东路305号南京大学医学院附属金陵医院

Applicant address:

Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, 305 Zhongshan East Road, Nanjing 210002, China

Study leader's address:

Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, 305 Zhongshan East Road, Nanjing 210002, China

申请注册联系人邮政编码:

Applicant postcode:

210002

研究负责人邮政编码:

Study leader's postcode:

210002

申请人所在单位:

南京大学医学院附属金陵医院

Applicant's institution:

Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University

研究负责人所在单位:

南京大学医学院附属金陵医院

Affiliation of the Leader:

Jinling Hospital, Affiliated Hospital of Medical School, Nanjing 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:

2025DZKY-132-01

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:

中国人民解放军东部战区总医院临床研究伦理委员会

Name of the ethic committee:

The Clinical Research Ethics Committee of the General Hospital of the Eastern Theater Command, People's Liberation Army of China

伦理委员会批准日期:

Date of approved by ethic committee:

2025-11-24 00:00:00

伦理委员会联系人:

吴琼

Contact Name of the ethic committee:

Qiong Wu

伦理委员会联系地址:

江苏省南京中山东路305号南京大学医学院附属金陵医院

Contact Address of the ethic committee:

Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, 305 Zhongshan East Road, Nanjing 210002, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 25 8086 3234

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:

南京大学医学院附属金陵医院

Primary sponsor:

Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University

研究实施负责(组长)单位地址:

江苏南京市玄武区中山东路305号南京大学医学院附属金陵医院消化内科

Primary sponsor's address:

Department of Gastroenterology and Hepatology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, 305 Zhongshan East Road, Nanjing 210002, 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):

江苏省

市(区县):

南京

Country:

China

Province:

Jiangsu Province

City:

Nanjing

单位(医院):

南京大学医学院附属金陵医院(东部战区总医院)

具体地址:

江苏南京市玄武区中山东路305号

Institution
hospital:

Department of Gastroenterology and Hepatology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University

Address:

No. 305, Zhongshan East Road, Xuanwu District, Nanjing City, Jiangsu Province

经费或物资来源:

东部战区总医院博士后基金(96492)

Source(s) of funding:

Postdoctoral Fund of General Hospital of Eastern Theater Command of PLA (96492)

研究疾病:

食管ESD术后溃疡  

Target disease:

Ulcers after Esophageal Endoscopic Submucosal Dissection

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:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

评价食管内镜黏膜下剥离(ESD)术后局部注射富血小板血浆(PRP)对食管医源性溃疡的有效性和安全性  

Objectives of Study:

To assess the effectiveness and safety of platelet-rich plasma for the healing of ulcers after esophageal endoscopic submucosal dissection.

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.有严重心、脑、肺、肝、肾等脏器功能不全者; 2.有多个病灶需行ESD术; 3.有胸部或腹部手术史者; 4.术前有明确感染病史,如肺炎、上呼吸道感染、泌尿系统感染等; 5.妊娠及哺乳期妇女; 6.有凝血功能严重障碍者; 7.有PRP使用禁忌者:(1)血小板功能障碍综合征;(2)重度血小板减少症;(3)血流动力学不稳定;(4)败血症;(5)局部感染; 8.研究者认为有任何原因不能入选者。

Exclusion criteria:

1. Patients with severe organ dysfunction affecting the heart, brain, lungs, liver, kidneys, or other vital organs; 2. Patients requiring ESD for multiple lesions; 3. Patients with a history of thoracic or abdominal surgery; 4. Patients with a confirmed history of infection prior to surgery, such as pneumonia, upper respiratory tract infection, or urinary tract infection; 5. Pregnant or breastfeeding women; 6. Patients with severe coagulation disorders; 7. Contraindications for PRP use: (1) platelet dysfunction syndrome; (2) severe thrombocytopenia; (3) haemodynamic instability; (4) sepsis; (5) localised infection; 8. Any other reason deemed ineligible by the investigator.

研究实施时间:

Study execute time:

From 2026-01-15 00:00:00 To 2027-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-01-15 00:00:00 To 2027-12-31 00:00:00

干预措施:

Interventions:

组别:

PRP组

样本量:

21

Group:

PRP Group

Sample size:

干预措施:

PRP组在ESD术后使用黏膜下注射针对医源性溃疡周围的4个方向上,各黏膜下注射1mL的PRP(共4 mL)

干预措施代码:

Intervention:

In the PRP group, 1 mL of PRP was injected submucosally at each of four points around the periphery of the ESD-induced ulcer immediately after the procedure, for a total administered volume of 4 mL.

Intervention code:

组别:

对照组

样本量:

21

Group:

Control Group

Sample size:

干预措施:

ESD术后不做特殊处理。

干预措施代码:

Intervention:

Patients in the control group received standard ESD only, with no additional intervention.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu Province

City:

单位(医院):

南京大学医学院附属金陵医院 

单位级别:

三甲 

Institution
hospital:

Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

溃疡愈合率

指标类型:

主要指标

Outcome:

healing rate of ulcer

Type:

Primary indicator

测量时间点:

ESD术后4周

测量方法:

胃镜检查

Measure time point of outcome:

4 weeks after ESD

Measure method:

gastroscopy

指标中文名:

手术时间

指标类型:

次要指标

Outcome:

Operating hours

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

病变部位

指标类型:

次要指标

Outcome:

Site of pathology

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中出血情况

指标类型:

次要指标

Outcome:

Intraoperative haemorrhage

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:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

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 18 years
最大 Max age 80 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):

本研究由生物统计专业人员采用固定区组长度的随机化方法生成随机分配序列,按照1:1比例将入选的受试者随机分配为两组。实际操作时采用基于手机的“金陵鼠”微信小程序来实现两种处理方法的随机分配。当受试者签署了知情同意书,经筛选符合试验入组条件的受试者需要随机时,由赋予权限的研究者在手机客户端输入患者相关信息,并经指定的随机管理员核准确认后,分配组别即刻反馈到手机上,研究者则根据随机分配的组别对患者实施相应治疗。

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

The randomization sequence was generated by a biostatistician using a fixed-block design. Eligible participants were randomly assigned in a 1:1 ratio to the two groups. Allocation was implemented through a dedicated mobile application ("Jinling Shu") within the WeChat platform. After providing informed consent and confirming eligibility, an authorized researcher entered the participant’s information into the application. A designated randomization manager then verified and confirmed the entry. The assigned group was immediately displayed on the researcher’s device, and the corresponding treatment was administered accordingly.

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:

单盲

Blinding:

single blind

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

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):

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

None

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+EDC

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

CRF+EDC

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:

 2026-01-15 15:19:51