基于机器学习与SHAP可解释性肺癌化疗患者营养风险预测模型的构建与验证

注册号:

Registration number:

ChiCTR2600117833 

最近更新日期:

Date of Last Refreshed on:

2026-01-29 10:25:20 

注册时间:

Date of Registration:

2026-01-29 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于机器学习与SHAP可解释性肺癌化疗患者营养风险预测模型的构建与验证

Public title:

Construction and Validation of a Machine Learning-Based Model with SHAP Explainability for Predicting Nutritional Risk in Lung Cancer Chemotherapy Patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于机器学习与SHAP可解释性肺癌化疗患者营养风险预测模型的构建与验证

Scientific title:

Construction and Validation of a Machine Learning-Based Model with SHAP Explainability for Predicting Nutritional Risk in Lung Cancer Chemotherapy Patients

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:

梁钥 

研究负责人:

梁钥 

Applicant:

LIANG Yue 

Study leader:

LIANG Yue 

申请注册联系人电话:

Applicant telephone:

+86 599 861 0736

研究负责人电话:

Study leader's
telephone:

+86 599 861 0736

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:

cathiely98@163.com

研究负责人电子邮件:

Study leader's E-mail:

845206919@qq.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:

福建省南平市延平区中山路317号

研究负责人通讯地址:

福建省南平市延平区中山路317号

Applicant address:

317 Zhongshan Road, Yanping District, Nanping City, Fujian Province

Study leader's address:

317 Zhongshan Road, Yanping District, Nanping City, Fujian Province

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:

南平市第一医院

Applicant's institution:

Nanping First Hospital

研究负责人所在单位:

南平市第一医院

Affiliation of the Leader:

First Hospital Of Nanping

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:

NPSY202512051

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:

福建省南平市第一医院伦理委员会

Name of the ethic committee:

Ethics Committee of the First Hospital of Nanping City, Fujian Province

伦理委员会批准日期:

Date of approved by ethic committee:

2025-12-25 00:00:00

伦理委员会联系人:

邱源

Contact Name of the ethic committee:

Qiu Yuan

伦理委员会联系地址:

福建省南平市延平区中山路317号

Contact Address of the ethic committee:

317 Zhongshan Road, Yanping District, Nanping City, Fujian Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 599 863 2823

伦理委员会联系人邮箱:

Contact email of the ethic committee:

qiu71901@126.com

研究实施负责(组长)单位:

南平市第一医院

Primary sponsor:

First Hospital Of Nanping

研究实施负责(组长)单位地址:

福建省南平市延平区中山路317号

Primary sponsor's address:

317 Zhongshan Road, Yanping District, Nanping City, Fujian Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

福建省

市(区县):

Country:

China

Province:

Fujian

City:

单位(医院):

南平市第一医院

具体地址:

福建省南平市延平区中山路317号

Institution
hospital:

First Hospital Of Nanping

Address:

317 Zhongshan Road, Yanping District, Nanping City, Fujian Province

经费或物资来源:

福建省卫健委科技计划项目

Source(s) of funding:

Fujian provincial health technology project

研究疾病:

肺癌  

Target disease:

Lung cancer

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

1. 阐明不同症状群亚组的营养代谢特征及其炎症因子;2.构建结构方程模型,量化症状群严重度、炎症因子水平等对营养风险的动态影响路径,以揭示不同症状群演变与营养风险的时序性关联规律; 3. 构建肺癌化疗患者营养风险预测模型。  

Objectives of Study:

1.To delineate the metabolic characteristics of various symptom cluster subgroups and their associated inflammatory cytokine profiles. 2.To develop a structural equation model (SEM) that quantitatively maps the dynamic impact pathways of symptom cluster severity and inflammatory cytokine levels on nutritional risk, thereby elucidating the temporal correlation patterns between symptom cluster evolution and nutritional risk. 3.To establish a prognostic model for predicting the nutritional risk in lung cancer patients undergoing chemotherapy.

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.近3个月接受营养干预治疗;
2.合并其他恶性肿瘤,严重肝肾功能不全;
3.既往有精神病史或药物依赖;
4.近期(≤ 4 周)接受放疗或免疫检查点抑制剂;

Exclusion criteria:

1.Received nutritional support or intervention within the past three months.
2.Concurrent diagnosis of other malignant tumors, severe hepatic insufficiency, or severe renal insufficiency.
3.History of psychiatric disorders or substance abuse.
4.Underwent radiotherapy or treatment with immune checkpoint inhibitors within the recent 4 weeks.

研究实施时间:

Study execute time:

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

征募观察对象时间:

Recruiting time:

From 2026-02-01 00:00:00 To 2027-12-31 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

300

Group:

Observation group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

福建省 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

南平市第一医院 

单位级别:

三级甲等 

Institution
hospital:

First Hospital Of Nanping

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

营养风险恶化事件

指标类型:

主要指标

Outcome:

Nutritional Risk Deterioration Event

Type:

Primary indicator

测量时间点:

化疗第1-4周期、出院1-3个月

测量方法:

NRS 2002、PG-SGA、营养风险指数、预后营养指数

Measure time point of outcome:

Chemotherapy Cycles 1–4 and 1–3?Months Post-Discharge

Measure method:

NRS 2002、PG-SGA、GNRI、PNI

指标中文名:

体成分

指标类型:

次要指标

Outcome:

Body Composition

Type:

Secondary indicator

测量时间点:

化疗第1-4周期、出院1-3个月

测量方法:

人体成分分析仪

Measure time point of outcome:

Chemotherapy Cycles 1–4 and 1–3?Months Post-Discharge

Measure method:

In Body S10

指标中文名:

白蛋白、白介素-6

指标类型:

次要指标

Outcome:

AlbIL-6

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

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 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):

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):

/

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

/

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:

1.制定统一数据采集手册,对研究者进行培训考核;定期抽查录入数据,核对电子病历与问卷一致性,确保数据准确性; 2.数据管理:采用加密数据库存储,仅项目核心成员可调取分析数据;研究结束后,问卷资料及生物样本经匿名化处理、安全销毁。

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

1. Standardized Data Collection ProtocolDevelop a uniform data collection manual, conduct training and assessment for investigators; regularly audit data entries to ensure consistency between electronic medical records and questionnaires, thereby guaranteeing data accuracy. 2.Data Management Utilize an encrypted database for data storage, with access limited to core project members; upon study completion, questionnaire data and biological samples will be anonymized and securely destroyed.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-01-29 10:25:15