药物治疗相关肺损伤早期预警与预防体系的建立

注册号:

Registration number:

ChiCTR2600126055 

最近更新日期:

Date of Last Refreshed on:

2026-06-03 14:45:51 

注册时间:

Date of Registration:

2026-06-03 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

药物治疗相关肺损伤早期预警与预防体系的建立

Public title:

Establishment of an Early Warning and Prevention System for Drug-Induced Lung Injury

注册题目简写:

English Acronym:

研究课题的正式科学名称:

药物治疗相关肺损伤早期预警与预防体系的建立

Scientific title:

Establishment of an Early Warning and Prevention System for Drug-Induced Lung Injury

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:

邹炳文 

研究负责人:

邹炳文 

Applicant:

Bingwen Zou 

Study leader:

Bingwen Zou 

申请注册联系人电话:

Applicant telephone:

+86 28 85421479

研究负责人电话:

Study leader's
telephone:

+86 28 85421479

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:

zoubingwen81@163.com

研究负责人电子邮件:

Study leader's E-mail:

zoubingwen81@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:

成都市武侯区国学巷37号

研究负责人通讯地址:

四川省成都市武侯区国学巷37号

Applicant address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan Province, China

Study leader's address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan Province, 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:

四川大学华西医院

Applicant's institution:

West China Hospital of Sichuan University

研究负责人所在单位:

四川大学华西医院

Affiliation of the Leader:

West China Hospital of Sichuan 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:

2026年审(588)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:

四川大学华西医院生物医学伦理审查委员会

Name of the ethic committee:

Ethics Committee on Biomedical Research West China Hospital of Sichuan University

伦理委员会批准日期:

Date of approved by ethic committee:

2026-03-24 00:00:00

伦理委员会联系人:

李娜

Contact Name of the ethic committee:

Li Na

伦理委员会联系地址:

四川省成都市武侯区国学巷37号

Contact Address of the ethic committee:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 28 85422654

伦理委员会联系人邮箱:

Contact email of the ethic committee:

188974152@qq.com

研究实施负责(组长)单位:

四川大学华西医院

Primary sponsor:

West China Hospital of Sichuan University

研究实施负责(组长)单位地址:

四川省成都市武侯区国学巷37号

Primary sponsor's address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan 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):

四川省

市(区县):

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西医院

具体地址:

四川省成都市武侯区国学巷37号

Institution
hospital:

West China Hospital of Sichuan University

Address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan Province, China

经费或物资来源:

癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项

Source(s) of funding:

Research on the Prevention and Treatment of Cancer, Cardiovascular, Respiratory and Metabolic Diseas

研究疾病:

药物性肺损伤  

Target disease:

drug-induced lung injury

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:

探索性研究/预试验 

Study phase:

0

研究设计:

连续入组 

Study design:

Sequential 

研究目的:

主要目的:建立我国首个基于多模态数据的药物治疗相关肺损伤“预警-防控-干预”一体化体系,显著降低由临床药物治疗引发的严重肺部并发症(如间质性肺炎、肺纤维化等)的发生率和死亡率,提高原发疾病治疗的安全性与依从性 。 次要目的:针对高风险药物,建立覆盖主要医疗机构的早期预警网络、开发可视化的预警评分工具或体外诊断试剂盒并构建预防体系,将高风险人群的药物性肺损伤早期识别窗口提前 。  

Objectives of Study:

Primary Objective:Establish China's first multi-modal data-based integrated "early warning–prevention–intervention" system for drug-induced lung injury (DLI), significantly reducing the incidence and mortality of severe pulmonary complications (e.g., interstitial pneumonia, pulmonary fibrosis) and improving treatment safety and compliance.Secondary Objectives:Develop an early warning network across major medical institutions, visualized risk scoring tools or in vitro diagnostic kits for high-risk drugs, and advance the early detection window for DLI in high-risk populations.

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.既往已确诊患有严重的间质性肺病、肺纤维化或正处于严重活动性肺部感染期; 2.入组前4周内发生过严重活动性肺部感染,且影像学尚未完全吸收者; 3.患有严重凝血功能障碍等疾病,不宜或拒绝进行血液、痰液等生物标本采集者; 4.存在严重幽闭恐惧症或无法平卧等客观限制,无法配合完成高分辨率CT(HRCT)检查者; 5.患有除原发疾病外的其他未得到有效控制的恶性肿瘤者; 6.处于妊娠期或哺乳期的女性患者。

Exclusion criteria:

1. History of confirmed severe interstitial lung disease, pulmonary fibrosis, or current severe active pulmonary infection; 2. Severe active pulmonary infection within 4 weeks prior to enrollment with incomplete radiological resolution; 3. Severe coagulation disorders or other conditions contraindicating/refusing blood, sputum, or other biological specimen collection; 4. Severe claustrophobia, inability to lie supine, or other objective limitations precluding high-resolution CT (HRCT) examination; 5. Other malignancies besides the primary disease that are not effectively controlled; 6. Female patients during pregnancy or lactation.

研究实施时间:

Study execute time:

From 2026-04-30 00:00:00 To 2029-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-07-01 00:00:00 To 2027-12-31 00:00:00

干预措施:

Interventions:

组别:

内部验证集

样本量:

150

Group:

Internal validation set

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

实验集

样本量:

350

Group:

experimental set

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

临床试点验证组

样本量:

50

Group:

Clinical pilot verification 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):

四川省 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西医院 

单位级别:

三级甲等 

Institution
hospital:

West China Hospital of Sichuan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖南省 

市(区县):

 

Country:

China

Province:

Hunan

City:

单位(医院):

中南大学湘雅医院 

单位级别:

三级甲等 

Institution
hospital:

Xiangya Hospital of Central South University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东省 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

广州医科大学附属第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Guangzhou Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

肺功能

指标类型:

主要指标

Outcome:

Pulmonary function parameters

Type:

Primary indicator

测量时间点:

治疗第1周、1月、2月、6月及疑似肺损伤发生时等关键时间节点

测量方法:

临床症状(如咳嗽、呼吸困难加重)、肺功能指标:mMRC呼吸困难量表、莱切斯特咳嗽问卷、6分钟步行试验、FVC、DLCO 等

Measure time point of outcome:

Critical time points: Week 1, Months 1, 2, 6, and at suspected DLI onset

Measure method:

Clinical manifestations (e.g., aggravated cough, dyspnea) and lung function indices

指标中文名:

敏感度

指标类型:

主要指标

Outcome:

Sensitivity

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

特异度

指标类型:

主要指标

Outcome:

specificity

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

受试者工作特征曲线下面积

指标类型:

主要指标

Outcome:

Area Under the Receiver Operating Characteristic Curve

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:

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:

外周血

组织:

Sample Name:

Peripheral 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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 75 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):

不共享

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

Not shared

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:

有/Yes

注册人:

Name of Registration:

 2026-06-03 10:00:56