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注册号: Registration number: |
ChiCTR2600125063 |
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最近更新日期: Date of Last Refreshed on: |
2026-05-20 17:34:24 |
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注册时间: Date of Registration: |
2026-05-20 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: |
替罗非班治疗急性缺血性卒中的多中心、开放标签、盲法终点评估的随机对照临床试验 |
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Public title: |
A multicenter, open-label, randomized controlled trial of tirofiban in the treatment of acute ischemic stroke with blinded endpoint assessment. |
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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: |
替罗非班治疗急性缺血性卒中的多中心、开放标签、盲法终点评估的随机对照临床试验 |
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Scientific title: |
A multicenter, open-label, randomized controlled trial of tirofiban in the treatment of acute ischemic stroke with blinded endpoint assessment. |
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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: |
李凤利 |
研究负责人: |
杨清武 |
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Applicant: |
Li Fengli |
Study leader: |
Yang Qingwu |
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申请注册联系人电话: Applicant telephone: |
+86 173 5833 9092 |
研究负责人电话:
Study leader's |
+86 136 5763 8868 |
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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: |
lifengli01@163.com |
研究负责人电子邮件: Study leader's E-mail: |
yangqwmlys@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: |
中国重庆市沙坪坝区新桥街道183号中国人民解放军陆军军医大学第二附属医院新桥医院神经内科 |
研究负责人通讯地址: |
中国重庆市沙坪坝区新桥街道183号中国人民解放军陆军军医大学第二附属医院新桥医院神经内科 |
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Applicant address: |
Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), No. 183 Xinqiao Main Street, Shapingba District, Chongqing, China |
Study leader's address: |
Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), No. 183 Xinqiao Main Street, Shapingba District, Chongqing, China |
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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: |
中国人民解放军陆军军医大学第二附属医院新桥医院 |
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Applicant's institution: |
Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University) |
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研究负责人所在单位: |
中国人民解放军陆军军医大学第二附属医院 |
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Affiliation of the Leader: |
The Second Affiliated Hospital of Army Medical University, PLA |
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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: |
2025-研第240-01 |
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: |
中国人民解放军陆军军医大学第二附属医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of Second Affiliated Hospital of Army Medical University, PLA |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-07-08 00:00:00 | ||
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伦理委员会联系人: |
宋彩萍 |
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Contact Name of the ethic committee: |
Caiping Song |
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伦理委员会联系地址: |
中国重庆市沙坪坝区新桥街道183号 |
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Contact Address of the ethic committee: |
No. 183 Xinqiao Main Street, Shapingba District, Chongqing, China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 23 6875 5422 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
xqyyethics@163.com |
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研究实施负责(组长)单位: |
陆军军医大学第二附属医院 |
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Primary sponsor: |
The Second Affiliated Hospital of Army Medical University, PLA |
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研究实施负责(组长)单位地址: |
中国重庆市沙坪坝区新桥街道183号中国人民解放军陆军军医大学第二附属医院新桥医院神经内科 |
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Primary sponsor's address: |
Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), No. 183 Xinqiao Main Street, Shapingba District, Chongqing, China |
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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: |
本项目研究经费来源于国家(国家自然科学基金,项目编号:82371334)和军队(陆军军医大学第二附属医院临床研究专项项目,项目编号:2024F001;陆军军医大学第二附属医院人才建设专项项目,项目编号:2024XKRC003)已批准立项的项目资助经费。 |
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Source(s) of funding: |
The research funding for this project comes from nationally approved projects, including the National Natural Science Foundation of China (Grant No. 82371334), as well as military projects: the Clinical Research Special Project of the Second Affiliated Hospital of Army Medical University (Grant No. 2024F001) and the Talent Development Special Project of the Second Affiliated Hospital of Army Medical University (Grant No. 2024XKRC003). |
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研究疾病: |
急性缺血性卒中 |
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Target disease: |
acute ischemic stroke |
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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: |
上市后药物 | ||||||||||||||||||||||
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Study phase: |
4 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
开展多中心、开放标签、盲法终点评估的随机对照临床试验,明确急性缺血性卒中患者早期使用替罗非班的有效性及安全性。 |
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Objectives of Study: |
Conduct a multicenter, open-label, blinded endpoint randomized controlled clinical trial to determine the efficacy and safety of early use of tirofiban in patients with acute ischemic stroke. |
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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) 经头颅CT或MRI证实为颅内出血; 2) 发病前mRS评分≥2分; 3) 妊娠或哺乳期妇女; 4) 收缩压>185mmHg或舒张压>110mmHg,且降压药物无法控制; 5) 计划进行或已进行急性期血管内治疗; 6) 本次发病入组前已使用糖蛋白IIb/IIIa受体拮抗剂; 7) 心源性卒中或潜在心源性血栓,存在以下任何明确的心源性栓塞原因:慢性或阵发性心房颤动,二尖瓣狭窄,机械瓣膜,心内膜炎,心内血栓或植入物,扩张型心肌病,左心房自发声学显影; 8) 血糖<2.8mmol/L或>22.2mmol/L,血小板<90*10^9/L; 9) 遗传学或获得性出血体质,抗凝因子缺乏;或已使用抗凝药且INR>1.7; 10) 近1个月有出血史(消化系统及泌尿系统出血); 11) 慢性血液透析及严重肾功能不全(肾小球滤过率<30ml/min或血肌酐>220μmol/L)患者; 12) 任何疾病晚期致预期寿命<6个月; 13) 预期不能完成随访; 14) 颅内动脉瘤、动静脉畸形; 15) 颅内占位性病变; 16) 对替罗非班、造影剂过敏; 17) 正参加其他临床试验。 |
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Exclusion criteria: |
1. Intracranial hemorrhage confirmed by CT or MRI of the head; 2. mRS score >= 2 points before onset; 3. Pregnant or lactating women; 4. Systolic blood pressure > 185 mmHg or diastolic blood pressure > 110 mmHg, and antihypertensive drugs cannot be controlled; 5. Planned or have undergone endovascular treatment in the acute phase; 6. Glycoprotein IIb/IIIa receptor antagonists have been used before enrollment in this disease; 7. Cardiac stroke or underlying cardiogenic thrombosis with any of the following definite causes of cardiogenic embolism: chronic or paroxysmal atrial fibrillation, mitral valve stenosis, mechanical valve, endocarditis, intracardiac thrombosis or implant, dilated cardiomyopathy, left atrial spontaneous acoustic development; 8. Blood glucose < 2.8 mmol/L or > 22.2 mmol/L, platelet count < 90 x 10^9/L; 9. Genetic or acquired bleeding diathesis, anticoagulant deficiency; or have used anticoagulants with INR > 1.7; 10. History of bleeding (digestive and urinary system bleeding) in the past 1 month; 11. Patients with chronic hemodialysis and severe renal insufficiency (glomerular filtration rate < 30 ml/min or serum creatinine > 220 μmol/L); 12. Life expectancy < 6 months due to advanced disease; 13. Expected inability to complete follow-up; 14. Intracranial aneurysm, arteriovenous malformation; 15. Intracranial space-occupying lesions; 16. Allergy to tirofiban and contrast agents; 17. Participating in other clinical trials. |
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研究实施时间: Study execute time: |
从 From 2025-07-01 00:00:00至 To 2027-09-30 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-06-01 00:00:00 至 To 2027-05-31 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): |
患者按照1:1比例被随机分成两组。本试验采用分层隐匿区组长度的随机化的方法进行随机化分组,按照分中心进行分层,区组长度包括4、6及8,患者以1:1比例产生随机分组序列。各分中心研究者在患者签署知情同意书后报告组长单位研究者,后者通过随机化软件实现随机化分组。本研究采用中心随机法,由SAS软件产生的随机数字与序号(1、2、3……)对应所组成的随机数字序列的所有随机数字单数和偶数分别指定为试验组和对照组,并记录在案。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Patients were randomly divided into two groups according to a 1:1 ratio. This study uses the method of randomization of stratified occult block length, stratified according to sub-center, block length includes 4, 6 and 8, and patients are randomized in a 1:1 ratio. The investigator of each sub-center reports to the team leader unit investigator after the patient signs the informed consent form, and the latter realizes randomization through randomization software. In this study, the central random method was adopted, and the random numbers and serial numbers (1, 2, 3...... generated by SAS software were usedAll random numbers odd and even corresponding to the random number sequence that constitute are designated as test and control groups respectively and recorded. |
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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: |
公开/Public |
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盲法: |
盲法终点评估。终点疗效指标将由两名对治疗分组信息未知的神经科专家独立评估,分歧以协商一致的方式解决。 |
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Blinding: |
Blinded endpoint assessment. The primary outcome measure will be independently evaluated by two neurologists who are unaware of the treatment group assignment, and any disagreement will be resolved by consensus. |
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试验完成后的统计结果(上传文件): |
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Calculated Results after
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是否共享原始数据: IPD sharing |
是Yes |
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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): |
相关论文发表5年后在Resman平台公开原始数据, http://www.medresman.org.cn。 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Related papers published five years later, the IPD will be shared on ResMan, http://www.medresman.org.cn. |
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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: |
采用病例报告表(CRF)和临床试验电子数据采集系统(EDC)ResMan采集与管理数据。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Use Case Record Form (CRF) and Electronic Data Capture (EDC), ResMan to collect and manage data. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |