艾滋病合并药物敏感肺结核的短疗程方案验证研究

注册号:

Registration number:

ChiCTR2600125828 

最近更新日期:

Date of Last Refreshed on:

2026-06-01 10:38:08 

注册时间:

Date of Registration:

2026-06-01 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

艾滋病合并药物敏感肺结核的短疗程方案验证研究

Public title:

Short-Course Regimens for DS-PTB in AIDS patients

注册题目简写:

肺结核短程治疗

English Acronym:

Short-Course Regimens for DS-PTB in AIDS patients

研究课题的正式科学名称:

艾滋病合并药物敏感肺结核的短疗程方案验证研究

Scientific title:

A Validation Study of Short-Course Regimens for Drug-Susceptible Pulmonary Tuberculosis in AIDS​ 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:

沈银忠 

研究负责人:

沈银忠 

Applicant:

Yinzhong Shen 

Study leader:

shenyinzhong 

申请注册联系人电话:

Applicant telephone:

+86 21 3799 0333

研究负责人电话:

Study leader's
telephone:

+86 21 3799 0333

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:

shenyinzhong@shaphc.org

研究负责人电子邮件:

Study leader's E-mail:

shenyinzhong@shphc.org.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:

上海市金山区漕廊公路2901号

研究负责人通讯地址:

上海市金山区漕廊公路2901号

Applicant address:

No. 2901, Caolang Road, Jinshan District, Shanghai

Study leader's address:

2901, Caolang Road, Jinshan District, Shanghai

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:

上海市公共卫生临床中心

Applicant's institution:

Shanghai public health clinical center

研究负责人所在单位:

上海市公共卫生临床中心

Affiliation of the Leader:

Shanghai Public Health Clinical Center

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:

2025-S148-02

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:

上海市公共卫生临床中心伦理委员会

Name of the ethic committee:

Shanghai Public Health Clinical Center Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2026-02-11 00:00:00

伦理委员会联系人:

刘晓茜

Contact Name of the ethic committee:

liuxiaoqian

伦理委员会联系地址:

上海市金山区漕廊公路2901号

Contact Address of the ethic committee:

2901, Caolang Road, Jinshan District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 3799 0333

伦理委员会联系人邮箱:

Contact email of the ethic committee:

lunliweiyuanhui2009@126.com

研究实施负责(组长)单位:

上海市公共卫生临床中心

Primary sponsor:

Shanghai Public Health Clinical Center

研究实施负责(组长)单位地址:

上海市金山区漕廊公路2901号

Primary sponsor's address:

2901, Caolang Road, Jinshan District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海市

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市公共卫生临床中心

具体地址:

上海市金山区漕廊公路2901号

Institution
hospital:

Shanghai Public Health Clinical Center

Address:

2901, Caolang Road, Jinshan District, Shanghai

经费或物资来源:

艾滋病和病毒性肝炎等重大传染病防治

Source(s) of funding:

National Major Projects

研究疾病:

艾滋病合并药物敏感肺结核  

Target disease:

Drug-Susceptible Pulmonary Tuberculosis in AIDS patients

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:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

评价2HPMZ/2HPM抗结核方案在CD4 T细胞计数小于100个/μL艾滋病人群中的有效性和安全性  

Objectives of Study:

To Evaluate the Efficacy and Safety of the 2HPMZ/2HPM Antituberculosis Regimen in AIDS patients with CD4+ T-Cell Count < 100 cells/μL

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.已知或怀疑对方案中任何药物耐药,包含利福喷汀、莫西沙星、利福平、异烟肼、乙胺丁醇、吡嗪酰胺。
2.体重小于40 kg。
3.已接受本次结核病治疗超过 7 天。
4.合并结核性脑膜炎或其他严重结核病。
5.严重肝功能异常(ALT 或 AST > 5 倍正常值上限 ULN)。
6.严重肾功能异常(eGFR < 30 mL/min/1.73m^2)。
7.基线心电图 (ECG) 示 QTc 间期 > 500 ms。
8.妊娠期或哺乳期妇女。
9.存在其他研究者认为不适宜参与本研究的情况。

Exclusion criteria:

1. Known or suspected resistance to any of the drugs in the regimen, including rifapentine, moxifloxacin, rifampicin, isoniazid, ethambutol, and pyrazinamide.
2. Body weight < 40 kg.
3. Received the current tuberculosis treatment for more than 7 days.
4. Complicated with tuberculous meningitis or other severe forms of tuberculosis.
5. Severe liver dysfunction (ALT or AST > 5 times the upper limit of normal, ULN).
6. Severe renal dysfunction (eGFR < 30 mL/min/1.73m^2).
7. Baseline electrocardiogram (ECG) showing QTc interval > 500 ms.
8. Pregnant or lactating women.
9. Presence of other conditions deemed inappropriate for study participation by the investigators.

研究实施时间:

Study execute time:

From 2025-12-16 00:00:00 To 2028-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-01 00:00:00 To 2028-12-31 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

74

Group:

Experimental Group

Sample size:

干预措施:

2HPMZ/2HPM

干预措施代码:

Intervention:

8 weeks of daily isoniazid, rifapentine, moxifloxacin and pyrazinamide, followed by 9 weeks of daily isoniazid, rifapentine and moxifloxacin

Intervention code:

组别:

对照组

样本量:

74

Group:

Control Group

Sample size:

干预措施:

2HRZE/4HR

干预措施代码:

Intervention:

2HRZE/4HR

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市公共卫生临床中心 

单位级别:

三级甲等 

Institution
hospital:

Shanghai Public Health Clinical Center

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广西壮族自治区 

市(区县):

 

Country:

China

Province:

Guangxi Zhuang Autonomous Region

City:

单位(医院):

广西壮族自治区胸科医院 

单位级别:

三级甲等 

Institution
hospital:

Guangxi Zhuang Autonomous Region Chest Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建省 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

福建医科大学孟超肝胆医院 

单位级别:

三级甲等 

Institution
hospital:

Mengchao Hepatobiliary Hospital of Fujian Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

重庆市 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆市公共卫生医疗救治中心 

单位级别:

三级甲等 

Institution
hospital:

Chongqing Public Health Medical Treatment Center

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):

广州医科大学附属市八医院 

单位级别:

三级医院 

Institution
hospital:

Guangzhou Eighth People's Hospital

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

浙江大学医学院附属第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Zhejiang University School of Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

云南省 

市(区县):

 

Country:

China

Province:

Yunnan

City:

单位(医院):

昆明市第三人民医院 

单位级别:

三级甲等 

Institution
hospital:

Kunming Third People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川省 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

成都市公共卫生临床医疗中心 

单位级别:

三级甲等 

Institution
hospital:

Chengdu Public Health Clinical Center

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏省 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

南京市第二医院 

单位级别:

三级甲等 

Institution
hospital:

The Second Hospital of Nanjing

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京市 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

中国医学科学院北京协和医院 

单位级别:

三级甲等 

Institution
hospital:

Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京市 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京地坛医院 

单位级别:

三级甲等 

Institution
hospital:

Beijing Ditan Hospital, Capital Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

贵州省 

市(区县):

 

Country:

China

Province:

Guizhou

City:

单位(医院):

贵阳市公共卫生救治中心 

单位级别:

三级医院 

Institution
hospital:

Guiyang Public Health Clinical Center

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

免疫重建炎性综合征 (IRIS) 发生率

指标类型:

次要指标

Outcome:

The rate of IRIS

Type:

Secondary indicator

测量时间点:

每次访视

测量方法:

临床症状和实验室数据

Measure time point of outcome:

at each study visit

Measure method:

Clinical symptoms and laboratory indicators

指标中文名:

入组12 个月的全因死亡率

指标类型:

主要指标

Outcome:

All-cause mortality? at Month 12

Type:

Primary indicator

测量时间点:

入组12个月

测量方法:

记录死亡日期及主要死因。

Measure time point of outcome:

at the end of the 12th month

Measure method:

Record the date of death and primary cause of death.

指标中文名:

不良事件 (AE) 和严重不良事件 (SAE) 发生率

指标类型:

次要指标

Outcome:

AE and SAE

Type:

Secondary indicator

测量时间点:

每次访视

测量方法:

按CTCAE v5.0分级,记录AE名称、级别、关联性、转归。

Measure time point of outcome:

at each study visit

Measure method:

Adverse envents (AEs) will be graded according to CTCAE version 5.0, and the AE name, grade, causality, and outcome will be recorded.

指标中文名:

微生物学转阴率:第 2 个月末痰培养转阴率

指标类型:

次要指标

Outcome:

Sputum culture negative conversion rate at the end of the 2nd month

Type:

Secondary indicator

测量时间点:

入组2个月

测量方法:

结核菌痰培养

Measure time point of outcome:

at the end of the 2nd month

Measure method:

Microbiological outcome of sputum culture

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

全血

组织:

Sample Name:

Whole blood

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:

痰标本

组织:

Sample Name:

Sputum specimen

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):

随机数字表法

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

Random Number Table Method

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:

开放标签

Blinding:

Open-label study

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:

EDC

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

EDC

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-06-01 10:38:01