活检确诊狼疮性肾炎的系统性结局观察与长期监测研究

注册号:

Registration number:

ChiCTR2600126767 

最近更新日期:

Date of Last Refreshed on:

2026-06-15 15:59:25 

注册时间:

Date of Registration:

2026-06-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

活检确诊狼疮性肾炎的系统性结局观察与长期监测研究

Public title:

Biopsy-proven Lupus nephritis Observational Study for Systemic Outcomes Monitoring

注册题目简写:

BLOSSOM

English Acronym:

研究课题的正式科学名称:

活检确诊狼疮性肾炎的系统性结局观察与长期监测研究

Scientific title:

Biopsy-proven Lupus nephritis Observational Study for Systemic Outcomes Monitoring

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:

丁慧华 

研究负责人:

丁慧华 

Applicant:

Ding Huihua 

Study leader:

Ding Huihua 

申请注册联系人电话:

Applicant telephone:

+86 150 0067 5919

研究负责人电话:

Study leader's
telephone:

+86 150 0067 5919

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:

dinghuihua@outlook.com

研究负责人电子邮件:

Study leader's E-mail:

dinghuihua@outlook.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:

上海市黄浦区山东中路145号

研究负责人通讯地址:

上海市黄浦区山东中路145号

Applicant address:

No. 145 Shandong Zhong Road, Huangpu District, Shanghai, China

Study leader's address:

No. 145 Shandong Zhong Road, Huangpu District, Shanghai, China

申请注册联系人邮政编码:

Applicant postcode:

200001

研究负责人邮政编码:

Study leader's postcode:

200001

申请人所在单位:

上海交通大学医学院附属仁济医院

Applicant's institution:

Renji Hospital, Shanghai Jiao Tong University School of Medicine

研究负责人所在单位:

上海交通大学医学院附属仁济医院

Affiliation of the Leader:

Renji Hospital, Shanghai Jiao Tong University School of Medicine

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:

LY2026-066-B

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:

上海交通大学医学院附属仁济医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee, Renji Hospital, Shanghai Jiao Tong University School of Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2026-03-09 00:00:00

伦理委员会联系人:

陆麟

Contact Name of the ethic committee:

Lu Lin

伦理委员会联系地址:

上海市浦东新区浦建路160号

Contact Address of the ethic committee:

160 Pujian Road, Pudong New Area, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 6838 3364

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:

上海交通大学医学院附属仁济医院

Primary sponsor:

Renji Hospital, Shanghai Jiao Tong University School of Medicine

研究实施负责(组长)单位地址:

上海市黄浦区山东中路145号

Primary sponsor's address:

No. 145 Shandong Zhong Road, Huangpu District, Shanghai, 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):

上海市

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海交通大学医学院附属仁济医院

具体地址:

上海市黄浦区山东中路145号

Institution
hospital:

Renji Hospital, Shanghai Jiao Tong University School of Medicine

Address:

No. 145 Shandong Zhong Road, Huangpu District, Shanghai, China

经费或物资来源:

Source(s) of funding:

None

研究疾病:

系统性红斑狼疮  

Target disease:

Systemic Lupus Erythematosus

研究疾病代码:

M32

Target disease code:

M32

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:

主要目的:建立肾活检确证的LN患者长期随访队列,量化不同病理学与临床暴露对长期肾脏结局(eGFR下降≥40%、ESRD或肾脏相关死亡)的影响,评估治疗应答与肾功能进展(eGFR slope)关系 次要目的:评估不同病理分型患者临床特征、治疗模式与疗效差异;分析影响长期肾脏结局的危险因素;评估LLDAS与DORIS状态对肾脏预后和复发的影响;探索肾脏疾病复发的危险因素;为个体化预后预测模型构建奠定基础  

Objectives of Study:

Primary Objective: To establish a long-term follow-up cohort of lupus nephritis (LN) patients with biopsy-proven diagnosis, quantify the impact of different pathological and clinical exposures on long-term renal outcomes (eGFR decline ≥40%, ESRD, or renal-related death), and evaluate the relationship between treatment response and renal function progression (eGFR slope). Secondary Objectives: To evaluate differences in clinical characteristics, treatment patterns, and therapeutic efficacy among patients with different pathological classifications; to analyze risk factors affecting long-term renal outcomes; to assess the impact of LLDAS and DORIS status on renal prognosis and relapse; to explore risk factors for renal disease relapse; and to lay the foundation for building individualized prognostic prediction models.

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. 病理标本不合格无法诊断 2. 合并其他严重肾脏疾病(如糖尿病肾病、慢性肾病等) 3. 明确拒绝参与研究(前瞻性部分)

Exclusion criteria:

1. Pathological specimen inadequate for diagnosis. 2. Concomitant other severe renal diseases (e.g., diabetic nephropathy, chronic kidney disease, etc.). 3. Explicit refusal to participate in the study (prospective component).

研究实施时间:

Study execute time:

From 2017-01-10 00:00:00 To 2036-03-09 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-07-15 00:00:00 To 2036-03-09 00:00:00

干预措施:

Interventions:

组别:

Case series

样本量:

1300

Group:

Case series

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):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海交通大学医学院附属仁济医院 

单位级别:

三甲 

Institution
hospital:

Renji Hospital, Shanghai Jiao Tong University School of Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

SLEDAI – 2000评分

指标类型:

主要指标

Outcome:

SLEDAI – 2000

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

PGA评分

指标类型:

主要指标

Outcome:

PGA

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

LLDAS低疾病活动度评估

指标类型:

主要指标

Outcome:

LLDAS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

24小时蛋白尿

指标类型:

主要指标

Outcome:

24-hour urine protein

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌酐

指标类型:

主要指标

Outcome:

Creatinine

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肾小球滤过率

指标类型:

主要指标

Outcome:

eGFR

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

补体3

指标类型:

主要指标

Outcome:

C3

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

补体4

指标类型:

主要指标

Outcome:

C4

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抗dsDNA抗体

指标类型:

主要指标

Outcome:

Anti-dsDNA

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

免疫球蛋白 (IgG/A/M)

指标类型:

次要指标

Outcome:

Immunoglobulin (IgG/A/M)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抗核抗体

指标类型:

次要指标

Outcome:

ANA

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抗ENA抗体谱

指标类型:

次要指标

Outcome:

Anti-ENA

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抗磷脂抗体

指标类型:

次要指标

Outcome:

antiphospholipid antibody

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

SDI评分

指标类型:

次要指标

Outcome:

SDI

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

DORIS状态

指标类型:

次要指标

Outcome:

DORIS

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

治疗应答评估

指标类型:

附加指标

Outcome:

treatment response

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

复发事件

指标类型:

附加指标

Outcome:

flare

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良事件记录

指标类型:

附加指标

Outcome:

Record of adverse events

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

感染事件

指标类型:

附加指标

Outcome:

Infection incident

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院情况

指标类型:

附加指标

Outcome:

Hospitalization status

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

糖皮质激素使用情况

指标类型:

附加指标

Outcome:

The use of glucocorticoids

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

免疫抑制剂使用情况

指标类型:

附加指标

Outcome:

The use of immunosuppressants

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生物制剂使用情况

指标类型:

附加指标

Outcome:

Use of biological agents

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抗疟药使用情况

指标类型:

附加指标

Outcome:

Usage of antimalarial drugs

Type:

Additional 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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 14 years
最大 Max age 85 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):

以论文发表的形式

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

in the form of a published paper

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:

电子采集和管理系统(Electronic Data Capture, EDC)

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

Electronic Data Capture

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:

 2026-06-15 15:59:09