NRF2调控非酒精性脂肪肝向肝癌演变的回顾性临床研究

注册号:

Registration number:

ChiCTR2600126916 

最近更新日期:

Date of Last Refreshed on:

2026-06-18 16:38:00 

注册时间:

Date of Registration:

2026-06-18 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

NRF2调控非酒精性脂肪肝向肝癌演变的回顾性临床研究

Public title:

A Retrospective Clinical Study of NRF2 Regulation in the Progression from Non-Alcoholic Fatty Liver Disease to Hepatocellular Carcinoma

注册题目简写:

English Acronym:

研究课题的正式科学名称:

NRF2调控非酒精性脂肪肝向肝癌演变的回顾性临床研究

Scientific title:

A Retrospective Clinical Study of NRF2 Regulation in the Progression from Non-Alcoholic Fatty Liver Disease to Hepatocellular Carcinoma

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:

古丽 

研究负责人:

古丽 

Applicant:

Li Gu 

Study leader:

Li Gu 

申请注册联系人电话:

Applicant telephone:

+86 18171423062

研究负责人电话:

Study leader's
telephone:

+86 28 85422114

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:

ligu@scu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

ligu@scu.edu.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:

四川大学华西医院实验医学科,中国成都

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:

Department of Laboratory Medicine,West China Hospital, Sichuan University, Chengdu

Study leader's address:

#37 Guoxue Lane, Wuhou District, Chengdu City, Sichuan 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:

四川大学华西医院

Applicant's institution:

West China Hospital, 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(707)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:

2026-05-20 00:00:00

伦理委员会联系人:

李娜

Contact Name of the ethic committee:

Lina

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 City, Sichuan Province

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 City, Sichuan 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):

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 City, Sichuan Province

经费或物资来源:

国家自然科学基金

Source(s) of funding:

National Natural Science Foundation of China

研究疾病:

本研究涉及代谢相关脂肪性肝炎(MASH)、肝纤维化、肝硬化及MASH相关肝细胞癌;同时涉及结肠癌、直肠癌、结直肠腺瘤、克罗恩病、溃疡性结肠炎,以及结直肠癌相关肠系膜受累或转移。  

Target disease:

This study involves metabolic dysfunction-associated steatohepatitis (MASH), liver fibrosis, liver cirrhosis, and MASH-related hepatocellular carcinoma; it also involves colon cancer, rectal cancer, colorectal adenoma, Crohn’s disease, ulcerative colitis, and colorectal cancer-associated mesenteric involvement or metastasis.

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:

病例对照研究 

Study design:

Case-Control study 

研究目的:

本研究旨在利用临床样本,系统分析NRF2信号在代谢相关脂肪性肝炎(MASH)相关肝癌以及结直肠癌发生发展过程中的动态变化与临床意义。核心目标是寻找可用于MASH-HCC及肠癌早期预警或预后判断的潜在生物标志物,并评估NRF2作为共同或特异性治疗靶点的潜在价值,为后续开发针对肝肠肿瘤的精准干预策略提供依据。  

Objectives of Study:

This study aims to systematically analyze the dynamic changes and clinical significance of NRF2 signaling during the development and progression of metabolic dysfunction-associated steatohepatitis (MASH)-related hepatocellular carcinoma and colorectal cancer using clinical samples. The primary objective is to identify potential biomarkers for early warning and prognostic assessment of MASH-HCC and colorectal cancer, and to evaluate the potential value of NRF2 as a shared or disease-specific therapeutic target. The findings are expected to provide a basis for the subsequent development of precision intervention strategies for liver and intestinal tumors.

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.年龄小于18岁或大于90岁者。
2.临床诊断或病理诊断不明确,或不符合本研究疾病类型及对照条件者。
3.组织样本质量不符合实验要求,包括组织量不足、严重自溶、坏死过多、固定包埋质量不佳或切片质量不合格者。
4.临床病理资料、治疗资料或随访资料严重缺失,无法进行有效分组、临床关联分析或预后分析者。
5.术前接受过可能明显影响NRF2表达或病理评估的放疗、化疗、靶向治疗或免疫治疗者;免疫治疗反应分析队列除外。
6.样本来源、使用权限或伦理要求不符合本研究规定者。

Exclusion criteria:

1.Patients younger than 18 years or older than 90 years.
2.Patients with unclear clinical or pathological diagnoses, or those who do not meet the disease types or control conditions defined in this study.
3.Tissue samples that do not meet the experimental requirements, including insufficient tissue volume, severe autolysis, excessive necrosis, poor fixation or embedding quality, or unsatisfactory section quality.
4.Patients with severely incomplete clinicopathological, treatment, or follow-up data, making effective grouping, clinical correlation analysis, or prognostic analysis impossible.
5.Patients who received preoperative radiotherapy, chemotherapy, targeted therapy, or immunotherapy that may significantly affect NRF2 expression or pathological assessment; this does not apply to patients included in the immunotherapy response analysis cohort.
6.Samples whose source, permission for use, or ethical requirements do not comply with the regulations of this study.

研究实施时间:

Study execute time:

From 2026-06-20 00:00:00 To 2031-06-20 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-20 00:00:00 To 2031-06-20 00:00:00

干预措施:

Interventions:

组别:

炎症性肠病组

样本量:

30

Group:

Precancerous lesion and inflammatory bowel disease group

Sample size:

干预措施:

干预措施代码:

Intervention:

NA

Intervention code:

组别:

慢性肝病组

样本量:

60

Group:

Chronic liver disease group

Sample size:

干预措施:

干预措施代码:

Intervention:

NA

Intervention code:

组别:

肝细胞癌组

样本量:

160

Group:

Hepatocellular carcinoma group

Sample size:

干预措施:

干预措施代码:

Intervention:

NA

Intervention code:

组别:

肠系膜癌组

样本量:

30

Group:

Mesenteric cancer group

Sample size:

干预措施:

干预措施代码:

Intervention:

NA

Intervention code:

组别:

正常对照组

样本量:

50

Group:

Normal control group

Sample size:

干预措施:

干预措施代码:

Intervention:

NA

Intervention code:

组别:

结直肠癌组

样本量:

150

Group:

Colorectal cancer group

Sample size:

干预措施:

干预措施代码:

Intervention:

NA

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

测量指标:

Outcomes:

指标中文名:

NRF2表达水平及亚细胞定位

指标类型:

主要指标

Outcome:

NRF2 expression level and subcellular localization

Type:

Primary indicator

测量时间点:

病理标本收集后统一检测

测量方法:

采用免疫组化染色检测NRF2在肿瘤组织、癌旁组织、疾病对照组织及正常对照组织中的表达水平和亚细胞定位,并进行半定量评分。

Measure time point of outcome:

At the time of pathological specimen analysis

Measure method:

NRF2 expression and subcellular localization will be assessed by immunohistochemistry in tumor, adjacent non-tumor, disease control, and normal control tissues, followed by semi-quantitative scoring.

指标中文名:

NRF2表达与临床病理特征的关系

指标类型:

次要指标

Outcome:

Association between NRF2 expression and clinicopathological characteristics

Type:

Secondary indicator

测量时间点:

病例资料收集及病理检测完成后

测量方法:

收集年龄、性别、病变部位、病理类型、肿瘤分期、分化程度、淋巴结转移、远处转移、MASH或肝硬化背景等资料,分析其与NRF2表达的关系。

Measure time point of outcome:

After collection of clinicopathological data and completion of pathological assessment

Measure method:

Clinicopathological variables, including age, sex, lesion site, pathological type, tumor stage, differentiation, lymph node metastasis, distant metastasis, and MASH or cirrhosis background, will be collected and analyzed in relation to NRF2 expression.

指标中文名:

生存结局

指标类型:

次要指标

Outcome:

Survival outcomes

Type:

Secondary indicator

测量时间点:

随访结束或资料收集完成时

测量方法:

收集总生存期、无病生存期或无复发生存期,采用Kaplan–Meier法、log-rank检验及Cox回归模型分析NRF2表达与预后的关系。

Measure time point of outcome:

At the end of follow-up or completion of data collection

Measure method:

Overall survival, disease-free survival, or recurrence-free survival will be collected and analyzed using Kaplan–Meier survival curves, log-rank tests, and Cox proportional hazards regression models

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

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 18 years
最大 Max age 90 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):

不适用。本研究涉及患者临床病理资料、病理图像及随访信息,含有潜在可识别的个人健康信息,原始数据不公开共享。

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

Not applicable. The raw data include potentially identifiable clinicopathological information, pathological images, and follow-up data; therefore, individual-level raw data will not be publicly 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:

本研究基于既往病历系统和病理档案进行回顾性资料收集。研究人员将按照统一病例资料收集表提取年龄、性别、诊断、病变部位、病理类型、肿瘤分期、治疗方式、基础疾病、随访及生存资料等信息,并收集相应石蜡包埋组织或病理切片用于NRF2免疫组化检测。所有数据将进行去标识化处理,使用研究编号替代患者身份信息。电子数据由专人录入和核查,保存于受密码保护的研究数据库中,仅限授权研究人员访问。

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

Data will be collected retrospectively from the hospital medical record system and pathology archives using a standardized case report form. Demographic, clinicopathological, treatment, follow-up, and survival data will be extracted, and corresponding FFPE tissue blocks or pathological sections will be collected for NRF2 immunohistochemical analysis. All data will be de-identified and assigned study codes. Electronic data will be entered and checked by authorized researchers and stored in a password-protected research database with restricted access.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2026-06-18 16:37:41