氨甲环酸联合地塞米松对全髋关节置换术患者机体免疫功能及补体的影响:一项随机对照试验

注册号:

Registration number:

ChiCTR1900027416 

最近更新日期:

Date of Last Refreshed on:

2019-11-12 21:31:22 

注册时间:

Date of Registration:

2019-11-12 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

氨甲环酸联合地塞米松对全髋关节置换术患者机体免疫功能及补体的影响:一项随机对照试验

Public title:

Effects of tranexamic acid and dexamethasone on immune function and complement in patients undergoing total hip replacement: a randomized controlled trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

关节置换术安全性与效果评价

Scientific title:

Evaluation of safety and efficacy of joint replacement

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:

赵鑫 

研究负责人:

康鹏德 

Applicant:

Zhao Xin 

Study leader:

Kang Pengde 

申请注册联系人电话:

Applicant telephone:

+86 17844623779

研究负责人电话:

Study leader's
telephone:

+86 18980601953

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:

zhaoxin5670@126.com

研究负责人电子邮件:

Study leader's E-mail:

kangpd@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:

四川省成都市武侯区国学巷37号华西医院骨科

研究负责人通讯地址:

四川省成都市武侯区国学巷37号华西医院骨科

Applicant address:

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

Study leader's address:

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

四川大学华西医院骨科

Applicant's institution:

Department of Orthopedics, West China Hospital, Sichuan University

研究负责人所在单位:

四川大学华西医院骨科

Affiliation of the Leader:

Department of Orthopedics, West China Hospital, 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:

2012268

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:

四川大学华西医院临床试验与生物医学伦理专委会

Name of the ethic committee:

West China Hospital, Sichuan University Biomedical Research Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2013-08-26 00:00:00

伦理委员会联系人:

曾智

Contact Name of the ethic committee:

Zen Zhi

伦理委员会联系地址:

四川省成都市武侯区国学巷37号华西医院老八教412

Contact Address of the ethic committee:

Room 412, Old 8th Teaching Building, West China Hospital, Sichuan University, 37 Guoxue Lane, Wuhou District, Chengdu, Sichuan, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

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:

四川大学华西医院骨科

Primary sponsor:

Department of Orthopedics, West China Hospital, 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号华西医院

Primary sponsor's address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan, 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

市(区县):

成都

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

华西医院

具体地址:

四川省成都市武侯区国学巷37号华西医院骨科

Institution
hospital:

West China Hospital

Address:

37 Guoxue Lane, Wuhou District, Chengdu

经费或物资来源:

课题组经费

Source(s) of funding:

Research group funding

研究疾病:

骨关节炎或 股骨头坏死  

Target disease:

osteoarthritis or Osteonecrosis of femoral head

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:

探索性研究/预试验 

Study phase:

0

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

为了研究有效改善髋关节置换术后患者免疫功能抑制状态,增强免疫功能,提高免疫力,加速患者康复。  

Objectives of Study:

In order to effectively improve the immunosuppression status of patients after hip replacement, enhance the immune function, improve the immunity, and accelerate the recovery of patients.

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 DDH继发骨关节炎(Crowe型3或4型),股骨头坏死;
②血栓栓塞疾病史(即深静脉血栓形成(DVT),或肺栓塞(PE)), 凝血病,近期动脉血栓栓塞事件(如心肌梗塞或中风),高凝状态,血友病;
③严重的心血管和呼吸系统疾病; 肾和肝功能衰竭,肾移植史;
④拒绝参与或拒绝接受血液制品者。
⑤患者有双侧髋关节置换术史.

Exclusion criteria:

(1) DDH secondary osteoarthritis (Crowe type 3 or 4), femoral head necrosis;
(2) History of thromboembolic disease (i.e., deep vein thrombosis (DVT), or pulmonary embolism (PE)), thrombotic disease, recent arterial thromboembolic events (such as myocardial infarction or stroke), hypercoagulant status, hemophilia;
(3) serious cardiovascular and respiratory diseases; Kidney and liver failure, history of kidney transplantation;
(4) refuse to participate in or refuse to accept blood products.The patient had a history of bilateral hip replacement.

研究实施时间:

Study execute time:

From 2019-11-15 00:00:00 To 2020-05-11 00:00:00  

征募观察对象时间:

Recruiting time:

From 2019-11-11 00:00:00 To 2020-05-11 00:00:00

干预措施:

Interventions:

组别:

A组

样本量:

50

Group:

Group A

Sample size:

干预措施:

静脉用氨甲环酸

干预措施代码:

Intervention:

Tranexamic acid is used intravenously

Intervention code:

组别:

B组

样本量:

50

Group:

Group B

Sample size:

干预措施:

氨甲环酸+地塞米松

干预措施代码:

Intervention:

Tranexamic acid plus dexamethasone

Intervention code:

组别:

C组

样本量:

50

Group:

Group C

Sample size:

干预措施:

静脉用地塞米松

干预措施代码:

Intervention:

Intravenous dexamethasone

Intervention code:

组别:

D组

样本量:

50

Group:

Group D

Sample size:

干预措施:

安慰剂

干预措施代码:

Intervention:

placebo

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):

成都市 

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

华西医院 

单位级别:

三甲医院 

Institution
hospital:

West China Hospital

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

血浆免疫球蛋白(lgG、lgA、lgM、lgE)

指标类型:

主要指标

Outcome:

Plasma immunoglobulin (lgG, lgA, lgM, lgE)

Type:

Primary indicator

测量时间点:

术前及术后第1,2,3天及术后第二周

测量方法:

Measure time point of outcome:

Before operation, day 1, 2, 3 and week 2 post-operation

Measure method:

指标中文名:

补体(C3、C4)

指标类型:

主要指标

Outcome:

Complement (C3, C4)

Type:

Primary indicator

测量时间点:

术前及术后第1,2,3天及术后第二周

测量方法:

Measure time point of outcome:

Before operation, day 1, 2, 3 and week 2 post-operation

Measure method:

指标中文名:

淋巴细胞亚群(CD3淋巴细胞,CD4淋巴细胞,CD8淋巴细胞和CD4 / CD8比例)

指标类型:

主要指标

Outcome:

Lymphocyte subsets (CD3 lymphocyte, CD4 lymphocyte, CD8 lymphocyte and CD4 / CD8 ratio)

Type:

Primary indicator

测量时间点:

术前及术后第1,2,3天及术后第二周

测量方法:

Measure time point of outcome:

Before operation, day 1, 2, 3 and week 2 post-operation

Measure method:

指标中文名:

炎症标记物

指标类型:

次要指标

Outcome:

Inflammatory marker

Type:

Secondary indicator

测量时间点:

术前及术后第1,2,3天及术后第二周

测量方法:

Measure time point of outcome:

Before operation, day 1, 2, 3 and week 2 post-operation

Measure method:

指标中文名:

血常规

指标类型:

次要指标

Outcome:

Routine blood

Type:

Secondary 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:

血液

组织:

Sample Name:

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 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):

使用计算机生成的随机数字列表,将患者随机分为4组。

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

Patients were randomly divided into four groups using a computer-generated list of random Numbers.

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

盲法:

未说明

Blinding:

Not stated

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

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):

实验结果发表后

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

after the results publication

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:

暂无

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

not yet

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:

 2019-11-12 21:31:22