基于网络药理学探讨黄连解毒汤治疗高血压病肝火亢盛证的临床研究及作用机制

注册号:

Registration number:

ChiCTR2000031103 

最近更新日期:

Date of Last Refreshed on:

2020-03-22 14:11:23 

注册时间:

Date of Registration:

2020-03-22 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于网络药理学探讨黄连解毒汤治疗高血压病肝火亢盛证的临床研究及作用机制

Public title:

Clinical study and Mechanism of Huanglian jiedu decoction in the treatment of Hypertension with hyperactivity of liver fire Syndrome based on Network Pharmacology

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于网络药理学探讨黄连解毒汤治疗高血压病肝火亢盛证的临床研究及作用机制

Scientific title:

Clinical study and Mechanism of Huanglian jiedu decoction in the treatment of Hypertension with hyperactivity of liver fire Syndrome based on Network Pharmacology

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:

田颖 

研究负责人:

焦华琛 

Applicant:

Tian Ying 

Study leader:

Jiao Huachen 

申请注册联系人电话:

Applicant telephone:

+86 13605412039

研究负责人电话:

Study leader's
telephone:

+86 15165012898

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:

13605412039@126.com

研究负责人电子邮件:

Study leader's E-mail:

liyixuan0531@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

http://www.sdzydfy.com/

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

http://www.sdzydfy.com/

申请注册联系人通讯地址:

山东省济南市历下区经十路16369号

研究负责人通讯地址:

山东省济南市历下区经十路16369号

Applicant address:

16369 Jingshi Road, Lixia District, Ji'nan, Shandong, China

Study leader's address:

16369 Jingshi Road, Lixia District, Ji'nan, Shandong, 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:

山东中医药大学附属医院

Applicant's institution:

Affiliated Hospital of Shandong University of TCM

研究负责人所在单位:

山东中医药大学附属医院

Affiliation of the Leader:

Affiliated Hospital of Shandong University of TCM

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:

(2019)伦审第(049)号-KY

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:

山东中医药大学附属医院伦理委员会

Name of the ethic committee:

Affiliated Hospital of Shandong University of TCM Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2019-12-31 00:00:00

伦理委员会联系人:

张鑫

Contact Name of the ethic committee:

Zhang Xin

伦理委员会联系地址:

山东省济南市历下区经十路16369号

Contact Address of the ethic committee:

16369 Jingshi Road, Lixia District, Ji'nan, Shandong, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 531-68616733

伦理委员会联系人邮箱:

Contact email of the ethic committee:

sdzyethics@163.com

研究实施负责(组长)单位:

山东中医药大学附属医院

Primary sponsor:

Affiliated Hospital of Shandong University of TCM

研究实施负责(组长)单位地址:

山东省济南市历下区经十路16369号

Primary sponsor's address:

16369 Jingshi Road, Lixia District, Ji'nan, Shandong, 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):

山东

市(区县):

济南

Country:

China

Province:

Shandong

City:

单位(医院):

山东中医药大学附属医院

具体地址:

山东省济南市历下区经十路16369号

Institution
hospital:

Affiliated Hospital of Shandong University of TCM

Address:

16369 Jingshi Road, Lixia District, Ji'nan

经费或物资来源:

山东省发改委

Source(s) of funding:

Shandong development and reform commission

研究疾病:

原发性高血压病  

Target disease:

Essential hypertension

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:

本研究基于网络药理学的研究思路,预测黄连解毒汤治疗高血压病肝火亢盛证的关键作用靶点和潜在通路,构建黄连解毒汤药物成分-高血压病的网络图,为追溯中药治疗高血压中起作用的基因、通路提供信息支持。采用临床试验对临床疗效和通路靶点进行验证,以期为高血压病肝火亢盛证的中医药防治提供新的研究视角和干预措施。  

Objectives of Study:

Based on the research idea of network pharmacology, this study predicts the key targets and potential pathways of Huanglian jiedu decoction in the treatment of hypertension with hyperactivity of liver fire syndrome, and constructs the network map of hypertension, which is the drug component of Huanglian jiedu decoction. To provide information support for tracing the genes and pathways that play a role in the treatment of hypertension with traditional Chinese medicine. Clinical trials were used to verify the clinical efficacy and pathway targets, in order to provide a new research perspective and intervention measures for the prevention and treatment of hypertension with hyperactivity of liver fire syndrome.

药物成份或治疗方案详述:

试验组使用黄连解毒汤配方颗粒,对照组采用缬沙坦胶囊,两组均以7日为一个疗程,共观察4个疗程。 

Description for medicine or protocol of treatment in detail:

The experimental group is treated with granules of Huanglianjiedu decoction , and the control group is treated with valsartan capsule. The two groups are treated with one course of treatment on 7 days, and a total of 4 courses of treatment are observed. 

纳入标准:

Inclusion criteria

排除标准:

①继发性高血压、顽固性高血压、恶性高血压、急性及亚急性高血压、白大褂高血压及血压不稳定患者。
②妊娠和哺乳期妇女,育龄妇女不同意在试验期间采取避孕措施。
③有精神疾患、不能很好合作者。
④经检查确认有严重心脏疾病、重度神经官能症患者及心、肝、肾功能不全者。
⑤有重度内分泌、造血系统、肝、肾等原发性疾病、恶性肿瘤、精神病患者。
⑥未纠正的甲亢、甲状腺功能减退症者;肾病综合症、糖尿病及急性肝胆疾病患者。
⑦6个月内曾患严重脑血管意外、心脏疾患、严重创伤、重大手术者及其他一般情况不稳定且预后不良的原发性疾病。
⑧收集资料的病例有其他疾病,正在药物治疗期间且影响试验药物观察者。
⑨三个月内参加过其它药品临床试验者。
⑩研究者认为不适合入组的其它情况。

Exclusion criteria:

1. Patients with secondary hypertension, stubborn hypertension, malignant hypertension, acute and subacute hypertension, white coat hypertension and unstable blood pressure;
2. Pregnant and lactating women, as well as women of childbearing age who do not agree to take contraceptive measures during the trial;
3. Patients with mental disorders and poor cooperation;
4. The patients with serious heart disease, severe neurosis and heart, liver and kidney dysfunction were confirmed by examination;
5. patients with severe endocrine, hematopoietic system, liver, kidney and other primary diseases, malignant tumor and psychosis;
6. Patients with uncorrected hyperthyroidism and hypothyroidism; patients with nephrotic syndrome, diabetes mellitus and acute hepatobiliary diseases;
7. Patients with severe cerebrovascular accident, heart disease, severe trauma, major operation and other primary diseases with general instability and poor prognosis within 6 months;
8. Patients who have other diseases, are under medication and affect the observation of test drug;
9. Patients who have participated in clinical trials of other drugs within three months;
10. Other conditions that the researchers think are not suitable for enrollment.

研究实施时间:

Study execute time:

From 2019-12-31 00:00:00 To 2020-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-03-31 00:00:00 To 2020-06-30 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

97

Group:

experimental group

Sample size:

干预措施:

黄连解毒汤配方颗粒

干预措施代码:

Intervention:

granules of Huanglianjiedu decoction

Intervention code:

组别:

对照组

样本量:

97

Group:

The control group

Sample size:

干预措施:

缬沙坦胶囊

干预措施代码:

Intervention:

Valsartan capsule

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

山东 

市(区县):

济南 

Country:

China

Province:

Shandong

City:

Jinan

单位(医院):

山东中医药大学附属医院 

单位级别:

三级甲等 

Institution
hospital:

Affiliated Hospital of Shandong University of TCM

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

动态血压平均值

指标类型:

主要指标

Outcome:

Mean dynamic blood pressure

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

动态血压监测仪

Measure time point of outcome:

Before and after treatment

Measure method:

Dynamic blood pressure monitor

指标中文名:

中医症候积分

指标类型:

主要指标

Outcome:

symptom score of TCM

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

肝火亢盛症状积分表

Measure time point of outcome:

Before and after treatment

Measure method:

Symptom score table of hyperactivity of liver fire

指标中文名:

诊室肱动脉血压

指标类型:

主要指标

Outcome:

Ventricular brachial artery blood pressure

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

用电子血压计测量右上肢肱动脉血压

Measure time point of outcome:

Before and after treatment

Measure method:

Blood pressure in the brachial artery of the right upper limb was measured with an electronic sphygmomanometer

指标中文名:

生活质量评分

指标类型:

主要指标

Outcome:

Quality of life score

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

杜氏高血压生活质量量表

Measure time point of outcome:

Before and after treatment

Measure method:

Duchenne hypertension quality of life scale

指标中文名:

关键靶点

指标类型:

主要指标

Outcome:

FOS,IL6,MAPK8

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

酶联免疫分析

Measure time point of outcome:

Before and after treatment

Measure method:

ELISA

指标中文名:

身体质量指数

指标类型:

主要指标

Outcome:

BMI

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

体重指数计算器

Measure time point of outcome:

Before and after treatment

Measure method:

Body Mass Index Calculator

指标中文名:

血糖

指标类型:

主要指标

Outcome:

Blood sugar

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

静脉抽血化验

Measure time point of outcome:

Before and after treatment

Measure method:

Venous blood test

指标中文名:

总胆固醇

指标类型:

主要指标

Outcome:

Total cholesterol

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

静脉抽血化验

Measure time point of outcome:

Before and after treatment

Measure method:

Venous blood test

指标中文名:

低密度脂蛋白

指标类型:

主要指标

Outcome:

LDL-C

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

静脉抽血化验

Measure time point of outcome:

Before and after treatment

Measure method:

Venous blood test

指标中文名:

高密度脂蛋白

指标类型:

主要指标

Outcome:

HDL-C

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

静脉抽血化验

Measure time point of outcome:

Before and after treatment

Measure method:

Venous blood test

指标中文名:

肝功能指标

指标类型:

主要指标

Outcome:

ALT、AST

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

静脉抽血化验

Measure time point of outcome:

Before and after treatment

Measure method:

Venous blood test

指标中文名:

肾功能指标

指标类型:

主要指标

Outcome:

BUN、Cr

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

静脉抽血化验

Measure time point of outcome:

Before and after treatment

Measure method:

Venous blood test

指标中文名:

尿常规

指标类型:

主要指标

Outcome:

Routine urine

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

尿液检测

Measure time point of outcome:

Before and after treatment

Measure method:

Urine test

指标中文名:

大便常规

指标类型:

主要指标

Outcome:

Routine stool

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

粪便检测

Measure time point of outcome:

Before and after treatmen

Measure method:

Stool tests

指标中文名:

心电图

指标类型:

主要指标

Outcome:

ecg

Type:

Primary indicator

测量时间点:

治疗前后

测量方法:

心电图检测仪

Measure time point of outcome:

Before and after treatment

Measure method:

electrocardiograph

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:

标本中文名:

尿液

组织:

Sample Name:

urine

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:

大便

组织:

Sample Name:

stool

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 75 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):

由与试验无关的第三方采用excel表生成随机数字并进行分组

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

Random Numbers were generated and grouped in an excel sheet by a third party unrelated to the experiment.

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:

开放性试验

Blinding:

Open test

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

是Yes

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):

2021.6,山东中医药大学附属医院 http://www.sdzydfy.com/

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

2021.6,Affiliated Hospital of Shandong University of TCM http://www.sdzydfy.com/

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:

病例记录表

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

CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2020-03-22 12:20:55