p-NPV-EVLP对边缘供肺进行肺移植的安全性和有效性的临床研究

注册号:

Registration number:

ChiCTR2000037428 

最近更新日期:

Date of Last Refreshed on:

2020-10-11 11:53:20 

注册时间:

Date of Registration:

2020-08-28 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

p-NPV-EVLP对边缘供肺进行肺移植的安全性和有效性的临床研究

Public title:

The safety and efficacy of marginal donor for lung transplantation with portable NegativePressure Ventilation - EVLP

注册题目简写:

English Acronym:

研究课题的正式科学名称:

p-NPV-EVLP对边缘供肺进行肺移植的安全性和有效性的临床研究 :一项单中心,前瞻性,随机对照研究

Scientific title:

The safety and efficacy of marginal donor for lung transplantation with portable NegativePressure Ventilation - EVLP :a single-center prospection randomized controlled clinical trial

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:

张卿卿 

研究负责人:

温宗梅 

Applicant:

Qingqing Zhang 

Study leader:

Zongmei Wen 

申请注册联系人电话:

Applicant telephone:

+86 13764542055

研究负责人电话:

Study leader's
telephone:

+86 13761635280

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:

zqq_2020@126.com

研究负责人电子邮件:

Study leader's E-mail:

wzm1103@126.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:

上海市政民路507号

研究负责人通讯地址:

上海市政民路507号

Applicant address:

507 Zhengmin Road, Yangpu District, Shanghai, China

Study leader's address:

507 Zhengmin Road, Yangpu District, Shanghai, China

申请注册联系人邮政编码:

Applicant postcode:

200433

研究负责人邮政编码:

Study leader's postcode:

200433

申请人所在单位:

上海市肺科医院

Applicant's institution:

Shanghai Pulmonary Hospital

研究负责人所在单位:

上海市肺科医院

Affiliation of the Leader:

Shanghai Pulmonary Hospital

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:

L20-353

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

上海市肺科医院伦理委员会

Name of the ethic committee:

Ethics Committee of Shanghai Pulmonary Hospital

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:

桂涛

Contact Name of the ethic committee:

Tao Gui

伦理委员会联系地址:

上海市政民路507号

Contact Address of the ethic committee:

507 Zhengmin Road, Yangpu District, Shanghai, 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:

上海市肺科医院

Primary sponsor:

Shanghai Pulmonary Hospital

研究实施负责(组长)单位地址:

上海市政民路507号

Primary sponsor's address:

507 Zhengmin Road, Yangpu 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):

上海市肺科医院

具体地址:

上海市政民路507号

Institution
hospital:

Shanghai Pulmonary Hospital

Address:

507 Zhengmin Road, Yangpu District

经费或物资来源:

课题研究经费

Source(s) of funding:

Research funding

研究疾病:

肺移植  

Target disease:

Lung transplantatioin

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:

这是一项单中心、前瞻性、随机对照临床研究,评估p-NPV-EVLP对边缘供肺进行肺移植的安全性和有效性。  

Objectives of Study:

This is a single-center prospective randomized controlled clinical study. The purpose of this study is to verify the safety and effectiveness of ex-vivo lung perfusion on transplantation with extended criteria donnor lung using negative pressure ventilation.

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. EVLP前供体排除标准:
1) 显著的活动性肺炎和/或支气管镜检查发现的或经研究者确定的脓性分泌泌物;
2) 肺内显著的抽吸到胃内容物;
3) 通过支气管镜检查、CT扫描或视觉检查确定显著的机械性肺损伤或外伤;
4) 活动性传染病(HIV,Hep B,Hep C)。
2. EVLP后供肺移植排除标准:
1) 所有ΔPO2 <350 mmHg;
2) 或者所有绝对PO2s< 400 mmHg;
3) 或者胸部CT显示其他肺功能> 10-15% 功能恶化;
4) 或者传染病阳性(HIV,Hep B,Hep C)

Exclusion criteria:

1. Pre-EVLP Donor Exclusion Criteria:
1) Significant active pneumonia and/or purulent secretions on bronchoscopy or as determined by investigator;
2) Significant aspiration of gastric contents within the lung;
3) Significant mechanical lung injury or trauma determined by chest x-ray, bronchoscopy, CT scan or visual inspection;
4) Active infectious disease (HIV, Hep B, Hep C).
2. Post-EVLP Exclusion Criteria:
1) All delta PO2 s <350 mmHg2) Or all absolute PO2s < 400 mmHg;
2) >10-15% functional deterioration of other lung functions with chest x-ray showing deterioration;
3) Positive for infectious disease (HIV, Hep B, Hep C).

研究实施时间:

Study execute time:

From 2020-10-01 00:00:00 To 2022-09-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-10-01 00:00:00 To 2022-09-30 00:00:00

干预措施:

Interventions:

组别:

n-NPV-EVLP组

样本量:

30

Group:

n-NPV-EVLP group

Sample size:

干预措施:

负压通气的体外肺灌注

干预措施代码:

Intervention:

ex-vivo lung perfusion with negative pressure ventilation

Intervention code:

组别:

EVLP组

样本量:

30

Group:

EVLP group

Sample size:

干预措施:

正压通气的体外肺灌注

干预措施代码:

Intervention:

ex-vivo lung perfusion with positive pressure ventilation

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):

上海市肺科医院 

单位级别:

三级甲等专科医院 

Institution
hospital:

Shanghai Pulmonary Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

移植后72小时3级原发性移植物失功的发生率

指标类型:

主要指标

Outcome:

The incidence of PGD3 within the first 72 hours after lung transplant

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后30天生存率

指标类型:

次要指标

Outcome:

30-day survival after transplant

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺移植术后0h、24h和48h的PGD评分

指标类型:

次要指标

Outcome:

Assessment of PGD at 0h, 24h and 48h after lung transplant

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺移植术后0h、24h、48h和72h的炎症细胞因子水平

指标类型:

次要指标

Outcome:

inflammatory cytokines at 0h, 24h, 48h and 72h after lung transplantation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

移植术后机械通气时间

指标类型:

主要指标

Outcome:

Mechanical ventilation time after transplantation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ICU住院时间

指标类型:

次要指标

Outcome:

Length of stay in ICU

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后住院时间

指标类型:

次要指标

Outcome:

Length of stay in hospital after transplantation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺移植患者术后30天发生肺移植相关严重不良事件

指标类型:

次要指标

Outcome:

lung graft-related serious adverse events within 30 days after transplantation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后6个月、12个月和24个月的生存率

指标类型:

主要指标

Outcome:

The survival of 6 months,12months and 24months after transplant.

Type:

Primary 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:

标本中文名:

灌注液

组织:

Sample Name:

perfusion solutioin

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:

肺组织

组织:

Sample Name:

lung tissue

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:

支气管肺泡灌洗液

组织:

Sample Name:

Bronchoalveolar lavage fluid

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 80 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):

随机数字表由统计专业人员提供,利用SPSS软件模拟产生。

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

The random number table is provided by statistics professionals and simulated by SPSS software.

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

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):

项目组根据研究进程择期选择具体方式公开原始数据

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

According to the progress of the research, the raw data should be made freely to all researchers in specific ways

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:

研究者根据受试者原始观察记录,将数据及时、完整、正确、清晰的录入病例例报告表

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

The researcher will input the case report form timely, completely, correctly, and clearly according to the original observation records of the subjects

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2020-08-28 05:05:20