抗PLA2R抗体在MN治疗中的价值

注册号:

Registration number:

ChiCTR2000037268 

最近更新日期:

Date of Last Refreshed on:

2020-12-18 22:58:05 

注册时间:

Date of Registration:

2020-08-27 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

抗PLA2R抗体在MN治疗中的价值

Public title:

The value of anti-PLA2R antibody in the treatment of IMN: a randomized controlled trial.

注册题目简写:

English Acronym:

研究课题的正式科学名称:

抗PLA2R抗体在特发性膜性肾病治疗中的价值研究

Scientific title:

The value of anti-PLA2R antibody in the treatment of idiopathic membranous nephropathy

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:

汤晓静 

研究负责人:

郁胜强 

Applicant:

XiaojingTang 

Study leader:

Shengqiang Yu 

申请注册联系人电话:

Applicant telephone:

+86 13816829057

研究负责人电话:

Study leader's
telephone:

+86 13918947518

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:

samitang@163.com

研究负责人电子邮件:

Study leader's E-mail:

ysqdd1@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:

上海市黄浦区凤阳路415号

研究负责人通讯地址:

上海市黄浦区凤阳路415号肾内科

Applicant address:

415 Fengyang Road, Huagnpu District, Shanghai

Study leader's address:

415 Fengyang Road, Huagnpu District, Shanghai

申请注册联系人邮政编码:

Applicant postcode:

200003

研究负责人邮政编码:

Study leader's postcode:

200003

申请人所在单位:

海军军医大学附属长征医院

Applicant's institution:

Shanghai Changzheng Hospital, Second Military Medical University

研究负责人所在单位:

海军军医大学附属长征医院

Affiliation of the Leader:

Shanghai Changzheng Hospital, Second Military Medical 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:

2016SL023

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:

上海长征医院生物医学研究伦理委员会

Name of the ethic committee:

Biomedical Research Ethics Committee of Shanghai Changzheng Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2016-09-30 00:00:00

伦理委员会联系人:

孙吕平

Contact Name of the ethic committee:

Lvping Sun

伦理委员会联系地址:

上海市黄浦区凤阳路415号

Contact Address of the ethic committee:

415 Fengyang Rd,Huagnpu District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 25952173715

伦理委员会联系人邮箱:

Contact email of the ethic committee:

shczkykxs@163.com

研究实施负责(组长)单位:

海军军医大学附属长征医院

Primary sponsor:

Shanghai Changzheng Hospital, Second Military Medical University

研究实施负责(组长)单位地址:

上海市黄浦区凤阳路415号

Primary sponsor's address:

415 Fengyang Road, Huagnpu District, Shanghai

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(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

海军军医大学附属长征医院

具体地址:

黄浦区凤阳路415号

Institution
hospital:

Shanghai Changzheng Hospital, Second Military Medical University

Address:

415 Fengyang Road, Huagnpu District

经费或物资来源:

第二军医大学研究型科室

Source(s) of funding:

Research Department of the Second Military Medical University

研究疾病:

膜性肾病  

Target disease:

membranous nephropathy

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:

明确血抗PLA2R抗体水平对低危和中危IMN患者免疫抑制治疗的指导价值。  

Objectives of Study:

To clarify the value of serum anti-PLA2R antibody levels for immunosuppressive therapy in low-risk and intermediate-risk of IMN 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)近3月内曾接受环磷酰胺、霉酚酸酯、环孢霉素A、雷公藤、来氟米特、他克莫司等免疫抑制剂药物治疗(超过1周);
2)合并心功能不全(纽约心脏协会功能分类III级以上)、不稳定心绞痛、心肌梗死、心电图(ECG)示左室肥厚、血管栓塞性疾病患者;
3)恶性肿瘤或严重感染患者;
4)持续肝功能异常,ALT或AST高于正常上限2倍,或HBsAg阳性,或HCV-Ab阳性;
5)糖代谢异常,经胰岛素治疗血糖未能控制;
6)血白细胞减少(<3.0×10^9/L)、贫血(血红蛋白<90g/L)或其他血液系统疾病患者,有活动性出血患者;
7)酗酒、药物滥用者,有精神障碍不能合作者;
8)女性怀孕期、哺乳期、正计划怀孕者,或育龄妇女但未采取可靠避孕方法者;
9)入选前12周内参加过其他临床试验的患者;
10)主管医生认为不能依从研究方案者。

Exclusion criteria:

1) Have received immunosuppressive drugs such as cyclophosphamide, mycophenolate mofetil, cyclosporine A, tripterygium wilfordii, leflunomide, and tacrolimus in the past 3 months (more than 1 week);
2) Patients with cardiac insufficiency (New York Heart Association functional classification level III or higher), unstable angina, myocardial infarction, electrocardiogram (ECG) showing left ventricular hypertrophy, and vascular embolism disease;
3) Patients with malignant tumors or severe infections;
4) Persistent liver function abnormal, ALT or AST is higher than 2 times the upper limit of normal, or HBsAg positive, or HCV-Ab positive;
5) Abnormal glucose metabolism, blood glucose uncontrolled by insulin treatment;
6) Patients with leukopenia (<3.0 x 10^9/L), anemia (hemoglobin < 90 g/L) or other haematology diseases, patients with active bleeding;
7) Alcoholism, drug abusers, or mental disorders who cannot cooperate;
8) Women who are pregnant, breastfeeding, planning to become pregnant, or women of childbearing age who have not adopted reliable contraceptive methods;
9) Patients who have participated in other clinical trials within 12 weeks;
10) Patients who would not follow the study schedule.

研究实施时间:

Study execute time:

From 2017-01-01 00:00:00 To 2023-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2017-01-01 00:00:00 To 2023-12-31 00:00:00

干预措施:

Interventions:

组别:

抗体阳性保守组

样本量:

90

Group:

PLA2R positive+conservative group

Sample size:

干预措施:

ACEI/ARB

干预措施代码:

Intervention:

ACEI/ARB

Intervention code:

组别:

抗体阳性治疗组

样本量:

90

Group:

PLA2R positive+treatnent group

Sample size:

干预措施:

糖皮质激素+环磷酰胺

干预措施代码:

Intervention:

prednison+CTX

Intervention code:

组别:

抗体阴性保守组

样本量:

30

Group:

PLA2R negative+conservative group

Sample size:

干预措施:

ACEI/ARB

干预措施代码:

Intervention:

ACEI/ARB

Intervention code:

组别:

抗体阴性治疗组

样本量:

30

Group:

PLA2R negative+treatnent group

Sample size:

干预措施:

糖皮质激素+环磷酰胺

干预措施代码:

Intervention:

prednison+CTX

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):

海军军医大学附属长征医院 

单位级别:

三级 

Institution
hospital:

Shanghai Changzheng Hospital, Second Military Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

血常规

指标类型:

附加指标

Outcome:

blood routine

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肾功能

指标类型:

主要指标

Outcome:

kidney function

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肝功能

指标类型:

次要指标

Outcome:

liver function

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

24小时尿蛋白定量

指标类型:

主要指标

Outcome:

24h urinary protein

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:

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:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 65 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):

由主要研究者采用区组随机化安排受试者分配 汤晓静医师:请补说明使用何种方法(随机数字表?统计学软件?或其他)产生随机序列。

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

The principal investigator used block randomization to arrange the allocation of subjects.

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:

开放

Blinding:

open-label

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):

ResMan 临床试验公共管理平台, http://www.medresman.org.cn

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

ResMan, http://www.medresman.org.cn.

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:

Not stated

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

Not stated

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2020-08-27 11:58:50