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注册号: Registration number: |
ChiCTR2000038701 |
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最近更新日期: Date of Last Refreshed on: |
2025-04-28 15:41:44 |
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注册时间: Date of Registration: |
2020-09-29 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
评价注射用羟基红花黄色素A治疗急性缺血性脑卒中(中风病·中经络·血瘀阻络证)有效性与安全性的随机、双盲、安慰剂平行对照、多中心Ⅲ期临床试验 |
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Public title: |
To evaluate the effectiveness and safety of injection hydroxysafflor yellow A in the treatment of acute ischemic stroke (stroke, meridian, blood stasis block syndrome), a randomized, double-blind, placebo-controlled, multi-center phase III clinical trial test |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
评价注射用羟基红花黄色素A治疗急性缺血性脑卒中(中风病·中经络·血瘀阻络证)有效性与安全性的随机、双盲、安慰剂平行对照、多中心Ⅲ期临床试验 |
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Scientific title: |
To evaluate the effectiveness and safety of injection hydroxysafflor yellow A in the treatment of acute ischemic stroke (stroke,meridian, blood stasis block syndrome), a randomized, double-blind, placebo-controlled, multi-center phase III clinical trial test |
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研究课题代号(代码): Study subject ID: |
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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: |
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申请注册联系人: |
杨磊 |
研究负责人: |
蔡业峰 |
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Applicant: |
Lei Yang |
Study leader: |
Yefeng Cai |
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申请注册联系人电话: Applicant telephone: |
+86 137 1684 1049 |
研究负责人电话:
Study leader's |
+86 20 3658 5590 |
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申请注册联系人传真 : Applicant Fax: |
+86 10 6787 3085 |
研究负责人传真: Study leader's fax: |
+86 20 3658 5590 |
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申请注册联系人电子邮件: Applicant E-mail: |
yanglei1020@126.com |
研究负责人电子邮件: Study leader's E-mail: |
yuhuanping@gzucm.edu.cn |
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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): |
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申请注册联系人通讯地址: |
北京市北京经济技术开发区宏达中路6号 |
研究负责人通讯地址: |
广东省广州市大德路111号 |
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Applicant address: |
6 Middle Hongda Road,Beijing Economic Technological Development Area,Beijing,China |
Study leader's address: |
No. 111, Dade Road, Guangzhou City, Guangdong Province,China |
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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: |
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申请人所在单位: |
悦康药业集团股份有限公司 |
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Applicant's institution: |
Youcare Pharmaceutical Group Co, Ltd. |
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研究负责人所在单位: |
广东省中医院 |
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Affiliation of the Leader: |
Guangdong Provincial Hospital of Traditional Chinese Medicine |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
AF2020-170-01 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
广东省中医院伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of Guangdong Hospital of traditional Chinese Medicine |
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伦理委员会批准日期: Date of approved by ethic committee: |
2020-07-31 00:00:00 | ||
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伦理委员会联系人: |
李晓彦 |
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Contact Name of the ethic committee: |
Xiaoyan Li |
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伦理委员会联系地址: |
广州市越秀区大德路111号 |
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Contact Address of the ethic committee: |
111 Dade Road, Yuexiu District, Guangzhou, Guangdong, China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 20 8188 7233 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
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研究实施负责(组长)单位: |
广东省中医院 |
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Primary sponsor: |
Guangdong Hospital of Traditional Chinese Medicine |
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研究实施负责(组长)单位地址: |
广州市越秀区大德路111号 |
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Primary sponsor's address: |
111 Dade Road, Yuexiu District, Guangzhou, Guangdong, China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
悦康药业集团股份有限公司 |
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Source(s) of funding: |
Provided by Youcare Pharmaceutical Group Co, Ltd. |
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研究疾病: |
急性缺血性脑卒中 |
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Target disease: |
Acute ischemic stroke |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
III期临床试验 | ||||||||||||||||||||||
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Study phase: |
3 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
通过与安慰剂对比,评价注射用羟基红花黄色素A治疗(中风病·中经络·血瘀阻络证)的有效性和安全性。 |
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Objectives of Study: |
By comparing with placebo, evaluate the effectiveness and safety of injection hydroxysafflor yellow A in the treatment (stroke disease, middle meridian, blood stasis block syndrome). |
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药物成份或治疗方案详述: |
1. 试验用药品 (1)试验组药物:注射用羟基红花黄色素A(规格:25mg/瓶),由申办方免费提供。 用法用量:注射用羟基红花黄色素A 75mg(3瓶)加入0.9% 生理盐水注射液250mL中静滴,滴速不高于30滴/分(心肺功能不全者滴速不高于20滴/分),每日一次。 (2)对照组药物:0.9% 生理盐水注射液(规格:250mL),由申办方免费提供。 用法用量:0.9% 生理盐水注射液250mL静滴,滴速不高于30滴/分(心肺功能不全者滴速不高于20滴/分),每日一次。 以上各组疗程均为14天(d1~d14)。要求单独输注,防止因合并用药导致的不良反应。 2. 基础治疗 试验组与对照组均同期应用胞磷胆碱钠氯化钠注射液:50ml,含胞磷胆碱钠0.5g与氯化钠0.45g,静脉缓慢滴注,每天1次,连续给药10天(d1~d10)。在试验用药品输注完成后,用50ml生理盐水冲管,再应用本品,由申办方免费提供。 3. 二级预防药物: 整个试验期间(d1~d90)两组均应用拜阿司匹林肠溶片(拜阿司匹灵)或硫酸氢氯吡格雷片(波立维)进行二级预防,均由申办方免费提供,首选拜阿司匹灵,研究者认为必要,再使用波立维。拜阿司匹灵,每天100mg,口服;或波立维,每天75mg,口服。 |
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Description for medicine or protocol of treatment in detail: |
1. Experimental drugs (1) The test group drug: Hydroxysafflor yellow A for injection (specification: 25mg/bottle), provided by the sponsor free of charge. Usage and dosage: 75mg of hydroxysafflor yellow A for injection (3 bottles) added to 250mL of 0.9% saline injection intravenously, the drip rate is not higher than 30 drops/min (the drip rate is not higher than 20 drops/min for patients with cardiopulmonary insufficiency) Points), once a day. (2) Control group drug: 0.9% normal saline injection (specification: 250mL), provided by the sponsor free of charge. Usage and dosage: 0.9% normal saline injection 250mL intravenously, the drip rate is not higher than 30 drops/min (the drip rate is not higher than 20 drops/min for patients with cardiopulmonary insufficiency), once a day. The course of treatment for the above groups was 14 days (d1~ d14). Separate infusion is required to prevent adverse reactions caused by combined medication. 2. Basic treatment Both the experimental group and the control group were given citicoline sodium and sodium chloride injection: 50ml, containing 0.5g of citicoline sodium and 0.45g of sodium chloride, intravenously instilled slowly, once a day for 10 consecutive days (D1d10). After the trial drug infusion is completed, flush the tube with 50ml saline, and then apply this product, which will be provided by the sponsor free of charge. 3. Secondary prevention drugs: During the entire trial period (d1~d90), both groups were treated with Biaspirin enteric-coated tablets (Biaspirin) or clopidogrel bisulfate tablets (Polivix) for secondary prevention, both of which were provided by the sponsor free of charge. Bia is preferred Spirin, the researchers deem it necessary, and then use Plavix. Baiaspirin, 100 mg orally per day; or Plavix, 75 mg orally per day. |
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纳入标准: |
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Inclusion criteria |
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排除标准: |
1. 神经影像学检查(CT/MRI)提示颅内出血性疾病的患者(如:出血性脑卒中、硬膜外血肿、颅内血肿、脑室出血、蛛网膜下腔出血等)、脑肿瘤、脑外伤等; 2. 临床考虑为心源性脑栓塞者(入组前心电图提示有房颤,和/或有心脏瓣膜病史、房颤病史等); 3. 已接受或拟进行静脉溶栓或血管内介入治疗(包括血管内机械取栓、动脉溶栓、血管成形术)的患者; 4. 高血压病控制不佳,首次给予试验药物前卧位收缩压≥180 mmHg和/或舒张压≥110 mmHg的患者; 5. 合并严重肝肾功能不全者:丙氨酸转氨酶(ALT)或天冬氨酸转氨酶(AST)>2.0×正常值上限(ULN),和/或其它已知肝脏疾病如急慢性肝炎、肝硬化等;血清肌酐>2.0×ULN,和/或已知的严重肾功不全疾病。 6. 合并有跛行、骨关节炎、类风湿性关节炎、痛风性关节炎等导致肢体活动功能障碍而影响神经功能检查者; 7. 患有其他威胁生命的严重疾病(恶性肿瘤、血液、消化或其他系统严重疾病等),预期生存时间不超过3个月者; 8. 合并其他精神疾病而无法合作或不愿意合作患者; 9. 妊娠、计划妊娠或哺乳期妇女(育龄期妇女需要完成妊娠试验); 10. 一个月内曾有重要脏器出血史(如脑出血史、消化道出血史等); 11. 已知对红花及其成分过敏者,对胞磷胆碱钠过敏者,或有严重过敏者; 12. 伴意识障碍者:NIHSS评分Ⅰa项>1分; 13. 本次发病后使用脑血管扩张剂、其他神经保护剂 (胞磷胆碱钠除外)、改善脑循环的药物以及任何具有活血化瘀功效或适应症为治疗脑梗死的中药,包括中药饮片、中成药制剂; 14. 怀疑或确有滥用酒精、药物史; 15. 三个月内参加过其他临床试验,或者正在参加其他临床试验者; 16. 研究者认为不适于参加本研究的其他情况。 |
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Exclusion criteria: |
1. Subjects with intracranial hemorrhagic diseases (such as hemorrhagic stroke, epidural hematoma, Intracranial hematoma, ventricular hemorrhage, subarachnoid hemorrhage, etc.) suggested by Neuroimaging examinations (CT/MRI), brain tumor, brain trauma, etc.; 2. Subjects clinically considered for cardiogenic cerebral embolism (the ECG showed atrial fibrillation before enrollment, and/or a history of heart valve disease, atrial fibrillation, etc.); 3. Subjects who have received or intend to undergo intravenous thrombolysis or intravascular interventional therapy (including mechanical endovascular thrombectomy, arterial thrombolysis, and angioplasty); 4. Subjects with poor hypertension control, supine systolic blood pressure >= 180mmHg and/or diastolic blood pressure >= 110 mmHg before the first administration of the test drug; 5. Subjects with severe liver and kidney dysfunction: alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2.0 ULN, and/or other known liver diseases such as acute and chronic hepatitis, cirrhosis, etc.; serum creatinine > 2.0 ULN, and/or known severe renal insufficiency disease; 6. Subjects with disease that cause physical dysfunction and affect the nerve function examination, such as claudication, osteoarthritis, rheumatoid arthritis, gouty arthritis, etc.; 7. Subjects with other serious life-threatening diseases (malignant tumors, blood, digestive or other serious diseases of the system, etc.), and the expected survival time does not exceed 3 months; 8. Subjects with other mental illnesses who are unable or unwilling to cooperate; 9. Pregnant women, women planning pregnancy or lactating women (childbearing women need to complete a pregnancy test) 10. Subjects with a history of important organ bleeding within one month (such as history of cerebral hemorrhage, gastrointestinal bleeding, etc.); 11. Subjects allergic to safflower and its components, citicoline sodium, or with severe allergies; 12. Subjects with consciousness impairment: Score over 1 point in Ⅰa of NIHSS; 13. Subjects who have used cerebral vasodilators, other neuroprotective agents (except citicoline sodium), drugs to improve cerebral circulation, and any Chinese medicines that have the effect of promoting blood circulation and removing blood stasis or are indicated for the treatment of cerebral infarction, including Chinese medicine yinpian and Chinese patent medicine preparations after the onset; 14. Subjects who is suspected of or did have a history of alcohol or drug abuse; 15. Subjects who have participated in other clinical trials in 3 months, or is participating in other clinical trial 16. Other situations that is considered an inappropriate subject to participate in this research by the researcher. |
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研究实施时间: Study execute time: |
从 From 2020-02-20 00:00:00至 To 2023-07-17 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2021-02-28 00:00:00 至 To 2022-05-19 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
结束 /Completed |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
本研究的随机方法为中央区组随机化,各中心竞争入组。采用交互式网络应答系统(IWRS)对受试者进行中央随机化处理分组。项目正式启动后,由独立统计师利用SAS9.4统计软件生成处理分组随机化盲底并上传到IWRS。对于已签署知情同意书并筛选成功的患者,研究人员发出受试者入组申请后,由研究中心指定的第三方药物管理兼配药员登陆IWRS获取该受试者的随机化结果。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
The randomization method of this study is the central block randomization, and each center competes for entry. The interactive network response system (IWRS) was used to centrally randomize subjects into groups. After the project is officially launched, the independent statistician uses SAS9.4 statistical software to g |
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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 |
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盲法: |
双盲 |
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Blinding: |
Double blind |
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是否共享原始数据: IPD sharing |
是Yes |
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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): |
在中国临床试验注册中心(http://www.chictr.org.cn/)公开原始数据 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
The original data is published within 6 months after the completion of this test and is expected to be published at the China Clinical Trials Registry (http://www.chictr.org.cn/) |
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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: |
本次临床试验数据采集通过基于第三方EDC系统的eCRF进行,采用SAS9.4统计软件进行统计分析。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
The clinical trial data collection was carried out through eCRF based on the third-party EDC system, and SAS9.4 statistical software was used for statistical analysis. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |