调肝健脾和血颗粒、调肝解毒化湿颗粒治疗慢性乙型肝炎的随机双盲对照试验

注册号:

Registration number:

ChiCTR-TRC-11001263 

最近更新日期:

Date of Last Refreshed on:

2015-05-04 14:12:06 

注册时间:

Date of Registration:

2011-03-18 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

调肝健脾和血颗粒、调肝解毒化湿颗粒治疗慢性乙型肝炎的随机双盲对照试验

Public title:

Integrated traditional Chinese and Western medicine for chronic hepatitis B: a randomized, multicenter, double-blind control trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

慢性乙型肝炎证候规律及中西医结合治疗方案研究

Scientific title:

Integrated traditional Chinese and Western medicine for chronic hepatitis B: a randomized, multicenter, double-blind control trial

研究课题代号(代码):

Study subject ID:

2008ZX10005-006

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:

王亚锋 

研究负责人:

叶永安 

Applicant:

Yafeng Wang 

Study leader:

Yong'an Ye 

申请注册联系人电话:

Applicant telephone:

+86 13911593624

研究负责人电话:

Study leader's
telephone:

+86 010 84015503

申请注册联系人传真 :

Applicant Fax:

+86 010 58650312

研究负责人传真:

Study leader's fax:

+86 010 64010817

申请注册联系人电子邮件:

Applicant E-mail:

mpccbh@sina.com

研究负责人电子邮件:

Study leader's E-mail:

yeyongan2002@yahoo.com.cn

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:

北京朝阳区小营路19号财富嘉园A512

研究负责人通讯地址:

北京市东城区海运仓5号东直门医院

Applicant address:

A512, Caifujiayuan, NO.19 of Xiaoying Road, Chaoyang district, Beijing

Study leader's address:

Dongzhimen Hospital affliated to Beijing university of Chinese medicine, No. 5, Haiyuncang, Dongcheng district, Beijing, China

申请注册联系人邮政编码:

Applicant postcode:

100101

研究负责人邮政编码:

Study leader's postcode:

100700

申请人所在单位:

北京中医药大学东直门医院

Applicant's institution:

Dongzhimen Hospital affliated to Beijing university of Chinese medicine

研究负责人所在单位:

Affiliation of the Leader:

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:

2009年5月15日通过

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:

东直门医院医学伦理委员会

Name of the ethic committee:

Ethic committee of Dongzhimen Hospital affliated to Beijing university of Chinese medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2009-05-15 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

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:

北京中医药大学东直门医院

Primary sponsor:

Dongzhimen Hospital affliated to Beijing university of Chinese medicine

研究实施负责(组长)单位地址:

北京市西城区西直门外南路1号

Primary sponsor's address:

No. 5, Haiyuncang, Dongcheng District, Beijing, 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):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

中国人民解放军总后勤部卫生部

具体地址:

北京市复兴路22号甲6号工程管理局

Institution
hospital:

People's Liberation Army General Logistics Department and health department

Address:

No. 22, Fuxing road, Beijing city, China

经费或物资来源:

财政部, 中华人民共和国卫生部

Source(s) of funding:

The ministry of Health, P.R. China

研究疾病:

慢性乙型肝炎  

Target disease:

chronic hepatitis B

研究疾病代码:

225

Target disease code:

225

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

上市后药物 

Study phase:

4

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

通过双盲、随机、对照、多中心、大样本的临床试验预期形成提高疗效的慢性乙型肝炎临床治疗方案  

Objectives of Study:

To establish the treatment protocol of integrated traditional Chinese and western medicine for chronic hepatitis B.

药物成份或治疗方案详述:

调肝健脾和血颗粒 柴胡 黄芪 当归等 调肝解毒化湿颗粒 柴胡 地丁 藿香等 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

①妊娠或准备妊娠妇女,哺乳期妇女;男性准备授孕者;
②乙肝病毒标志物阳性,而ALT<2×正常值;
③乙肝病毒变异者;
④应用核苷类似物抗病毒药超过一年现临床判断属于耐药、变异者;
⑤血清学检测证实由肝炎病毒重叠感染(尤其是丙肝) 和/或感染HIV、非病毒感染(如酒精性肝病、自身免疫性肝病)引起的慢性肝炎或隐源型肝炎者;
⑥合并肝硬化(肝纤维化S4以上)、肝癌、肝性脑病、水电解质及酸碱平衡紊乱、消化道出血、感染的慢性乙肝严重并发症者;
⑦慢性乙肝重度和慢性乙型重型肝炎;
⑧原发性和/或继发性心脑血管、肺、肾、内分泌、神经和血液系统疾病者;
⑨一个月内参加过或正在参加其他临床试验者;
⑩精神异常不能表达自身感受者。

Exclusion criteria:

1.Pregnant or lactating women, or women or men who have birth plan
2.Hepatitis B virus markers are positive and the ALT< twice of upper limit.
3.Mutated hepatitis B virus.
4.Patients who received anti-viral neucleoside analogs more than 1 year and now were specified as drug resistant or viral mutated.
5.Serological test showed the chronic hepatitis is caused by a combined infection with hepatitis C virus or HIV, non-virus infection (eg. Alcoholic hepatopathy, auto-immune hepatopathy) or cryptogenic hepatitis.
6.Patients combined with hepatic sclerosis (liver fibrosis S4 or higher), liver cancer, Hepatic encephalopathy, disturbance of water-electrolytes and acid-base balance, GI bleeding, and severe complications of chronic hepatitis.
7.chronic severe hepatitis B or chronic hepatitis B (severe degree)
8.Patients with cardiovascular, liver, lung,endocrine, neurological, hematological or kidney disease.
9.Patients participated in other clinical trial.
10.Patients with abnormal mental state and unable to clearly express themselves

研究实施时间:

Study execute time:

From 2009-10-01 00:00:00 To 2012-03-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2009-10-01 00:00:00 To 2010-05-31 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

295

Group:

A

Sample size:

干预措施:

0-24周:调肝健脾和血颗粒或调肝解毒化湿颗粒+阿德福韦酯模拟剂,其中若入组时HBeAg≤60S/CO,则予调肝解毒化湿颗粒+阿德福韦酯片;25-48周调肝健脾和血颗粒或调肝解毒化湿颗粒+阿德福韦酯;49-96周:调肝解毒化湿颗粒+阿德福韦酯片。

干预措施代码:

Intervention:

0-24 wks: Tiaoganjianpihexue granules or Tiaoganjieduhuashi granules +Adefovir mimic, if HBeAg≤60S/CO when recruited, Tiaoganjieduhuashi granules and Adefovir are given; 25-48 wks:Tiaoganjianpihexue granules or Tiaoganjieduhuashi granules +Adefovir; 49-96 wks: Tiaoganjieduhuashi granules +Adefovir

Intervention code:

组别:

对照组

样本量:

295

Group:

B

Sample size:

干预措施:

0-48周:调肝健脾和血颗粒模拟剂或调肝解毒化湿颗粒模拟剂+阿德福韦酯片;49-96周:阿德福韦酯片。

干预措施代码:

Intervention:

0-48 wks: Tiaoganjianpihexue granule mimic or Tiaoganjieduhuashi granule mimic+ Adefovir; 49-96 wks: Adefovir

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京中医药大学东直门医院 

单位级别:

三甲医院 

Institution
hospital:

Dongzhimen Hospital affliated to Beijing university of Chinese medicine

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

解放军第三〇二医院 

单位级别:

三甲医院 

Institution
hospital:

PLA 302 hospital, Beijing Ditan Hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京佑安医院 

单位级别:

三甲医院 

Institution
hospital:

Beijing you'an hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京地坛医院 

单位级别:

三甲医院 

Institution
hospital:

ditan hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Shenzhen

City:

单位(医院):

深圳市中医院 

单位级别:

三甲医院 

Institution
hospital:

none

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

天津 

市(区县):

 

Country:

China

Province:

Tianjin

City:

单位(医院):

天津中医药大学第一附属医院 

单位级别:

三甲医院 

Institution
hospital:

Tianjin university of Chinese medicine first affiliated hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

吉林 

市(区县):

 

Country:

China

Province:

Jilin

City:

单位(医院):

长春中医药大学附属医院 

单位级别:

三甲医院 

Institution
hospital:

Changchun university of traditional Chinese medicine hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

吉林 

市(区县):

 

Country:

China

Province:

Jilin

City:

单位(医院):

陕西省中医院 

单位级别:

三甲医院 

Institution
hospital:

Hospital of shaanxi province

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

广东省中医院 

单位级别:

三甲医院 

Institution
hospital:

Hospital of Guangdong province

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

河南 

市(区县):

 

Country:

China

Province:

Henan

City:

单位(医院):

河南省中医学院第一附属医院 

单位级别:

三甲医院 

Institution
hospital:

Henan institute of traditional Chinese medicine and the first affiliated hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

河南 

市(区县):

 

Country:

China

Province:

Henan

City:

单位(医院):

山东中医药大学附属医院 

单位级别:

三甲医院 

Institution
hospital:

Shandong university of traditional Chinese medicine hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

安徽 

市(区县):

 

Country:

China

Province:

Anhui

City:

单位(医院):

安徽中医学院附属医院 

单位级别:

三甲医院 

Institution
hospital:

Anhui institute of traditional Chinese medicine hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

中山大学附属第三医院 

单位级别:

三甲医院 

Institution
hospital:

Affiliated hospital of sun yat-sen university third

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

辽宁 

市(区县):

 

Country:

China

Province:

Liaoning

City:

单位(医院):

沈阳市第六人民医院 

单位级别:

三甲医院 

Institution
hospital:

Shenyang 6 people's hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

广西 

市(区县):

 

Country:

China

Province:

Guangxi

City:

单位(医院):

广西中医学院第一附属医院 

单位级别:

三甲医院 

Institution
hospital:

Guangxi institute of traditional Chinese medicine and the first affiliated hospital

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

辽宁 

市(区县):

 

Country:

China

Province:

Liaoning

City:

单位(医院):

辽宁中医药大学附属医院 

单位级别:

三甲医院 

Institution
hospital:

Liaoning university hospital of traditional Chinese medicine

Level of the institution:

Grade III, level A

国家:

中国

省(直辖市):

福建 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

福州市传染病医院 

单位级别:

三甲医院 

Institution
hospital:

Fuzhou infectious disease hospital

Level of the institution:

Grade III, level A

测量指标:

Outcomes:

指标中文名:

HBeAg(定量检测)

指标类型:

主要指标

Outcome:

Quatified HBVeAg

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中医证候评分

指标类型:

主要指标

Outcome:

TCM syndromes score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

HBV-DNA(定量检测)

指标类型:

主要指标

Outcome:

Quatified HBV-DNA

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:

肝活组织检查

指标类型:

次要指标

Outcome:

liver biopsy

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疲劳自评量表和慢性肝病量表

指标类型:

次要指标

Outcome:

Fatigue self-assessment scale and chronic hepatopathy scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中医症状、体征、舌、脉指标

指标类型:

次要指标

Outcome:

TCM symptoms and signs

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

细胞毒T淋巴细胞

指标类型:

次要指标

Outcome:

cytotoxic T cell

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:

征募研究对象情况:

Recruiting status:

结束

/Completed

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):

计算机软件

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

computer generation

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:

试验组 是 对照组 是

Blinding:

patients: yes

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

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):

北京中医药大学东直门医院

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

Dongzhimen Hospital affliated to Beijing university of Chinese medicine

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:

北京大学第三医院临床流行病中心

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

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2011-04-14 00:00:00