昆断益母汤治疗急性痛风(痰瘀痹阻型)临床研究方案

注册号:

Registration number:

ITMCTR2025000542

最近更新日期:

Date of Last Refreshed on:

2025-03-17

注册时间:

Date of Registration:

2025-03-17

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

昆断益母汤治疗急性痛风(痰瘀痹阻型)临床研究方案

Public title:

Clinical research protocol on the treatment of acute gout (phlegm-stasis-paralysis type) with Kunduan Yimu Decoction

注册题目简写:

English Acronym:

研究课题的正式科学名称:

昆断益母汤治疗急性痛风(痰瘀痹阻型)临床研究方案

Scientific title:

Clinical research protocol on the treatment of acute gout (phlegm-stasis-paralysis type) with Kunduan Yimu Decoction

研究课题的正式科学名称简写:

Scientific title acronym:

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:

史梅风

研究负责人:

徐强

Applicant:

Mei-Feng Shi

Study leader:

Qiang Xu

申请注册联系人电话:

Applicant telephone:

15779672901

研究负责人电话:

Study leader's telephone:

13430372875

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:

shmifeg@163.com

研究负责人电子邮件:

Study leader's E-mail:

xuqiang@gzucm.edu.cn

申请单位网址(自愿提供):

Study leader's 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:

广东省广州市白云区机场路12号

研究负责人通讯地址:

广东省广州市白云区机场路12号

Applicant address:

No.12 Airport Road Baiyun District Guangzhou City Guangdong Province

Study leader's address:

No.12 Airport Road Baiyun District Guangzhou City Guangdong Province

申请注册联系人邮政编码:

Applicant postcode:

510405

研究负责人邮政编码:

Study leader's postcode:

510405

申请人所在单位:

广州中医药大学第一附属医院

Applicant's institution:

The First Affiliated Hospital of Guangzhou University of Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

伦理委员会批件文号:

Approved No. of ethic committee:

K-2024-065

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件

批准本研究的伦理委员会名称:

广州中医药大学第一附属医院伦理委员会

Name of the ethic committee:

Ethics Committee of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2024/5/10 0:00:00

伦理委员会联系人:

唐云

Contact Name of the ethic committee:

Yun Tang

伦理委员会联系地址:

广东省广州市白云区机场路12号

Contact Address of the ethic committee:

No.12 Airport Road Baiyun District Guangzhou City Guangdong Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 20 3658 8667

伦理委员会联系人邮箱:

Contact email of the ethic committee:

gztcmlunli@163.com

研究实施负责(组长)单位:

广州中医药大学第一附属医院

Primary sponsor:

The First Affiliated Hospital of Guangzhou University of Chinese Medicine

研究实施负责(组长)单位地址:

广东省广州市白云区机场路12号

Primary sponsor's address:

No.12 Airport Road Baiyun District Guangzhou City Guangdong Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广州市

市(区县):

Country:

China

Province:

Guangdong province

City:

单位(医院):

广州中医药大学第一附属医院

具体地址:

广东省广州市白云区机场路12号

Institution
hospital:

The First Affiliated Hospital of Guangzhou University of Chinese Medicine

Address:

No.12 Airport Road Baiyun District Guangzhou City Guangdong Province

经费或物资来源:

中医证候国家重点实验室

Source(s) of funding:

State Key Laboratory of Traditional Chinese Medicine Syndrome

研究疾病:

急性痛风性关节炎

研究疾病代码:

Target disease:

Acute gouty arthritis

Target disease code:

研究类型:

Study type:

干预性研究

Interventional study

研究设计:

Study design:

随机平行对照

randomized controlled trial(parallel group design)

研究所处阶段:

Study phase:

探索性研究/预试验

Pilot clinical trial

研究目的:

评价昆断益母汤治疗急性痛风性关节炎(痰瘀痹阻型)的有效性及安全性。

Objectives of Study:

To evaluate the efficacy and safety of Kunduan Yimu Decoction in the treatment of acute gouty arthritis ( phlegm and blood stasis type ).

药物成份或治疗方案详述:

Description for medicine or protocol of treatment in detail:

纳入标准:

符合下列所有条件者可纳入: (1)符合急性痛风性关节炎诊断标准(2015年美国风湿病学会(ACR)/欧洲抗风湿病联盟(EULAR)痛风分类标准制订); (2)中医辨证为痰瘀痹阻型; (3)既往急性痛风性关节炎发作症状缓解时间≤14d; (4)就诊时距离本次疾病发作不超过 48 小时; (5)目标关节(疼痛最严重的受累关节)疼痛 VAS 评分≥40mm; (6)年龄在 18~65 周岁(含两端), 性别不限; (7)自愿参加本研究并签署书面知情同意书者。

Inclusion criteria

Those who meet all the following conditions can be included : ( 1 ) Meeting the diagnostic criteria for acute gouty arthritis ( 2015 American College of Rheumatology ( ACR ) / European League Against Rheumatism ( EULAR ) gout classification criteria ) ; ( 2 ) TCM syndrome differentiation is phlegm and blood stasis type ; ( 3 ) The remission time of previous acute gouty arthritis was ≤ 14 days ; ( 4 ) The time from the onset of the disease is not more than 48 hours ; ( 5 ) The pain VAS score of the target joint ( the most severely affected joint ) was ≥ 40mm ; ( 6 ) Aged 18 to 65 years old ( including both ends ) regardless of gender ; ( 7 ) Those who volunteered to participate in this study and signed written informed consent.

排除标准:

有以下之一者将排除: (1) 继发性痛风,或由其他疾病引起的关节病变; 化疗、放疗、 慢性铅中毒、急性梗阻性肾病等致关节病变; (2) 慢性痛风发作间歇期、慢性痛风石性关节炎者; (3) 此次急性痛风性关节炎发作大于 4 个关节受累; (4) 合并晚期畸形、残疾、丧失劳动力者,因疼痛诱发心脑血管疾病者; 合并支气管炎、肺炎等下呼吸道感染者; (5) 正在服用影响血尿酸代谢的药物,如双氢克尿塞、 速尿、利尿酸、吡嗪酰胺、大剂量阿司匹林等,以及含有上述成分的药品如复方降压片等;或入组前1个月内服用过糖皮质激素;或在基线评价前24小时内使用过非甾体抗炎药或其它止痛药物者; (6) 本次发作使用过急性痛风性关节炎治疗药物者(如秋水仙碱、非甾体抗炎药、糖皮质激素以及治疗急性痛风性关节炎的外用药膏、敷料等); (7) 患有贫血、痔疮、消化性溃疡、克罗恩病、急性感染性疾病、自身免疫性疾病者; (8) 妊娠或准备妊娠、哺乳期妇女,试验期间不能或不愿采取充分避孕的育龄期患者 (9) 精神病患者或不能配合治疗的患者; (10) 肾功能 Scr 超过1.2倍参考值上限者;肝功能 ALT、AST 超过 1.5 倍参考值上限者; (11) 合并严重的心脑血管、肝、肾、造血系统和内分泌系统以及其他严重原发疾病患者; (12) 过敏体质,或对本研究药物昆断益母汤、对乙酰氨基酚片及其相应辅料过敏者; (13) 怀疑或确有酒精、药物滥用史者; (14) 3个月内参加过其他临床试验的患者; (15) 研究者认为不适合入组的其他情况。

Exclusion criteria:

One of the following will be excluded : ( 1 ) Secondary gout or joint lesions caused by other diseases ; joint lesions caused by chemotherapy radiotherapy chronic lead poisoning acute obstructive nephropathy etc. ; ( 2 ) Chronic gout attack intermittent period chronic gouty arthritis ; ( 3 ) The attack of acute gouty arthritis was more than 4 joints involved ; ( 4 ) Combined with late deformity disability loss of labor due to pain induced cardiovascular and cerebrovascular diseases ; combined with bronchitis pneumonia and other lower respiratory tract infections ; ( 5 ) Taking drugs that affect blood uric acid metabolism such as hydrochlorothiazide furosemide diuretic acid pyrazinamide high-dose aspirin and drugs containing the above components such as compound antihypertensive tablets ; or taking glucocorticoids within 1 month before enrollment ; or use non-steroidal anti-inflammatory drugs or other analgesics within 24 hours before baseline evaluation ; ( 6 ) Patients who had used acute gouty arthritis treatment drugs ( such as colchicine non-steroidal anti-inflammatory drugs glucocorticoids and topical ointments and dressings for the treatment of acute gouty arthritis ) ; ( 7 ) Patients with anemia hemorrhoids peptic ulcer Crohn 's disease acute infectious diseases autoimmune diseases ; ( 8 ) Women of childbearing age who are pregnant or preparing for pregnancy lactating women or who are unable or unwilling to take adequate contraception during the trial period ( 9 ) Psychiatric patients or patients who cannot cooperate with treatment ; ( 10 ) Renal function Scr more than 1.2 times the upper limit of the reference value ; liver function ALT AST more than 1.5 times the upper limit of the reference value ; ( 11 ) Patients with severe cardiovascular cerebrovascular liver kidney hematopoietic and endocrine systems and other serious primary diseases ; ( 12 ) Allergic constitution or allergic to Kunduan Yimu Decoction acetaminophen tablets and their corresponding excipients in this study ; ( 13 ) Suspected or had a history of alcohol and drug abuse ; ( 14 ) Patients who had participated in other clinical trials within 3 months ; ( 15 ) Other situations that the researchers believe are not suitable for enrollment.

研究实施时间:

Study execute time:

From 2024-06-01

To      2027-06-30

征募观察对象时间:

Recruiting time:

From 2025-01-31

To      2026-12-31

干预措施:

Interventions:

组别:

对照组

样本量:

40

Group:

control group

Sample size:

干预措施:

昆断益母汤模拟剂:主要成分为淀粉

干预措施代码:

Intervention:

Kunduan Yimu decoction simulant : the main component is starch

Intervention code:

组别:

试验组

样本量:

40

Group:

Test team

Sample size:

干预措施:

昆断益母汤

干预措施代码:

Intervention:

Kunduan Yimu Decoction

Intervention code:

样本总量 Total sample size : 80

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

广东省

市(区县):

Guangzhou

Country:

China

Province:

Guangdong province

City:

Guangzhou

单位(医院):

广州中医药大学第一附属医院

单位级别:

三甲

Institution/hospital:

The First Affiliated Hospital of Guangzhou University of Chinese Medicine

Level of the institution:

three-a

测量指标:

Outcomes:

指标中文名:

电解质

指标类型:

次要指标

Outcome:

electrolytes

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血尿酸值

指标类型:

次要指标

Outcome:

BUA

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

试验期间应急药物(对乙酰氨基酚片)使用情况

指标类型:

次要指标

Outcome:

Use of emergency medication (acetaminophen tablets) during the trial period

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

尿常规+沉渣镜检

指标类型:

次要指标

Outcome:

Urine routine + sediment microscopy

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血沉

指标类型:

次要指标

Outcome:

ESR

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疼痛或肿胀关节的数量

指标类型:

次要指标

Outcome:

Number of painful or swollen joints

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中医证候积分

指标类型:

次要指标

Outcome:

Chinese Medicine Score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

关节疼痛 VAS 评分

指标类型:

主要指标

Outcome:

Joint pain VAS 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:

C-反应蛋白

指标类型:

次要指标

Outcome:

CRP

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:

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:

urinalysis

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:

正在进行

Recruiting

年龄范围:

最小 18
Min age years
最大 65
Max age years

Recruiting status:

Participant age:

性别:

Gender:

男女均可

Both

随机方法(请说明由何人用什么方法产生随机序列):

将符合所有入选标准, 且不符合任何排除标准的受试者以 1:1 的比例随机分配到试验组和对照组进行治疗。

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

Subjects who met all the inclusion criteria and did not meet any exclusion criteria were randomly assigned to the experimental group and the control group at a ratio of 1 : 1 for treatment.

盲法:

Blinding:

是否共享原始数据:

IPD sharing:

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):

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

None

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:

本研究采用电子数据采集系统(EDC)进行数据录入和管理。

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

This study used electronic data acquisition system ( EDC ) for data entry and management.

数据管理委员会:

Data Managemen Committee:

Yes

研究计划书或研究结果报告发表信息
(杂志名称、期、卷、页,时间;或网址):

Publication information of the protocol/research results report
(name of the journal, volume, issue, pages, time; or website):

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