A prospective cohort study of Bushenyijing granules Intervention in early-stage Alzheimer's Disease

注册号:

Registration number:

ITMCTR2000004119

最近更新日期:

Date of Last Refreshed on:

2020-12-01

注册时间:

Date of Registration:

2020-12-01

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

补肾益精颗粒干预早期阿尔茨海默病前瞻性队列研究

Public title:

A prospective cohort study of Bushenyijing granules Intervention in early-stage Alzheimer's Disease

注册题目简写:

English Acronym:

研究课题的正式科学名称:

补肾益精颗粒干预早期阿尔茨海默病前瞻性队列研究

Scientific title:

A prospective cohort study of Bushenyijing granules Intervention in early-stage Alzheimer's Disease

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:

ChiCTR2000040502 ; ChiMCTR2000004119

申请注册联系人:

沈裕

研究负责人:

于顾然

Applicant:

Yu Shen

Study leader:

Guran Yu

申请注册联系人电话:

Applicant telephone:

+86 18851821590

研究负责人电话:

Study leader's telephone:

+86 13912980709

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:

asnley@163.com

研究负责人电子邮件:

Study leader's E-mail:

dr.ydrdf@163.com

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:

江苏省南京市秦淮区汉中路155号

研究负责人通讯地址:

江苏省南京市秦淮区汉中路155号

Applicant address:

155 Hanzhong Road, Qinhuai District, Nanjing, Jiangsu, China

Study leader's address:

155 Hanzhong Road, Qinhuai District, Nanjing, Jiangsu, China

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:

申请人所在单位:

江苏省中医院

Applicant's institution:

Jiangsu Province Hospital 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:

2020NL-102-02

伦理委员会批件附件:

Approved file of Ethical Committee:

View

批准本研究的伦理委员会名称:

南京中医药大学附属医院(江苏省中医院)伦理委员会

Name of the ethic committee:

Medical Ethics Committee of The Affiliated Hospital of Nanjing University of Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2020/8/11 0:00:00

伦理委员会联系人:

王卯

Contact Name of the ethic committee:

Mao Wang

伦理委员会联系地址:

江苏省南京市秦淮区汉中路155号

Contact Address of the ethic committee:

155 Hanzhong Road, Qinhuai District, Nanjing, Jiangsu, 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:

江苏省中医院

Primary sponsor:

Jiangsu Province Hospital of Chinese Medicine

研究实施负责(组长)单位地址:

江苏省南京市秦淮区汉中路155号

Primary sponsor's address:

155 Hanzhong Road, Qinhuai District, Nanjing, Jiangsu, 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):

江苏省

市(区县):

Country:

China

Province:

Jiangsu

City:

单位(医院):

江苏省中医院

具体地址:

江苏省南京市秦淮区汉中路155号

Institution
hospital:

Jiangsu Province Hospital of Chinese Medicine

Address:

155 Hanzhong Road, Qinhuai District, Nanjing

经费或物资来源:

自筹

Source(s) of funding:

Self-financing

研究疾病:

阿尔茨海默病

研究疾病代码:

Target disease:

Alzheimer's Disease

Target disease code:

研究类型:

Study type:

干预性研究

Interventional study

研究设计:

Study design:

非随机对照试验

Non randomized control

研究所处阶段:

Study phase:

探索性研究/预试验

Pilot clinical trial

研究目的:

采用前瞻性、队列研究观察补肾益精颗粒治疗早期AD、12个月的临床疗效

Objectives of Study:

The prospective, cohort study is aim to observe the clinical efficacy of Bushenyijing Granules in the treatment of early-stage Alzheimer's Disease

药物成份或治疗方案详述:

Description for medicine or protocol of treatment in detail:

纳入标准:

(1)符合NIA-AA很可能及可能AD核心症状或AD所致MCI诊断标准; (2)年龄在65~85岁; (3)临床痴呆量表(Clinical Dementia Rating Scale, CDR)评分为0.5-2分; (4)Hachinski缺血量表(HIS)〈4分; (5)影像证据:结构性MRI影像上表现出的颞叶以及内侧顶叶不成比例的萎缩;可结合脑脊液生物标记物,如脑脊液Aβ42下降或p-tau、T-tau水平升高; (6)中医辨证脾肾亏虚型; (7)患者或其监护人知情并同意参加本试验及随访。

Inclusion criteria

1. Patients are diagnosed mild cognitive impairment due to Alzheimer's disease or dementia due to Alzheimer's disease meeting the criteria of National Institute on Aging-Alzheimer's Association workgroups(NIA-AA) on diagnostic guide lines for Alzheimer's disease(2011); 2. Patients aged between 65 and 85 years old; 3. Clinical Dementia Rating Scale(CDR) score i 0.5-2; 4. Hachinski ischemic scale(HIS)4 ; 5. Imaging evidencethe structural MRI image shows a disproportionate atrophy of the temporal and medial parietal lobes CSF biomarkers can be included, such as decreased A beta 42 or increased p-tau, T-tau; 6. Syndrome differentiation of TCM indicates deficiency of kidney and spleen; 7. Patients or their guardians voluntarily participate in the study and written the informed consent form.

排除标准:

(1)不能配合认知功能检查者(包括失明、失聪、重度语言障碍等); (2)患者既往6月有精神类药物或酒精依赖; (3)正参与其他认知相关临床研究; (4)患者易激惹; (5)排除其它引起认知下降的疾病,如甲状腺功能减低、帕金森病、脑卒中、TIA、颅内出血、局灶性脑外伤、脑瘤、正压性脑积水、路易体痴呆、额颞叶变性等或伴有抑郁焦虑等其他精神障碍; (6)患者合并严重糖尿病或严重的心血管疾病、脑血管疾病、肝病、肾病、严重的骨关节疾病及精神疾患等。

Exclusion criteria:

1. Patients failed to cooperate with Cognitive function test; 2. Patients had a history of psychiatric drug or alcohol dependence for 6 months; 3. Participating in other cognitive related clinical studies currently; 4. Irritability; 5. Excluding other diseases that cause cognitive decline, such as: Hypothyroidism, Parkinson's disease, stroke, TIA, intracranial hemorrhage, focal brain injury, brain tumor, positive pressure hydrocephalus, lewy body dementia, frontotemporal lobar degeneration or other mental disorders accompanied by depression and anxiety; 6. Patients with severe diabetes or serious cardiovascular disease, cerebrovascular disease, liver disease, kidney disease, severe bone and joint disease and mental disorders.

研究实施时间:

Study execute time:

From 2020-12-01

To      2022-11-30

征募观察对象时间:

Recruiting time:

From 2020-12-01

To      2022-11-30

干预措施:

Interventions:

组别:

实验组

样本量:

120

Group:

experimental group

Sample size:

干预措施:

补肾益精颗粒+多奈哌齐

干预措施代码:

Intervention:

Bushenyijing granules+donepezil

Intervention code:

组别:

对照组

样本量:

120

Group:

control group

Sample size:

干预措施:

多奈哌齐

干预措施代码:

Intervention:

donepezil

Intervention code:

样本总量 Total sample size : 240

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

江苏省

市(区县):

Country:

China

Province:

Jiangsu

City:

单位(医院):

江苏省中医院

单位级别:

三甲

Institution/hospital:

Jiangsu Province Hospital of Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

数字符号转换测验

指标类型:

次要指标

Outcome:

digital symbol substitution test(DSST)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

连线试验

指标类型:

次要指标

Outcome:

Trail Making Test (TMT)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

临床医生访谈的印象变化量表

指标类型:

次要指标

Outcome:

clinical Interview-Based Impression of Change(CIBIC-plus)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

神经精神问卷-临床医师等级评定量表

指标类型:

次要指标

Outcome:

neuropsychiatric inventory-clinician rating scale(NPI-C)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

阿尔茨海默病合作研究-临床总体印象变化量表

指标类型:

主要指标

Outcome:

Alzheimer's Disease Cooperative Study -clinical global impression of change(ADCS-CGIC)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

简易精神状态评价量表

指标类型:

次要指标

Outcome:

mini-mental state examination(MMSE)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

阿尔茨海默病评估量表-认知分量表

指标类型:

主要指标

Outcome:

Alzheimer’s disease assessment scale- cognitive subscale(ADAS-Cog)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

阿尔茨海默病生活质量量表

指标类型:

次要指标

Outcome:

quality of life in Alzheimer’s disease(QOL-AD)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

阿尔茨海默病合作研究-日常生活能力

指标类型:

次要指标

Outcome:

Alzheimer’s disease cooperative study-activities of daily living(ADCS-ADL)

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:

粪便

组织:

Sample Name:

stool

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:

尚未开始

Not yet recruiting

年龄范围:

最小 65
Min age years
最大 85
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):

No

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

No

盲法:

N/A

Blinding:

N/A

是否共享原始数据:

IPD sharing:

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):

研究结束后6个月; 需要与研究者联系,经过研究者同意后共享研究方案及数据

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

within six months afer the trial complete. Contact with the investigator if required and open to sharing with the database and protocol

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:

病例记录表和医院电子病历系统

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

Case Record Form and Hospital electronic medical record system

数据管理委员会:

Data Managemen Committee:

No

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):

ITMCTR BJ-ICP:07032215-5 Tip: IE8 is recommended Use the system with widescreen display resolution above