Clinical Study on Xianglian Huazhuo Granules to Block ''Inflammation-Carcinoma Transformation'' of Chronic Atrophic Gastritis

注册号:

Registration number:

ITMCTR2100005208

最近更新日期:

Date of Last Refreshed on:

2021-09-11

注册时间:

Date of Registration:

2021-09-11

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

香连化浊颗粒阻断慢性萎缩性胃炎“炎-癌转化”的临床研究

Public title:

Clinical Study on Xianglian Huazhuo Granules to Block ''Inflammation-Carcinoma Transformation'' of Chronic Atrophic Gastritis

注册题目简写:

English Acronym:

研究课题的正式科学名称:

香连化浊颗粒阻断慢性萎缩性胃炎“炎-癌转化”的临床研究

Scientific title:

Clinical Study on Xianglian Huazhuo Granules to Block ''Inflammation-Carcinoma Transformation'' of Chronic Atrophic Gastritis

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:

ChiCTR2100051068 ; ChiMCTR2100005208

申请注册联系人:

徐伟超

研究负责人:

杨倩

Applicant:

Weichao Xu

Study leader:

Qian Yang

申请注册联系人电话:

Applicant telephone:

+86 18830118787

研究负责人电话:

Study leader's telephone:

+86 13832355120

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:

hbzyzz99@126.com

研究负责人电子邮件:

Study leader's E-mail:

361903581@qq.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:

河北省石家庄市长安区中山东路389号

研究负责人通讯地址:

河北省石家庄市长安区中山东路389号

Applicant address:

389 Zhongshan Road East, Chang'an District, Shijiazhuang, Hebei

Study leader's address:

389 Zhongshan Road East, Chang'an District, Shijiazhuang, Hebei

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:

河北省中医院

Applicant's institution:

Hebei Provincial Hospital of Traditional 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:

HBZY2020-KY-042-03

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:

河北省中医院医学伦理委员会

Name of the ethic committee:

Ethics Committee of Hebei Provincial Hospital of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2021/7/16 0:00:00

伦理委员会联系人:

郭立芳

Contact Name of the ethic committee:

Lifang Guo

伦理委员会联系地址:

河北省石家庄市长安区中山东路389号

Contact Address of the ethic committee:

389 Zhongshan Road East, Chang'an District, Shijiazhuang, Hebei

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:

河北省中医院

Primary sponsor:

Hebei Provincial Hospital of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

河北省石家庄市长安区中山东路389号

Primary sponsor's address:

389 Zhongshan Road East, Chang'an District, Shijiazhuang, Hebei

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

河北

市(区县):

石家庄

Country:

China

Province:

Hebei

City:

Shijiazhuang

单位(医院):

河北省中医院

具体地址:

长安区中山东路389号

Institution
hospital:

Hebei Provincial Hospital of Traditional Chinese Medicine

Address:

389 Zhongshan Road East, Chang'an District

经费或物资来源:

河北省重点研发计划项目

Source(s) of funding:

Key R&D Projects in Hebei Province

研究疾病:

萎缩性胃炎

研究疾病代码:

Target disease:

Atrophic gastritis

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:

观察香连化浊颗粒治疗萎缩性胃炎,阻断“炎-癌转化”的临床疗效及安全性,并进一步探讨其可能的疗效机理,为有效治疗及控制疾病的演变提供行之有效的治疗方药。

Objectives of Study:

Observe the clinical efficacy and safety of Xianglianhuazhuo Granules in treating atrophic gastritis, blocking "inflammation-cancer transformation", and further explore its possible therapeutic mechanism, and provide effective treatment prescriptions for effective treatment and control of the evolution of the 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)符合上述中、西医诊断标准; (2)入组前在我院行电子胃镜及病理组织学确诊萎缩性胃炎者; (3)年龄在18~65岁之间,性别不限; (4)受试者知情,自愿签署知情同意书。

Inclusion criteria

(1) Meet the above-mentioned diagnostic criteria of Chinese and Western medicine; (2) Atrophic gastritis was diagnosed by electronic gastroscopy and histopathology in our hospital before enrollment; (3) Aged between 18 and 65 years old, no gender limit; (4) Subjects are informed and voluntarily sign an informed consent form.

排除标准:

(1)自身免疫性胃炎(A型慢性萎缩性胃炎); (2)合并胃及十二指肠溃疡、上消化道出血者; (3)胃黏膜有重度异型增生、黏膜病理诊断怀疑恶变者; (4)合并严重的器质性疾病,如心脏(心功能NYHⅢ-Ⅳ、心肌梗死、严重的心律失常等)、脑、肝、肾、肺和血液系统等严重原发性疾病者; (5)对该研究中已知药物或成分有过敏史者; (6)合并严重精神疾患不能配合研究; (7)妊娠或哺乳期妇女; (8)正在参加其他药物临床试验或停止上个药研未满1个月的患者; (9)不能配合随访、调查者; (10)研究者认为不适宜入选的其他情况。

Exclusion criteria:

(1) Autoimmune gastritis (type A chronic atrophic gastritis); (2) Patients with gastric and duodenal ulcers, upper gastrointestinal bleeding; (3) Patients with severe dysplasia of gastric mucosa and suspected malignant transformation in mucosal pathology diagnosis; (4) Patients with serious organic diseases, such as heart (heart function NYHⅢ-Ⅳ, myocardial infarction, severe arrhythmia, etc.), brain, liver, kidney, lung and blood system and other serious primary diseases; (5) Those who have a history of allergies to the known drugs or ingredients in the study; (6) Unable to cooperate with the study if combined with severe mental illness; (7) Pregnant or lactating women; (8) Patients who are participating in other drug clinical trials or stopping the last drug research for less than one month; (9) Those who cannot cooperate with follow-up and investigation; (10) Other circumstances deemed inappropriate by the researcher.

研究实施时间:

Study execute time:

From 2021-07-01

To      2024-06-01

征募观察对象时间:

Recruiting time:

From 2021-07-01

To      2023-06-01

干预措施:

Interventions:

组别:

对照组

样本量:

90

Group:

control group

Sample size:

干预措施:

安慰剂

干预措施代码:

Intervention:

placebo

Intervention code:

组别:

中药组

样本量:

90

Group:

Chinese Medicine Group

Sample size:

干预措施:

香连化浊方免煎剂口服

干预措施代码:

Intervention:

Xianglian Huazhuo Recipe for oral administration without decoction

Intervention code:

样本总量 Total sample size : 180

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

河北

市(区县):

石家庄

Country:

China

Province:

Hebei

City:

Shijiazhuang

单位(医院):

河北省中医院

单位级别:

三级甲等

Institution/hospital:

Hebei Provincial Hospital of Traditional Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

病理组织学

指标类型:

主要指标

Outcome:

Histopathology

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:

胃黏膜

组织:

Sample Name:

Gastric mucosa

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):

采用SPSS随机数字生成器分为治疗组和对照组

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

SPSS

盲法:

双盲

Blinding:

Double blind

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):

http://test.empoweredc.com/login

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

http://test.empoweredc.com/login

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:

为提高研究质量,减少研究偏倚,研究过程中将实时进行受试者数据实时录入,第三方数据管理、第三方盲态统计分析等工作,第三方进行数据分析,并出具统计分析报告。 1.数据管理 要求如下: (1)研究员根据受试者实际情况进行原始数据观察,记录CRF表。研究员需保证数据真实、完整、准确。所有项目均需填写,不得空项、漏项,做任何更正时只能划线,旁注修改后的内容,由调查员签名并注明日期,不得涂擦、覆盖原始记录。 (2)数据录入与管理由专人负责。编写相应的计算机程序,采用独立双份录入方式进行数据录入。数据管理员对数据进行核查,发现的疑问及时向调查员进行询问、核对,数据管理员根据调查员的回答进行数据确认、修改。错误内容及修改结果应如实记录并妥善保存。 (3)监察员定期对研究数据进行稽查,确认所有调查表填写完整、正确。如有错误和遗漏,及时要求调查员改正,保存修改内容,并由调研员签名并注明日期。 (4)电子数据文件包括数据库、检查程序、分析程序、分析结果、编码本和说明文件等,应分类保存,并有多个备份保存于不同磁盘或记录介质上,妥善保存,防止损坏。 (5)研究期间出现的不良事件,应将其症状、程度、出现时间、持续时间、处理措施、经过等记录于病理报告表,评价其与研究药物的相关性,并有研究者详细记录,签名并注明日期。同时必须在第一时间(2小时内)向课题负责人和主研单位基地办报告,主研单位基地办应在24小时内报告药品监督管理局和伦理委员会。研究者要在报告上签名并注明日期。保存数据备查。 (6)试验完成后,临床试验中的所有资料,包括研究方案、患者签名的知情同意书、患者的医院原始记录、填写完整的CRF表等,经研究员和监察员审核、签字后,根据中国GCP的要求进行保存和管理至临床试验工作终止后2年。除国家或地方监管部门,或伦理委员会按照要求查阅外,不得以任何形式提供给他人。 2.数据统计分析 (1)统计软件:数据统计分析应用SPSS21.0统计软件。 (2)基本原则:所有统计推断均采用双侧检验,具有统计意义的检验水准定为0.05,参数的可信区间估计采用95%可信区间。尽可能采用参数方法,当数据不满足参数方法条件时,可采用数据转换方法使其满足条件,若仍不满足,可考虑采用非参数方法。 (3)描述统计量:计量资料给出均数、标准差进行描述;不满足正态性用中位数和四分位数间距进行统计学描述;计数资料给出频数分布及相应的百分数。 (4)基线特征指标的均衡性分析:对患者的人口学信息、病程、萎缩程度及病理特征基线特征情况等进行统计描述。计量资料符合正态方差齐采用方差分析或两独立样本T检验,否则使用秩和检验;计数资料采用卡方检验或Fisher确切检验。 (5)缺失数据处理:对于缺失值采用均值插补或同类均值插补。 (6)疗效分析:疗效指标同组患者治疗前后比较:定量变量用配对t检验;定性比例采用McNemar X2检验。组间比较:计量资料符合正态方差齐采用方差分析或两独立样本T检验,否则使用秩和检验;计数资料采用卡方检验进行分析。等级变量采用秩和检验。在实验设计时对可能预见到的混杂偏倚进行控制,数据处理中对可能影响疗效结局变量的混杂因素进行分层分析、Logistic回归分析进行控制。

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

In order to improve the quality of research and reduce research bias, real-time input of subject data, third-party data management, and third-party blind statistical analysis will be carried out during the research process. The third-party will conduct data analysis and issue statistical analysis reports. 1. Data Management The requirements are as follows: (1) The researcher observes the original data according to the actual conditions of the subjects and records the CRF table. Researchers need to ensure that the data is true, complete and accurate. All items must be filled in, no blanks or omissions are allowed. When making any corrections, only lines can be drawn. The revised content shall be marked and dated by the investigator. The original records shall not be erased or overwritten. (2) Data entry and management are handled by dedicated personnel. Write the corresponding computer program, and use the independent double entry method for data entry. The data administrator checks the data, and promptly asks the investigator for any questions found, and the data administrator confirms and revises the data based on the investigator's answers. The content of the error and the result of the modification shall be truthfully recorded and properly kept. (3) The inspector regularly checks the research data and confirms that all the questionnaires are completed and correct. If there are errors or omissions, the investigator shall be asked to correct it in time, save the modified content, and the investigator shall sign and indicate the date. (4) Electronic data files include databases, inspection procedures, analysis procedures, analysis results, codebooks and explanatory documents, etc., which should be stored in categories, and multiple backups should be stored on different disks or recording media, properly stored to prevent damage. (5) For adverse events that occurred during the study period, their symptoms, severity, time of occurrence, duration, treatment measures, and progress should be recorded on the pathology report form, and their relevance to the study drug should be evaluated, and the investigator should record it in detail. Sign and date. At the same time, it must report to the subject in charge and the base office of the main research unit as soon as possible (within 2 hours), and the base office of the main research unit should report to the Drug Administration and the ethics committee within 24 hours. The researcher should sign and date the report. Save the data for future reference. (6) After the trial is completed, all materials in the clinical trial, including the research protocol, the patient’s signed informed consent form, the patient’s original hospital record, and the completed CRF form, etc., will be reviewed and signed by the researcher and supervisor, according to China The requirements of GCP shall be preserved and managed until 2 years after the termination of clinical trials. Except for the national or local regulatory authorities, or the ethics committee to consult as required, it shall not be provided to others in any form. 2. Data statistical analysis (1) Statistical software: SPSS21.0 statistical software is used for data statistical analysis.  (2) Basic principles: All statistical inferences use two-sided tests, the statistically significant test level is set at 0.05, and the confidence interval of the parameters is estimated to be 95% confidence interval. Use the parametric method as much as possible. When the data does not meet the parametric method conditions, the data conversion method can be used to make it meet the conditions. If it still does not meet the conditions, the non-parametric method can be considered.  (3) Descriptive statistics: the measurement data are given the mean and standard deviation for description; the median and interquartile range are used for statistical description for non-normality; the count data is given the frequency distribution and the corresponding percentage. (4) Balance analysis of baseline characteristic indicators: statistically describe the patient's demographic information, course of disease, degree of atrophy, and baseline characteristics of pathological characteristics. Measurement data conforming to normal variances were analyzed by analysis of variance or two independent samples T test, otherwise, rank sum test was used; count data were used chi-square test or Fisher's exact test. (5) Missing data processing: Mean imputation or mean imputation of the same kind is used for missing values. (6) Efficacy analysis: Comparison of efficacy indicators before and after treatment in the same group of patients: quantitative variables were tested by paired t-test; qualitative ratios were tested by McNemar X2. Comparison between groups: measurement data conforming to normal variances were analyzed by analysis of variance or two independent samples T test, otherwise, rank sum test was used; count data was analyzed by chi-square test. Rank-sum test is used for rank variables. In the experimental design, the confounding bias that may be foreseen was controlled. In the data processing, the confounding factors that may affect the outcome of the efficacy were controlled by stratified analysis and Logistic regression analysis.

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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