Evidence based evaluation and effect mechanism of traditional Chinese medicine in prevention and treatment of sepsis

注册号:

Registration number:

ITMCTR2100005295

最近更新日期:

Date of Last Refreshed on:

2021-04-06

注册时间:

Date of Registration:

2021-04-06

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

基于“截断扭转“策略的中医药防治脓毒症的循证评价及效应机制研究——血必净注射液治疗脓毒症的临床研究

Public title:

Evidence based evaluation and effect mechanism of traditional Chinese medicine in prevention and treatment of sepsis

注册题目简写:

血必净注射液治疗脓毒症的临床研究

English Acronym:

Clinical trial of Xuebijing injection in treatment of sepsis

研究课题的正式科学名称:

基于“截断扭转“策略的中医药防治脓毒症的循证评价及效应机制研究——血必净注射液治疗脓毒症的临床研究

Scientific title:

Evidence based evaluation and effect mechanism of traditional Chinese medicine in prevention and treatment of sepsis

研究课题的正式科学名称简写:

血必净注射液治疗脓毒症的临床研究

Scientific title acronym:

Clinical trial of Xuebijing injection in treatment of sepsis

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:

ChiCTR2100045089 ; ChiMCTR2100005295

申请注册联系人:

邬鑫鑫

研究负责人:

方邦江

Applicant:

Wu Xinxin

Study leader:

Fang Bangjiang

申请注册联系人电话:

Applicant telephone:

+86 15926223238

研究负责人电话:

Study leader's telephone:

+86 18917763257

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:

15926223238@163.com

研究负责人电子邮件:

Study leader's E-mail:

fangbji@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:

上海市徐汇区宛平南路725号

研究负责人通讯地址:

上海市徐汇区宛平南路725号

Applicant address:

725 Wanping Road South, Xuhui District, Shanghai

Study leader's address:

725 Wanping Road South, Xuhui District, Shanghai

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:

上海中医药大学附属龙华医院

Applicant's institution:

Longhua Hospital Shanghai University 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:

2020LCSY092

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:

上海中医药大学附属龙华医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Longhua Hospital Shanghai University of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2020/12/31 0:00:00

伦理委员会联系人:

刘胜

Contact Name of the ethic committee:

Liu Sheng

伦理委员会联系地址:

上海市徐汇区宛平南路725号

Contact Address of the ethic committee:

725 Wanping Road South, Xuhui District, Shanghai

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:

上海中医药大学附属龙华医院

Primary sponsor:

Longhua Hospital Shanghai University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

上海市徐汇区宛平南路725号

Primary sponsor's address:

725 Wanping Road South, Xuhui District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

徐汇区

Country:

China

Province:

Shanghai

City:

Xuhui District

单位(医院):

上海中医药大学附属龙华医院

具体地址:

宛平南路725号

Institution
hospital:

Longhua Hospital Shanghai University of Traditional Chinese Medicine

Address:

725 Wanping Road South

经费或物资来源:

中国生物技术发展中心2018YFC1705901

Source(s) of funding:

China National Center for Biotechnology Development 2018YFC1705901

研究疾病:

脓毒症

研究疾病代码:

Target disease:

Sepsis

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:

上市后药物

Post-marketing clinical trial

研究目的:

评价血必净注射液对脓毒症28天预后的影响及对器官功能的改善作用。

Objectives of Study:

Objective to evaluate the effect of Xuebijing Injection on the 28 day prognosis of sepsis patients and the improvement of organ function.

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Sepsis3.0诊断标准; 2.18<=年龄<=80周岁; 3.签署知情同意书。

Inclusion criteria

1.According to sepsis 3.0 diagnostic criteria; 2.Aged >= 18 and <=80 years; 3.Sign informed consent.

排除标准:

1.明确诊断Sepsis的时间超过48小时; 2.孕妇、哺乳期妇女; 3.影响生存的严重原发性疾病,包括:未控制已经多处转移不能切除的恶性肿瘤、血液病和HIV等; 4.肝或肾单项SOFA评分>=3分的肝肾功能障碍者; 5.近6个月内持续使用免疫抑制剂,或器官移植者; 6.入组前7天连续使用过激素,换算为甲强龙剂量>=20mg/天者; 7.30天内参加过其他临床试验者; 8.病情危重(SOFA>=15或APACHE II>=30)和/或患者拒绝积极治疗; 9.已知对血必净的成分过敏或过敏体质者。

Exclusion criteria:

1.The time of definite diagnosis of sepsis was more than 48 hours; 2.Pregnant and lactating women; 3.Serious primary diseases that affect survival, including failed to control multiple metastases that could not be resected, hematological diseases, HIV, etc.; 4.Patients with liver or kidney dysfunction whose SOFA score of liver or kidney was more than 3; 5.Persistent use of immunosuppressants or organ transplantation in the past 6 months; 6.Patients had been treated with hormone continuously for 7 days before entering the group and converted to methylprednisolone dose>=20mg/day; 7.Patients participated in other clinical trials within 30 days; 8.The patients were in critical condition (sofa>=15 or APACHE II>=30) and/or refused active treatment; 9.Known to be allergic to Xuebijing or allergic constitution.

研究实施时间:

Study execute time:

From 2020-11-01

To      2022-06-30

征募观察对象时间:

Recruiting time:

From 2021-04-30

To      2022-01-31

干预措施:

Interventions:

组别:

对照组

样本量:

180

Group:

Control group

Sample size:

干预措施:

0.9%氯化钠200mL/次

干预措施代码:

Intervention:

0.9% sodium chloride 200mL/ time

Intervention code:

组别:

试验组

样本量:

180

Group:

Experimental group

Sample size:

干预措施:

血必净注射液100mL/次(10支),使用 0.9%氯化钠100ml 稀释

干预措施代码:

Intervention:

Xubijing injection 100mL/ time (10 tablets), diluted with 0.9%NaCl 100mL

Intervention code:

样本总量 Total sample size : 360

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

湖北

市(区县):

武汉

Country:

China

Province:

Hubei

City:

Wuhan

单位(医院):

湖北省中西医结合医院

单位级别:

三级甲等

Institution/hospital:

Hubei Hospital of Integrated Traditional Chinese and Western Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

陕西

市(区县):

西安

Country:

China

Province:

Shaanxi

City:

Xi'an

单位(医院):

西安交通大学第二附属医院

单位级别:

三级甲等

Institution/hospital:

The Second Affiliated Hospital of Xi'an Jiaotong University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

山东

市(区县):

淄博

Country:

China

Province:

Shandong

City:

Zibo

单位(医院):

淄博市中心医院

单位级别:

三级甲等

Institution/hospital:

Zibo Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

天津

市(区县):

Country:

China

Province:

Tianjin

City:

单位(医院):

天津市第四中心医院

单位级别:

三级甲等

Institution/hospital:

Tianjin Fourth Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

山东

市(区县):

潍坊

Country:

China

Province:

Shandong

City:

Weifang

单位(医院):

潍坊医学院附属医院

单位级别:

三级甲等

Institution/hospital:

Affiliated Hospital of Weifang Medical College

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京中医药大学东直门医院

单位级别:

三级甲等

Institution/hospital:

Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东

市(区县):

广州

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广州中医药大学第一附属医院

单位级别:

三级甲等

Institution/hospital:

The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

甘肃

市(区县):

兰州

Country:

China

Province:

Gansu

City:

Lanzhou

单位(医院):

甘肃中医药大学附属医院

单位级别:

三级甲等

Institution/hospital:

Affiliated Hospital of Gansu University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属龙华医院

单位级别:

三级甲等

Institution/hospital:

Longhua Hospital Shanghai University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属华山医院

单位级别:

三级甲等

Institution/hospital:

Huashan Hospital Affiliated to Fudan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

中国中医科学院西苑医院

单位级别:

三级甲等

Institution/hospital:

Xiyuan Hospital, Chinese Academy of traditional Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

28天全因死亡率

指标类型:

次要指标

Outcome:

28 day all cause mortality

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

机械通气时间

指标类型:

次要指标

Outcome:

Duration of mechanical ventilation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

SOFA 评分改善程度

指标类型:

主要指标

Outcome:

SOFA score improvement

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住ICU时间

指标类型:

次要指标

Outcome:

Length of stay in ICU

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

APACHEⅡ评分改善

指标类型:

次要指标

Outcome:

APACHE II score improvement

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

其它

说明

Fate of sample 

Others

Note:

标本中文名:

尿液

组织:

Sample Name:

Urine

Tissue:

人体标本去向

其它

说明

Fate of sample 

Others

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 80
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):

采用中央随机化系统,试验组和对照组的受试者比例为1:1。

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

A central randomization system was used, with a 1:1 ratio of subjects in the experimental and control groups.

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):

中国临床试验注册中心。

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

Chinese Clinical Trial Registry.

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:

采用病例报告表(CRF)方式进行数据采集。

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

Data collection by case report form.

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):

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