A clinical study of traditional Chinese medicine combined with western medicine in treatment of primary IgA nephropathy (IgAN) in CKD stage 3

注册号:

Registration number:

ITMCTR2200006488

最近更新日期:

Date of Last Refreshed on:

2022-08-15

注册时间:

Date of Registration:

2022-08-15

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

中西医结合治疗CKD3期原发性 IgA 肾病(IgAN)的临床研究

Public title:

A clinical study of traditional Chinese medicine combined with western medicine in treatment of primary IgA nephropathy (IgAN) in CKD stage 3

注册题目简写:

English Acronym:

研究课题的正式科学名称:

缬沙坦联合“川黄1号方”中西医结合治疗 CKD3期原发性 IgA 肾病(IgAN)的临床研究

Scientific title:

A clinical study of traditional Chinese medicine combined with western medicine in treatment of primary IgA nephropathy (IgAN) in CKD stage 3

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:

ChiCTR2200062663 ; ChiMCTR2200006488

申请注册联系人:

王奕

研究负责人:

刘娜

Applicant:

Wang Yi

Study leader:

Liu Na

申请注册联系人电话:

Applicant telephone:

13918111052

研究负责人电话:

Study leader's telephone:

18918958730

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:

wangyi612000@163.com

研究负责人电子邮件:

Study leader's E-mail:

naliubrown@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:

上海市浦东新区云台路1800号

研究负责人通讯地址:

上海市浦东新区云台路1800号

Applicant address:

1800 Yuntai Road, Pudong New Area, Shanghai

Study leader's address:

1800 Yuntai Road, Pudong New Area, 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:

上海市东方医院(同济大学附属东方医院)

Applicant's institution:

Shanghai east hospital (East Hospital affiliated to Tongji University)

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:

2021研预审第(243)号)

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:

上海市东方医院(同济大学附属东方医院)医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Shanghai Oriental Hospital (Affiliated Oriental Hospital of Tongji Univers

伦理委员会批准日期:

Date of approved by ethic committee:

2021/11/5 0:00:00

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:

上海市东方医院(同济大学附属东方医院)

Primary sponsor:

Shanghai east hospital (East Hospital affiliated to Tongji University)

研究实施负责(组长)单位地址:

上海市浦东新区云台路1800号

Primary sponsor's address:

1800 Yuntai Road, Pudong New Area, 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):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市东方医院(同济大学附属东方医院)

具体地址:

上海市浦东新区即墨路150号

Institution
hospital:

Shanghai east hospital(The easthospital Hospital Affiliated to Tongji University)

Address:

150 Jimo Road, Pudong New Area, Shanghai

经费或物资来源:

上海市东方医院(同济大学附属东方医院)

Source(s) of funding:

Shanghai east hospital (East Hospital affiliated to Tongji University)

研究疾病:

IgA肾病

研究疾病代码:

Target disease:

IgA nephropathy

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:

治疗新技术临床试验

New Treatment Measure Clinical Study

研究目的:

评估与缬沙坦单药相比,川黄1号方联合缬沙坦中西医结合治疗CKD3期原发性 IgA 肾病的有效性和安全性。

Objectives of Study:

To evaluate the efficacy and safety of Chuanhuang Formula 1 combined with valsartan in the treatment of primary IgA nephropathy of stage CKD3 compared with valsartan singly.

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.入选标准:受试者必须满足以下所有入选标准才可进入导入期: 1) 年龄≥18岁的女性或男性; 2) 肾活检确诊为原发性IgA肾病; 3) 24 小时尿蛋白定量≥0.75g,或尿蛋白肌酐比值(UPCR)≥0.5 g/g; 4) 采用慢性肾脏病流行病合作组肌酐公式(CKD-EPI2009)公式计 算出的 59≥eGFR≥30mL/min/1.73 m2; 5) 具有生育能力的男性和育龄期女性受试者,需要在签署知情后 至试验结束的期间采用有效的避孕措施;育龄期女性受试者包 括未绝经以及绝经时间未超过 2 年的女性;男性受试者须同意在研究期间不捐献精子; 6) 能够签署知情同意书,理解并且同意依从该研究的要求和试验 流程安排。

Inclusion criteria

1. Selection criteria: Subjects must meet all of the following selection criteria to enter the introduction period: 1) Females or males aged ≥ 18; 2) Renal biopsy confirms primary IgA nephropathy; 3) 24-hour urine protein quantitative ≥ 0.75 g, or urine protein creatinine ratio (UPCR) ≥ 0.5 g/g; 4) 59≥eGFR≥ 30mL/min/1.73 m2 calculated using the CKD-EPI cooperative creatinine formula (CKD-EPI2009); 5) Males with fertility and female subjects of childbearing age are required to use effective contraception between the time of signing the informed until the end of the trial; Female subjects of childbearing age included women who had not been menopausal and who had not been menopause for more than 2 years; Male subjects were required to agree not to donate sperm during the study period; 6) Be able to sign an informed consent form, understand and agree to comply with the requirements of the study and the trial process arrangement.

排除标准:

具有以下任何一项的受试者不能进行筛选或者进入导入期: 1)可引起肾小球系膜区 IgA 沉积的系统性疾病,包括但不限于: 过敏性紫癜、系统性红斑狼疮、强直性脊柱炎等; 特殊类型IgA肾病(包括微小病变病伴系膜区IgA沉积、快速 进展的新月体 IgA 肾病等)以及合并其他肾小球疾病(如糖尿 病肾病等); 2) 24 小时尿蛋白定量>5g; 3) 肾脏活检显示新月体比例≥25%; 有严重的胃肠道疾病病史(如活动性消化性溃疡疾病、活动性 消化道出血、消化道穿孔史、炎症性肠病和慢性腹泻等);或 研究者判断可能影响药物效果的其他情况 4) 治疗的重度慢性或活动性感染(包括但不限于肺结核感染); 5)有不稳定型心绞痛或III级或IV级充血性心力衰竭或临床有意 义的心律失常病史的受试者; 6)在过去 5 年内诊断为恶性肿瘤的受试者,已经治愈的局部复发 性癌症(如基底细胞或鳞状细胞性皮肤癌、浅表性膀胱癌、原 位宫颈癌或乳腺癌等)除外; 7) 有肝硬化病史的受试者; 需接受治疗的严重骨质疏松的受试者; 接受过器官移植的受试者; 目前需接受临床治疗的患有青光眼或白内障的受试者; 经诊断为有未被控制的精神疾病的受试者; 8) 控制不良的 1 型或 2 型糖尿病的受试者(糖化血红蛋白>8%); 9) 实验室检查肝功能异常(ALT 和/或 AST>正常值上限的 2 倍, ALP>正常值上限的 2.5 倍); 10) 实验室检查血总胆固醇严重异常(>500mg/dL 或>12.92mmol/L); 人类免疫缺陷病毒抗体阳性、梅毒螺旋体抗体阳性、乙型肝炎 表面抗原阳性、丙型肝炎抗体阳性; 11) 筛选期前 6个月内接受过糖皮质激素以外的免疫抑制药物治 疗; 12) 筛选期前 3 个月内接受过任何全身性糖皮质激素治疗; 13) 已知对缬沙坦或试验用药品配方的任何成分过 敏或不耐受; 14)有长期饮酒史(定义为每天饮用含酒精饮品>2 份或每周>14 份 的受试者;一份酒精饮品定义为 150ml 葡萄酒、350ml 啤酒或 50ml 白酒)或筛选前 2 周内有大量饮酒史(定义为每天饮用含 酒精饮品>4 份或每周>28 份); 15) 妊娠期或哺乳期的女性受试者; 16) 根据研究者的决定,存在导致受试者排除的其他医疗或社会原因。

Exclusion criteria:

Subjects with any of the following items cannot be screened or enter the introduction phase: 1) Systemic diseases that can cause IgA deposition in the mesangial region of the glomeruli, including but not limited to: Henoch-Sch?nlein purpura, systemic lupus erythematosus, ankylosing spondylitis, etc.; Special types of IgA nephropathy (including minimal lesions with mesenteric IgA deposition, rapidly progressive crescent IgA nephropathy, etc.) and other glomerular diseases (such as diabetes nephropathy, etc.); 2) 24-hour urine protein quantitative >5g; 3) Renal biopsy shows a crescent body ratio of ≥25%; History of severe gastrointestinal disorders (e.g., active peptic ulcer disease, active gastrointestinal bleeding, history of gastrointestinal perforation, inflammatory bowel disease, chronic diarrhea, etc.); or other conditions that the researcher judges may affect the effectiveness of the drug 4) severe chronic or active infection (including but not limited to tuberculosis infection) in the treatment; 5) Subjects with unstable angina or a history of grade III or IV congestive heart failure or clinically significant arrhythmias; 6) Subjects diagnosed with malignancy in the past 5 years, except for locally recurrent cancers that have been cured (such as basal cell or squamous cell skin cancer, superficial bladder cancer, cervical cancer in situ or breast cancer, etc.); 7) Subjects with a history of cirrhosis; Subjects with severe osteoporosis who need to be treated; Subjects who have received organ transplantation; Subjects with glaucoma or cataracts who are currently undergoing clinical treatment; Subjects diagnosed with uncontrolled mental illness; 8) Subjects with poor control of type 1 or type 2 diabetes mellitus (glycosylated hemoglobin >8%); 9) Laboratory tests for abnormal liver function (ALT and/or AST> 2 times the upper limit of normal values, ALP > 2.5 times the upper limit of normal values); 10) Laboratory test for serious abnormalities of total blood cholesterol (>500mg/dL or >12.92mmol/L); Positive antibodies for human immunodeficiency virus, positive treponemal antibodies, positive for hepatitis B surface antigen, positive for hepatitis C antibodies; 11) Received immunosuppressive drugs other than glucocorticoids within 6 months before the screening period; 12) Received any systemic glucocorticoid therapy within 3 months prior to the screening period; 13) is known to be oversensitive or intolerant to any ingredient of valsartan or a pharmaceutical formulation for experimental purposes; 14) Subjects with a long history of alcohol consumption (defined as drinking 2 servings of alcoholic beverages per day > or 14 servings per week >; One alcoholic beverage is defined as 150ml of wine, 350ml of beer, or 50ml of liquor) or a history of heavy drinking in the 2 weeks prior to screening (defined as drinking 4 alcoholic drinks per day> or 28 servings per week >); 15) Female subjects during pregnancy or breastfeeding; 16) Depending on the investigator's decision, there are other medical or social reasons that lead to the subject's exclusion

研究实施时间:

Study execute time:

From 2022-01-01

To      2023-12-31

征募观察对象时间:

Recruiting time:

From 2022-08-01

To      2023-03-31

干预措施:

Interventions:

组别:

缬沙坦

样本量:

42

Group:

Valsartan

Sample size:

干预措施:

服用缬沙坦

干预措施代码:

Intervention:

oral valsartan

Intervention code:

组别:

中西医结合组

样本量:

21

Group:

group combination of Chinese and Western medicine

Sample size:

干预措施:

口服缬沙坦+川黄1号方

干预措施代码:

Intervention:

Valsartan+Chuanhuang No.1 prescription

Intervention code:

样本总量 Total sample size : 63

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市中医医院

单位级别:

三级甲等

Institution/hospital:

Shanghai Traditional Chinese Medicaine Hospital

Level of the institution:

grade 3,class A

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市东方医院

单位级别:

三级甲等

Institution/hospital:

Shanghai east hospital

Level of the institution:

grade 3,class A

测量指标:

Outcomes:

指标中文名:

肌酐

指标类型:

主要指标

Outcome:

creatine

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

尿蛋白

指标类型:

主要指标

Outcome:

urine protein

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:

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:

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 18
Min age years
最大 75
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):

计算机随机取号

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

The computer takes the number randomly

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):

本研究中生成和分析的数据集可根据合理要求从相应的作者处获得

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

The data sets generated and analyzed in this study are available from the corresponding authors on reasonable request

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:

病例记录表和电子采集管理系统

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

Case record form and electronic collection and management system

数据管理委员会:

Data Managemen Committee:

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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