Study for mechanism of electroacupuncture intervention based on PD-1 pathway for immune disorder of sepsis

注册号:

Registration number:

ITMCTR1900002479

最近更新日期:

Date of Last Refreshed on:

2019-07-19

注册时间:

Date of Registration:

2019-07-19

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

基于PD-1通路探究电针干预脓毒症免疫紊乱的机制——一项前瞻、随机对照研究

Public title:

Study for mechanism of electroacupuncture intervention based on PD-1 pathway for immune disorder of sepsis

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于PD-1通路探究脓毒症免疫紊乱下电针干预机制的研究

Scientific title:

Study for mechanism of electroacupuncture intervention based on PD-1 pathway for immune disorder of sepsis

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:

ChiCTR1900024650 ; ChiMCTR1900002479

申请注册联系人:

黄竞

研究负责人:

杨广

Applicant:

Jing Huang

Study leader:

Guang Yang

申请注册联系人电话:

Applicant telephone:

+86 13570480959

研究负责人电话:

Study leader's telephone:

+86 13580421600

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:

923313771@qq.com

研究负责人电子邮件:

Study leader's E-mail:

yg_1918@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:

广东省广州市番禺区大学城内环中路55号

研究负责人通讯地址:

广东省广州市番禺区大学城内环中路55号

Applicant address:

55 Middle Inner Ring Road, Universities City, Guangzhou, Guangdong, China

Study leader's address:

55 Middle Inner Ring Road, Universities City, Guangzhou, Guangdong, China

申请注册联系人邮政编码:

Applicant postcode:

510006

研究负责人邮政编码:

Study leader's postcode:

510006

申请人所在单位:

广州中医药大学第二附属医院

Applicant's institution:

The Second 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:

YF2019-145-01

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:

广东省中医院伦理委员会

Name of the ethic committee:

Ethics Committee of Guangdong Provincial of Hospital of Chinese Mediciine

伦理委员会批准日期:

Date of approved by ethic committee:

2013/8/26 0:00:00

伦理委员会联系人:

李晓彦

Contact Name of the ethic committee:

Xiaoyan Li

伦理委员会联系地址:

广东省广州市越秀区大德路111号

Contact Address of the ethic committee:

111 Dade Road, Guangzhou, Guangdong, 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:

广州中医药大学第二附属医院

Primary sponsor:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

研究实施负责(组长)单位地址:

广东省广州市越秀区大德路111号

Primary sponsor's address:

111 Dade Road, Guangzhou, Guangdong, 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):

广东

市(区县):

广州

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广州中医药大学第二附属医院

具体地址:

广东省广州市越秀区大德路111号

Institution
hospital:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

Address:

111 Dade Road, Guangzhou, Guangdong, China

经费或物资来源:

自筹经费

Source(s) of funding:

self-financing

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:

探索性研究/预试验

Pilot clinical trial

研究目的:

通过观察脓毒症患者当中由PD-1介导的免疫紊乱现象,以及与电针治疗后各项免疫细胞的变化进行比较,从而探索电针治疗调节脓毒症免疫功能的机制,为防治脓毒症免疫紊乱提供新的思路。

Objectives of Study:

To explore the mechanism of electroacupuncture in regulating the immune function of sepsis by observing the PD-1 mediated immune disorder in patients with sepsis and comparing with the changes of immune cells after electroacupuncture treatment, and provide a new idea for the prevention and treatment of sepsis immune disorder.

药物成份或治疗方案详述:

干预组:在常规治疗的基础上(包括药物抗感染、营养支持、液体管理等,必要时使用机械通气,但不使用免疫抑制剂或免疫增强剂,如丙种球蛋白),给予电针足三里及关元、气海,每日两次,每次电针时间为30分钟。 对照组:在常规治疗的基础上,不给予电针治疗。 两组均是5天为1个疗程。

Description for medicine or protocol of treatment in detail:

Intervention group: on the basis of routine therapy (including drug for anti-infection, nutritional support, fluid management and so on, with mechanical ventilation if necessary, but without the use of immune inhibitor or immune enhancer drugs, such as IVIG), accepting 30 minutes-treatment of electroacupuncture on Zusanli, Guanyuan and Qihai acupoint twice a day. Control group: on the basis of routine treatment, without electroacupuncture. Both groups were treated with 5 days as a course of treatment or observation.

纳入标准:

1.在广州中医药大学第二附属医院重症监护室(ICU)收治且诊断为脓毒症的患者; 2.年龄:18-85岁; 3.签署知情同意书。

Inclusion criteria

1. Patients admitted to the intensive care unit (ICU) of The Second Affiliated Hospital of Guangzhou University of Chinese Medicine and diagnosed with sepsis; 2. Aged 18-85 years old; 3. Sign the informed consent.

排除标准:

1.妊娠或精神病患者; 2.免疫功能缺陷患者;正在使用激素或免疫抑制剂; 3.HIV-ab阳性; 4.不愿参加试验或不配合治疗者。

Exclusion criteria:

1. Pregnancy or mentally illness; 2. Immunodeficiency patients; Using hormones or immunosuppressants; 3. HIV-ab positive; 4. Unwilling to participate in the trial or cooperate with treatment.

研究实施时间:

Study execute time:

From 2019-07-08

To      2021-07-08

征募观察对象时间:

Recruiting time:

From 2019-07-08

To      2021-07-08

干预措施:

Interventions:

组别:

对照组

样本量:

30

Group:

Control group

Sample size:

干预措施:

常规治疗

干预措施代码:

Intervention:

Conventional treatment

Intervention code:

组别:

治疗组

样本量:

30

Group:

Experimental group

Sample size:

干预措施:

常规治疗+电针足三里及关元、气海

干预措施代码:

Intervention:

Conventional treatment and Electric needle treatment on Zusanli, Guan yuan and Qi hai

Intervention code:

样本总量 Total sample size : 60

研究实施地点:

Countries of recruitment
and research settings:

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):

广州中医药大学第二附属医院

单位级别:

三级甲等

Institution/hospital:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

干扰素-γ

指标类型:

主要指标

Outcome:

INF-γ

Type:

Primary indicator

测量时间点:

治疗前、治疗后第3天和第5天

测量方法:

酶联免疫吸附实验

Measure time point of outcome:

Day 0, day 3, day 5 post treatment

Measure method:

Elisa

指标中文名:

NK细胞

指标类型:

主要指标

Outcome:

natural killer cell

Type:

Primary indicator

测量时间点:

治疗前、治疗后第3天和第5天

测量方法:

流式细胞学检测

Measure time point of outcome:

Day 0, day 3, day 5 post treatment

Measure method:

Flow cytometry

指标中文名:

T淋巴细胞亚群

指标类型:

主要指标

Outcome:

T lymphocyte subsets

Type:

Primary indicator

测量时间点:

治疗前、治疗后第3天和第5天

测量方法:

流式细胞学检测

Measure time point of outcome:

Day 0, day 3, day 5 post treatment

Measure method:

Flow cytometry

指标中文名:

B细胞

指标类型:

主要指标

Outcome:

B cells

Type:

Primary indicator

测量时间点:

治疗前、治疗后第3天和第5天

测量方法:

流式细胞学检测

Measure time point of outcome:

Day 0, day 3, day 5 post treatment

Measure method:

Flow cytometry

指标中文名:

28天死亡率

指标类型:

主要指标

Outcome:

28-day mortality

Type:

Primary indicator

测量时间点:

入组后第28天

测量方法:

Measure time point of outcome:

the 28th day after recruited

Measure method:

指标中文名:

白细胞介素-4

指标类型:

主要指标

Outcome:

IL-4

Type:

Primary indicator

测量时间点:

治疗前、治疗后第3天和第5天

测量方法:

酶联免疫吸附实验

Measure time point of outcome:

Day 0, day 3, day 5 post treatment

Measure method:

Elisa

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:

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 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):

采用计算机产生随机数字法将患者按1:1比例分为试验组和对照组。

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

The patients were divided into trial group and control group according to the ratio of 1:1 by computer-generated random numerical method.

盲法:

未说明

Blinding:

Not stated

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):

2022年3月1日前采用网络平台公开,临床试验公共管理平台:http://www.medresman.org/login.aspx

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

By March 1, 2022, it will be made public on the web, Clinical Trial Management Public Platform: http://www.medresman.org/login.aspx.

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:

ResMan,一种基于互联网的电子采集和管理系统。

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

ResMan,one kind of Electronic Data Capture.

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