舒肝解郁胶囊干预ACS后抑郁状态的多中心、随机、双盲、 安慰剂对照的临床研究

注册号:

Registration number:

ITMCTR2024000099

最近更新日期:

Date of Last Refreshed on:

2024-06-13

注册时间:

Date of Registration:

2024-06-13

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

舒肝解郁胶囊干预ACS后抑郁状态的多中心、随机、双盲、 安慰剂对照的临床研究

Public title:

Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Trial of Shugan Jieyu Capsules in Intervention for Depression Status Post Acute Coronary Syndrome (ACS)

注册题目简写:

English Acronym:

研究课题的正式科学名称:

舒肝解郁胶囊干预ACS后抑郁状态的临床及机制研究

Scientific title:

Clinical and Mechanism Study of Shugan Jieyu Capsule in intervention of ACS and Depression

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:

CACMRE202X-A-

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:

申请注册联系人:

杨严凯

研究负责人:

白瑞娜

Applicant:

Yankai Yang

Study leader:

Ruina Bai

申请注册联系人电话:

Applicant telephone:

18335767066

研究负责人电话:

Study leader's telephone:

15210975077

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:

Yangyankai_00@163.com

研究负责人电子邮件:

Study leader's E-mail:

brntcl@126.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:

北京市海淀区西院操场1号西苑医院

研究负责人通讯地址:

北京市海淀区西院操场1号西苑医院

Applicant address:

Xiyuan Hospital, No. 1 Xiyuan Playground, Haidian District, Beijing

Study leader's address:

Xiyuan Hospital, No. 1 Xiyuan Playground, Haidian District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

100091

研究负责人邮政编码:

Study leader's postcode:

100091

申请人所在单位:

中国中医科学院西苑医院

Applicant's institution:

Xiyuan Hospital, China Academy of Chinese Medical Sciences

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:

2024XLA062-2

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件

批准本研究的伦理委员会名称:

中国中医科学院西苑医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Xiyuan Hospital, China Academy of Chinese Medical Sciences

伦理委员会批准日期:

Date of approved by ethic committee:

2024/5/7 0:00:00

伦理委员会联系人:

贾敏

Contact Name of the ethic committee:

Min Jia

伦理委员会联系地址:

北京市海淀区西院操场1号西苑医院

Contact Address of the ethic committee:

Xiyuan Hospital, No. 1 Xiyuan Playground, Haidian District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

010-62835646

伦理委员会联系人邮箱:

Contact email of the ethic committee:

xiyuanlunli@163.com

研究实施负责(组长)单位:

中国中医科学院西苑医院

Primary sponsor:

Xiyuan Hospital, China Academy of Chinese Medical Sciences

研究实施负责(组长)单位地址:

北京市海淀区西院操场1号西苑医院

Primary sponsor's address:

Xiyuan Hospital, No. 1 Xiyuan Playground, Haidian District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京市

市(区县):

北京市

Country:

CHINA

Province:

Beijing

City:

Beijing

单位(医院):

中国中医科学院西苑医院

具体地址:

北京市海淀区西院操场1号西苑医院

Institution
hospital:

Xiyuan Hospital, China Academy of Chinese Medical Sciences

Address:

Xiyuan Hospital, No. 1 Xiyuan Playground, Haidian District, Beijing

经费或物资来源:

中华中医药学会

Source(s) of funding:

China Association of Chinese Medicine

研究疾病:

急性冠脉综合征后抑郁状态

研究疾病代码:

Target disease:

Depressive State After ACS

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:

1. 本研究采用多中心、随机、双盲、安慰剂对照的研究方法,评价舒肝解郁胶囊干预ACS后抑郁的有效性及安全性。 2. 通过用药前后ACS后抑郁受试者心肺运动试验相关指标、炎症因子水平、HPA轴水平等,初步揭示舒肝解郁胶囊防治ACS后抑郁的作用机制。

Objectives of Study:

1. This study employed a multicenter, randomized, double-blind, placebo-controlled research methodology to evaluate the efficacy and safety of Shugan Jieyu Capsules in the intervention of depressive state after acute coronary syndrome (ACS). 2. By examining changes in cardiopulmonary exercise test-related indicators, inflammatory factor levels, HPA axis levels, and other parameters before and after treatment in subjects with depression after acute coronary syndrome (ACS), this study aims to preliminarily elucidate the mechanism by which Shugan Jieyu Capsules prevent and treat depression following ACS.

药物成份或治疗方案详述:

试验组: 舒肝解郁胶囊:在西医标准治疗基础上加用舒肝解郁胶囊,每日2次,每次2粒。 对照组: 舒肝解郁胶囊安慰剂:在西医标准治疗基础上加用舒肝解郁胶囊安慰剂,每日2次,每次2粒。 西医标准化治疗方案: 参照“2023 ESC 急性冠脉综合征管理指南”制定,标准化治疗方案必须包括以下三类药物(使用药物请在科研病历的合并用药中详细记录): 1.抗血小板聚集药物:阿司匹林75-100mg qd,不能耐受阿司匹林的受试者,可换用氯吡格雷或替格瑞洛作为替代治疗。既往行PCI手术史的受试者需同时服用上述两种药物; 2.降脂药:他汀类降脂药,如阿托伐他汀10-20mg qn,辛伐他汀20-40mg qn; 3.抗心肌缺血药物(以下3类联合使用或单独使用): (1)ß受体阻滞剂:推荐使用美托洛尔缓释片50-200mg qd。或类似的稳定剂量的ß受体阻滞剂; (2)长效硝酸酯类药物:如单硝酸异山梨酯缓释片40-60mg qd; (3)钙离子拮抗剂:如氨氯地平片5-10mg qd。 此外,若合并糖尿病或高血压的受试者推荐服用ACEI或ARB类药物作为急性冠脉综合征的二级预防药物:如依那普利10-20mg qd 或氯沙坦50mg qd。

Description for medicine or protocol of treatment in detail:

Treatment Group: Shugan Jieyu Capsules: In addition to standard Western medical treatment, patients will receive Shugan Jieyu Capsules, taken twice daily with two capsules each time. Control Group: Placebo of Shugan Jieyu Capsules: Patients in this group will receive a placebo version of Shugan Jieyu Capsules on top of standard Western medical treatment, also taken twice daily with two capsules each time. Standardized Medical Treatment Protocol: This protocol is developed in accordance with the "2023 ESC Guidelines for the Management of Acute Coronary Syndromes." The standardized treatment must include the following three categories of medications (detailed records of medication use should be documented in the research medical records): Antiplatelet Aggregation Drugs: Aspirin 75-100mg once daily (qd). For subjects intolerant to aspirin, Clopidogrel or Ticagrelor can be used as alternative treatments. Subjects with a history of PCI surgery need to take both of the abovementioned drugs simultaneously. Lipid-Lowering Agents: Statins, such as Atorvastatin 10-20mg at bedtime (qn), or Simvastatin 20-40mg qn. Anti-Myocardial Ischemia Drugs (used in combination or individually): (1) Beta-Blockers: Metoprolol Succinate Extended-Release Tablets 50-200mg qd are recommended. Or similar stable doses of beta-blockers. (2) Long-Acting Nitrates: Such as Isosorbide Mononitrate Sustained-Release Tablets 40-60mg qd. (3) Calcium Channel Blockers: For example, Amlodipine Tablets 5-10mg qd. Additionally, subjects with comorbid diabetes or hypertension are recommended to take ACE inhibitors or ARBs as secondary prevention medications for acute coronary syndromes: such as Enalapril 10-20mg qd or Losartan 50mg qd.

纳入标准:

1. 年龄为18-75岁; 2. 确诊ACS后2-12周; 3. 17<HAMD-17≤24,且抑郁心境或兴趣减少症状连续出现2周以上; 4. 受试者充分知情同意,自愿参加本研究,由本人签署知情同意书。 注: ①抑郁心境:几乎每天和每天大部分时间都心境抑郁,既可以是主观的报告(例如,感到悲伤、空虚、无望),也可以是他人观察到(例如,表现为流泪)。 ②兴趣减少:几乎每天和每天的大部分时间,对于所有或几乎所有的活动兴趣或愉悦感都明显减少(既可以是主观陈述,也可以是观察所见)。

Inclusion criteria

1. Age range: 18-75 years old; 2. Diagnosed with ACS (Acute Coronary Syndrome) within 2-12 weeks post-diagnosis; 3. Score on the HAMD-17 (Hamilton Depression Rating Scale) is between 17 and 24, inclusive, and symptoms of depressive mood or decreased interest have been present continuously for more than 2 weeks; 4. The participant has provided informed consent, voluntarily participates in this study, and has signed the informed consent form personally. Note: ① Depressive mood: Experiencing feelings of depression almost every day and for most of the day, either subjectively reported (e.g., feeling sad, empty, hopeless) or observed by others (e.g., showing signs of crying). ② Decreased interest: Almost every day and for most of the day, there is a significant reduction in interest or pleasure in all or nearly all activities (either self-reported or observed).

排除标准:

1. 肝肾功能不全(ALT或AST高于ULN 1.5倍,Cr、BUN高于ULN); 2. 严重的造血系统疾病、恶性肿瘤等重大疾病受试者; 3. 严重的自杀倾向受试者(HAMD-17 第三条自杀倾向评分≥3分); 4. ACS发病前存在抑郁症、严重精神类疾病病史的受试者; 5. 心功能III~Ⅳ级的心力衰竭或EF<35%或需持续机械辅助性治疗的受试者; 6. 既往长期或近4周以内服用抗抑郁药物的受试者; 7. 既往长期或近4周以内服用含有刺五加或贯叶金丝桃药物的受试者; 8. 妊娠、哺乳,或计划在试验期间妊娠妇女; 9. 近三个月内参加过或正在参加其它临床研究者; 10. 具有其它自身免疫性疾病的患者,如类风湿性关节炎、强直性脊柱炎、炎性肠病等; 11. 患者近4周内有存在急性感染的情况,或有发热、咳嗽、呼吸困难、白细胞计数异常等症状和体征; 12. 近三个月内服用免疫抑制剂的患者; 13. 对研究药物可疑或明确过敏者。 14. 患有急性快速心律失常、肺水肿、重度主动脉瓣狭窄、严重贫血等不宜进行心肺运动试验的患者。

Exclusion criteria:

1. Impaired liver or kidney function (ALT or AST levels above 1.5 times the ULN, Cr or BUN levels above the ULN); 2. Participants with severe hematological disorders, malignant tumors, or other major illnesses; 3. Participants with severe suicidal tendencies (suicidal tendency score ≥3 on item 3 of the HAMD-17); 4. Participants with a history of depression or severe psychiatric illness prior to ACS onset; 5. Participants with heart failure classified as NYHA III-IV, EF <35%, or requiring ongoing mechanical assist therapy; 6. Participants who have taken antidepressants for a long time or within the past 4 weeks; 7. Participants who have taken medications containing Acanthopanax or St. John's wort for a long time or within the past 4 weeks; 8. Pregnant or breastfeeding women, or those planning to become pregnant during the trial period; 9. Participants who have participated in or are currently participating in another clinical study within the last three months; 10. Patients with other autoimmune diseases, such as rheumatoid arthritis, ankylosing spondylitis, inflammatory bowel disease, etc.; 11. Patients who have had acute infections within the past 4 weeks, or show symptoms and signs such as fever, cough, shortness of breath, abnormal white blood cell counts; 12. Patients who have taken immunosuppressive drugs within the last three months; 13. Patients who are suspected or confirmed to be allergic to the investigational drug; 14. Patients with conditions unsuitable for cardiopulmonary exercise testing, such as acute rapid arrhythmias, pulmonary edema, severe aortic valve stenosis, severe anemia, etc.

研究实施时间:

Study execute time:

From 2024-02-01

To      2026-12-31

征募观察对象时间:

Recruiting time:

From 2024-06-15

To      2026-12-31

干预措施:

Interventions:

组别:

试验组

样本量:

74

Group:

Treatment Group

Sample size:

干预措施:

舒肝解郁胶囊

干预措施代码:

Intervention:

Shugan Jieyu Capsules

Intervention code:

组别:

安慰剂对照组

样本量:

74

Group:

Control Group

Sample size:

干预措施:

舒肝解郁胶囊安慰剂

干预措施代码:

Intervention:

Placebo of Shugan Jieyu Capsules

Intervention code:

样本总量 Total sample size : 148

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

福建省

市(区县):

福州市

Country:

CHINA

Province:

Fujian Province

City:

Fuzhou City

单位(医院):

福建中医药大学附属第三人民医院

单位级别:

Institution/hospital:

The Third Affiliated Hospital of Fujian University of Traditional Chinese Medicine

Level of the institution:

国家:

中国

省(直辖市):

北京市

市(区县):

北京市

Country:

CHINA

Province:

Beijing

City:

Beijing

单位(医院):

中日友好医院

单位级别:

Institution/hospital:

China-Japan Friendship Hospital

Level of the institution:

国家:

中国

省(直辖市):

北京市

市(区县):

北京市

Country:

China

Province:

Beijing

City:

Beijing

单位(医院):

中国中医科学院西苑医院

单位级别:

Institution/hospital:

Xiyuan Hospital, China Academy of Chinese Medical Sciences

Level of the institution:

国家:

中国

省(直辖市):

广东省

市(区县):

深圳市

Country:

CHINA

Province:

Guangdong Province

City:

Shenzhen City

单位(医院):

中山大学附属第八医院

单位级别:

Institution/hospital:

The Eighth Affiliated Hospital, Sun Yat-sen University

Level of the institution:

测量指标:

Outcomes:

指标中文名:

快感缺失量表

指标类型:

次要指标

Outcome:

Dimensional Anhedonia Rating Scale

Type:

Secondary indicator

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天各检查一次,随访第36周±3天检查一次

测量方法:

问诊

Measure time point of outcome:

Upon enrollment, assessments will be performed at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. A follow-up assessment is scheduled at week 36 ±3 days

Measure method:

history taking

指标中文名:

血常规

指标类型:

副作用指标

Outcome:

Complete Blood Count

Type:

Adverse events

测量时间点:

用药前第-3~0天,治疗后第12周末±3天各检查一次

测量方法:

于 07:00~08:00 采集病人空腹肘静脉血 3mL,经离心后取血清化验

Measure time point of outcome:

Three to zero days before treatment, and twelve weeks after treatment, ±3 days each time.

Measure method:

Between 07:00 and 08:00, collect 3 ml of fasting venous blood from the patient's elbow, centrifuge it, and take the serum for testing.

指标中文名:

主要不良心脑血管事件

指标类型:

次要指标

Outcome:

Major Adverse Cardiovascular and Cerebrovascular Events

Type:

Secondary indicator

测量时间点:

入组时,治疗后第4周±3天,第8周±3天,第12周±3天,随访12周±3天、24周±3天、36周±3天各记录一次

测量方法:

问诊

Measure time point of outcome:

Upon enrollment, data is recorded within the range of -3 to 0 days. Subsequent records are taken at week 4, with a margin of ±3 days; at week 8, with a margin of ±3 days; at week 12, with a margin of ±3 days; followed by follow-up visits at week 12, with a margin of ±3 days; at week 24, with a margin of ±3 days; and finally at week 36, with a margin of ±3 days.

Measure method:

history taking

指标中文名:

促肾上腺皮质激素(ACTH)

指标类型:

次要指标

Outcome:

adrenocorticotropic hormone

Type:

Secondary indicator

测量时间点:

于入组时-3~0天、治疗后第12周±3天检查一次

测量方法:

于 07:00~08:00 采集病人空腹肘静脉血 3mL,经离心后取上清液置于 5mL 真空 乙二胺四乙酸(EDTA)抗凝采血管中备用,置于-70℃低温冰箱保存,同一批检测样本使用同一批试剂盒,采用酶联免疫吸附法检测血ACTH水平,评估治疗前后ACTH的变化。

Measure time point of outcome:

At the time of enrollment, assessments are conducted within the range of -3 to 0 days. Following treatment, a check-up is scheduled at week 12, with a window of ±3 days.

Measure method:

Between 07:00 and 08:00, collect 3 mL of fasting venous blood from the patient's elbow vein. After centrifugation, transfer the supernatant into a 5 mL vacuum ethylenediaminetetraacetic acid (EDTA) anticoagulant tube for storage. Preserve the sample in a -70°C ultra-low temperature freezer. Use the same batch of reagent kits for all samples within the same group. Perform an enzyme-linked immunosorbent assay (ELISA) to measure the levels of adreno

指标中文名:

十二导联心电图

指标类型:

副作用指标

Outcome:

12-Lead Electrocardiogram

Type:

Adverse events

测量时间点:

用药前第-3~0天,治疗后第12周末±3天各检查一次

测量方法:

我院心电图科专业执业医师进行12导联心电图检查

Measure time point of outcome:

Three to zero days before treatment, and twelve weeks after treatment, ±3 days each time.

Measure method:

The professional cardiologist in our hospital will conduct a 12-lead electrocardiogram.

指标中文名:

呼吸频率

指标类型:

副作用指标

Outcome:

Respiratory rate

Type:

Adverse events

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天,随访第12、24、36周±3天各检查一次

测量方法:

秒表计数

Measure time point of outcome:

At baseline (enrollment), assessments will be conducted at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. Follow-up evaluations will be scheduled at weeks 12, 24, and 36 ±3 days.

Measure method:

Second counter

指标中文名:

SF-36生活质量量表

指标类型:

次要指标

Outcome:

Short Form-36 Health Survey

Type:

Secondary indicator

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天各检查一次,随访第36周±3天检查一次

测量方法:

问诊

Measure time point of outcome:

Upon enrollment, assessments will be performed at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. A follow-up assessment is scheduled at week 36 ±3 days

Measure method:

history taking

指标中文名:

肝功能

指标类型:

副作用指标

Outcome:

Liver function Tests

Type:

Adverse events

测量时间点:

用药前第-3~0天,治疗后第12周末±3天各检查一次

测量方法:

于 07:00~08:00 采集病人空腹肘静脉血 3mL,经离心后取血清化验

Measure time point of outcome:

Three to zero days before treatment, and twelve weeks after treatment, ±3 days each time.

Measure method:

Between 07:00 and 08:00, collect 3 ml of fasting venous blood from the patient's elbow, centrifuge it, and take the serum for testing.

指标中文名:

尿常规

指标类型:

副作用指标

Outcome:

Urinalysis

Type:

Adverse events

测量时间点:

用药前第-3~0天,治疗后第12周末±3天各检查一次

测量方法:

于 07:00~08:00 收集患者中段尿10-15ml,送至检验科化验。

Measure time point of outcome:

Three to zero days before treatment, and twelve weeks after treatment, ±3 days each time.

Measure method:

Collect 10-15 ml of midstream urine from the patient between 07:00 and 08:00, and send it to the laboratory for testing.

指标中文名:

肾功能

指标类型:

副作用指标

Outcome:

Renal Function Tests

Type:

Adverse events

测量时间点:

用药前第-3~0天,治疗后第12周末±3天各检查一次

测量方法:

于 07:00~08:00 采集病人空腹肘静脉血 3mL,经离心后取血清化验

Measure time point of outcome:

Three to zero days before treatment, and twelve weeks after treatment, ±3 days each time.

Measure method:

Between 07:00 and 08:00, collect 3 ml of fasting venous blood from the patient's elbow, centrifuge it, and take the serum for testing.

指标中文名:

促肾上腺皮质激素释放因子(CRF)

指标类型:

次要指标

Outcome:

Corticotropin-Releasing Factor

Type:

Secondary indicator

测量时间点:

于入组时-3~0天、治疗后第12周±3天检查一次

测量方法:

于 07:00~08:00 采集病人空腹肘静脉血 3mL,经离心后取上清液置于 5mL 真空 乙二胺四乙酸(EDTA)抗凝采血管中备用,置于-70℃低温冰箱保存,同一批检测样本使用同一批试剂盒,采用酶联免疫吸附法检测血CRF水平,评估治疗前后CRF的变化。

Measure time point of outcome:

At the time of enrollment, assessments are conducted within the range of -3 to 0 days. Following treatment, a check-up is scheduled at week 12, with a window of ±3 days.

Measure method:

Collect 3 mL of fasting venous blood from the patient's elbow vein between 07:00 and 08:00. After centrifugation, transfer the supernatant into a 5 mL vacuum ethylenediaminetetraacetic acid (EDTA) anticoagulant tube for storage. Preserve the sample in a -70°C ultra-low temperature freezer. Employ the same batch of reagent kits for all samples within the same group. Conduct an enzyme-linked immunosorbent assay (ELISA) to quantify the levels of cor

指标中文名:

所有发生的不良事件

指标类型:

副作用指标

Outcome:

Adverse Events

Type:

Adverse events

测量时间点:

用药前第-3~0天,治疗后第12周末±3天各检查一次

测量方法:

问诊

Measure time point of outcome:

Three to zero days before treatment, and twelve weeks after treatment, ±3 days each time.

Measure method:

history taking

指标中文名:

体温

指标类型:

副作用指标

Outcome:

Body temperature

Type:

Adverse events

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天,随访第12、24、36周±3天各检查一次

测量方法:

体温计测量腋温

Measure time point of outcome:

At baseline (enrollment), assessments will be conducted at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. Follow-up evaluations will be scheduled at weeks 12, 24, and 36 ±3 days

Measure method:

Measure axillary temperature using a thermometer.

指标中文名:

GAD-7广泛性焦虑自评量表

指标类型:

次要指标

Outcome:

Generalized Anxiety Disorder-7 (GAD-7)

Type:

Secondary indicator

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天各检查一次,随访第36周±3天检查一次

测量方法:

问诊

Measure time point of outcome:

Upon enrollment, assessments will be performed at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. A follow-up assessment is scheduled at week 36 ±3 days

Measure method:

history taking

指标中文名:

血压

指标类型:

副作用指标

Outcome:

Blood pressure

Type:

Adverse events

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天,随访第12、24、36周±3天各检查一次

测量方法:

血压计于每日早上测量

Measure time point of outcome:

At baseline (enrollment), assessments will be conducted at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. Follow-up evaluations will be scheduled at weeks 12, 24, and 36 ±3 days.

Measure method:

Use a sphygmomanometer to measure your blood pressure every morning.

指标中文名:

西雅图心绞痛量表

指标类型:

次要指标

Outcome:

Seattle Angina Questionnaire, SAQ

Type:

Secondary indicator

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天各检查一次,随访第36周±3天检查一次

测量方法:

问诊

Measure time point of outcome:

Upon enrollment, assessments will be performed at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. A follow-up assessment is scheduled at week 36 ±3 days

Measure method:

history taking

指标中文名:

炎症因子:IL- 1β、IL-6、GDF15、sCD40L

指标类型:

次要指标

Outcome:

Inflammatory Factors

Type:

Secondary indicator

测量时间点:

入组时-3~0天、治疗后第12周±3天检查一次

测量方法:

于 07:00~08:00 采集病人空腹肘静脉血 3mL,经离心后取上清液置于 5mL 真空 乙二胺四乙酸(EDTA)抗凝采血管中备用,置于-70℃低温冰箱保存,同一批检测样本使用同一批试剂盒,采用酶联免疫吸附法检测血炎症因子水平,评估治疗前后 炎症因子的变化。

Measure time point of outcome:

At the time of enrollment, assessments are conducted within the range of -3 to 0 days. Following treatment, a check-up is scheduled at week 12, with a window of ±3 days.

Measure method:

Collect 3 mL of fasting venous blood from the patient's elbow vein between 07:00 and 08:00. After centrifugation, transfer the supernatant into a 5 mL vacuum ethylenediaminetetraacetic acid (EDTA) anticoagulant tube for storage. Store the sample at -70°C in a low-temperature freezer. Use the same batch of reagent kits for the same batch of samples. Employ enzyme-linked immunosorbent assay (ELISA) to measure the levels of inflammatory cytokines in

指标中文名:

脑源性神经营养因子:BDNF

指标类型:

次要指标

Outcome:

Brain-Derived Neurotrophic Factor

Type:

Secondary indicator

测量时间点:

入组时-3~0天、治疗后第12周±3天检查一次

测量方法:

于 07:00~08:00 采集病人空腹肘静脉血 3mL,经离心后取上清液置于 5mL 真空 乙二胺四乙酸(EDTA)抗凝采血管中备用,置于-70℃低温冰箱保存,同一批检测样本使用同一批试剂盒,采用酶联免疫吸附法检测血BDNF水平,评估治疗前后BDNF的变化。

Measure time point of outcome:

At the time of enrollment, assessments are conducted within the range of -3 to 0 days. Following treatment, a check-up is scheduled at week 12, with a window of ±3 days.

Measure method:

Obtain 3 mL of fasting venous blood from the patient's elbow vein between 07:00 and 08:00. Following centrifugation, carefully extract the supernatant and place it into a 5 mL vacuum ethylenediaminetetraacetic acid (EDTA) anticoagulant tube for temporary storage. Preserve the sample in a -70°C ultra-low temperature freezer. Utilize the same batch of reagent kits for all samples within the same group. Conduct an enzyme-linked immunosorbent assay (

指标中文名:

HAMA焦虑量表

指标类型:

次要指标

Outcome:

Hamilton Anxiety Rating Scale (HAMA)

Type:

Secondary indicator

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天各检查一次,随访第36周±3天检查一次

测量方法:

问诊

Measure time point of outcome:

Upon enrollment, assessments will be performed at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. A follow-up assessment is scheduled at week 36 ±3 days

Measure method:

history taking

指标中文名:

PHQ-9健康问卷

指标类型:

次要指标

Outcome:

Patient Health Questionnaire-9 (PHQ-9)

Type:

Secondary indicator

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天各检查一次,随访第36周±3天检查一次

测量方法:

问诊

Measure time point of outcome:

Upon enrollment, assessments will be performed at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. A follow-up assessment is scheduled at week 36 ±3 days

Measure method:

history taking

指标中文名:

HAMD-17抑郁量表

指标类型:

主要指标

Outcome:

Hamilton Depression Rating Scale - 17 items

Type:

Primary indicator

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天,随访第12、24、36周±3天各检查一次

测量方法:

问诊

Measure time point of outcome:

At baseline (enrollment), assessments will be conducted at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. Follow-up evaluations will be scheduled at weeks 12, 24, and 36 ±3 days.

Measure method:

history taking

指标中文名:

心肺运动试验

指标类型:

次要指标

Outcome:

Cardiopulmonary Exercise Testing

Type:

Secondary indicator

测量时间点:

入组时-3~0天、治疗后第12周±3天检查一次

测量方法:

在病人处于静息状态时,测定其静态心电图、血压情况以及肺功能指标;病人先在车上休息3分钟,然后开始骑行。随着试验进行,功率车会逐渐增加功率,由医生检测病人在不同负荷下机体摄氧量(O2)和二氧化碳排出量(CO2)的动态变化;如果在试验过程中出现不适,应立即停止试验并就诊

Measure time point of outcome:

At the time of enrollment, assessments are conducted within the range of -3 to 0 days. Following treatment, acheck-up is scheduled at week 12, with a window of ±3 days.

Measure method:

While the patient is in a resting state, measure their resting electrocardiogram (ECG), blood pressure, and pulmonary function indices. The patient first rests in the vehicle for 3 minutes, then begins cycling. As the test progresses, the ergometer will gradually increase power output. A physician will monitor the dynamic changes in the patient's oxygen uptake (O2) and carbon dioxide output (CO2) at different workloads. If discomfort occurs durin

指标中文名:

凝血功能

指标类型:

副作用指标

Outcome:

Coagulation Tests

Type:

Adverse events

测量时间点:

用药前第-3~0天,治疗后第12周末±3天各检查一次

测量方法:

于 07:00~08:00 采集病人空腹肘静脉血 3mL,经离心后取血清化验

Measure time point of outcome:

Three to zero days before treatment, and twelve weeks after treatment, ±3 days each time.

Measure method:

Between 07:00 and 08:00, collect 3 ml of fasting venous blood from the patient's elbow, centrifuge it, and take the serum for testing.

指标中文名:

皮质醇(Cortisol)

指标类型:

次要指标

Outcome:

Cortisol

Type:

Secondary indicator

测量时间点:

于入组时-3~0天、治疗后第12周±3天检查一次

测量方法:

于 07:00~08:00 采集病人空腹肘静脉血 3mL,经离心后取上清液置于 5mL 真空 乙二胺四乙酸(EDTA)抗凝采血管中备用,置于-70℃低温冰箱保存,同一批检测样本使用同一批试剂盒,采用酶联免疫吸附法检测血皮质醇水平,评估治疗前后皮质醇的变化。

Measure time point of outcome:

At the time of enrollment, assessments are conducted within the range of -3 to 0 days. Following treatment, a check-up is scheduled at week 12, with a window of ±3 days.

Measure method:

Between 07:00 and 08:00, draw 3 mL of fasting venous blood from the patient's elbow vein. Following centrifugation, decant the supernatant into a 5 mL vacuum ethylenediaminetetraacetic acid (EDTA) anticoagulant tube for temporary storage. Store the sample in a -70°C ultra-low temperature freezer. Utilize the same batch of assay kits for all samples within the same group. Execute an enzyme-linked immunosorbent assay (ELISA) to determine the cortis

指标中文名:

蒙特利尔认知评估量表

指标类型:

次要指标

Outcome:

Montreal Cognitive Assessment

Type:

Secondary indicator

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天各检查一次,随访第36周±3天检查一次

测量方法:

问诊

Measure time point of outcome:

Upon enrollment, assessments will be performed at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. A follow-up assessment is scheduled at week 36 ±3 days

Measure method:

history taking

指标中文名:

心率

指标类型:

副作用指标

Outcome:

Heart rate

Type:

Adverse events

测量时间点:

入组时,治疗后第4周±3天、8周±3天、12周±3天,随访第12、24、36周±3天各检查一次

测量方法:

血压计测量

Measure time point of outcome:

At baseline (enrollment), assessments will be conducted at week 4 ±3 days post-treatment, week 8 ±3 days post-treatment, and week 12 ±3 days post-treatment. Follow-up evaluations will be scheduled at weeks 12, 24, and 36 ±3 days.

Measure method:

Use a stethoscope to listen to the patient's heart rate.

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

静脉

Sample Name:

blood

Tissue:

Vein.

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:

其他

Sample Name:

Urine

Tissue:

Other

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):

采用分层、区组随机方法,以中心为分层因素,由不参与本试验统计分析的统计师使用SAS统计软件按分层因素和分组比例产生随机表。区组个数、区组长度、随机初值种子参数等作为保密数据与随机表一起密封在不透光的文件袋中,作为一级盲底。

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

The randomization method for the clinical trial uses a layered, block randomization design, with the center as the stratification factor, where the statistical analyst who does not participate in the study uses the SAS software to generate a random table based on the stratification factors and allocation ratio. The number of layers, the length of each layer, and the parameters of the random seed are considered confidential data and are sealed together with the random table in an opaque envelope as the first level of blindness.

盲法:

本次研究采用二级盲法设计,第一级为药物编号所对应的的组别代码(A组、B组),第二级为各组别代码所对应的处理(舒肝解郁胶囊组、安慰剂对照组)。分别由不参加本试验统计分析的统计师制作一、二级盲底,均一式两份,密封后由主要研究单位和申办者保存,研究期间盲底不能拆阅。

Blinding:

The research adopts a double-blind design, where the first level of blinding corresponds to the group code related to the drug (Group A, Group B), and the second level of blinding corresponds to the treatment associated with each group code (Liver-Soothing Capsules, Placebo). The statistician who does not participate in the study prepares both the first and the second levels of the blind bottom, which are identical and printed in duplicate, sealed after preparation, and stored by the main research unit and the sponsor during the study period; the blind bottom cannot be opened for inspection.

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):

待试验完成后,相关结果发表文章后以excel格式共享。

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

After the relevant results are published, they will be shared in Excel format.

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:

1. 数据的可溯源性、病例报告表(CRF)的填写与移交:最原始记录为病历,应妥善保存。病例报告表来自或部分来自病历,由研究者填写,每个入选病例必须完成病例报告表。完成的病例报告表由临床监查员审查后,经录入者网上录入后,交数据管理单位,进行数据管理工作。数据录入后,病例报告表的内容不再作修改。 2. 数据的录入与修改:数据录入由各单位研究者指定录入人员负责,数据管理工作由灵讯LNKMED临床科研一体化平台建立的电子数据采集系统(EDC)进行数据录入与管理。为保证数据的准确性,由两个数据录入员独立进行双份录入并校对。对病例报告表中存在的疑问。数据管理员将填写疑问解答表(DRO),并向研究者发出询问,研究者应尽快解答并返回,数据管理员根据研究者的回答进行数据修改,确认与录入,必要时可以再次发出DRO。 3. 数据的锁定:在盲态审核并确认建立的数据库正确后,由主要研究者、统计分析人员对数据进行锁定。锁定后的数据文件不可再做改动。数据锁定之后发现的问题,经确认后可在统计分析程序中进行修正。 4. 数据审核:对两人独立完成的数据库进行逐项核查,对报告不一致的结果值,逐项核对原始记录表,予以更正。在随机抽取一定数量的CRF表与数据库中的数据进行人工比较,以确保数据库中的数据与原始记录表中的数据一致。

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

1. The study uses a traceable data system where the original records are medical charts, which should be properly preserved. Case report forms (CRFs) are derived from or partially based on medical charts, filled out by researchers, and every selected case must complete a CRF. Completed CRFs are reviewed by clinical monitors, entered online by data entry workers, and managed by the data management unit. No changes are made to the content of CRFs after data entry. 2. The data entry and modification for the study are performed by designated data entry personnel from each institution, and the data management work is carried out using the electronic data collection system (EDC) established by the LINKMED Clinical Research Integration Platform. To ensure the accuracy of the data, two data entry workers independently perform double entries and checks. For any questions or discrepancies found in the case report forms (CRFs), the data manager fills out a problem-solving form (DRO) and sends it to the investigator for a quick response. The data manager then makes the necessary adjustments based on the investigator's answers, confirming and entering the data. If there are any issues that cannot be resolved at this stage, they may be raised again in the statistical analysis program. 3. Data locking: After blinded quality control and confirmation that the database is correct, the main investigator and statistician lock the data. Locked data files cannot be altered. If any issues are discovered after data locking, they can be corrected in the statistical analysis program. 4. Data review: A thorough check of the database completed by two independent workers ensures that all reported values are accurate. Inconsistencies between the case report forms and the database are corrected by referencing the original records. Random sampling of a certain number of CRFs and comparing them with the data in the database helps to ensure consistency between the two.

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):

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