脑心通胶囊对改善非瓣膜性房颤患者PCI术后生活质量临床评价

注册号:

Registration number:

ITMCTR2100004841

最近更新日期:

Date of Last Refreshed on:

2021-05-14

注册时间:

Date of Registration:

2021-05-14

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

脑心通胶囊对改善非瓣膜性房颤患者PCI术后生活质量临床评价

Public title:

Clinical Evaluation of Naoxintong Capsule for Improving the Quality of Life of Patients with Nonvalvular Atrial Fibrillation after PCI

注册题目简写:

English Acronym:

研究课题的正式科学名称:

脑心通胶囊对改善非瓣膜性房颤患者PCI术后生活质量的多中心、随机对照临床评价研究

Scientific title:

A multi-center, randomized controlled clinical evaluation study of Naoxintong Capsules for improving the quality of life of patients with non-valvular atrial fibrillation after PCI

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:

ChiCTR2100046333 ; ChiMCTR2100004841

申请注册联系人:

史萍

研究负责人:

陈慧教授

Applicant:

Shi Ping

Study leader:

Professor Chen Hui

申请注册联系人电话:

Applicant telephone:

+86 18132604722

研究负责人电话:

Study leader's telephone:

+86 13509379375

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:

shiping@doctors.net.cn

研究负责人电子邮件:

Study leader's E-mail:

chenhuiwyd@sina.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:

北京市东城区安定门东大街28号

研究负责人通讯地址:

福建省福州市东街134号

Applicant address:

28 Andingmen Street East, Dongcheng District, Beijing

Study leader's address:

134 East Street, Fuzhou, Fujian

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:

德传明康(北京)医药科技有限公司

Applicant's institution:

Dechuan Mingkang (Beijing) Pharmaceutical Technology Co., Ltd.

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:

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

Name of the ethic committee:

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:

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:

福建省立医院

Primary sponsor:

Fujian Provincial Hospital

研究实施负责(组长)单位地址:

福建省福州市东街134号

Primary sponsor's address:

134 East Street, Fuzhou, Fujian

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

陕西

市(区县):

咸阳

Country:

china

Province:

Shaanxi

City:

Xianyang

单位(医院):

陕西步长制药有限公司

具体地址:

秦都区步长路16号

Institution
hospital:

Shanxi Buchang Pharmaceutical Co., Ltd.

Address:

16 Buchang Road, Qindu District

经费或物资来源:

企业资助

Source(s) of funding:

Corporate funding

研究疾病:

非瓣膜性房颤患者PCI术后

研究疾病代码:

Target disease:

Patients with nonvalvular atrial fibrillation after PCI

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:

以对照组治疗方式[采用《2019 心房颤动(房颤)患者管理指南更新》(ACC/AHA/HRS)中对AF- PCI患者的建议:P2Y12 拮抗剂(氯吡格雷)及利伐沙班(15mg/d)联合治疗]为对照,评价加用脑心通后提高患者生活质量的有效性和安全性。

Objectives of Study:

Treatment in the control group [Adopting the recommendations for AF-PCI patients in the "2019 Atrial Fibrillation (Atrial Fibrillation) Patient Management Guidelines Update" (ACC/AHA/HRS): P2Y12 antagonist (clopidogrel) and rivaroxaban (15mg/d) combination therapy] as a control to evaluate the effectiveness and safety of Naoxintong in improving the quality of life of patients.

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.筛选时年龄≥18周岁且≤80周岁,性别不限; 2.非瓣膜性房颤患者,缺血风险评估CHA2DS2-VASc评分≥2分且出血风险评估HAS-BLED评分≥2分患者; 3.诊断为冠状动脉粥样硬化性心脏病、择期行PCI术患者; 4.PCI术成功患者; 5.愿意参加本研究并签署知情同意书者。

Inclusion criteria

1. Aged 18 to 80 years at the time of screening, regardless of gender; 2. Patients with non-valvular atrial fibrillation, patients with ischemia risk assessment CHA2DS2-VASc score >= 2 points and bleeding risk assessment HAS-BLED score >= 2 points; 3. Patients diagnosed with coronary atherosclerotic heart disease and undergoing elective PCI; 4. Patients with successful PCI; 5. Those who are willing to participate in this study and sign an informed consent.

排除标准:

1.置入支架总数目>3枚; 2.伴发严重疾病患者,预期寿命<1 年; 3.血液病或有出血体质,血小板计数<100X10^9/L;血小板压积<30%; 4.三个月内有大手术及外伤史、既往有活动性溃疡、脑出血等出血性疾病病史,筛选前6个月内的缺血性卒中病史及明确诊断的中枢神经系统结构异常者;经药物治疗后未控制的高血压(收缩压≥180mmHg或舒张压≥110mmHg)患者;合并感染、免疫系统疾病、恶性肿瘤患者; 5.存在以下任何一种情况者:心源性休克、慢性充血性心力衰竭NYHA分级≥III级或超声心动图测定左室射血分数<35%、低血压(收缩压<90mmHg 和或舒张压<60mmHg)、严重心律失常(包括高度房室传导阻滞、病态窦房结综合征、持续性室性心动过速)、严重肺功能不全、肺栓塞、肝功能不全(非心脏疾病引起 ALT 或 AST 超过正常值上限 3 倍以上)、严重肾功能不全(eGFR<30ml/min)、肝硬化; 6.高缺血风险病变患者,包括左主干病变、多支血管病变、分叉病变、钙化病变; 7.计划在参加本试验后 1 个月内接受其他外科手术; 8.有重度过敏、非过敏性药物反应或对2种及以上的药物(含造影剂)过敏史,或已知可能对与研究药物同类的药物(氯比格雷、利伐沙班)过敏或禁忌使用阿司匹林者; 9.妊娠及哺乳期妇女; 10.研究者认为不适合参加本研究的其他事项。

Exclusion criteria:

1. The total number of stents placed>3; 2. Patients with severe diseases, life expectancy < 1 year; 3. Blood disease or hemorrhage, platelet count < 100x10^9/L; platelet hematocrit < 30%; 4. A history of major surgery and trauma within three months, a history of hemorrhagic diseases such as active ulcers, cerebral hemorrhage, etc., a history of ischemic stroke within the first 6 months of screening and a clearly diagnosed abnormal structure of the central nervous system; Patients with uncontrolled hypertension (systolic blood pressure >= 180mmHg or diastolic blood pressure >= 110mmHg) after drug treatment; patients with co-infections, immune system diseases, and malignant tumors; 5. Those who have any of the following conditions: cardiogenic shock, chronic congestive heart failure NYHA grade >= grade III or echocardiographic measurement of left ventricular ejection fraction < 35%, hypotension (systolic blood pressure <90mmHg and or diastolic blood pressure < 60mmHg), severe arrhythmia (including high-grade atrioventricular block, sick sinus syndrome, persistent ventricular tachycardia), severe pulmonary insufficiency, pulmonary embolism, liver insufficiency (non-heart disease causes ALT or AST exceeds 3 times the upper limit of normal), severe renal insufficiency (eGFR < 30ml/min), liver cirrhosis; 6. Patients with high risk of ischemia, including left main artery disease, multivessel disease, bifurcation disease, and calcification disease; 7. Plan to undergo other surgical operations within 1 month after participating in this trial; 8. Have a history of severe allergies, non-allergic drug reactions, or allergies to 2 or more drugs (including contrast agents), or known to be allergic to drugs similar to the study drug (clopidogrel, rivaroxaban) or Those who are contraindicated to use aspirin; 9. Pregnant and lactating women; 10. Other matters deemed unsuitable by the researcher to participate in this research.

研究实施时间:

Study execute time:

From 2021-05-20

To      2022-12-30

征募观察对象时间:

Recruiting time:

From 2021-05-20

To      1990-01-01

干预措施:

Interventions:

组别:

对照组

样本量:

120

Group:

Control group

Sample size:

干预措施:

利伐沙班(15 mg,1次/d)+氯吡格雷(75 mg,1次/d)的双联治疗至PCI术后6个月

干预措施代码:

Intervention:

Dual therapy of rivaroxaban (15 mg, once/d) + clopidogrel (75 mg, once/d) to 6 months after PCI

Intervention code:

组别:

试验组

样本量:

120

Group:

test group

Sample size:

干预措施:

对照组抗栓治疗方案+脑心通胶囊,口服。一次4粒,一日3次。

干预措施代码:

Intervention:

The antithrombotic treatment plan of the control group + Naoxintong capsule, orally. 4 capsules at a time, 3 times a day.

Intervention code:

样本总量 Total sample size : 240

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

china

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京朝阳医院

单位级别:

三级甲等

Institution/hospital:

Beijing Chaoyang Hospital, Capital Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建

市(区县):

福州

Country:

china

Province:

Fujian

City:

Fuzhou

单位(医院):

福建中医药大学附属省人民医院

单位级别:

三级甲等

Institution/hospital:

Provincial People's Hospital, Fujian 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):

广东省中医院

单位级别:

三级甲等

Institution/hospital:

Traditional Chinese Medicine Hospital of Guangdong Provincial

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建

市(区县):

厦门

Country:

china

Province:

Fujian

City:

Xiamen

单位(医院):

厦门大学附属心血管病医院

单位级别:

三级甲等

Institution/hospital:

Cardiovascular Hospital of Xiamen University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北

市(区县):

宜昌

Country:

china

Province:

Hubei

City:

Yichang

单位(医院):

宜昌市中心医院

单位级别:

三级甲等

Institution/hospital:

Yichang Central Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

生活质量量表简明健康状况调查问卷SF-36

指标类型:

主要指标

Outcome:

Quality of Life Scale Concise Health Status Questionnaire SF-36

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

西雅图心绞痛调查量表(SAQ)

指标类型:

主要指标

Outcome:

Seattle Angina Questionnaire (SAQ)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

治疗1、3、6个月严重或非严重的临床相关的大出血(ISTH)或临床相关的非大出血事件

指标类型:

次要指标

Outcome:

Treatment of severe or non-serious clinically related major bleeding (ISTH) or clinically related non-major bleeding events for 1, 3, and 6 months

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

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 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):

采用中心分层区组随机化方法。运用SAS统计软件分别产生2列受试者所接受处理(试验组组和对照组)的随机安排(即随机编码表),对应每家中心的治疗分配表。在给予治疗前,确定符合方案入选/排除标准的受试者按就诊顺序匹配治疗分配表,从而随机分配入2组之一。对照组接受基础常规方案治疗,试验组在在此基础上服用试验药治疗。 一旦给受试者分配了受试者序号,即使没有接受研究药物,该序号也不能再次使用。

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

The central stratified block randomization method was used. The SAS statistical software was used to generate 2 columns of random arrangements (namely, random coding table) of the treatment (test group and control group) received by the subjects, corresponding to the treatment allocation table of each center.

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):

未说明 请阅读网页注册指南中关于“原始数据共享”的内容。

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

Not stated

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 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):

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