温针灸治疗膝骨关节炎的多中心前瞻性队列研究及机器学习预后模型的构建

注册号:

Registration number:

ITMCTR2025001105

最近更新日期:

Date of Last Refreshed on:

2025-06-03

注册时间:

Date of Registration:

2025-06-03

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

温针灸治疗膝骨关节炎的多中心前瞻性队列研究及机器学习预后模型的构建

Public title:

A multicenter prospective cohort study of warm acupuncture for osteoarthritis of the knee and construction of a machine learning prognostic model

注册题目简写:

English Acronym:

研究课题的正式科学名称:

温针灸治疗膝骨关节炎的多中心前瞻性队列研究及机器学习预后模型的构建

Scientific title:

A multicenter prospective cohort study of warm acupuncture for osteoarthritis of the knee and construction of a machine learning prognostic model

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:

申请注册联系人:

王吉庆

研究负责人:

宓轶群

Applicant:

Wang Jiqing

Study leader:

Mi Yiqun

申请注册联系人电话:

Applicant telephone:

17601231101

研究负责人电话:

Study leader's telephone:

17864191015

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:

jqing16@163.com

研究负责人电子邮件:

Study leader's E-mail:

zhongguobaicao@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:

上海市静安区芷江路274号

研究负责人通讯地址:

上海市静安区芷江路274号

Applicant address:

No. 274 Zhijiang Road Jing'an District Shanghai China

Study leader's address:

No. 274 Zhijiang Road Jing'an District Shanghai China

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:

上海市中医医院

Applicant's institution:

Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to 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:

2025SHL-KY-02-02

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:

上海市中医医院伦理委员会

Name of the ethic committee:

Ethics Committee of Shanghai Hospital of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2025/2/10 0:00:00

伦理委员会联系人:

凌丽

Contact Name of the ethic committee:

021-56628310

伦理委员会联系地址:

上海市静安区芷江路274号

Contact Address of the ethic committee:

No. 274 Zhijiang Road Jing'an District Shanghai China

伦理委员会联系人电话:

Contact phone of the ethic committee:

021-56628310

伦理委员会联系人邮箱:

Contact email of the ethic committee:

shszyyyec@126.com

研究实施负责(组长)单位:

上海市中医医院

Primary sponsor:

Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

上海市静安区芷江路274号

Primary sponsor's address:

No. 274 Zhijiang Road Jing'an District Shanghai 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):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市中医医院

具体地址:

上海市静安区芷江路274号

Institution
hospital:

Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine

Address:

No. 274 Zhijiang Road Jing'an District Shanghai China

经费或物资来源:

上海市中医药进一步发展三年行动计划

Source(s) of funding:

Shanghai Three-Year Action Plan for Further Development of Chinese Medicine

研究疾病:

膝骨关节炎

研究疾病代码:

Target disease:

osteoarthritis of the knee

Target disease code:

研究类型:

Study type:

观察性研究

Observational study

研究设计:

Study design:

队列研究

Cohort study

研究所处阶段:

Study phase:

探索性研究/预试验

Pilot clinical trial

研究目的:

1. 通过KOA患者在多中心临床应用中的治疗反应,客观评估温针灸的疗效,验证温针灸疗法在真实临床环境中的有效性。 2. 探讨KOA患者的乙酰化状态与温针灸疗效之间的关联,揭示KOA患者乙酰化模式与温针灸疗效的分子机制。 3. 整合影像数据、生物标志物和临床数据,基于机器学习构建KOA患者疗效预测模型,实现对KOA患者治疗反应的个性化预测。

Objectives of Study:

1. objectively assess the efficacy of warm acupuncture and moxibustion through the therapeutic response of KOA patients in multi-center clinical applications and verify the effectiveness of warm acupuncture and moxibustion therapy in real clinical settings. 2. to explore the association between the acetylation status of KOA patients and the efficacy of warm acupuncture and moxibustion and to reveal the molecular mechanism of the acetylation pattern and the efficacy of warm acupuncture and moxibustion in KOA patients. 3. Integrate imaging data biomarkers and clinical data to construct an efficacy prediction model for KOA patients based on machine learning to achieve personalized prediction of treatment response for KOA 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)符合中华医学会2018年版《骨关节炎诊疗指南》KOA诊断标准及符合KL分级≤III级; 2)有明确的中医诊断; 3)受试年龄范围≥38岁(美国风湿病学会1986版标准); 4)曾接受其他疗法者,需经14天的洗脱期; 5)签署知情同意书。

Inclusion criteria

1) Meet the KOA diagnostic criteria of the 2018 edition of the Chinese Medical Association's Osteoarthritis Diagnostic and Treatment Guidelines and meet the KL grading ≤ grade III; 2) Have a clear TCM diagnosis; 3) Subjects' age range ≥38 years (American College of Rheumatology 1986 edition criteria); 4) A 14-day washout period for those who had received other therapies; 5) Signed informed consent.

排除标准:

1)膝关节局部存在结核、肿瘤、类风湿性以及风湿性关节炎者; 2)伴膝皮肤破损或其他疾病,影响到局部治疗者; 3)近2个月内接受过激素治疗、对膝关节进行过关节腔注射或关节镜检查者; 4)正在或准备参加其他临床试验者; 5)研究员结合患者实际情况,评估易失访者。

Exclusion criteria:

1) Those with localized tuberculosis tumor rheumatoid as well as rheumatoid arthritis of the knee joint; 2) those with broken knee skin or other diseases that affect the local treatment; 3) Those who have received hormone therapy arthritic injections into the knee joint or arthroscopy within the last 2 months; 4) Those who are participating or preparing to participate in other clinical trials; 5) Those who are assessed by the researcher to be vulnerable to loss of visits in the context of the patient's actual condition.

研究实施时间:

Study execute time:

From 2025-02-10

To      2026-02-10

征募观察对象时间:

Recruiting time:

From 2025-02-10

To      2026-02-10

干预措施:

Interventions:

组别:

暴露组

样本量:

135

Group:

exposure group

Sample size:

干预措施:

温针灸

干预措施代码:

Intervention:

warm needle acupuncture (Chinese medicine)

Intervention code:

组别:

非暴露组

样本量:

135

Group:

non-exposed group

Sample size:

干预措施:

消炎止痛药

干预措施代码:

Intervention:

antipyretic and analgesic

Intervention code:

样本总量 Total sample size : 270

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):

上海市光华中西医结合医院

单位级别:

三级甲等中西医结合医院

Institution/hospital:

Shanghai Guanghua Hospital of Integrative Medicine

Level of the institution:

Tertiary A Hospital for Integrating Traditional Chinese and Western Medicine

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市第五人民医院

单位级别:

三级甲等综合性医院

Institution/hospital:

Shanghai Fifth People's Hospital

Level of the institution:

Level IIIA general hospital

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:

三级甲等中医医院

Institution/hospital:

Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine

Level of the institution:

Level 3A Chinese Medicine Hospital

测量指标:

Outcomes:

指标中文名:

西安大略和麦克马斯特大学骨关节炎指数

指标类型:

主要指标

Outcome:

Western Ontario and McMaster Universities Osteoarthritis Index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

NRS疼痛数字评价量表

指标类型:

次要指标

Outcome:

Numeric Rating Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

舌象检查

指标类型:

附加指标

Outcome:

tongue examination

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

膝关节X线

指标类型:

附加指标

Outcome:

Knee X-ray

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中医证候分级量化评分表

指标类型:

附加指标

Outcome:

Quantitative Scoring Scale for Grading Chinese Medicine Symptoms

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脉诊指标

指标类型:

附加指标

Outcome:

Pulse Indicators

Type:

Additional 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 38
Min age years
最大 88
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):

队列研究,为观察行研究。不产生随机,根据患者意愿和实际临床记录。

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

Cohort study an observational line study. No randomization was generated based on patients' wishes and actual clinical records.

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):

邮件或电话联系索取

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

Contact by mail or phone to 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

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

Case Record 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):

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