- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание NCT07718503
A Study on the Combination of Tongluo Huayu Formula in Treating RVO of Phlegm-Stasis Intertwinement Type: Based on the Mechanism of Systemic Metabolic Regulation Mediated by Gut Microbiota
A Study on the Combination of Tongluo Huayu Formula in Treating Retinal Vein Occlusion of Phlegm-Stasis Intertwinement Type: Based on the Mechanism of Systemic Metabolic Regulation Mediated by Gut Microbiota
The goal of this clinical trial is to evaluate the synergistic efficacy and safety of the Tongluo Huayu Formula combined with conventional Western medical treatment for RVO, thereby providing high-quality evidence to support its subsequent clinical promotion and application.
The control group will receive conventional Western medical therapy, including laser photocoagulation and intravitreal Conbercept injection. Specifically, Conbercept will be injected intravitreally once a month for 3 consecutive months. If large areas of retinal non-perfusion or fundus neovascularization occur during the study period, laser photocoagulation will be administered based on the patient's condition. The experimental group will receive the Tongluo Huayu Formula in addition to the standard therapy provided to the control group. The Tongluo Huayu Formula will be administered for 1 month. Relevant examinations and assessments for participants in both groups will be conducted at baseline (before treatment), and at 1, 2, 3, and 6 months after treatment.
Обзор исследования
Статус
Условия
Тип исследования
Регистрация (Оцененный)
Фаза
- Непригодный
Контакты и местонахождение
Контакты исследования
- Имя: Wei Zhou
- Номер телефона: 18101092595
- Электронная почта: 15575924800@163.com
Места учебы
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Zhejiang
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Hangzhou, Zhejiang, Китай, 310003
- The First Affiliated Hospital, Zhejiang University School of Medicine
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Контакт:
- Wei Zhou
- Номер телефона: 18101092595
- Электронная почта: 15575924800@163.com
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Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
- Взрослый
- Пожилой взрослый
Принимает здоровых добровольцев
Описание
Inclusion Criteria:
- Patients who meet the aforementioned Western diagnostic criteria and TCM syndrome differentiation criteria for RVO, and are complicated with macular edema.
- Patients who fully understand the study and voluntarily sign the informed consent form.
Exclusion Criteria:
- Patients currently participating in other clinical trials or receiving concomitant use of similar traditional Chinese medicines or other therapies.
- Patients with other fundus retinal diseases, such as neovascular glaucoma or iris neovascularization.
- Patients with severe systemic diseases, such as rheumatism or systemic lupus erythematosus.
- Women who are pregnant or breastfeeding (lactating).
- Patients with severe cardiovascular or cerebrovascular diseases, or those with severely impaired hepatic or renal function.
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Нет (открытая этикетка)
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
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Экспериментальный: Experimental Group
Combined TCM and Western Medicine
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Intravitreal injection of Conbercept will be administered once a month for 3 consecutive months.
The Tongluo Huayu Formula will be administered for 1 month.
Laser photocoagulation will be administered if large areas of retinal non-perfusion or fundus neovascularization occur.
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Активный компаратор: Control Group
Conventional Western Medicine Only
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Intravitreal injection of Conbercept will be administered once a month for 3 consecutive months.
Laser photocoagulation will be administered if large areas of retinal non-perfusion or fundus neovascularization occur.
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Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
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Central Macular Thickness(CMT)
Временное ограничение: Baseline, and at 1, 2, 3, and 6 months after treatment.
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Central Macular Thickness (CMT) measured by Optical Coherence Tomography Angiography (OCTA) in micrometers (μm).
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Baseline, and at 1, 2, 3, and 6 months after treatment.
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Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
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Best Corrected Visual Acuity(BCVA)
Временное ограничение: Baseline, and at 1, 2, 3, and 6 months after treatment
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Best Corrected Visual Acuity (BCVA) assessed using the standard logarithmic visual acuity chart, reported as LogMAR score.
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Baseline, and at 1, 2, 3, and 6 months after treatment
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Superficial retinal capillary plexus vessel density(VD-SCP)
Временное ограничение: Baseline, and at 1, 2, 3, and 6 months after treatment
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Superficial retinal capillary plexus vessel density (VD-SCP) measured by OCTA, reported as percentage (%) of vessel area.
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Baseline, and at 1, 2, 3, and 6 months after treatment
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Deep retinal capillary plexus vessel density (VD-DCP)
Временное ограничение: Baseline, and at 1, 2, 3, and 6 months after treatment
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Deep retinal capillary plexus vessel density (VD-DCP) measured by OCTA, reported as percentage (%) of vessel area.
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Baseline, and at 1, 2, 3, and 6 months after treatment
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Foveal Avascular Zone area(FAZ)
Временное ограничение: Baseline, and at 1, 2, 3, and 6 months after treatment
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Foveal Avascular Zone area(FAZ) measured by Optical Coherence Tomography Angiography (OCTA) in Square millimeters (mm²).
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Baseline, and at 1, 2, 3, and 6 months after treatment
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Ganglion Cell Layer Thickness(GCL)
Временное ограничение: Baseline, and at 1, 2, 3, and 6 months after treatment
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Ganglion Cell Layer Thickness(GCL) measured by Optical Coherence Tomography Angiography (OCTA) in micrometers (μm).
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Baseline, and at 1, 2, 3, and 6 months after treatment
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Ganglion Cell-Inner Plexiform Layer Thickness
Временное ограничение: Baseline, and at 1, 2, 3, and 6 months after treatment
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Ganglion Cell-Inner Plexiform Layer Thickness measured by Optical Coherence Tomography Angiography (OCTA) in micrometers (μm).
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Baseline, and at 1, 2, 3, and 6 months after treatment
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Carotid plaque
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Presence of carotid plaque (yes/no) measured by B-mode ultrasound.
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Baseline, and at 3 and 6 months after treatment
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Retinal circulation time
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Retinal circulation time measured by fundus fluorescein angiography (FFA) in Seconds (s)- typically arm-to-retina circulation time.
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Baseline, and at 3 and 6 months after treatment
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Retrobulbar blood flow
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Retrobulbar blood flow parameters measured by color Doppler ultrasound include peak systolic velocity (PSV, cm/s) and end-diastolic velocity (EDV, cm/s) and resistive index (RI).
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Baseline, and at 3 and 6 months after treatment
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Gut microbiota
Временное ограничение: Baseline, and at 1, 2, 3, and 6 months after treatment
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Gut microbiota measured by 16S rRNA sequencing include Alpha diversity (e.g., Shannon index) or Relative abundance of specific taxa (%).
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Baseline, and at 1, 2, 3, and 6 months after treatment
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Другие показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
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Temperature
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Temperature measured by an electronic thermometer in degrees Celsius (°C).
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Baseline, and at 3 and 6 months after treatment
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Heart rate
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Heart rate measured by automatic blood pressure monitor in beats per minute (bpm).
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Baseline, and at 3 and 6 months after treatment
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Blood pressure
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Blood pressure measured by automatic blood pressure monitor in Millimeters of mercury (mmHg) - report systolic and diastolic values separately.
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Baseline, and at 3 and 6 months after treatment
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Complete Blood Count
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Complete Blood Count, including white blood cell count (×10⁹/L), red blood cell count (×10¹²/L), hemoglobin (g/L), and platelet count (×10⁹/L), will be assessed via blood draw.
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Baseline, and at 3 and 6 months after treatment
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Urinalysis
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Urinalysis, performed on collected urine samples, includes measurements of protein (g/L), glucose (mmol/L), and red blood cells (/μL).
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Baseline, and at 3 and 6 months after treatment
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Liver and Renal Function Tests
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Liver function parameters (ALT and AST, in U/L) and renal function parameters (Cr and BUN, in μmol/L and mmol/L, respectively) will be measured via blood draw.
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Baseline, and at 3 and 6 months after treatment
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Coagulation Profile
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Blood samples will be collected to assess coagulation profile, including prothrombin time (PT, in seconds), activated partial thromboplastin time (APTT, in seconds), thrombin time (TT, in seconds), and fibrinogen (FIB, in g/L).
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Baseline, and at 3 and 6 months after treatment
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Cardiac function
Временное ограничение: Baseline, and at 3 and 6 months after treatment
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Electrocardiogram (ECG) will be used to evaluate cardiac function, with the following parameters recorded: heart rate (bpm), PR interval (ms), QRS duration (ms), and QT interval (ms).
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Baseline, and at 3 and 6 months after treatment
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Соавторы и исследователи
Соавторы
Следователи
- Главный следователь: Hongguang Cui, Zhejiang University
Даты записи исследования
Изучение основных дат
Начало исследования (Оцененный)
Первичное завершение (Оцененный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
- IIT20260045C-R1
Планирование данных отдельных участников (IPD)
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Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .
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