研究疾病:
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慢性乙型肝炎病毒感染及脂肪肝(非酒精性)
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研究疾病代码:
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Target disease:
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chronic hepatitis B virus infection and Fatty Liver Disease (Non-alcoholic Origin)
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Target disease code:
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研究类型:
Study type:
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干预性研究
Interventional study
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研究设计:
Study design:
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随机平行对照
randomized controlled trial(parallel group design)
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研究所处阶段:
Study phase:
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其它
Others
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研究目的:
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采用前瞻性,随机双盲平行对照的研究方法,用Fibrotouch检测肝脏脂肪含量,评价甘枣宁颗粒对慢性乙肝病毒感染患者肝脏脂肪含量的影响并评价药物的安全性,以及对各中医证型治疗效果比较。
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Objectives of Study:
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A prospective, randomized, double-blind, parallel control study was conducted to determine the liver fat content with Fibrotouch, evaluate the effect of Ganzaoning G ranule on the liver fat content of patients with chronic hepatitis B virus infection, evaluate the safety of the drug, and compare the therapeutic effect of different TCM syndromes.
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药物成份或治疗方案详述:
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Description for medicine or protocol of treatment in detail:
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纳入标准:
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1 年龄≥40岁和≤70岁的男性或女性;
2 肝脂肪含量测定采用 Fibrotouch,脂肪衰减参数(FAI)>240db/m,CAP的四分位间距(IQR)≤40dB/m;
3 参照慢性乙型肝炎防治指南(2015版),符合慢性乙型肝炎感染诊断,HBsAg阳性≥6个月诊断;ALT < 2倍ULN(标准上限);
4 参照慢性乙型肝炎中医诊疗专家共识(2012),中医证型诊断为湿热蕴结证、肝郁气滞证、肝郁脾虚证、瘀血阻络证的患者。
5 BMI≥20 kg/m2,≤30 kg/m2;
6 被纳入后生活方式不会刻意改变,无需节食、减肥等;
7 知情同意,志愿受试,知情同意过程符合GCP的规定。
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Inclusion criteria
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1. Men or women aged ≥40 years and ≤70 years;
2. The measurement of hepatic fat content was conducted using Fibrotouch, Fat attenuation index (FAI)> 250dB/m;CAP quartile spacing (IQR) ≤40dB/m;
3. In line with the diagnosis of chronic hepatitis B infection, according to the chronic hepatitis B prevention and treatment guidelines (2015 version), HBsAg positive 6 months diagnosis; ALT < 2 times ULN (standard upper limit)
4. According to the consensus of TCM diagnosis and treatment experts for chronic hepatitis B (2012), TCM syndrome type was diagnosed as damp-heat accumulation syndrome, liver stagnation and qi stagnation syndrome, liver stagnation and spleen deficiency syndrome, blood stasis and obstruction of collaterals.
5. BMI≥20 kg/m2≤30 kg/m2
6. The lifestyle will not be changed deliberately after being included, and there is no need to diet or lose weight;
7. Informed consent, voluntary subjects, informed consent process in accordance with GCP regulations.
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排除标准:
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1 饮酒史或最近(过去12个月)滥用药物史,饮酒量折合,乙醇男性饮酒>30g/d;女性>20g/d或根据调查人员的判断;
2 B超显示肝脏内明显占位性病变或AFP>50μg/L;或肝硬化及肝脏肿瘤患者;
3 严重肝损伤和/或定义为天冬氨酸的明显肝功能异常氨基转移酶>3×正常(ULN)和/或丙氨酸氨基转移酶的上限> 3×ULN。或诊断为慢性重型乙型肝炎或有重型肝炎倾向者;
4 酒精性肝病、全胃肠外营养、肝豆状核变性、自身免疫性肝病、药物性肝病等可导致脂肪肝的特定疾病;除乙肝外的其它病毒性和非病毒性慢性肝炎患者;总胆红素>2.0mg/dl(34.2μmol/l);
5 伴有其他严重疾病,如严重的心、肺、肾、内分泌、神经及血液系统严重疾病者以及精神病患者;
6 既往有过器官移植(如肝、肾、肺、心等)、骨髓移植或是造血肝细胞移植患者;
7 服药前30d接受过降脂或护肝治疗;需要同时服用其他可能影响疗效的药物或对实验药物过敏的患者;
8 研究者认为应该排除的其他情况。
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Exclusion criteria:
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1 History of alcohol use or recent (past 12 months) drug abuse ,Alcohol abuse is defined as men drink > 30g/d; Women > 20g/d or according to the judgment of investigators;
2 B ultrasonography showed obvious space-occupying lesions in the liver or AFP>50 g/L;Or patients with liver cirrhosis or liver tumor;
3 Severe liver injury and/or significant abnormal liver function defined as aspartic acid amintransferase >3 normal (ULN) and/or upper limit of alanine amintransferase >3 ULN.Or diagnosed as chronic severe hepatitis B or have a tendency to severe hepatitis;
4 Alcoholic liver disease, total parenteral nutrition, hepatolenticular degeneration, autoimmune liver disease, drug-induced liver disease and other specific diseases that may lead to fatty liver;Patients with chronic viral and non-viral hepatitis other than hepatitis B;Total bilirubin >2.0mg/dl(34.2 mol/l);
5 Patients with other serious diseases, such as severe heart, lung, kidney, endocrine, nervous and blood system diseases and mental diseases;
6 Patients with previous organ transplantation (such as liver, kidney, lung, heart, etc.), bone marrow transplantation or hematopoietic liver cell transplantation;
7 Received lipid-lowering or liver protection treatment 30 days before taking the medicine; Patients who need to take other drugs that may affect the efficacy or who are allergic to experimental drugs at the same time;
8 Other conditions that the researcher thinks should be excluded.
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研究实施时间:
Study execute time:
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从From
2019-05-01
至To
2020-05-01
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征募观察对象时间:
Recruiting time:
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从From
2019-06-01
至To
2020-06-01
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