研究疾病:
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非小细胞肺癌
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研究疾病代码:
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Target disease:
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Non-small cell lung cancer
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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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探索性研究/预试验
Pilot clinical trial
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研究目的:
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(一)主要目的
通过多中心、随机、双盲、对照研究探讨外用消疹止痒方治疗表皮生长因子受体(酪氨酸激酶)抑制剂(EGFR-TKIs)相关性皮疹的有效性和安全性。
(二)次要目的
评估外用消疹止痒方对患者皮疹瘙痒、生活质量、伴随症状的影响。
通过观察性队列,探索常规治疗手段治疗下患者的临床特征和治疗疗效及相关的影响因素。
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Objectives of Study:
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A multicenter, randomized, double-blind, controlled study will be conducted to explore the efficacy of topical Xiaozhenzhiyang in the treatment of EGFR-TKIs-related skin rash.
Secondary aim
To evaluate the effect of topical Xiaozhenzhiyang on the rash, quality of life, and accompanying symptoms of patients. Safety will also be assessed.
We hypothesize that Xiaozhenzhiyang can effectively alleviate EGFR-TKIs-related rash, improve patients' QOL, and accompanying symptoms with excellent safety.
patients who refuse to be randomized will be enrolled in an observational cohort to detect the risk facts related to the EGFR-TKI related rash.
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药物成份或治疗方案详述:
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1、研究用药名称和规格
外用消疹止痒方(药液)组成:金银花 15g、蒲公英 15g、苦参 9g等8味药物(处方已经进行专利保护)。将上述中药饮片煎煮后浓缩为50ml,过150目筛,经灭菌后,制得外用该药液。规格为每瓶装50ml。用法为外敷,一次一瓶,早晚各1次。
2、模拟剂 拟采用无菌蒸馏水、色素及香料等比例调和,制成外用消疹止痒方模拟剂。该品从颜色、气味、浓稠度与外用消疹方相似。无毒副反应且无药用成分。规格为每瓶装50ml。用法同消疹方。
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Description for medicine or protocol of treatment in detail:
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1. The External application of Xiaozhenzhiyang Decoction
External application of Xiaozhenzhiyang Decoction consists of 8 Chinese Herbal Medicines, including Jingyinhua 15g, Pugongying 15g, and Kushen 9g, etc. in a decoction. The traditional Chinese medicine decoction pieces are condensed into 50 ml after being boiled and passed through a 150-mesh sieve. After sterilization, the medicine is filled in the size is 50ml per bottle. Usage is topical, one bottle at a time, one each morning and evening.
2. Placebo is planned to use aseptic distilled water, pigments, and flavors to make an external rash and antipruritic formula. This product is similar in color, smell, and consistency to the topical anti-rash formula. Non-toxic side effects and no medicinal ingredients. Size is 50ml per bottle. The usage is the same as the external application of Xiaozhenzhiyang decoction.
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纳入标准:
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入选标准
1.受试者签署知情同意书时年龄≥18周岁,男女均可;
2.组织学或细胞学确诊为非小细胞肺癌(NSCLC)的受试者,EGFR 基因突变阳性;
3.服用 EGFR-TKIs 药物(吉非替尼、埃克替尼、厄洛替尼,阿法替尼、达克替尼或奥希替尼等),出现面部皮疹者。
4.受试者知悉自身病情,必须能理解并愿意在研究之前签署书面知情同意书;
5.预期生存期≥3个月;
6.愿意遵守协议,能按医嘱使用药物,并接受被规律随访;依从性好。
7.能够自己或在协助下完成问卷;
8.ECOG PS 评分:0-3 分。
9.筛查所做的实验室检查的值必须符合下列标准:
(1)血常规检查:(筛查前 14 天内未输血、未使用 G-CSF、未使用药物纠正)
血红蛋白(HB)≥90 g/L;
中性粒细胞计数绝对值(ANC)≥1.5×10^9 /L;
血小板计数(PLT)≥100×10^9 /L;
白细胞计数(WBC)≥4.0×10^9 /L 并且≤15×10^9 /L;
(2)生化检查:(筛查前 14 天内未输血或白蛋白)
AST 和 ALT≤1.5 倍正常上限 (upper limits of normal,ULN)(如存在肿瘤肝转移,≤5 倍 ULN);
ALP≤2.5 倍 ULN(如存在肿瘤骨转移,≤5 倍 ULN);
TBiL≤1.5 倍 ULN;
ALB≥30g/L;
Cr≤1.5 倍 ULN,同时肌酐清除率 (CrCL)≥60 mL/min(Cockcroft-Gault 公式);
APTT≤1.5 倍 ULN,同时 INR 或 PT≤1.5 倍 ULN(未接受抗凝治疗)。
10.如果不愿意接受随机的患者,可以进入观察性队列接受随机对照方案以外的治疗。
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Inclusion criteria
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1. Sign the informed consent, male and female aged at least 18 years old;
2. Patients with non-small cell lung cancer (NSCLC) are diagnosed by histology or cytology, EGFR gene mutation-positive;
3. The facial rash develops after taking EGFR-TKIs drugs;
4. Patient aware of what condition with and understand the content of written informed consent form;
5. Life expectancy is greater than or equal to 3 months;
6. willing to abide by the agreement, use therapeutic agents according to doctor's advice, and accept regular follow-up with good compliance;
7. Complete the questionnaire by yourself or with assistance;
8. ECOG PS score 0-3 points;
9. All screening laboratory tests are performed according to the program requirements and need to be carried out within 14 days before the first dose; The values of the laboratory tests performed for screening must meet the following criteria:
1) Blood routine examination: (no blood transfusion within 14 days before screening, no use of G-CSF, no use of drugs to correct); hemoglobin (HB) >=90 g/L; absolute value of neutrophil count (ANC) >=1.5 x 10^9/L; platelet count (PLT) >=100x10^9/L; white blood cell count (WBC) >=4.0x10^9/L and <=15x10^9/L;
2) Biochemical examination: (no blood transfusion or albumin within 14 days before screening): AST and ALT <=1.5 times upper limit of normal (ULN) (if there is tumor liver metastasis, <=5 times ULN); ALP <=2.5 times ULN (if there is tumor bone metastasis, <=5 times ULN); TBiL<=1.5 times ULN; ALB>=30g/L; Cr <=1.5 times ULN, while creatinine clearance (CrCL) >=60 mL/min (Cockcroft-Gault formula); APTT <=1.5 times ULN, while INR or PT <=1.5 times ULN (no anticoagulant therapy).
10. Patients who are unwilling to receive randomization can enter the observational cohort for treatment other than the randomized controlled protocol.
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排除标准:
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1、其他原因出现的皮疹;
2、14 天内使用可能影响试验结果的药物(在第 0 天(基线)的 14 天内,同时使用局部抗生素,局部类固醇和其他局部治疗;在第 0 天前 7 天内使用任何全身性抗生素治疗);
3、不受控制的并发疾病,包括但不限于症状性充血性心力衰竭,不稳定型心绞痛,心律失常或精神疾病等;
4、伴有精神疾病、酗酒、吸毒或药物滥用等情况的受试者;
5、根据研究者的判断,排除患有可能混淆研究结果、干扰受试者参与研究程序或不符合受试者参加研究最佳利益的任何疾病的受试者,或有治疗或实验室检查异常既往史和现病史的受试者。
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Exclusion criteria:
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1. Skin rashes caused by other reasons;
2. Use of drugs that may affect the results of the trial within 14 days (within the 14 days of day 0 (baseline), concurrent use of topical antibiotics, topical steroids, and other local treatments; use of any systemic antibiotic therapy within seven days before day 0);
3. Uncontrolled concurrent diseases, including but not limited to symptomatic congestive heart failure, unstable angina pectoris, arrhythmia or mental illness;
4. Subjects with mental illness, alcoholism, drug abuse or substance abuse;
5. Based on the investigator's judgment, exclude subjects with any disease that may confuse the results of the study, interfere with the subject's participation in the research process, or are not in the best interest of the subject to participate in the research, or have treatment or laboratory abnormalities Subjects with past and present medical history.
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研究实施时间:
Study execute time:
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从From
2020-03-01
至To
2021-06-30
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征募观察对象时间:
Recruiting time:
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从From
2022-03-01
至To
2021-02-28
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