研究疾病:
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急性咽炎、扁桃体炎
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研究疾病代码:
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Target disease:
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acute pharyngitis and tonsillitis
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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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上市后药物
Post-marketing clinical trial
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研究目的:
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1.通过大样本随机、阳性对照、多中心及部分双盲双模拟设计方案,分析蒲地蓝消炎口服液在治疗成人急性咽炎/扁桃体炎时其剂量与疗效及安全性的关系,产出高质量大样本临床证据;
2.进一步验证蒲地蓝消炎口服液对SAA、CRP、WBC、ESR等炎症标志物的调控作用;
3.探索性研究蒲地蓝消炎口服液替代抗生素治疗急性咽炎/扁桃体炎的可行性,为临床合理用药提供依据。
4.完善蒲地蓝消炎口服液说明书中关于不良反应、适应证型、治疗阶段描述的缺陷,并进行相关经济学评价。
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Objectives of Study:
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1. To analyze the relationship between dosage, efficacy and safety of Pudilan Xiaoyan Oral Liquid in the treatment of adult acute pharyngitis/tonsillitis,and produce high-quality and large sample clinical evidence, based on the large sample randomized,positive control, multi-center and partial double-blind double-simulation design.
2. To further verify the regulatory effect of Pudilan Xiaoyan Oral Liquid on inflammatory markers such as SAA, CRP, WBC, ESR, etc.
3. To explore the feasibility of Pudilan Xiaoyan Oral Liquid as an alternative to antibiotics in the treatment of acute pharyngitis/tonsillitis, and to provide basis for rational drug use in clinic.
4. Perfect the description of adverse reactions, indications and treatment stages in the instructions of Pudilan Xiaoyan Oral Liquid, and make relevant economic evaluation.
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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)符合急性咽炎和(或)扁桃体炎诊断标准;
(2)符合中医风热外犯证、肺胃热盛证诊断标准;
(3)年龄18-65岁;
(4)合并细菌感染组:WBC总数≥10×10^9/L,SAA≥10mg/L,CRP≥10mg/L;
(5)非细菌感染组:WBC总数<10×10^9/L,SAA≥10mg/L,CRP<10mg/L;
(6)在入组前48小时内未服用其他防治进行咽炎/扁桃体炎抗生素或其它清热解毒类药物;
(7)自愿签署知情同意书。
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Inclusion criteria
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(1) To meet the diagnostic criteria of acute pharyngitis and/or tonsillitis;
(2) It conforms to the diagnostic criteria of sign of external wind-heat offence lung and excessive heat of lung and stomach in TCM;
(3) Aged 18-65 years;
(4) In the bacterial infection group:WBC >= 10x10^9/L, SAA >= 10mg/L, CRP>= 10mg/L;
(5) In the non-bacterial infection group: WBC<10x10^9/L, SAA>= 10mg/L, CRP<10mg/L;
(6) No other antibiotics or other antipyretic and detoxifying drugs for pharyngitis /tonsillitis were taken within 48 hours before admission.
(7) Voluntary signing of informed consent.
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排除标准:
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(1)合并有化脓性扁桃体炎、肺炎、支气管炎、中耳炎、疱疹性咽峡炎,病毒性心肌炎、急性肾炎、风湿性关节等疾病者;
(2)WBC总数>15×10^9/L者;
(3)肝肾功能异常,ALT、AST高于正常上限2倍,BUN、Cr高于正常上限者;
(4)过敏体质,对本试验所有药品及青霉素类药物过敏者;
(5)合并有心、脑血管、造血系统严重原发病、精神病患者;
(6)妊娠或计划妊娠或哺乳期妇女;
(7)有器官移植、艾滋病、长期使用免疫抑制剂等免疫缺陷者;
(8)由于智力或行为障碍,不能配合完成临床观察者;
(9)正在参加影响本研究结果评价的其他临床试验者。
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Exclusion criteria:
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(1) Complicated with suppurative tonsillitis, pneumonia, bronchitis, otitis media, herpetic angina, viral myocarditis, acute nephritis, rheumatic arthritis and other diseases;
(2) WBC>15x10^9/L;
(3) Liver and kidney dysfunction, ALT and AST were two times higher than the normal upper limit, BUN and Cr were higher than the normal upper limit.
(4) Allergic constitution, allergic to all drugs and penicillins in this test;
(5) Patients with serious primary diseases of heart, cerebrovascular and hematopoietic system and psychosis;
(6) Pregnant or planned pregnancy or lactation women;
(7) People with immunodeficiency such as organ transplantation, AIDS and long-term use of immunosuppressive agents;
(8) Because of intellectual or behavioral disorders, they can not cooperate with clinical observers.
(9) Who participating in other clinical trials which will influence evaluating the results of this study.
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研究实施时间:
Study execute time:
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从From
2018-12-01
至To
2021-12-31
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征募观察对象时间:
Recruiting time:
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从From
2019-10-01
至To
2020-10-31
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