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临床试验/NCT07153731
NCT07153731尚未招募4 期

Observation on the Clinical Efficacy of Shenkangling in the Treatment of Renal Ischemia-reperfusion Injury (Kidney Deficiency and Blood Stasis Syndrome)

The Fourth Affiliated Hospital of Zhejiang University School of Medicine1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2025年10月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
尚未招募
发起方
入组人数
100
试验地点
1
主要终点
Rate of 24-hour urine protein excretion

研究概览

简要总结

To observe the efficacy and safety of Shenkangling, a traditional Chinese medicine decoction, for renal ischemia-reperfusion injury, and to provide evidence-based medical evidence and ideas for clinical therapeutic use.

详细描述

1. Study Design and Methods 1.1 Research Method A multicenter, open-label study design is employed. 1.2 Source of Participants Clinical observation cases are from patients with ischemia-reperfusion injury caused by partial nephrectomy or renal exploration, admitted between March 2025 and December 2026 to the Department of Urology at Zhejiang University School of Medicine Fourth Affiliated Hospital and Fujian University of Traditional Chinese Medicine Affiliated People's Hospital. A total of 100 subjects are included.

1.3 Participant Selection and Exclusion Criteria 1.3.1 Western Medicine Diagnostic Criteria

  1. Partial nephrectomy due to renal tumor: Based on the "Chinese Expert Consensus on Laparoscopic and Robotic Partial Nephrectomy for Renal Tumors," the general diagnosis of renal tumor should be met, with the maximum tumor diameter ≤ 4 cm, and the indication for partial nephrectomy.
  2. Partial nephrectomy due to renal cyst: Based on the "Consensus on the Safety of Surgical Treatment for Simple Renal Cysts," the general diagnosis of renal cyst should be met, and partial nephrectomy should be indicated.
  3. Partial nephrectomy or renal exploration due to renal injury: According to the "Urological Injury Diagnosis and Treatment Guidelines" issued by the Chinese Urological Association, injuries such as renal contusion, partial renal laceration, complete renal laceration, and renal pedicle injury caused by open or closed trauma, which are indications for partial nephrectomy or renal exploration.
  4. Partial nephrectomy due to renal hamartomas, complex renal cysts, or other conditions: Based on the "2022 Edition of the China Urological and Andrological Diseases Diagnosis and Treatment Guidelines," the general diagnosis of these diseases should be met, and partial nephrectomy should be indicated.

1.3.2 Traditional Chinese Medicine Diagnostic Criteria

Based on clinical manifestations and the "Guidelines for Clinical Research on New Chinese Medicines" and "General Principles for Clinical Research on New Chinese Medicines" established by the People's Republic of China, and referring to the opinions of various scholars, the criteria are as follows:

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Fulfillment of western medical diagnostic criteria requiring renal ischemia-reperfusion surgical operation and renal artery clamping time ≤ 30 min
  • •Meets the criteria for Chinese medicine identification
  • •18 ≤ age ≤ 65
  • •Voluntary participation with signed informed consent

排除标准

  • •Patients with stage 4 or 5 renal insufficiency or patients with acute renal failure
  • •Those with secondary factors such as systemic lupus erythematosus, drug-induced renal damage, etc. confirmed by examination
  • •Does not meet the diagnosis of renal ischemia-reperfusion injury
  • •Cases not within the scope of action of the drug
  • •Those who have been taking other related therapeutic drugs for a long period of time, e.g., taking Chinese medicines such as Jingui Shenqi Pills by mouth for a long period of time, or those who are unable to stop taking the medicines immediately.
  • •Advanced deformity, disability, loss of labor force
  • •Combined heart, brain, liver, hematopoietic system, endocrine system and other serious primary diseases and psychiatric patients
  • •Pregnant or lactating women
  • •Critically ill patients
  • •Other circumstances deemed inappropriate for inclusion in the study

研究组 & 干预措施

Shenkangling group

Experimental

Shenkangling

干预措施: Shenkangling (Drug)

结局指标

主要结局

Rate of 24-hour urine protein excretion

时间窗: From enrollment to the end of treatment at 8 weeks

Levels of renal function

时间窗: From enrollment to the end of treatment at 8 weeks

Biochemical tests for blood creatinine and urea nitrogen

Specific gravity of urine

时间窗: From enrollment to the end of treatment at 8 weeks

Levels of renal fibrosis(CⅣ、PCⅢ、CTGF、TIMP-1)

时间窗: From enrollment to the end of treatment at 8 weeks

Levels of urobilinogen

时间窗: From enrollment to the end of treatment at 8 weeks

Occult blood in urine

时间窗: From enrollment to the end of treatment at 8 weeks

blood viscosity

时间窗: From enrollment to the end of treatment at 8 weeks

By measuring the flow rate of blood in capillaries to evaluate blood viscosity

Levels of electrolytes

时间窗: From enrollment to the end of treatment at 8 weeks

Mainly includes the following indicators: Potassium ion, Sodium ion, Chloride ion, Calcium ions.

White blood cell count of urine

时间窗: From enrollment to the end of treatment at 8 weeks

Red blood cell count of urine

时间窗: From enrollment to the end of treatment at 8 weeks

Levels of urine NAG enzyme

时间窗: From enrollment to the end of treatment at 8 weeks

Levels of urine β2-microglobulin

时间窗: From enrollment to the end of treatment at 8 weeks

次要结局

未报告次要终点

研究者

发起方
The Fourth Affiliated Hospital of Zhejiang University School of Medicine
申办方类型
Other
责任方
Sponsor

研究点 (1)

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