A Phase 1 interventional study of NH302 injection and Placebo in Healthy Volunteers, sponsored by The Third Xiangya Hospital of Central South University. Not yet recruiting. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-23.
Sponsored by The Third Xiangya Hospital of Central South University · Phase 1, Interventional, and Other
This is a first-in-human study of NH302 injection in healthy participants. The study will test single intravenous doses of NH302 to evaluate its safety and tolerability, how the body processes NH302, and its effects on selected pharmacodynamic markers. Approximately 62 healthy adults will participate. Participants will receive one dose of NH302 or placebo. The study includes screening, baseline, treatment, and follow-up.
This is a randomized, double-blind, placebo-controlled, single ascending dose (SAD) Phase 1 study of NH302 injection in healthy participants. Six dose levels are planned: 0.15, 0.45, 1, 2, 3.5, and 5 μg/kg. Each dose group plans to enroll 10 participants, randomized 8:2 to NH302 or placebo. A pilot cohort of 2 participants will receive NH302 0.15 μg/kg before formal dose escalation. NH302 is administered as a single intravenous infusion over 15 minutes ± 10 seconds on Day 1. The study evaluates safety, tolerability, pharmacokinetics, metabolism and excretion, QT/QTc effects, and exploratory pharmacodynamic markers including prolactin, antidiuretic hormone, and pain tolerance time.
908 studies on the registry are indexed under Acute Pain; 154 are open to participants now.
This study's planned enrollment of 62 is below the median of 87 across 759 interventional studies indexed under Acute Pain.
Browse Acute Pain studies →The Third Xiangya Hospital of Central South University is the lead sponsor of 98 studies on the registry; 51 are open to participants now.
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Exclusion Criteria:
Single intravenous dose of NH302 0.15 μg/kg, diluted in 0.9% sodium chloride, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: NH302 injection
Single intravenous dose of matching placebo, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: Placebo
Single intravenous dose of NH302 0.45 μg/kg, diluted in 0.9% sodium chloride, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: NH302 injection
Single intravenous dose of matching placebo, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: Placebo
Single intravenous dose of NH302 1 μg/kg, diluted in 0.9% sodium chloride, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: NH302 injection
Single intravenous dose of matching placebo, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: Placebo
Single intravenous dose of NH302 2 μg/kg, diluted in 0.9% sodium chloride, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: NH302 injection
Single intravenous dose of matching placebo, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: Placebo
Single intravenous dose of NH302 3.5 μg/kg, diluted in 0.9% sodium chloride, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: NH302 injection
Single intravenous dose of matching placebo, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: Placebo
Single intravenous dose of NH302 5 μg/kg, diluted in 0.9% sodium chloride, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: NH302 injection
Single intravenous dose of matching placebo, total volume 20 mL, infused over 15 minutes ± 10 seconds on Day 1.
Drug: Placebo
NH302 is a selective peripheral kappa opioid receptor agonist. It is supplied as a sterile injection (1 mL: 0.1 mg). For each dose group, NH302 is diluted with 0.9% sodium chloride injection to a total volume of 20 mL and administered as a single intravenous infusion over 15 minutes ± 10 seconds on Day 1. Dose levels: 0.15, 0.45, 1, 2, 3.5, and 5 μg/kg. The dose is calculated based on body weight on Day 1.
Matching placebo supplied by the sponsor (1 mL: 0 mg). It has the same appearance as NH302 injection and is prepared and administered in the same manner to maintain blinding: total volume 20 mL, single intravenous infusion over 15 minutes ± 10 seconds on Day 1.
Incidence of adverse events (AEs)
Number and percentage of participants with AEs
Time frame: From informed consent form signature through end of study (Day 7 ± 1 day after dosing, or longer if follow-up is required).
Incidence of serious adverse events (SAEs)
Number and percentage of participants with SAEs
Time frame: From informed consent form signature through end of study (Day 7 ± 1 day after dosing, or longer if follow-up is required).
Blood pressure
Systolic and diastolic blood pressure will be measured in mmHg after at least 5 minutes of rest in the supine position. Blood pressure will be measured at the scheduled time points listed in the Time Frame; values at each scheduled time point will be reported separately. Assessments performed at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Screening (Day -14 to Day -2), Baseline (Day -1); Day 1 predose and at 5 minutes, 10 minutes, 30 minutes, 1 hour, 4 hours, and 6 hours postdose; Day 2 (24 hours postdose); Day 3 (48 hours postdose); Day 4 (discharge)
Pulse rate
Pulse rate will be measured in beats per minute after at least 5 minutes of rest in the supine position. Pulse rate will be measured at the scheduled time points listed in the Time Frame; values at each scheduled time point will be reported separately. Assessments performed at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Screening (Day -14 to Day -2), Baseline (Day -1); Day 1 predose and at 5 minutes, 10 minutes, 30 minutes, 1 hour, 4 hours, and 6 hours postdose; Day 2 (24 hours postdose); Day 3 (48 hours postdose); Day 4 (discharge)
Respiratory rate
Respiratory rate will be measured in breaths per minute after at least 5 minutes of rest in the supine position. Values at each scheduled time point listed in the Time Frame will be reported separately. Assessments performed at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Screening (Day -14 to Day -2), Baseline (Day -1); Day 1 predose and at 5 minutes, 10 minutes, 30 minutes, 1 hour, 4 hours, and 6 hours postdose; Day 2 (24 hours postdose); Day 3 (48 hours postdose); Day 4 (discharge)
Body temperature
Body temperature will be measured in degrees Celsius (°C) at the scheduled time points listed in the Time Frame; values at each scheduled time point will be reported separately. Assessments performed at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Screening (Day -14 to Day -2), Baseline (Day -1), Day 1 (predose and at 5 minutes, 10 minutes, 30 minutes, 1 hour, 4 hours, and 6 hours postdose), Day 2 (24 hours postdose), Day 3 (48 hours postdose), and Day 4 (discharge)
Number of Participants With Clinically Significant Physical Examination Abnormalities
Physical examinations will be performed by organ system, including general appearance, lymph nodes, head and neck, chest, abdomen, and mental status. Any finding will be assessed by the investigator as clinically significant (CS) or not clinically significant (NCS). This outcome measure reports the number and percentage of participants with at least one CS physical examination abnormality at each scheduled time point; multiple organ-system abnormalities in the same participant will be aggregated and counted once for this outcome measure. If the screening examination is performed within 7 days before Baseline, the Baseline examination may not be repeated, per protocol. Assessments performed at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Screening (Day -14 to Day -2), Baseline (Day -1) and Day 4 (discharge)
Number of Participants With Clinically Significant Clinical Laboratory Abnormalities
Clinical laboratory tests include hematology, blood chemistry, urinalysis, coagulation, and thyroid function tests, as specified in the protocol. Each laboratory abnormality will be assessed by the investigator as clinically significant (CS) or not clinically significant (NCS). This outcome measure reports the number and percentage of participants with at least one CS laboratory abnormality at each scheduled time point; multiple CS abnormalities in the same participant will be aggregated and counted once for this outcome measure. If screening laboratory tests are performed within 7 days before Baseline, the Baseline tests may not be repeated, per protocol. Assessments performed at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Screening (Day -14 to Day -2), Baseline (Day -1) and Day 4 (discharge)
Number of Participants With Clinically Significant 12-Lead ECG Abnormalities
Twelve-lead ECGs will be recorded after at least 5 minutes of rest in the supine position. ECG parameters include heart rate, PR interval, QRS duration, QT interval, QTcF, and RR interval. Each ECG finding will be assessed by the investigator as clinically significant (CS) or not clinically significant (NCS). This outcome measure reports the number and percentage of participants with at least one CS 12-lead ECG abnormality at each scheduled time point; multiple ECG abnormalities in the same participant will be aggregated and counted once for this outcome measure. If the screening ECG is performed within 7 days before Baseline, the Baseline ECG may not be repeated, per protocol. Assessments performed at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Screening (Day -14 to Day -2), Baseline (Day -1), Day 1 (predose and at 30 minutes, 1 hour, 4 hours, and 6 hours postdose), Day 2 (24 hours postdose), Day 3 (48 hours postdose), and Day 4 (discharge)
Modified Observer's Assessment of Alertness/Sedation (MOAA/S) score
MOAA/S score ranges from 0 to 5; lower scores indicate deeper sedation.
Time frame: Day 1 predose, immediately after injection, and at 5 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 10 hours, 24 hours after injection, and early withdrawal (within 24 hours after dosing).
Visual analogue scale (VAS) craving score
VAS craving score ranges from 0 to 10; 0 = no craving, 10 = extreme craving.
Time frame: Day 1 immediately after injection, and at 5 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 10 hours, 24 hours after injection, and early withdrawal (within 24 hours after dosing).
Number of Participants With Clinically Significant Thyroid Function Test Abnormalities
Thyroid function tests include total triiodothyronine (TT3), total thyroxine (TT4), free triiodothyronine (FT3), free thyroxine (FT4), and thyroid stimulating hormone (TSH). Each test result will be assessed by the investigator as clinically significant (CS) or not clinically significant (NCS). This outcome measure reports the number and percentage of participants with at least one CS thyroid function test abnormality at each scheduled time point; multiple CS abnormalities in the same participant will be aggregated and counted once for this outcome measure. Assessments performed at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Screening (Day -14 to Day -2), Baseline (Day -1), and Day 4 (discharge)
Plasma Cmax of NH302 and metabolites, if applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. Cmax will be derived from the concentration-time data and reported in ng/mL for NH302 and for each metabolite separately. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Plasma Tmax of NH302 and metabolites, if applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. Tmax will be derived from the concentration-time data and reported in hours for NH302 and for each metabolite separately. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Plasma AUC0-t of NH302 and metabolites, if applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. AUC0-t will be calculated from time zero to the last quantifiable time point using the linear trapezoidal rule and reported in h·ng/mL for NH302 and for each metabolite separately. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Plasma AUC0-inf of NH302 and metabolites, if applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. AUC0-inf will be calculated as AUC0-t plus Clast/λz, where Clast is the last quantifiable plasma concentration and λz is the terminal elimination rate constant, and will be reported in h·ng/mL for NH302 and for each metabolite separately. The percentage of AUC0-inf obtained by extrapolation will also be reported. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Plasma AUC_%Extrap of NH302 and metabolites, if applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. The percentage of AUC0-inf obtained by extrapolation (AUC\_%Extrap) will be calculated as \[(AUC0-inf - AUC0-t) / AUC0-inf\] × 100% and reported as a percentage for NH302 and for each metabolite separately. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Plasma Clearance (CL) of NH302 and Metabolites, if Applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. CL will be calculated as the administered dose divided by AUC0-inf and reported in mL/h/kg for NH302. For metabolites, CL will be reported only if the administered dose and a reliable AUC0-inf are available; otherwise, metabolite concentration and AUC will be reported without CL. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Plasma Apparent Volume of Distribution (Vz) of NH302 and Metabolites, if Applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. Vz will be calculated as CL/λz, where CL is clearance and λz is the terminal elimination rate constant, and reported in mL/kg for NH302. For metabolites, Vz will be reported only if the administered dose and a reliable AUC0-inf and λz are available; otherwise, metabolite concentration and AUC will be reported without Vz. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Plasma Terminal Elimination Rate Constant (λz) of NH302 and Metabolites, if Applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. λz will be estimated by linear regression of the log-transformed plasma concentration versus time during the terminal elimination phase, using the negative slope, and will be reported in h-¹ for NH302 and for each metabolite separately. For metabolites, λz will be reported only if a reliable terminal elimination phase can be identified; otherwise, metabolite concentration and AUC will be reported without λz. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Plasma Terminal Elimination Half-life (t1/2) of NH302 and Metabolites, if Applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. t1/2 will be calculated as ln(2)/λz, where λz is the terminal elimination rate constant estimated from the terminal phase of the concentration-time curve, and will be reported in hours for NH302 and for each metabolite separately. For metabolites, t1/2 will be reported only if a reliable terminal elimination phase can be identified; otherwise, metabolite concentration and AUC will be reported without t1/2. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Plasma Mean Residence Time from Time Zero to Infinity (MRT0-inf) of NH302 and Metabolites, if Applicable
Plasma concentrations of NH302 and metabolites (if applicable) will be measured by HPLC-MS/MS. MRT0-inf will be calculated as AUMC0-inf/AUC0-inf, where AUMC0-inf is the area under the first moment curve from time zero to infinity and AUC0-inf is the area under the concentration-time curve from time zero to infinity, and will be reported in hours for NH302 and for each metabolite separately. For metabolites, MRT0-inf will be reported only if a reliable AUC0-inf and AUMC0-inf can be calculated; otherwise, metabolite concentration and AUC will be reported without MRT. Blood samples for PK will be collected predose and from 15 seconds to 48 hours postdose. PK samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Urinary Excretion Amount of NH302 and Metabolites in Each Collection Interval (Ae_t1-t2), if Applicable
Urine samples will be collected only in the 1 μg/kg dose cohort. Concentrations of NH302 and metabolites (if applicable) in urine will be measured by HPLC-MS/MS. Ae\_t1-t2 will be calculated for each urine collection interval as the urine concentration multiplied by the urine volume collected during that interval, and will be reported in μg for NH302 and for each metabolite separately. Urine collection intervals are predose (morning dose day, tentative) and 0-2, 2-4, 4-8, 8-12, 12-24, and 24-48 hours postdose; if no urine is produced during an interval, that interval will not be collected and will be recorded. Urine samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) and 0-2, 2-4, 4-8, 8-12, 12-24, and 24-48 hours postdose
Cumulative Urinary Excretion Amount of NH302 and Metabolites (Ae_0-t), if Applicable
Urine samples will be collected only in the 1 μg/kg dose cohort. Concentrations of NH302 and metabolites (if applicable) in urine will be measured by HPLC-MS/MS. Ae\_0-t will be calculated as the cumulative urinary excretion amount from time zero to the last collection interval (48 hours postdose) by summing the excretion amounts across all scheduled urine collection intervals, and will be reported in μg for NH302 and for each metabolite separately. If no urine is produced during an interval, that interval will not be collected and will be recorded. Urine samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Cumulative Urinary Excretion Fraction (fe) of NH302 and Metabolites, if Applicable
Urine samples will be collected only in the 1 μg/kg dose cohort. Concentrations of NH302 and metabolites (if applicable) in urine will be measured by HPLC-MS/MS. Cumulative urinary excretion fraction (fe) will be calculated as the cumulative urinary excretion amount from time zero to 48 hours postdose divided by the administered dose, multiplied by 100%, and will be reported as a percentage for NH302 and for each metabolite separately. Urine collection intervals are predose (morning of dosing day, tentative) and 0-2, 2-4, 4-8, 8-12, 12-24, and 24-48 hours postdose; if no urine is produced during an interval, that interval will not be collected and will be recorded. Urine samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Renal Clearance (CLr) of NH302 and Metabolites, if Applicable
Urine samples will be collected only in the 1 μg/kg dose cohort. Concentrations of NH302 and metabolites (if applicable) in urine and plasma will be measured by HPLC-MS/MS. CLr will be calculated as the cumulative urinary excretion amount from time zero to 48 hours postdose divided by the corresponding plasma AUC over the same interval, and will be reported in mL/min for NH302 and for each metabolite separately. For metabolites, CLr will be reported only if reliable urinary excretion and plasma AUC data are available; otherwise, metabolite concentration and AUC will be reported without CLr. If no urine is produced during a collection interval, that interval will not be collected and will be recorded. Urine and plasma samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose
Cumulative Fecal Excretion Amount (Ae_0-t) of NH302 and Metabolites, if Applicable
Fecal samples will be collected only in the 1 μg/kg dose cohort. Concentrations of NH302 and metabolites (if applicable) in feces will be measured by HPLC-MS/MS. Ae\_0-t will be calculated as the cumulative fecal excretion amount from time zero to 48 hours postdose by summing the excretion amount for each fecal sample collected during the interval, and will be reported in μg for NH302 and for each metabolite separately. If no bowel movement occurs within 48 hours postdose, fecal collection will continue until collection is complete, and the actual collection period will be recorded. Fecal samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose; extended until fecal collection is complete if no bowel movement occurs within 48 hours postdose
Cumulative Fecal Excretion Fraction (fe) of NH302 and Metabolites, if Applicable
Fecal samples will be collected only in the 1 μg/kg dose cohort. Concentrations of NH302 and metabolites (if applicable) in feces will be measured by HPLC-MS/MS. Cumulative fecal excretion fraction (fe) will be calculated as the cumulative fecal excretion amount from time zero to 48 hours postdose divided by the administered dose, multiplied by 100%, and will be reported as a percentage for NH302 and for each metabolite separately. If no bowel movement occurs within 48 hours postdose, fecal collection will continue until collection is complete, and the actual collection period will be recorded. Fecal samples collected at early withdrawal, if applicable, will be reported separately as unscheduled data and are not included in the protocol-scheduled Time Frame.
Time frame: Day 1 (predose) through 48 hours postdose; extended until fecal collection is complete if no bowel movement occurs within 48 hours postdose
Change from baseline in QTcF interval
QTcF interval change from baseline based on Holter ECG.
Time frame: Day 1 predose (-60, -45, -30 minutes), immediately after injection (+5 minutes), and at 10 minutes, 30 minutes, 1 hour, 4 hours, 6 hours, 10 hours, 24 hours after injection (Day 2).
Concentration-QTc (C-QTc) analysis
Exposure-response analysis using matched PK concentrations and ECG data to evaluate potential QT/QTc prolongation risk.
Time frame: Day 1 predose through 24 hours after injection (Day 2); matched PK and ECG time points.
Prolactin level
Change from baseline in blood prolactin level.
Time frame: Day 1 predose, immediately after injection, and at 30 minutes, 1 hour, 3 hours, 6 hours, 24 hours after injection; early withdrawal (within 24 hours after dosing).
Antidiuretic hormone (ADH) level
Change from baseline in blood ADH level.
Time frame: Day 1 predose, immediately after injection, and at 30 minutes, 1 hour, 3 hours, 6 hours, 24 hours after injection; early withdrawal (within 24 hours after dosing).
Pain tolerance time (PTT)
Time to withdraw hand from ice water bath; maximum 120 seconds to avoid cold injury.
Time frame: Day 1 predose, and at 30 minutes, 1 hour, 3 hours, 6 hours, 10 hours, 24 hours after injection; early withdrawal (within 24 hours after dosing). Post-dose time windows are ±30 minutes.
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The Third Xiangya Hospital of Central South University