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NCT04848194Completed

Pleiotropic Role of TRPV1 in Psoriasis Inflammation

Source: ClinicalTrials.gov · Last updated 28 Mar 2025

Brief summary (registry, in English)

Widely expressed in the sensory nerve endings of the skin, Transient Receptor Potential Vanilloid 1 (TRPV1) is a receptor that plays an important role in the perception of pain and pruritus but also in skin inflammation, primarily by inducing the local release of several neuropeptides. Although the mechanisms by which TRPV1-sensitizing inflammatory mediators in damaged skin have received considerable attention, the role of TRPV1 in psoriasis has so far been little explored. However, two studies have reported that ablation of sensory nerves expressing TRPV1 reduced psoriasiform skin inflammation, demonstrating the neuronal contribution to inflammation in psoriasis. However, the expression of TRPV1 is not limited to neurons alone. TRPV1 is also expressed by epidermal keratinocytes and skin microvessels. For example, in 2018, transcriptomic analysis of psoriatic patient skins (by definition devoid of neuron nuclei) revealed that TRPV1 expression was increased in the skin of psoriatic patients suffering from itching (pruritus). Regarding human keratinocytes, it is recognized that the activation of TRPV1 present on their surface induces the release of pro-inflammatory factors such as cyclooxygenase-2. In addition, the investigators have demonstrated that TRPV1 has a pivotal role in the keratinocyte production of inflammatory mediators, which is mediated by the protease-activated receptor-2 (PAR-2). However, the role of vascular TRPV1 in inflammation is not described. The investigators hypothesize that in addition to neuronal TRPV1, non-neuronal TRPV1 receptors of non-neuronal cells (keratinocytes and endothelial cells) may be involved in the vicious circle of the inflammatory process characteristic of psoriasis. Putting TRPV1 at the center of the deregulation of the homeostatic balance including epithelial, neuronal and vascular inflammation in psoriasis is totally innovative.

Status (registry)
Completed
Study type
Interventional
Enrollment
23 (actual)
First submitted
7 Apr 2021
Start date
22 Dec 2021
Primary completion date
24 Jan 2024
Lead sponsor
University Hospital, Brest
Diseases
Psoriasis
NCT number
NCT04848194

What you commit to

  • Study type: Interventional
  • Participants enrolled: 23
  • From 22 Dec 2021 to the primary completion date, 24 Jan 2024
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Patients allergic to lidocaine

Age

  • Patients over the age of majority who are subject to legal protection or who are unable to give consent

Other

  • Patients with physical or psychological incapacity to sign consent
  • Patients not covered by the Social Security system
  • Patients with topical treatments for psoriasis,
  • Patients with systemic treatments for psoriasis,
  • Patients deprived of liberty by a judicial or administrative decision
  • Pregnant women, parturients and breastfeeding mothers

Who the study is looking for

  • Patients over 18 years old with psoriasis, with or without itching (pruritus).
  • Presence of lesional and non lesional zones, in unexposed areas and surface area (outside the face and folds) large enough to allow the biopsies to be performed
  • Patients who have given written consent

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
TALAGAS
Coordinator of this site? Confirm its status
BrestFranceUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.