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Searching for Biomarkers in Systemic Sclerosis and Inflammatory Myopathies

Studies blood and skin or muscle samples from adults with systemic sclerosis or inflammatory myopathies.

Plain-language title generated from the registry record
Registry title: Search for Diagnostic and Prognostic Biomarkers in Systemic Sclerosis and Inflammatory Myopathies

Key facts

Where
Strasbourg, FranceSee the site

Where in France

  • University Hospital of HautepierreStrasbourg, FranceTaking people

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Trial details

Who runs it
University Hospital, Strasbourg, France
Trial code
NCT04917705
Record updated
15 December 2021
Original description
Systemic sclerosis and inflammatory myopathies, which sometimes combine (scleromyositis), have shared pathophysiological elements. In both diseases, many cell subtypes are involved in damage to organs such as T lymphocytes, B lymphocytes, and unconventional (non-B, non-T) lymphocytes called innate lymphoid cell (ILC). The increasing complexity of our understanding of the immune system (multiplication of recognized cell subtypes) also makes the strategies for analyzing pathophysiological mechanisms more complex. Currently, no biomarker perfectly predicts the phenotype and evolution of patients. Multi-OMIC analyzes will be performed (identification of cell populations as well as genomic, transcriptomic and proteomic characterization) in blood and tissue samples (skin and muscle biopsy) in patients with systemic sclerosis and inflammatory myopathies, with the objective of identifying discriminating molecular signatures (biomarkers) according to the characteristics of the disease and its evolution.Read full original descriptionShow less

Search for Diagnostic and Prognostic Biomarkers (Molecular Signatures) in Systemic Sclerosis and Inflammatory Myopathies by a Multi-OMIC Strategy Integrating a Single Cell Analysis Approach

Systemic sclerosis and inflammatory myopathies, which sometimes combine (scleromyositis), have shared pathophysiological elements. In both diseases, many cell subtypes are involved in damage to organs such as T lymphocytes, B lymphocytes, and unconventional (non-B, non-T) lymphocytes called innate lymphoid cell (ILC). The increasing complexity of our understanding of the immune system (multiplication of recognized cell subtypes) also makes the strategies for analyzing pathophysiological mechanisms more complex. Currently, no biomarker perfectly predicts the phenotype and evolution of patients. Multi-OMIC analyzes will be performed (identification of cell populations as well as genomic, transcriptomic and proteomic characterization) in blood and tissue samples (skin and muscle biopsy) in patients with systemic sclerosis and inflammatory myopathies, with the objective of identifying discriminating molecular signatures (biomarkers) according to the characteristics of the disease and its evolution.

Inclusion: Control population without inflammatory myopathy (population 1), suspected myopathy for whom a blood test and muscle biopsy are required to confirm the diagnosis; Confirmed inflammatory myopathy (population 2); Control population without systemic sclerosis (population 3), with primary Raynaud's phenomenon; Early diffuse systemic cutaneous scleroderma (population 4); Male or female (age ≥ 18, no upper age limit).

Exclusion: Taking an immunosuppressant / immunomodulator treatment within 3 months before inclusion; Immunosuppressive treatment (corticosteroids> 15 mg, methotrexate, mycophenolate mofetil) introduced for more than 1 month; Diagnosed for another neuromuscular disease; Active or recent cancer <3 years (apart from non-melanoma skin cancer); For all; Populations 1 \& 2; Contraindication to muscle biopsy; Unbalanced cardiovascular pathology; Population 3 \& 4; Contraindication to skin biopsy; Capillaroscopic and / or immunological anomaly suggesting scleroderma; Suspicion of scleroderma but diagnosed for another connectivitis; Pregnancy or breast feeding.

ClinicalTrials.gov NCT04917705