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Evaluation of Antigen-specific T Cells in Patients With Antisynthetase Syndrome and Interstitial Lung Disease

Study Purpose

Antisynthetase syndrome (AS) is a rare overlapping myositis characterized by cellular and humoral autoimmune responses directed against aminoacyl-tRNA synthetases. Intesrtitial lung disease (ILD) is a leading cause of mortality in antisynthetase syndrome. Recently, antigen-specific IFN-γ+ CD4+ T cells have been identified in bronchoalveolar fluid (BAL) of patients with antisynthetase syndrome and ILD. Elevated levels of IL1β, IL12, IL18, TNFα, IL17A, IL22 have also been detected in peripheral blood of AS patients, especially those with progressive ILD. Implication of innate lymphoid cells (ILC) and mucosal-associated invariant T cells (MAIT) have not yet been studied in patients with AS. Targeted therapies against Th1 and Th17 cells may represent a promising treatment in patients AS patients with ILD. Investigators suppose that antigen-specific Th1 and Th17 cells, ILC and MAIT at ILD diagnosis are associated with ILD severity at diagnosis and could predict treatment response at 6 months. The main objective is to study the correlation between BAL antigen-specific Th1 and Th17 cells at ILD diagnosis and clinical evolution after 6 months of treatment according to initial ILD severity.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

Unknown
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Observational
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Patient with new diagnosis of AS with ILD.

Exclusion Criteria:

  • - Patient with ILD differential diagnosis.
- Corticosteroid treatment, immunosuppresive or immunomodulatory drugs in the past 3 months before diagnosis

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05984394
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Central Hospital, Nancy, France
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Paul Decker, MD
Principal Investigator Affiliation CHU Nancy
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Not yet recruiting
Countries France
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Antisynthetase Syndrome
Arms & Interventions

Arms

: AS patients with ILD

New diagnosis of patients with AS syndrome and ILD

Interventions

Diagnostic Test: - BAL antigen-specific Th1 cells and Th17 cells, ILC and MAIT

BAL antigen-specific Th1 cells and Th17 cells, ILC and MAIT

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Bernard Bonnotte, Dijon, France

Status

Address

Bernard Bonnotte

Dijon, ,

Site Contact

Bernard Bonnotte, PhD

p.decker@chru-nancy.fr

+33383157240

Julien Campagne, Metz, France

Status

Address

Julien Campagne

Metz, ,

Site Contact

Julien Campagne, MD

p.decker@chru-nancy.fr

+33383157240

Paul Decker, Nancy, France

Status

Address

Paul Decker

Nancy, ,

Site Contact

Paul Decker

p.decker@chru-nancy.fr

+33383157240

Olivier Benveniste, Paris, France

Status

Address

Olivier Benveniste

Paris, ,

Site Contact

Oivier Benveniste, PhD

p.decker@chru-nancy.fr

+33383157240

Loïs Bolko, Reims, France

Status

Address

Loïs Bolko

Reims, ,

Site Contact

Loïs Bolko, MD

p.decker@chru-nancy.fr

+33383157240

Alain Meyer, Strasbourg, France

Status

Address

Alain Meyer

Strasbourg, ,

Site Contact

Alain Meyer, PhD

p.decker@chru-nancy.fr

+33383157240