Biological Parameters Changes After Autologous Blood Transfusion of Red Blood Cells (200 ml) in Healthy Volunteers. (AUTOT-SPORT)
Modification of Biological Parameters After Autologous Blood Transfusion of a Small Volume of Packed Red Blood Cells (200 ml) in Healthy Volunteers
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Methodology and study design:
Pr Olivier Hermine, coordinator of the laboratory of Excellence GR-EX regrouping EFS (Etablissement Français du Sang) and INSERM (Institut National de la Santé et de la Recherche Médicale) partners, and leader of the Centre d'Investigation Clinique (CIC) Necker (Hospital Necker, Paris, France) will assure the promotion of the clinical study for Paris Hospital consortium AP-HP (assistance Publique-Hôpitaux de Paris).
To reproduce two potential scenarios of autologous transfusion by an athlete, 1 bag of blood packed red blood cells (after leuko deprivation and centrifugation) will be either stored at 4°C or frozen at -80°C after addition of 40% w/v glycerol. Reinfusion will be performed 33 days later.
A clinical randomized double-blinded two-phase study will be conducted. Volunteers will be separated in 3 groups:
- Group 1: Volunteers with regular sports activities without Autologous Blood Transfusion (ABT)T (n=10)
- Group 2: Volunteers with regular sports activities receiving a 200ml ABT with refrigerated blood (n=10)
- Group 3: Volunteers with regular sports activities receiving a 200ml ABT with frozen blood (n=10)
To ensure volunteers safety, collection, preparation and pretransfusion blood testing will be performed by EFS (Versailles, France). ABT as well as collection of samples will be performed at the CIC Necker (Paris, France). Blood samples will be collected before blood removal, the day of the ABT just before reinfusion and after 3 hours, 8 hours, 24 hours and 48 hours post-ABT. To perform all the experiments 25ml blood (4x 5 ml BD Vacutainer EDTA tubes) will be taken at each time point:
1 will be dispatched to the French anti-doping laboratory (LADF) for haematological analysis (Orsay, France), 2 to the EFS (Créteil, France) for RBC and MPs morphological characterization and quantification (using antigen markers, band 3 on the surface of MPs), 2 to INTS for MPs isolation, characterization (band 3 on the surface of MPs and RBC) and for proteomic analysis and Western-Blot.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Olivier Hermine, MD, PhD
- Phone Number: +33 (0)1 44 49 51 98
- Email: olivier.hermine@aphp.fr
Study Contact Backup
- Name: Jinmi BAEK, Master
- Phone Number: : +33 (0)1 42 19 28 49
- Email: jinmi.baek@aphp.fr
Study Locations
-
-
Île-de-France Region
-
Chesnay, Île-de-France Region, France, 78150
- EFS de Versailles, centre de soins
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male between 18 and 35 years old
- Without health problem nor disease requiring regular medical treatment
- Free from any intercurrent acute pathology over 7 days
- Healthy volunteers who have regularly sport activity, able to have blood sample and is out-of-competition during the research
- Subject who did not practice a competition (or exhaustive training ) 3 days before the blood sample and the autotransfusion
- Affiliated to a social security regimen
Exclusion Criteria:
- Subject with contraindication for drawing blood
- Subject with medical pathology contraindicating sport practice
- Subject under treatments or drugs in the list of products prohibited for sports practice and competitions, in particular erythropoeitins and erythropoiesis-stimulating agents (updated list of World Anti-Doping Agency https://www.wada-ama.org/fr/liste-des-restrictions).
- Subject with physical or mental disability or restriction of liberty that would prevent autotransfusion
- Subject without a social security regimen
- Subject under guardianship or curatorship
- Subject participating in any Interventional study
- Positive HIV and/or hepatitis serology
- Discovery of a hematological disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Controls not transfused
no transfusion
|
no transfusion
|
|
Experimental: Autotransfusion: blood stored at 4 ° C
Intervention: Autologous Blood Transfusion of packed red blood cells (200 ml) stored at 4 ° C for 33 days
|
Autotransfusion of packed red blood cells (200 ml) stored at 4 or -80°C for 33 days
|
|
Experimental: Autotransfusion: blood stored at -80°C
Intervention: Autologous Blood Transfusion of packed red blood cells (200 ml) stored at -80°C for 33 days
|
Autotransfusion of packed red blood cells (200 ml) stored at 4 or -80°C for 33 days
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in hematological parameters
Time Frame: Baseline (Day 1), until 2 days after autotransfusion
|
erythrocytes (/µL)
|
Baseline (Day 1), until 2 days after autotransfusion
|
|
Change in hematological parameters
Time Frame: Baseline (Day 1), until 2 days after autotransfusion
|
hemoglobin (g/dL)
|
Baseline (Day 1), until 2 days after autotransfusion
|
|
Change in hematological parameters
Time Frame: Baseline (Day 1), until 2 days after autotransfusion
|
Hematocrit (%)
|
Baseline (Day 1), until 2 days after autotransfusion
|
|
Change in hematological parameters
Time Frame: Baseline (Day 1), until 2 days after autotransfusion
|
Mean corpuscular volume (fL)
|
Baseline (Day 1), until 2 days after autotransfusion
|
|
Variation in Red blood cells morphology
Time Frame: Baseline (Day 1), until 2 days after autotransfusion
|
By amnis imaging flow cytometryProteins in Red blood cells (Wblot/ELISA/FACS)
|
Baseline (Day 1), until 2 days after autotransfusion
|
|
Change in expression of cell surface proteins in red blood cells transfusion
Time Frame: Baseline (Day 1), until 2 days after autotransfusion
|
Western blot /ELISA/ fluorescence-activated cell sorting of red blood cells
|
Baseline (Day 1), until 2 days after autotransfusion
|
|
Change in microparticles detected in plasma
Time Frame: Baseline (Day 1), until 2 days after autotransfusion
|
fluorescence-activated cell sorting
|
Baseline (Day 1), until 2 days after autotransfusion
|
|
Change in hematological parameters
Time Frame: Baseline (Day 1), until 2 days after autotransfusion
|
Reticulocyte by Sysmex analyzer
|
Baseline (Day 1), until 2 days after autotransfusion
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in phthalate in urine
Time Frame: Baseline (Day 1), until 2 days after autotransfusion
|
Assay by LC-MS/MS in urine
|
Baseline (Day 1), until 2 days after autotransfusion
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Olivier HERMINE, MD, PhD, Assistance Publique-Hôpitaux Paris
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- K180405J
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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