National Prospective Cohort for Monitoring Children With Severe Autoimmune Cytopenia. (BIOCEREVANCE)
National Prospective Cohort for Monitoring Children With Severe Autoimmune Cytopenia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
These autoimmune haematological diseases are rare diseases affecting the child, often very young, and serious and potentially life-threatening. International literature data are scarce, and include individual cases or small series.
They do not allow to determine an optimal therapeutic strategy in case of escape from the first-line treatments. Existing treatments (long-term corticosteroid therapy, immunoglobulins, splenectomy, immunosuppressants, chemotherapies, and more recently anti-CD20 antibodies) are inconsistently effective, and often associated with serious side effects.
The seriousness of these diseases, the therapeutic difficulties, and the absence of a targeted research project in France, led to the implementation of this study.
This study aims to study prospectively the clinical and paraclinical evolution and prognostic factors of autoimmune haemolytic anemias, Evans syndromes and chronic immunological thrombocytopenic purpura of children in France.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age strictly below 18 years of age at initial diagnosis
- Affiliate child or beneficiary of a social security scheme
- Child residing in metropolitan France
- Diagnosis of autoimmune haemolytic anemias, Evans syndrome and / or chronic Immune thrombocytopenic purpura
- Free, informed, written and signed consent
Exclusion Criteria:
- Diagnosis of constitutional haemolytic anemia
- Diagnosis of platelet constitutional disease
Study Plan
How is the study designed?
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
children with autoimmune haemolytic anemia
A blood sample of 2 times 2 to 5 ml additional maximum
|
A blood sample of 2 times 2 to 5 ml additional maximum
|
|
Children with Evans syndrome
A blood sample of 2 times 2 to 5 ml additional maximum
|
A blood sample of 2 times 2 to 5 ml additional maximum
|
|
Children with Immune thrombocytopenic purpura
A blood sample of 2 times 2 to 5 ml additional maximum
|
A blood sample of 2 times 2 to 5 ml additional maximum
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Complete sustainable remission (yes/no) for children with autoimmune haemolytic anemias
Time Frame: At the screening
|
Absence of clinical signs of anemia (grade 0) And Hemoglobin > 11 g / dl And reticulocytes <120,000 / mm3 And haptoglobin> 10 mg / dl And bilirubin <10 mg / l or 17 μmol / l And no specific treatment for at least 12 months
|
At the screening
|
|
complete remission (yes/no) for children with autoimmune haemolytic anemias
Time Frame: At the screening
|
Absence of clinical signs of anemia (grade 0) And Hemoglobin> 11 g / dl And reticulocytes <120,000 / mm3 Regardless of the level of haptoglobin or bilirubin And specific treatment in progress or interrupted for less than 12 months
|
At the screening
|
|
partial remission (yes/no) for children with autoimmune haemolytic anemias
Time Frame: At the screening
|
Clinical Signs of Anemia (Grade 1 or 2) Or Hemoglobin from 7 to 11 g / dl Or reticulocytes> 120,000 / mm3 Regardless of the level of haptoglobin or bilirubin
|
At the screening
|
|
no response (yes/no) for children with autoimmune haemolytic anemias
Time Frame: At the screening
|
Clinical Signs of Severe Anemia (Grade 3 or More) Or Hemoglobin <7 g / dl
|
At the screening
|
|
deceased patient (yes/no) for children with autoimmune haemolytic anemias
Time Frame: At the screening
|
Death yes/no
|
At the screening
|
|
Complete sustainable remission (yes/no) for children with chronic immunologic thrombocytopenic purpura
Time Frame: At the screening
|
Absence of clinical signs of haemorrhage (grade 0) And platelets> 100,000 / mm3 And no specific treatment for at least 12 months
|
At the screening
|
|
complete remission (yes/no) for children with chronic immunologic thrombocytopenic purpura
Time Frame: At the screening
|
Absence of clinical signs of haemorrhage (grade 0) And platelets> 100,000 / mm3 And specific treatment in progress or interrupted for less than 12 months
|
At the screening
|
|
partial remission (yes/no) for children with chronic immunologic thrombocytopenic purpura
Time Frame: At the screening
|
Clinical Signs of Hemorrhage (Grade 1 or 2) Or platelets between 30,000 and 100,000 / mm3
|
At the screening
|
|
no response (yes/no) for children with chronic immunologic thrombocytopenic purpura
Time Frame: At the screening
|
Clinical Signs of Severe Hemorrhage (Grade 3 or Greater) Or Platelets <30,000 / mm3
|
At the screening
|
|
deceased patient (yes/no) for children with chronic immunologic thrombocytopenic purpura
Time Frame: At the screening
|
Death yes/no
|
At the screening
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Yves PEREL, Pr, Bordeaux University Hsopital
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
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Immune System Diseases
- Autoimmune Diseases
- Hematologic Diseases
- Hemorrhage
- Hemorrhagic Disorders
- Anemia
- Blood Coagulation Disorders
- Skin Manifestations
- Thrombocytopenia
- Blood Platelet Disorders
- Thrombotic Microangiopathies
- Purpura
- Purpura, Thrombocytopenic
- Purpura, Thrombocytopenic, Idiopathic
- Anemia, Hemolytic
- Anemia, Hemolytic, Autoimmune
Other Study ID Numbers
Other Study ID Numbers
- CHUBX 2005/18
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
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