- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02158208
Study of the T CD8 Immune Response in Horton's Disease (Horton CD8)
The research hypothesis is that T lymphocytes CD8 play a role in the physiopathology of Horton's disease.
At the inclusion visit, patients will have, as is the case in the usual strategy:
- A complete clinical examination carried out by the doctor in charge of the patient
- ESR, and CRP and fibrinogen assay
- A full blood count for leukocytes and lymphocytes
- A biopsy of the temporal artery (TAB) to screen for signs of vascularitis, suggesting Horton's disease. The clinician in charge of the patient will decide if a second biopsy is necessary. The biopsy will be sent to and analysed at Anatomy and Pathological cytology service. Immunohistochemical analyses will be done if the TAB is positive.
In addition to the standard clinical examination and complementary examinations relative to the patients' pathology, the following will be done:
- Lymphocyte immunophenotyping for the quantity of T CD4 (cluster of differentiation 4) and CD8 lymphocytes, B lymphocytes and natural killer lymphocytes. This will make it possible to calculate the absolute value for different T lymphocyte populations.
- A blood sample drawn into a dry 5 mL tube (large yellow) to isolate the serum, which will be stored at -80°C for future assays for cytokines and other biomarkers of interest for Horton's disease.
- 16 blood samples drawn into 6 mL heparinized tubes (large green). These will be used immediately for cytometric and functional analyses.
Study Overview
Status
Conditions
Intervention / Treatment
- Other: Blood sample drawn into a 5 mL dry tube at the diagnosis and after 3 months of treatment
- Other: 16 blood samples drawn into 6 mL heparinized tubes at the diagnosis and after 3 months of treatment
- Other: Blood sample drawn into a 5 mL dry tube
- Other: 16 blood samples drawn into 6 mL heparinized tubes
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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-
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Dijon, France, 21079
- Chu de Dijon
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
Patients
- Patients who have provided written informed consent
- Patients covered by national health insurance
- Age > 50 years
- Patients with Horton's disease at the diagnosis before any treatment
Horton's disease is defined by American College of Rheumatology criteria, the diagnosis is made if any 3 of the following 5 criteria are associated:
- age at the onset of the disease 50 years or above
- recent onset localised headache
- indurated temporal artery or decrease/absence of temporal pulse
- erythrocyte sedimentation rate (ESR) above 50 mm for the first hour (or CRP>20 mg/L)
- positive TAB showing vascularitis with infiltration of mononucleated cells or granulomatous inflammation with or without giant cells.
Controls Controls will be healthy volunteers recruited from blood donors of Dijon CHU, voluntary hospital personnel (nurses, doctors, laboratory technicians and secretaries) and patients without infectious or inflammatory disease, cancer or auto-immune disease (CRP<5mg/L) recruited in the department of the investigators at Dijon CHU. They will be matched for age and sex.
- Age > 50 years
- Patients covered by national health insurance
- who have provided written informed consent to take part
- Absence of inflammatory syndrome (CRP<5 mg /L)
Exclusion Criteria:
- Any patient not meeting inclusion criteria
- Patient treated with corticoids or immunosuppressants in the month preceding inclusion
- Patients treated with chemotherapy
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Controls
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|
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Patients with HD
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The percentage of cytotoxic T lymphocytes CD8 (CD8+perforin+granzyme B+)
Time Frame: Change from baselines the percentage of cytotoxic T lymphocytes CD8 at 3 months of treatment
|
Change from baselines the percentage of cytotoxic T lymphocytes CD8 at 3 months of treatment
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Maldiney T, Greigert H, Martin L, Benoit E, Creuzot-Garcher C, Gabrielle PH, Chassot JM, Boccara C, Balvay D, Tavitian B, Clement O, Audia S, Bonnotte B, Samson M. Full-field optical coherence tomography for the diagnosis of giant cell arteritis. PLoS One. 2020 Aug 31;15(8):e0234165. doi: 10.1371/journal.pone.0234165. eCollection 2020.
- Samson M, Ly KH, Tournier B, Janikashvili N, Trad M, Ciudad M, Gautheron A, Devilliers H, Quipourt V, Maurier F, Meaux-Ruault N, Magy-Bertrand N, Manckoundia P, Ornetti P, Maillefert JF, Besancenot JF, Ferrand C, Mesturoux L, Labrousse F, Fauchais AL, Saas P, Martin L, Audia S, Bonnotte B. Involvement and prognosis value of CD8(+) T cells in giant cell arteritis. J Autoimmun. 2016 Aug;72:73-83. doi: 10.1016/j.jaut.2016.05.008. Epub 2016 May 25.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Autoimmune Diseases
- Immune System Diseases
- Autoimmune Diseases of the Nervous System
- Skin Diseases
- Skin Diseases, Vascular
- Vasculitis
- Vasculitis, Central Nervous System
- Arteritis
- Skin and Connective Tissue Diseases
- Giant Cell Arteritis
- Therapeutics
Other Study ID Numbers
- SAMSON APJ 2013
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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