- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04194372
Signature of the Risk Profile of Mortality in a Hospital Cohort of Patients With Metabolic Diseases (INTEGRA)
Epidemiological studies are usually conducted in the general population in adults without complications or pathology at baseline. The results obtained are therefore often better designed for primary prevention use. The prediction of mortality risk in patients with complications and requiring hospital follow-up is less well known.
The study purpose is to determine a mortality risk profile in a hospital cohort of patients with pathologies associated with metabolic diseases.
Today the "multimaker" scores based on a panel of biomarkers - have significantly improved the discriminating power of prediction models existing in many pathologies. It is no longer a single biomarker that can improve risk prediction but a complete and cross-sectional profile that is sought after. We aim to establish a personalised mortality risk profile by combining clinical and biological parameters including metabolomics, genetics, transcriptomics and epigenomics by high throughput screening of biological samples.
Study Overview
Status
Conditions
Detailed Description
The prediction of the onset of diabetes and metabolic complications, especially cardiovascular, renal, or hepatic, is a major challenge to optimize the management of this disease.
Teams from the University Hospital of Lille have developed the Integra cohort study to identify the clinical and biological determinants of the occurrence of these complications and the mortality of patients with metabolic disorders.
The aim of the study is to identify clinico-biological determinants that are able to predict the occurence of death, cardiovascular events as well as hepatic or nephrotic one.
Follow-up data will be collected from National System of Health Data (SNDS) where data concerning hospitalisations, medical consultations and treatments are registered.
Biological samples are collected at baseline for a large OMICs analysis (metabolomics, genetics, transcriptomics and epigenomics) that would feed our predictive scoring system.
This project will allow us to describe new models of prediction of metabolic diseases and its complications, and to offer adapted and personalised methods of management, which can slow the progression of the disease and improve its prognosis.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
-
-
-
Boulogne-sur-Mer, France, 59037
- Recruiting
- CH Boulogne-sur-Mer
-
Lille, France, 59037
- Recruiting
- Hop Cardiologique Chr Lille
-
Lille, France, 59037
- Recruiting
- Hop Claude Huriez Chr Lille
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Diabetic: antecedent - treatment - or glycemia> = 1.26 g / dl - or HbA1C> = 6.5% and or
- Obese: BMI> = 30 and or
- Metabolic syndrome defined AND
- Patient having given written consent to participate in the study or collection of the consent of the witness
- Social insured patient (excluding AME)
- Patient willing to comply with all procedures of the study and its duration AND
Patient also presenting a pathology among:
Cardiology:
- Coronary patient(history of myocardial infarction, coronary bypass, or coronary angioplasty or stenosis greater than 50% on an epicardial vessel documented on coronary angiography)
- Patient with systolic or diastolic heart failure
- Patient with atrial fibrillation
- Patient with aortic stenosis (Vmax> 2.5 m / s)
- Patient with high blood pressure
neurology:
- ischemic stroke
- intracerebral hemorrhage
- transient ischemic attack
diabetology:
- Obesity without diabetes
- Diabetes T2
- T1 diabetes
- Monogenic Diabetes / MODY
- African Diabetes
- Diabetes secondary to pancreatopathy / liver cirrhosis
- Diabetes post transplantation / post immunotherapy
- Diabetes associated with Steinert's disease
- hepatology: hepatological pathology
- nephrology: nephrology
Exclusion Criteria:
- Unscheduled hospitalization less than 3 months old
Ongoing treatment :
- Cytotoxic chemotherapy
- Radiotherapy
- HIV and / or HCV and / or active HBV infection
- OMS score> = 2
- Pregnant woman
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
---|
Metabolic Patient
Patients with a metabolic desease, defined as
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
number of death
Time Frame: at 10 years
|
The number of patients dead according to national database
|
at 10 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Occurrence of macrovascular complications (composite criteria)
Time Frame: at 10 years
|
composite criteria: cardiovascular death, myocardial infarction, stroke, coronary revascularization, peripheral revascularization, amputation)
|
at 10 years
|
hospitalization for heart failure
Time Frame: at 10 years
|
The number of patients that has been hospitalized for heart failure since the end of the study according to national database
|
at 10 years
|
Occurence of renal microvasculare complications (composite criteria)
Time Frame: at 10 years
|
composite criteria: renal transplantation, dialysis, GFR >60, Albuminuria
|
at 10 years
|
Occurrence of liver complications(composite endpoint)
Time Frame: at 10 years
|
composite endpoint: hepatic fibrosis, cirrhosis, HCC, death from liver
|
at 10 years
|
Occurrence of hemorrhages measured by BARC >3 bleeding
Time Frame: at 10 years
|
composite endpoint : CABG-related bleeding (Perioperative intracranial bleeding within 48 h / Reoperation after closure of sternotomy for the purpose of controlling bleeding / Transfusion of<5 U whole blood or packed red blood cells within a 48-hperiod / Chest tube output>=2L within a 24-h period) or Fatal Bleeding (Probable fatal bleeding; no autopsy or imaging confirmation butclinically suspicious / Definite fatal bleeding; overt bleeding or autopsy or imagingconfirmation) |
at 10 years
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2018_08
- 2019-A01727-50 (Other Identifier: ID-RCB number, ANSM)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Metabolic Disease
-
Yonsei UniversityUnknownCardiovascular Disease | Metabolic DiseaseKorea, Republic of
-
Clinical Nutrition Research Centre, SingaporeCompletedCardiovascular Disease | Metabolic Disease
-
San Diego State UniversityRecruitingBone Disease, MetabolicUnited States
-
Hospital Clinic of BarcelonaNovartisCompletedBone Disease, MetabolicSpain
-
The Hospital for Sick ChildrenRare Disease Foundation, Vancouver, CanadaCompleted
-
Istituto Ortopedico RizzoliCompletedOsteopenia | Bone Disease, MetabolicItaly
-
National Institutes of Health Clinical Center (CC)CompletedVascular Diseases | Cancer | Metabolic Bone Disease | Inflammatory DiseaseUnited States
-
Shenzhen Center for Chronic Disease ControlCompletedNutrition Disorders | Genetic Predisposition to Disease | Metabolic DiseaseChina
-
Istituto Ortopedico GaleazziUnknownPhysical Activity | Bone Disease, MetabolicItaly
-
Stanley Dudrick's Memorial HospitalCompletedMetabolic Bone DiseasePoland