Inflammatory Disease Biobank for Immunophenotyping and Cardiovascular Research (INFLAME-BANK)
Inflammatory and Immune-mediated Diseases Biobanking for Immunophenotyping and Cardiovascular Research
INFLAME-BANK is a French multicenter prospective observational ancillary study of the international EACVI-INFLAME project. It aims to establish a biobank and perform immunophenotyping and proteomic analyses in patients with suspected inflammatory cardiovascular diseases and autoimmune rheumatic diseases (ICARDs).
The primary objective is to identify immune biomarkers associated with cardiovascular prognosis and develop disease-specific prognostic scores to predict 1-year major adverse cardiovascular events (MACE). Secondary objectives include evaluating the diagnostic and prognostic value of immunoproteomic biomarkers, assessing the role of photon-counting CT (PCCT) imaging, and investigating immune signatures associated with genetic variants in acute myocarditis.
The study plans to enroll 300 patients from French centers participating in EACVI-INFLAME. Blood samples will be collected during routine clinical care at inclusion, with optional follow-up sampling at 12 months and optional PCCT imaging and genetic analyses depending on each center's participation. Patients will be followed for 12 months to monitor cardiovascular outcomes.
The expected impact is to improve understanding of the immune mechanisms underlying ICARDs, facilitate earlier diagnosis and risk stratification, identify new therapeutic targets, and ultimately support more personalized management of patients with inflammatory cardiovascular diseases.
Studieoversigt
Status
Status
Betingelser
Betingelser
- Rheumatoid arthritis
- Systemisk sklerose
- Myokarditis
- Kæmpecelle arteritis
- Perikarditis
- ANCA-associeret vaskulitis
- Antiphospholipid syndrom
- Takayasu arteritis
- Spondyloarthritis
- Behçets sygdom
- Idiopatiske inflammatoriske myopatier
- Lupus
- Stadig sygdom
- Tako-TSUBO kardiomyopati
- Inflammatory Cardiomyopathies
Detaljeret beskrivelse
Detailed Description
INFLAME-BANK is a French multicenter prospective observational study conducted as an ancillary project of the international EACVI-INFLAME study. Its purpose is to establish a biobank of blood samples and perform advanced immunophenotyping and proteomic analyses in patients with suspected cardiovascular involvement related to inflammatory cardiovascular diseases and autoimmune rheumatic diseases (ICARDs).
The main objective of the study is to identify immune and proteomic biomarkers associated with cardiovascular prognosis and to develop disease-specific prognostic scores capable of predicting major adverse cardiovascular events (MACE) at 1 year. The primary endpoint is the proportion of patients experiencing MACE after one year of follow-up.
Secondary objectives include:
Characterizing baseline immunological and proteomic profiles in patients with suspected or confirmed ICARDs.
Evaluating the prognostic value of identified cellular and molecular biomarkers for individual cardiovascular outcomes, including cardiovascular death, heart failure hospitalization, ventricular arrhythmia, stroke, atrial fibrillation, recurrent ICARD, and remission.
Assessing the diagnostic utility of immuno-proteomic biomarkers for detecting cardiovascular involvement in ICARD patients.
Investigating the diagnostic and prognostic value of photon-counting computed tomography (PCCT) compared with other imaging modalities such as cardiovascular magnetic resonance (CMR) and transthoracic echocardiography (TTE).
Identifying inflammation signatures associated with desmosomal genetic variants in patients with acute myocarditis.
The study plans to enroll 300 patients from French centers participating in the EACVI-INFLAME protocol. Eligible participants are patients referred for CMR and/or nuclear imaging because of suspected cardiovascular involvement related to a suspected or previously diagnosed ICARD. Patients must be enrolled in the EACVI-INFLAME study and provide informed consent.
At inclusion, an additional 5 mL citrate blood sample will be collected during a routine blood draw, without any additional venipuncture specifically for the study. Depending on the participating center, optional procedures may include:
An additional blood sample at 12 months for plasma and/or peripheral blood mononuclear cell (PBMC) analysis.
Collection and centralized analysis of PCCT imaging data, including pseudonymized DICOM images.
Genetic testing by next-generation sequencing (NGS) in selected patients with acute myocarditis.
Participants will be followed for 12 months, with clinical data collected from electronic health records and entered into a secure electronic case report form (CleanWeb eCRF). The study will evaluate the occurrence of MACE, defined as a composite of cardiovascular death, hospitalization for heart failure, myocardial infarction, incidental atrial fibrillation, stroke, and recurrent ICARD.
Data analyses will include conventional statistical comparisons, survival analyses, and advanced high-dimensional analyses of immune cell populations and proteomic profiles. Mass cytometry (CyTOF) and mass spectrometry data will be processed using standardized normalization, clustering, dimensionality reduction, and differential expression analysis workflows.
The expected benefits of the study are substantial. INFLAME-BANK aims to improve understanding of the immune and molecular mechanisms underlying cardiovascular complications in inflammatory and autoimmune diseases, facilitate earlier diagnosis and risk stratification, support the development of personalized therapeutic strategies, and identify potential new targets for immunomodulatory or immunosuppressive treatments.
The additional risks associated with participation are considered minimal, as biological samples are collected during routine clinical care and no modification of standard patient treatment is required.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Théo PEZEL, PH
- Telefonnummer: +33 6 68 72 24 89
- E-mail: theo.pezel@aphp.fr
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Adults enrolled in the EACVI-INFLAME study with suspected or previously diagnosed inflammatory cardiovascular diseases (ICARDs) referred for cardiovascular magnetic resonance (CMR) and/or nuclear imaging, who provide informed consent.
Beskrivelse
Inclusion Criteria:
- Patient enrolled in EACVI-INFLAME study
- The patient consents
Exclusion Criteria:
- Patients with a history of heart transplant
- Patient unable to provide informed consent
- Patient under complete or limited guardianship
- Patient affected by pre-existing immunodeficiency, including HIV (not including immunosuppressive treatment)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: COHORT
- Tidsperspektiver: PROSPECTIVE
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of participants experiencing major adverse cardiovascular events (MACE) within 1 year of follow-up.
Tidsramme: 1years
|
Occurrence of major adverse cardiovascular events (MACE), defined as a composite of cardiovascular death, hospitalization for heart failure, myocardial infarction, incidental atrial fibrillation, stroke, and recurrent ICARD, assessed at 1 year after inclusion. |
1years
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Knoglesygdomme
- Muskuloskeletale sygdomme
- Mundsygdomme
- Stomatognatiske sygdomme
- Cerebrovaskulære lidelser
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Karsygdomme
- Hjerte-kar-sygdomme
- Muskelsygdomme
- Hjertesygdomme
- Neuromuskulære sygdomme
- Gigt
- Ledsygdomme
- Reumatiske sygdomme
- Genetiske sygdomme, medfødte
- Bindevævssygdomme
- Autoimmune sygdomme
- Sygdomme i immunsystemet
- Øjensygdomme
- Autoimmune sygdomme i nervesystemet
- Rygmarvssygdomme
- Hudsygdomme
- Kardiomyopatier
- Hudsygdomme, vaskulære
- Hudsygdomme, genetisk
- Ventrikulær dysfunktion
- Aorta sygdomme
- Spondylitis
- Uveal Sygdomme
- Vaskulitis
- Panuveitis
- Vaskulitis, centralnervesystemet
- Ventrikulær dysfunktion, venstre
- Systemisk vaskulitis
- Uveitis, Anterior
- Uveitis
- Arvelige autoinflammatoriske sygdomme
- Arteritis
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Hud- og bindevævssygdomme
- Aortabue syndromer
- Arthritis, Juvenil
- Spondylarthritis
- Myokarditis
- Sklerodermi, systemisk
- Gigt, reumatoid
- Perikarditis
- Myositis
- Kæmpecelle arteritis
- Anti-neutrofil cytoplasmatisk antistof-associeret vaskulitis
- Takayasu arteritis
- Takotsubo kardiomyopati
- Behcet syndrom
- Antiphospholipid syndrom
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- APHP251269
Plan for individuelle deltagerdata (IPD)
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