Epicardial Adipose Tissue And Coronary Risk In HIV-Infected Patients (ANRS EP 52)
EPICARDIAL ADIPOSE TISSUE AND CORONARY RISK IN HIV-INFECTED PATIENTS
Protocol date and version RCB Id : 2013-A00547-38
Etude ANRS EP 52 PIECVIH Title of Study: EPICARDIAL ADIPOSE TISSUE AND CORONARY RISK IN HIV-INFECTED PATIENTS
Short title - PIECVIH study
Sponsor French National Institute for Health and Medical Research - French national agency for research on AIDS and viral hepatitis (Inserm-ANRS)
Coordinating Investigator Pr Franck BOCCARA Service de Cardiologie, Hôpital St Antoine INSERM UMRS 938 Paris, UPMC, Institut hospitalo-Universitaire- Institute of Cardiometabolism and Nutrition (IHU-ICAN) 184, rue du Faubourg Saint-Antoine 75571 PARIS Cedex 12 Tél. : 01 49 28 24 49 - Fax : 01 49 28 26 83 Courriel : franck.boccara@sat.aphp.fr
Participating country: France
Objectives Principal objective To compare the inflammatory profile of the epicardial adipose tissue (EAT) between people living with and without HIVwho present with coronary heart disease and will undergo a coronary artery bypass graft (CABG)
Secondary objectives
- To compare the volume of EAT between people living with and without HIV who present with coronary heart disease
- To evaluate the relationship between the abnormalities of the expression profiles of the adipocytokines and cytokines with the atherosclerotic lesions.
- To evaluate the relationship between the abnormalities of the expression profiles of the adipocytokines and cytokines of the EAT with the circulating levels and metabolic parameters.
- To compare the histological and inflammatory profiles of the EAT with the subcutaneous adipose tissue for each patient individually.
Methodology multicentric, comparative study
Estimated enrollment 31 participants in total
- st group of- 15 people living with HIV undergoing CABG (coronary heart disease HIV+ group)
- nd group of- 16 people without HIV- undergoing CABG (coronary heart disease HIV- group) People without HIV-will be matched to people living with HIV+ by : age (± 5 years) and sex Outcomes
Primary outcome:
Comparative analysis of the inflammatory profile of the EAT : expression profile of the pro and anti inflammatory cytokines and adipokines within the EAT in both groups of participants : coronary heart disease HIV+ and HIV- groups
Secondary outcomes :
- Determination of the EAT volume by echocardiography and cardiac scanner for both groups
- Macroscopic profile of the EAT : adipocytes, fibrosis, endothelial cell density)
- RT-PCR analyses : renin, adiponectine, PPARɣ
- Comparatison of the inflammatory and macroscopic profiles between the EAT and the subcutaneous adipose tissue in the two groups by ARN messagers analysis.
Eligibility Inclusion criteria HIV+ group
- Men or women above the age of 18 years old, HIV1 seropositive for more than 6 months
- Individual undergoing, for the first time, cardiac surgery for CABG
- Affiliated with a social security regimen (the AME is not a social security regimen)
- Signed the consent form
HIV- group
- Men or women above the age of 18 years old, HIV seronegative
- Individuals undergoing, for the first time, cardiac surgery for CABG
- Affiliated with a social security regimen (the AME is not a social security regimen)
- Signed the consent form
Non-inclusion criteria History of surgery for CBAG and/or congenital heart defect- being under the tutorship or guardianship of the state or in custody of the justice system.
Statistical methods Categorical variables will be compared using Fisher's exact test. Continuous variables will be compared using the Student's t-test (parametric) and the Wilcoxon-Mann-Whitney test (non-parametric) as appropriate considering the data distribution. (statistical analysis software STATA 11 (StataCorp, Texas, USA))
Provisional study planning and timetable Study start date: July 2013 Enrollment period: 32 months Subject participation duration: 24 hours Total study duration: 32 months Estimated study completion date: end of March 2016
調査の概要
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
-
Paris、フランス、75012
- Hospital St Antoine
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-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
VIH + GROUP:
- Men or women > 18 years old, HIV1 + for more than 6 months
- Planned first cardiac surgery for CABG
VIH - GROUP:
- Men or women > 18 years old,
- Planned first cardiac surgery for CABG
Exclusion Criteria:
- History of cardiac surgery
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
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他の:no Arm
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
時間枠 |
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comparison of the inflammatory profile of the epicardial adipose (EAT) tissue between HIV-infected and uninfected patients undergoing cardiac surgery for coronary artery bypass graft (CABG)
時間枠:day 1
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day 1
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二次結果の測定
結果測定 |
時間枠 |
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comparison the volume of EAT between HIV-infected and uninfected patients undergoing cardiac surgery
時間枠:day 1
|
day 1
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Evaluation of the relations between the adipocytokines and cytokines profile in the EAT and in the systemic circulation.
時間枠:day 1
|
day 1
|
Comparison of the histological and inflammatory profiles of the EAT and the subcutaneous adipose tissue of each patients.
時間枠:day 1
|
day 1
|
Evaluation of the relations between the adipocytokines and cytokines profile in the EAT and coronary artery lesions.
時間枠:day 1
|
day 1
|
協力者と研究者
捜査官
- 主任研究者:Pascal LEPRINCE、Hôpital La Pitié Salpétrière Paris
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- ANRS EP 52 PIECVIH
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