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Microbiome Alterations in IL10RA-deficient Patients After HSCT

10 augusti 2020 uppdaterad av: Ying HUANG, Children's Hospital of Fudan University

Longitudinal Development of Intestinal Microbiome in IL10RA-deficient Patients After Hematopoietic Stem Cell Transplantation

To elucidate the longitudinal development of intestinal microbiota in patients with IL10RA deficiency after hematopoietic stem cell transplantation (HSCT). The investigators planned to collect fecal samples from IL10RA-deficient patients who received HSCT. Samples were collected more than once every three days after engraftment in lamina flow ward and at least once a week before discharge. Microbial DNA was extracted from the fecal samples. And all analysis was based on the next generation sequencing data.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

Hematopoietic stem cell transplantation is considered the only curative therapy for patients with interleukin-10 receptor-A(IL10RA) deficiency. The investigators aimed to collect the fecal samples of these patients throughout the conditioning, transplantation until discharge, providing a dense insight into the longitudinal development of intestinal microbiota.

Studietyp

Observationell

Inskrivning (Faktisk)

13

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Kina
    • Shanghai
      • Shanghai, Shanghai, Kina, 201102
        • Children's Hospital of Fudan University

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

1 dag till 6 år (Barn)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Testmetod

Icke-sannolikhetsprov

Studera befolkning

Patients who were diagnosed with IL10RA deficiency and who received the hematopoietic stem cell transplantation in a tertiary hospital were enrolled.

Beskrivning

Inclusion Criteria:

  • IL10RA gene mutations;
  • Eligible for hematopoietic stem cell transplantation.

Exclusion Criteria:

  • Unwilling to participate.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
HSCT cohort
IL10RA-deficient patients who received hematopoietic stem cell transplantation
Procedur: hematopoietic stem cell transplantation
  1. Reduced intensity conditioning(RIC) chemotherapy regimen before transplantation
  2. All patients were cared for in single rooms ventilated with a highly effective particulate air filtration system. All patients received intravenous immunoglobulin and antimicrobial prophylaxis, which included antiviral, antifungal, and Pneumocystis jirovecii prophylaxis with ganciclovir and micafungin, as per routine clinical practice before transplantation.
  3. Umbilical cord blood transplantation

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Shannon indices
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
Shannon index is a popular diversity index in the ecological literature; minimum score is zero, higher values represent a better outcome
during the hospitalization of each eligible patient, an average of 90 days per patient
Simpson indices
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
Simpson index in ecology is to measure the degree of concentration when individuals are classified into types; scale ranges [0,1]; lower values represent a better outcome
during the hospitalization of each eligible patient, an average of 90 days per patient
relative abundance of Proteobacteria
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
describe the microbiome at the phylum level
during the hospitalization of each eligible patient, an average of 90 days per patient
relative abundance of Firmicutes
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
describe the microbiome at the phylum level
during the hospitalization of each eligible patient, an average of 90 days per patient
Clostridium sensus_stricto_1
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
describe the microbiome at the genus level
during the hospitalization of each eligible patient, an average of 90 days per patient
Escherichia - Shigella
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
describe the microbiome at the genus level
during the hospitalization of each eligible patient, an average of 90 days per patient

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
chimerism
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
The level of chimerism of each patient will be reported as percentages [0,100%]
during the hospitalization of each eligible patient, an average of 90 days per patient
manifestation of graft-versus-host disease
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
describe the graft-versus-host disease happened to each patient
during the hospitalization of each eligible patient, an average of 90 days per patient
Sobs indices
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
describe the the observed richness of each sample
during the hospitalization of each eligible patient, an average of 90 days per patient
Chao1 estimator
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
describe the operational taxonomic unit(OTU) numbers of each sample
during the hospitalization of each eligible patient, an average of 90 days per patient
neutrophil cell count
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
blood test results
during the hospitalization of each eligible patient, an average of 90 days per patient
platelet count
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
blood test results
during the hospitalization of each eligible patient, an average of 90 days per patient

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
relative abundance of Clostridiales
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
describe the microbiome at the order level
during the hospitalization of each eligible patient, an average of 90 days per patient
Shannoneven indices
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
measure the community evenness, scale ranges [0,1]; higher values represent a better outcome
during the hospitalization of each eligible patient, an average of 90 days per patient
Simpsoneven indices
Tidsram: during the hospitalization of each eligible patient, an average of 90 days per patient
measure community evenness, scale ranges [0,1]; higher values represent a better outcome
during the hospitalization of each eligible patient, an average of 90 days per patient

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Children's Hospital of Fudan University

Utredare

  • Huvudutredare: Ying Huang, MD, Children's Hospital of Fudan University

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 oktober 2017

Primärt slutförande (Faktisk)

28 februari 2020

Avslutad studie (Faktisk)

28 februari 2020

Studieregistreringsdatum

Först inskickad

19 november 2018

Först inskickad som uppfyllde QC-kriterierna

21 november 2018

Första postat (Faktisk)

26 november 2018

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

12 augusti 2020

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

10 augusti 2020

Senast verifierad

1 augusti 2020

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • HSCT microbiomte

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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