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Validation of Radio-induced Damage Biomarkers (BIOM-DRI)

Validation of Radio-induced Damage Biomarkers : BIOM-DRI Study

The aim of this study is to confirm in humans the relevance and the kinetics of radio-induced bio-markers in plasma and urines, previously described at the preclinical stage.

研究概览

详细说明

The nuclear and radiologic risks monitoring is a major preoccupation for our society. During an accident, it is primordial to define the biologic dosimetry. The dose and distribution knowledge is crucial for the medical care. Indeed, Total Body Irradiation (TBI) and Partial Body Irradiation (PBI) do not have the same clinical outcome. A Total Body Irradiation induces an acute radiation syndrome with a Medullary Aplasia. A quick diagnostic would allow the optimization of the medical care.

Nowadays, the analyse of the chromosome with two centromeres is the current norm to estimate the radiation dose, but this technique is time consuming, and not adapted to an emergency situation, and to a large population.

The new genetic techniques could permit the quick radiation dosimetry diagnosis. The research of early exposition bio-markers seems to be of a major interest. These bio-markers would allow to rapidly define the radiations perceived by an exposed subject, before the apparition of the symptoms, and by the way, to conduct to a therapeutic strategy more adapted to the patient.

In this purpose, the present study will need blood and urines samples of patients totally or partially exposed to radiations, according to their usual medical care.

研究类型

介入性

注册 (实际的)

16

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Saint-Priest en Jarez、法国、42270
        • Institut de Cancérologie Lucien Neuwirth
      • Villejuif、法国、94800
        • Institut Gustave Roussy

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 70年 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

Inclusion Criteria:

  • More than 18 years old
  • For the group A:

Patient suffering from a malignant blood disease requiring a whole-body radiation, without (or prior to) a concomitant chemotherapy, according to the following protocol: 2x2 Gray per day, during 3 days.

  • OR For the group B:

Patient with one (or more) pelvis metastasis requiring radiation therapy without concomitant chemotherapy, according to the following protocol: 4 Gray per day for 5 days.

Exclusion Criteria:

  • More than 70 years old,
  • Subject presenting abnormal blood count (grade 3),
  • Person with a not controlled chronic illness,
  • Subject presenting an abnormal hepatic assessment (grade 3),
  • Subject having already received ionizing treatments,
  • Subject reached HIV, hepatitis C or any other progressive infectious diseases,
  • Pregnant women or nursing mothers,
  • Person under protection of justice or unable to give consent.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:预防
  • 分配:非随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Total Body Irradiation
Patient suffering from a malignant blood disease that requires a total body radiation, without (or prior to) a concomitant chemotherapy, according to the following protocol: 2x2 Gray per day, for 3 days. Blood and urines samples will be performed at days 0, 1, 2 and 3 of the treatment plan.

For all patients the blood samples must be organized: Before, 4 hours (+/-30 min), 1 day, 2 days, and 3 days after the start of the radiation therapy.

Collections of urine must be organized: Before, 1 day, and 2 days after the radiation therapy.

实验性的:Partial Body Irradiation
Patient with at least one bone metastasis localized at the pelvis and requiring partial body radiation therapy without associated chemotherapy, according to the following protocol: 4 Gray per day for 5 days will perform blood and urines samples at days 0, 1, 2 and 3 after the beginning of the radiation treatment.

For all patients the blood samples must be organized: Before, 4 hours (+/-30 min), 1 day, 2 days, and 3 days after the start of the radiation therapy.

Collections of urine must be organized: Before, 1 day, and 2 days after the radiation therapy.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Level of haematological and biochemical markers
大体时间:Day 3

The following bio-markers levels will be calculated :

  • Blood count,
  • Pads,
  • Haemoglobin,
  • Serum iron,
  • Plasma urea,
  • Urinary urea
  • Total protein,
  • albumin
  • creatin kinase,
  • Aspartate Amino Transferase,
  • alkaline phosphatase,
  • Total cholesterol,
  • Triglycerides,
  • Plasma creatinine
  • Creatinine clearance,
  • Urinary creatinine
  • Blood glucose,
  • Citrulline,
  • erythropoietin,
  • Plasma amylase,
  • Myoglobin,
  • Troponin,
  • C reactive protein,
  • Rate of prothrombin,
  • Fibrinogen,
  • D-Dimer,
  • Factor-V,
  • Fms-like tyrosine kinase 3-Ligand.
Day 3
Quantification of chromosomal aberrations
大体时间:Day 3
Quantification of chromosomal aberrations will be performed on the blood samples performed at days 0, 1, 2 and 3 after the beginning of the rays perform in the usual practice.
Day 3
Detection of biochemical markers
大体时间:Day 3

The presence or absence of these markers will be notified:

  • Interleukin 1
  • Interleukin 6
  • Interleukin 8
  • Interleukin 18
  • Tumor Necrosis Factor alpha (TNF-alpha)
  • Brain-Derived Neurotrophic Factor (BDNF)
  • Granulocyte Colony-Stimulating Factor (G - CSF)
  • Serum amyloid A (SAA)
  • Growth Arrest and DNA Damage-inducible 45 (GADD45)
  • Intestinal-type Fatty Acid-Binding Protein (FABP-I)
  • Liver-type Fatty Acid-Binding Protein (L-FABP)
  • Heart-type Fatty Acid-Binding Protein (H-FABP)
  • Stem Cell Factor Receptor CD117
Day 3
Metabolomics markers levels
大体时间:Day 2

The metabolomic levels of the following molecules will be calculated on urine samples:

  • 3 - Sulfate Hydroxytyrosol
  • 1, 6-Anhydro-beta-D-glucose
  • 1 - Methylnicotinamide
  • 2 - Hydroxyisobutyrate
  • 3 - aminoisobutyrate
  • 3 - hydroxyisovalerate
  • 3 - Hydroxymandelate
  • 3 - Indoxylsulfate
  • 4 - Hydroxyphenylacetate
  • Acetate
  • Acetone
  • Adipic acid
  • Alanine
  • Betaine
  • Carnitine
  • Choline
  • Cis-Aconitate
  • Citrate
  • Creatine
  • Creatinine
  • dimethylamine
  • Ethanolamine
  • Formats
  • Glucose
  • Glycine
  • Glycolate
  • Hippurate
  • Histidine
  • Hypoxanthine
  • Isethionic acid
  • Lactate
  • Methanol
  • Methylamine
  • N, N-Dimethylglycine
  • N - Acetylserotonin sulfate
  • N - Acetyltaurine
  • O - Acetylcarnitine
  • O - Phosphocholine
  • Pi-methylhistidine
  • Pyroglutamate
  • Succinate
  • Tartrate
  • Tau-methylhistidine
  • Taurine
  • Threonine
  • trans-Aconitate
  • Trigonelline
  • Trimethylamine N-oxide
  • Tyramine sulfate
  • Tyrosine
  • Tyrosol sulfate
  • Uracil
  • Robert acid
  • Valine
  • Xanthine
Day 2

次要结果测量

结果测量
措施说明
大体时间
Total dose of radiation
大体时间:Day 3
The total dose of radiation will be calculated for each patient and compared will the biologic results.
Day 3
Radiation field
大体时间:Day 3
The radiation field will be define for each patient and compared with the biological results.
Day 3

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2017年6月22日

初级完成 (实际的)

2020年6月15日

研究完成 (实际的)

2020年6月15日

研究注册日期

首次提交

2016年9月21日

首先提交符合 QC 标准的

2016年12月16日

首次发布 (估计)

2016年12月21日

研究记录更新

最后更新发布 (实际的)

2022年2月22日

上次提交的符合 QC 标准的更新

2022年2月4日

最后验证

2022年2月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • 2016-0901
  • 2016-A01446-45 (其他标识符:ANSM)

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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