Ignite Creation Date:
2024-07-17 @ 12:01 PM
Last Modification Date:
2024-10-26 @ 3:33 PM
Study NCT ID:
NCT06479018
Status:
RECRUITING
Last Update Posted:
2024-06-27
First Post:
2024-06-14
Brief Title:
Deciphering IL-17-dependant Inflammatory Response in Bullous Pemphigoid
Sponsor:
CHU de Reims
Organization:
CHU de Reims
Study Overview
Official Title:
Identification and Functional Characterization of the Cellular and Molecular Actors of the IL-17BIL-17RB Axis in Bullous Pemphigoid
Status:
RECRUITING
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
BP-IL17RB
Brief Summary:
Bullous pemphigoid BP is the most frequent autoimmune skin disease and mainly affects elderly individuals BP classically manifests with tense blisters over urticarial plaques on the trunk and extremities accompanied by intense itches However BP is characterized by a large spectrum of clinical presentations allowing to distinguish between typical with blisters and atypical forms non bullous mucosal damage
High potency topical steroids and systemic steroids are the current first line intention treatments While very efficient these therapies are non-targeted and cause numerous side-effects especially in these elderly patients that are the most affected Furthermore around 30 of BP patients will relapse during the first year of treatment when corticotherapy is decreased or stopped
The investigators and others have highlighted the presence of Il-17 family belonging-inflammatory cytokines in BP patients Their functions in the amplification of the inflammatory response and in the mechanisms of relapse have to be precisely determined in order to develop innovative therapeutic approaches and to move forwards precision medicine
High potency topical steroids and systemic steroids are the current first line intention treatments While very efficient these therapies are non-targeted and cause numerous side-effects especially in these elderly patients that are the most affected Furthermore around 30 of BP patients will relapse during the first year of treatment when corticotherapy is decreased or stopped
The investigators and others have highlighted the presence of Il-17 family belonging-inflammatory cytokines in BP patients Their functions in the amplification of the inflammatory response and in the mechanisms of relapse have to be precisely determined in order to develop innovative therapeutic approaches and to move forwards precision medicine
Detailed Description:
This is a pathophysiological study with prospective and monocentric inclusion
90 patients with bullous phemphigoid will be recruited from the department of dermatology at the Reims University Hospital
The main objectives of this study are to identify the cellular and molecular actors of the IL-17BIL-17RB axis at diagnosis in patients with bullous pemphigoid and to determine their functions in the pathophysiological mechanisms associated with BP at systemic and in situ levels
The secondary aims of this research are
1 To confirm IL-17B concentrations in sera at diagnosis as predictive biomarker of BP outcome under local corticotherapy
2 To study the expression kinetics of IL-17B and its receptor IL-17RB in BP patients under treatment
3 To study the implication of IL-17BIL-17RB axis in BP relapse
4 To establish inflammatory cell composition profile in skin and blood issued from clinical variants of BP as well as from BP patients during the first year of treatment
90 patients with bullous phemphigoid will be recruited from the department of dermatology at the Reims University Hospital
The main objectives of this study are to identify the cellular and molecular actors of the IL-17BIL-17RB axis at diagnosis in patients with bullous pemphigoid and to determine their functions in the pathophysiological mechanisms associated with BP at systemic and in situ levels
The secondary aims of this research are
1 To confirm IL-17B concentrations in sera at diagnosis as predictive biomarker of BP outcome under local corticotherapy
2 To study the expression kinetics of IL-17B and its receptor IL-17RB in BP patients under treatment
3 To study the implication of IL-17BIL-17RB axis in BP relapse
4 To establish inflammatory cell composition profile in skin and blood issued from clinical variants of BP as well as from BP patients during the first year of treatment
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None