Calcium Pyrophosphate Deposition (CPPD) Disease

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorLille Catholic University

About this trial

The goal of this clinical trial is to describe the transcriptomic and metabolomic profile of patients with chronic Calcium Pyrophosphate Deposition (CPPD) compared to those with acute CPPD.

The hypotheses are as follows :

* It is hypothesised that there is a transcriptomic and metabolomic signature of CPPD which explains why therapeutic responses to different anti-inflammatory treatments differ from one phenotype to another one * It is hypothesised that the acute and chronic clinical phenotypes of CPPD have different clinical, biological and imaging characteristics, as well as a differing predisposition toward crystalline deposition and inflammatory pathway activation.

The management of participants with chronic forms of the disease included in this research was modelled on the usual recommended management, including a biological workup, joint puncture, ultrasound and radiographic workup. Double-energy CT scans and transcriptomic and metabolomic analyses on plasma are not routine tests.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Acute forms of CPPD: retrospective part of the study

Cases included in the COLCHICORT cohort (NCT03128905), for whom this was the first acute episode of CPPD

Patients affiliated to the French social security system

Age ≥ 65 years

Disqualifiers

Missing data concerning transcriptomic and metabolomic analyses.

Opposition

History of gout or presence of monosodium urate (MSU) crystals on joint fluid,

Cognitive decline (confusion and neurodegenerative diseases)

Trial design

Design model

Single group

Treatments tested in this trial

  • transcriptomic and metabolomic analysis

    Genetic

    Venous blood samples for transcriptomic and metabolomic analysis will be taken in 3 x 4 mL ethylenediaminetetraacetic acid (EDTA) tubes and stored immediately at 4°C, before being cryopreserved at -80°C in 500 μL aliquots of plasma. In addition, for transcriptomic analysis, a sample will also be taken in a Paxgen RNA tube cryopreserved at -80°C.

Treatment groups

137 Participants
are divided into 1 treatment group
Group A: Patients with a chronic CPPDExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Transcriptomic profile

-Quantitative transcriptomic profiling (expression of the genes involved) and qualitative profiling (analysis of the sequence of variants expressed)

Time frame
2 weeks
2

Metabolomic profile

\- Metabolomic profile: quantitative assessment of the metabolites involved in each phenotype, then qualitatively grouped by activated metabolic pathway

Time frame
2 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: