About this trial
Systemic sclerosis (SSc) is a rare form of connective tissue disease characterized by vascular involvement and the intensity of fibrosis. The lack of available treatment is largely due to the very fragmented understanding of the pathophysiology of SSc. However, one of the keys to conducting quality research on this disease remains the development of well-documented patient cohorts with reliable biological samples. The main objective of this cohort is to study the natural progression of SSc in a cohort of patients followed over 5 years.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient over 18 years old
Patient with systemic scleroderma according to the ACR/EULAR 2013 criteria, or with a " very early systemic sclerosis " defined by the presence of Raynaud's phenomenon and auto-antibodies in blood sample (ACAN positivity (≥1/160) with anti-Scl70, anti-centromere or anti-ARNPolIII specificity).
Person affiliated or benefiting from a social security scheme.
Free, informed and written consent signed by the participant and the investigator (no later than the day of inclusion and prior to any review required by the research)
Disqualifiers
Pregnant or breastfeeding woman
Patient under guardianship, curatorship or any other legal protection regime
Trial design
Single group
Treatments tested in this trial
Blood samples
Biological/Vaccine62 ml whole blood for Peripheral blood mononuclear cell (PBMC) and monocytes isolation
Biopsy
Other interventionSkin biopsies only for volunteers among patients
Bronchoalveolar samples
Other intervention50 ml of bronchoalveolar samples if pulmonary flare requires this type of exploration only for volunteers among patients
Biopsy
Other interventionDigestives biopsies if requires this type of exploration in the standard of care only for volunteers among patients
Treatment groups
Trial outcomes
Primary outcomes
Change of the main clinical characteristics of scleroderma patients
Worsening of the SSc according to the onset of a renal crisis (according to arterial hypertension \> 150/85 mm Hg ), a pulmonary arterial hypertension (identified with a right heart catheterization), or an interstitial lung disease (identified with a chest CT-scan).
Secondary outcomes
Proportion of pulmonary arterial hypertension diagnosis in SSc patients
Proportion of interstitial lung disease diagnosis in SSc patients
Proportion of renal crisis diagnosis in SSc patients
Mean of Rodnan score for the evaluation of disease activity for SSc patients, with higher values mean higher disease activity.
(Min value: 0 - Max value: 51)
Sponsors and contacts
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