BIOBRAD: Determination of Specific Biomarkers of Angioneurotic Crisis
Study Details
Study Description
Brief Summary
Diagnosis of angioedema (AE) is difficult especially in emergency room. Two forms should be evoked: histaminic AE (allergic or not, which represent 95% of cases) and bradykinic AE (hereditary or acquired deficiency, with or without C1 Inhibitor) rarer but with more severe prognosis. The distinction is based on clinical features (spontaneous crisis duration, presence of concomitant hives, atopic history...). Sometimes it could be difficult to make the difference. Nowadays, there is no biological marker of the crisis. The search for biomarkers could improve the diagnostic and therapeutic management of AE. Previous work has identified targets: D-dimer, C4, and VE-cadherin. We wanted to know the sensitivity and specificity of these markers.
We conducted a prospective study evaluating the D-dimer assays, complement and VE-cadherin during an episode of AE. Three groups of patients were tested: bradykinic AE (peripheral or abdominal attacks), histaminic AE, and abdominal pain (non-bradykinic and non-histaminic etiology) at the time (day 0) and at distance from the crisis (D7).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
bradykinin angioedema Hereditary angioedema with or without C1Inhibitor Drug induced angiodema |
|
Histaminergic angioedema Allergic and non allergic angioedema |
|
Control group Patients with abdominal pain |
Outcome Measures
Primary Outcome Measures
- VE CADHERIN SENSITIVITY AND SPECIFICITY [7 DAYS]
Secondary Outcome Measures
- D-DIMERS SENSITIVITY AND SPECIFICITY [7 DAYS]
- C1INHIBITOR [7 DAYS]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Histaminergic or bradykinin angioedema
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Abdominal pain
Exclusion Criteria:
- children < 18 years
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Grenoble university hospital | Grenoble | France | 38043 |
Sponsors and Collaborators
- University Hospital, Grenoble
Investigators
- Study Chair: Vanessa espin, grenbole university hospital
Study Documents (Full-Text)
None provided.More Information
Publications
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- 38RC12.210