Inflammatory Proteins in Familial Mediterranean Fever During Attack and Remission

Sponsor
Sheba Medical Center (Other)
Overall Status
Withdrawn
CT.gov ID
NCT00323440
Collaborator
(none)
0
1
96
0

Study Details

Study Description

Brief Summary

Familial Mediterranean fever (FMF) is a genetic disease, caused by mutations in the FMF gene, entitled MEFV. The disease is characterized by painful attacks of inflammation in sites lined by serous membranes (e.g. abdominal pain caused by inflammation of the peritoneum, a serous membrane surrounding all internal organs within the abdomen). Continuous colchicine treatment prevents attacks in most patients. The pathogenesis of the disease, what leads to the attacks and how colchicine helps, are questions not yet resolved. Elucidating the role of the inflammatory proteins is an important step towards the understanding of these questions. To date only small numbers of cytokines and inflammatory proteins have been studied individually. We propose to study a large number of these proteins in the RNA and protein levels addressing the interaction between them and the effect of colchicine on their expression.

Blood samples will be drawn from consenting patients in remission, during attacks, under and without colchicine treatment. (20 patients in each category).Twenty healthy volunteers will donate control blood samples for the study. RNA will be produced from the neutrophils, and cytokines and various proteins' RNA expression will be determined. Major expressed proteins will be measured in the same samples and the results will be analyzed with regard to the activity of the disease, MEFV mutations and colchicine treatment status. The information obtained by the study may allow us to determine the sequence of events associated with FMF attack development, and perhaps take us one step further in the understanding of the pathogenesis of the disease.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    Familial Mediterranean fever (FMF) is a genetic disease, caused by mutations in the FMF gene, entitled MEFV. The disease is characterized by painful attacks of inflammation in sites lined by serous membranes (e.g. abdominal pain caused by inflammation of the peritoneum, a serous membrane surrounding all internal organs within the abdomen). Continuous colchicine treatment prevents attacks in most patients. The pathogenesis of the disease, what leads to the attacks and how colchicine helps, are questions not yet resolved. Elucidating the role of the inflammatory proteins is an important step towards the understanding of these questions. To date only small numbers of cytokines and inflammatory proteins have been studied individually. We propose to study a large number of these proteins in the RNA and protein levels addressing the interaction between them and the effect of colchicine on their expression.

    Blood samples will be drawn from consenting patients in remission, during attacks, under and without colchicine treatment. (20 patients in each category).Twenty healthy volunteers will donate control blood samples for the study. RNA will be produced from the neutrophils, and cytokines and various proteins' RNA expression will be determined. Major expressed proteins will be measured in the same samples and the results will be analyzed with regard to the activity of the disease, MEFV mutations and colchicine treatment status. The information obtained by the study may allow us to determine the sequence of events associated with FMF attack development, and perhaps take us one step further in the understanding of the pathogenesis of the disease.

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    0 participants
    Observational Model:
    Case-Control
    Time Perspective:
    Prospective
    Official Title:
    Inflammatory Proteins in Familial Mediterranean Fever During Attack and Remission
    Anticipated Study Start Date :
    Aug 1, 2008
    Anticipated Primary Completion Date :
    Aug 1, 2010
    Actual Study Completion Date :
    Aug 1, 2016

    Arms and Interventions

    Arm Intervention/Treatment
    Group 1

    FMF patients in remission

    Group 2

    FMF patients during attack

    Group 3

    FMF patients without colchicine in remission

    Group 4

    FMF patients without colchicine in attack

    Outcome Measures

    Primary Outcome Measures

      Eligibility Criteria

      Criteria

      Ages Eligible for Study:
      18 Years and Older
      Sexes Eligible for Study:
      All
      Accepts Healthy Volunteers:
      Yes
      Inclusion Criteria:
      • FMF patients, agreeing with diagnostic criteria, in attack or remission, under or without colchicine treatment.

      • Age 18 or older

      • Male or female

      • all ethnic groups arriving for treatment or routine follow up appointment

      • Written Consent to participate and donate blood for protein, RNA and DNA analyses.

      Exclusion Criteria:
      • Younger than 18

      • Patients that use anti inflammatory medications, other than colchicine

      • Patients who in addition to FMF suffer from another acute infectious or inflammatory disease

      • Patients who in addition to FMF suffer from another chronic infectious or inflammatory or autoimmune disease.

      • Amyloidosis

      • Pregnancy

      Contacts and Locations

      Locations

      Site City State Country Postal Code
      1 Sheba Medical Center Tel Hashomer Israel 52621

      Sponsors and Collaborators

      • Sheba Medical Center

      Investigators

      • Principal Investigator: Avi Livneh, MD, Sheba Medical Center

      Study Documents (Full-Text)

      None provided.

      More Information

      Publications

      None provided.
      Responsible Party:
      Sheba Medical Center
      ClinicalTrials.gov Identifier:
      NCT00323440
      Other Study ID Numbers:
      • SHEBA-06-4126-AL-CTIL
      First Posted:
      May 9, 2006
      Last Update Posted:
      Oct 11, 2017
      Last Verified:
      Oct 1, 2017

      Study Results

      No Results Posted as of Oct 11, 2017