Evaluation of a New Sequencing Strategy in Autoinflammatory Siseases (BIOSAID)

Sponsor
University Hospital, Montpellier (Other)
Overall Status
Terminated
CT.gov ID
NCT02976948
Collaborator
(none)
299
1
56
5.3

Study Details

Study Description

Brief Summary

Main objective: To compare the efficacy of a new strategy of Next Generation Sequencing (NGS) versus a classical Sanger strategy, for the diagnosis of patients referred to the laboratory for suspected systemic autoinflammatory diseases (SAID).

Secondary objectives:
  • Compare after 6 months the impact of these strategies on the establishment of an effective treatment SAID following genetic result.

  • Compare the distribution of different forms of SAID found with each genetic diagnostic strategies (NGS vs classic method).

Condition or Disease Intervention/Treatment Phase
  • Other: No intervention

Detailed Description

Systemic autoinflammatory diseases (SAID) include a broad spectrum of pathologies of innate immunity. In recent years, numerous publications have shown the involvement of new genes in these diseases, highlighting new pathophysiological pathways (inflammasome, NFkB: nuclear factor-kappa B, interferon) and new targeted therapies (biotherapy advantageously replacing non-specific anti-inflammatory drugs). Current laboratory diagnostic strategy is based on the Sanger method, the gold standard to date, allowing the sequential analysis of some genes (usually between 1 and 4). The nonspecific nature of the clinical presentation of these diseases, the increasing number of genes involved and the low diagnostic yield obtained, make it essential to develop a new strategy, more efficient, so that the patient can benefit as soon as possible treatment suited to his pathology as soon as the gene involved is identified. The investigator had developed and validated in our genetic laboratories a new method based on the Next Generation Sequencing (NGS). A panel of 32 known or candidate SAID genes, which can be simultaneously analyzed within a time compatible with the diagnosis. The investigator wishes to highlight the benefits of this new strategy.

Study Design

Study Type:
Observational
Actual Enrollment :
299 participants
Observational Model:
Other
Time Perspective:
Prospective
Official Title:
Evaluation of a New Sequencing Strategy in Autoinflammatory Diseases Diagnostic Value and Therapeutic Orientation
Actual Study Start Date :
Jul 31, 2015
Actual Primary Completion Date :
Jul 31, 2019
Actual Study Completion Date :
Mar 31, 2020

Outcome Measures

Primary Outcome Measures

  1. Number of genetically ascertained patients using Next Generation Sequencing (NGS) vs Sanger [At time of report issue up to two years]

Secondary Outcome Measures

  1. Date of introduction of relevant treatment [6 months after report issue]

Eligibility Criteria

Criteria

Ages Eligible for Study:
3 Months to 99 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
Patients with prerequisites established jointly by the reference centers:
  • At least 3 unexplained inflammatory access

  • Elevated C Reactive Protein

  • Age of symtoms less than 30 years and validated by a physician CeréMAI (Centre de référence des maladies autoinflamatoires)

Exclusion Criteria:
  • Other inflammatory disease:

  • intercurrent infection

  • cancer

  • autoimmune disease

Contacts and Locations

Locations

Site City State Country Postal Code
1 university Hospital Montpellier Montpellier France 34295

Sponsors and Collaborators

  • University Hospital, Montpellier

Investigators

  • Principal Investigator: Guillaume SARRABAY, md, University Hospital, Montpellier

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
University Hospital, Montpellier
ClinicalTrials.gov Identifier:
NCT02976948
Other Study ID Numbers:
  • UF 9551
First Posted:
Nov 30, 2016
Last Update Posted:
Dec 30, 2021
Last Verified:
Dec 1, 2021

Study Results

No Results Posted as of Dec 30, 2021