PRELUD: PREdiction of Chronic LUng Allograft Dysfunction
Study Details
Study Description
Brief Summary
Chronic lung allograft dysfunction (CLAD) is the leading cause of long-term mortality after lung transplantation. Several risk factors for CLAD have been identified, but the exact pathophysiology and triggering molecular factors remain largely unknown. Moreover, in clinical practice, no integration of the different risk factors is achieved. CLAD is therefore diagnosed most often late with the persistent decline in respiratory function, revealing a profound and irreversible alteration of the pulmonary graft. Several blood biomarkers that can predict the occurrence of CLAD more than 6 months before clinical diagnosis have been identified and validated. From these preliminary results, a composite score is being developed from independent samples from the COLT (COhort in Lung Transplantation) cohort. The main objective of this project is to validate this robust and predictive composite score (biological and clinical) of CLAD.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Lung transplant
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Outcome Measures
Primary Outcome Measures
- MMP-9 levels in plasma, gene expression and lymphocyte levels in blood associated with Chronic Lung Allograft Dysfunction (CLAD) [3 years]
Secondary Outcome Measures
- Expression of the 3 genes BLK, POU2AF1 and TCL1A in whole blood associated with CLAD [3 years]
- MMP-9 levels over time associated with CLAD [3 years]
- Transitional B lymphocytes rate over time associated with CLAD [3 years]
- T lymphocytes levels over time associated with CLAD [3 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients to receive lung transplants awaiting registration on the transplant waiting list
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Patients affiliated to a social security system
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Patients who have given their informed consent
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Patients weighing more than 26 kg
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Patients over 16 years of age
Exclusion Criteria:
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Pregnant or breastfeeding women
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Patients unable to follow the protocol
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Patients with concomitant inflammatory diseases, regardless of acute, chronic or infectious rejection.
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Patients with a history of cancer in remission for less than 5 years, with the exception of localized skin cancers, excluding melanoma.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CHU de Bordeaux | Bordeaux | France | 33604 | |
2 | CHU de Grenoble | Grenoble | France | 38700 | |
3 | Centre Chirurgical Marie Lannelongue | Le Plessis-Robinson | France | 92350 | |
4 | CHU de Lyon | Lyon | France | 69677 | |
5 | AP-HM | Marseille | France | 13015 | |
6 | CHU de Nantes | Nantes | France | 44093 | |
7 | Hôpital Bichat | Paris | France | 75018 | |
8 | CHRU de Strasbourg | Strasbourg | France | 67091 | |
9 | Hôpital Foch | Suresnes | France | 92151 | |
10 | CHU de Toulouse | Toulouse | France | 31059 |
Sponsors and Collaborators
- Nantes University Hospital
Investigators
- Principal Investigator: Adrien TISSOT, Dr, CHU de Nantes
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RC18_0351