ALLOPIV: Signature of the Host Response to a Respiratory Viral Infection, in the Prediction of Bronchiolitis Obliterans
Study Details
Study Description
Brief Summary
Bronchiolitis obliterans (BO) is the well-known manifestation of the chronic pulmonary graft-versus-host disease(GVHD) after allogeneic hematopoietic stem cell transplantation (HSCT). The pathophysiology of BO is, however, poorly known. The available data strongly support the role of respiratory viruses, in particular paramyxoviruses (parainfluenzae virus (PIV), respiratory syncytial virus, metapneumovirus). It is likely that the alloimmune response triggered by the respiratory virus is inadequate and leads to the peribronchiolar fibrotic process. The objective is to analyze the kinetics of profiles of the blood and respiratory host responses resulting from a high or low parainfluenza respiratory infection, in order to evaluate if the occurrence of a BO is associated with a specific signature We will evaluate the predictive signature of a BO after a parainfluenza virus infection by characterizing the differences between the patients evolving and those not evolving to a BO at 2 months after the infection.
Condition or Disease | Intervention/Treatment | Phase |
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|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Cases eligible patients with 10% decline in Forced Expiratory Volume (FEV1) at 2 months |
Other: samples
blood sample nasal swab
|
Controls eligible patients free of 10% FEV1 decline at 2 months |
Other: samples
blood sample nasal swab
|
Outcome Measures
Primary Outcome Measures
- Host response transcriptomic signature in both blood and respiratory tract after PIV infection [at the time of BO, through study completion, an average of 1 year]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Adult recipients of allogeneic HSCT
-
Pulmonary infection with PIV
Exclusion Criteria:
- No health care insurance
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Saint Louis | Paris | Ile De France | France | 75010 |
Sponsors and Collaborators
- Assistance Publique - Hôpitaux de Paris
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- APHP180175