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Clinical Precise Diagnosis and Treatment in the Kawasaki Disease

Recruiting
Conditions
Kawasaki Disease
Interventions
Diagnostic Test: Echocardiography, Genomics NGS sequencing
Registration Number
NCT05347901
Lead Sponsor
Affiliated Hospital of Nantong University
Brief Summary

The purpose of this project is to explore the differential gene expression profile of Kawasaki disease, and will explore the diagnosis and treatment targets related to coronary artery injury or kawasaki disease susceptibility, vascular damage, IVIG (intravenous immunoglobulin) treatment resistance, incomplete Kawasaki disease, etc.

Detailed Description

After being informed about the study and potential risks, all patients giving written informed consent will acquire blood samples with complete clinical data and prognostic information. Using clinicopathology, molecular biology, gene diagnostics and other techniques to verify the expression differences of target genes and proteins and analyze their expression levels; To analyze the role of target genes and proteins in the occurrence and development of Kawasaki disease and their correlation with the risk of coronary artery injury. In vitro and in vivo KD (Kawasaki Disease) model was used to investigate the role of target genes in Kawasaki disease by gene interference and various molecular biological techniques.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
800
Inclusion Criteria
  • Individual patient's medical file data confirmed the diagnosis of KD using diagnostic criteria issued by the American Heart Association in 2017;
  • Patients were respond to IVIG treatment;
  • the patients aged from 2 months to 14 years old;
  • All included patients required to sign an informed consent form.
Exclusion Criteria
  • The patients with severe infections;
  • The patients with a history of tuberculosis or recent close contact with tuberculosis;
  • The patient vaccinated with live vaccine in 6 months;
  • The patients with the application of hormone or other immunosuppressive agents;
  • The patients didn"t want to signed informed consent.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Health ControlEchocardiography, Genomics NGS sequencingHealth children with age and sex paired with experimental group
Kawasaki DiseaseEchocardiography, Genomics NGS sequencingKD patients, with no congenital heart disease, metabolic disease or Immune deficiency disease.
Primary Outcome Measures
NameTimeMethod
Z-score of coronary artery4 weeks

Calculate z-score by using LMS regression form echocardiography data

Differential gene profile1 week after IVIG treatment

Differential expression analysis of NGS sequencing in genomics

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (4)

Jiangsu Hailan People's Hospital

🇨🇳

Haian, Jiangsu, China

Children's Hospital of Fudan University Qidong Branch

🇨🇳

Qidong, Jiangsu, China

Affiliated Hospital of Nantong University

🇨🇳

Nantong, Jangsu, China

Nantong first People's Hospital

🇨🇳

Nantong, Jiangsu, China

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