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临床试验/2024-513581-19-00
2024-513581-19-00已完成4 期

Inhibition of Mast cell Activation in AtheroScleroTic lesions using an Anti-IgE antibody approach (MAST)

Universitair Medisch Centrum Utrecht1 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2024年8月1日最近更新:
适应症

试验速览

阶段
4 期
状态
已完成
发起方
入组人数
40
试验地点
1
主要终点
Primary study endpoint is the % of mast cell activation, which can be measured with flow cytometry.

研究概览

简要总结

To determine whether short anti-IgE treatment with an anti-IgE monoclonal antibody (omalizumab) can limit intraplaque mast cell activation in atherosclerotic plaques, acquired by a carotid endarterectomy.

入排标准

年龄范围
18 years 至 65+ years(65+ Years, 18-64 Years)
接受健康志愿者

入选标准

  • Patient is 18 years or age or older.
  • Patient is able and willing to give their consent and sign an informed consent.
  • Patient has a symptomatic or asymptomatic atherosclerotic carotid artery stenosis of at least 50% narrowing of the lumen (calculated by using criteria equivalent to the NASCET method) wherefore revascularisation through carotid endarterectomy is plannend routinely.

排除标准

  • Previous anaphylactic reaction (e.g. food allergy, medication such as antibiotics)
  • Previous carotid endarterectomy (CEA) or carotid artery stenting (CAS) in the ipsilateral artery.
  • Patients with severe asthma or chronic urticaria which are treated or have been treated with omalizumab subcutaneously.

结局指标

主要结局

Primary study endpoint is the % of mast cell activation, which can be measured with flow cytometry.

Primary study endpoint is the % of mast cell activation, which can be measured with flow cytometry.

次要结局

  • The effect of omalizumab on the level of inflammation of patients with atherosclerosis by measuring the percentage of inflammatory cells (T cell subsets, M1/M2 macrophages, neutrophils, B-cells) in the immune cell suspension obtained from the plaque using flow cytometry.
  • The effect of omalizumab treatment on circulating IgE levels determined by ELISA.
  • The effect of omalizumab on tryptase levels (and thereby on systemic mast cell activation).
  • The effect of omalizumab on plaque levels of tryptase and chymase.
  • The effect of omalizumab on the activation status of basophils by using a BAT assay.
  • The effect of omalizumab on plaque phenotype such as necrotic area, cellular composition and stability parameters using histology.
  • The effect of omalizumab on circulating white blood cell count, hsCRP, IL-1B and IL-6.
  • As a secondary safety parameter the occurence of arterial thromboembolic events will be documented.

研究者

发起方
Universitair Medisch Centrum Utrecht
申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

DHS Onderzoeksbureau

Scientific

Universitair Medisch Centrum Utrecht

研究点 (1)

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