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临床试验/NCT06599411
NCT06599411招募中不适用

Identification Des Marqueurs Biologiques cutanés et Sanguins prédictifs de réponse Aux Traitements systémiques au Cours Des Maladies cutanées Inflammatoires Chroniques

Assistance Publique - Hôpitaux de Paris1 个研究点 分布在 1 个国家目标入组 830 人开始时间: 2025年10月20日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
入组人数
830
试验地点
1
主要终点
Therapeutic response

研究概览

简要总结

Chronic inflammatory skin diseases constitute a heterogeneous group of pathologies. They affect the skin but also other organs (joints, lungs, muscles, etc.). Their prognosis and response to treatments is extremely variable. The discovery of prognosis factors will help to precisely guide the treatment regimen and its intensification based on individual markers. The identification of new therapeutic targets is essential to develop new innovative treatments for inflammatory skin diseases.

The main objective is to identify new cellular or molecular prognostic factors associated with treatment response at 1 year in inflammatory skin diseases.

The secondary objectives are a better understanding of the pathophysiology of chronic inflammatory skin diseases, the identification of new cellular, molecular and microbiological prognostic factors associated with the clinical state after 10 years of evolution and the identification of prognostic markers of drug toxicity.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
是

入选标准

  • •Age>18 years
  • •Informed consent signed by the patient
  • •Diagnosis of moderate to severe chronic inflammatory skin disease (IGA score 3 or 4) including: atopic dermatitis, psoriasis, hidradenitis suppurativa, lichen planus, cutaneous lupus, dermatomyositis, cutaneous scleroderma (=morphea), neutrophilic dermatosis, cutaneous granulomatosis, cutaneaous vasculitis, autoimmune bullous dermatosis
  • •Or diagnosis of active leprosy (tuberculoid, lepromatous, reversion type 1, reversion type 2, hypersensitivity type 3), excluding pure neurological leprosy. Classification into 5 stages according to the Ridley and Jopling classification [1], Reversion reaction (type 1 reaction) and leprous erythema nodosum (type 2 reaction).
  • •Healthy controls :
  • •Age>18 years
  • •Plastic surgery patients who have had any type of surgery resulting in healthy skin remnants
  • •Informed consent signed by the patient
  • •Absence of known cutaneous inflammatory disease.

排除标准

  • •Under guardianship or curatorship
  • •Pregnant or breastfeeding woman
  • •Lack of affiliation with a social security system
  • •Current systemic treatment with immunosupressant (including corticosteroid therapy) or an immunomodulator or received within the last 3 months.

研究组 & 干预措施

Patients

Affected by inflammatory skin disease

干预措施: Sampling (Other)

Controls

Plastic surgery patients who have had any type of surgery resulting in healthy skin remnants

干预措施: Sampling (Other)

结局指标

主要结局

Therapeutic response

时间窗: At 1 year

It is defined as complete or partial remission on the Investigator/Physician Global Assessment (IGA/PGA) scale.

次要结局

  • Expression of markers of blood and skin immunological signaling pathways(At 1 year)
  • Expression of markers of blood T cell populations and skin transcriptomics(At 1 year)
  • Therapeutic response(At 10 years)
  • Microbiota markers(At 1 year)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 10 years)
  • Quality of life measurement(At 8 years)
  • Quality of life measurement(At 9 years)
  • Quality of life measurement(At 10 years)
  • Expression of markers of blood and skin immunological signaling pathways(At inclusion)
  • Expression of markers of blood and skin immunological signaling pathways(At 4 months)
  • Expression of markers of blood T cell populations and skin transcriptomics(At inclusion)
  • Expression of markers of blood T cell populations and skin transcriptomics(At 4 months)
  • Therapeutic response(At inclusion)
  • Therapeutic response(At 4 months)
  • Therapeutic response(At 1 year)
  • Therapeutic response(At 2 years)
  • Therapeutic response(At 3 years)
  • Therapeutic response(At 4 years)
  • Therapeutic response(At 5 years)
  • Therapeutic response(At 6 years)
  • Therapeutic response(At 7 years)
  • Therapeutic response(At 8 years)
  • Therapeutic response(At 9 years)
  • Microbiota markers(At inclusion)
  • Proportion of patients suffering from adverse effects of systemic treatments(At inclusion)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 4 months)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 1 year)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 2 years)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 3 years)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 4 years)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 5 years)
  • Quality of life measurement(At 1 year)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 6 years)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 7 years)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 8 years)
  • Proportion of patients suffering from adverse effects of systemic treatments(At 9 years)
  • Quality of life measurement(At inclusion)
  • Quality of life measurement(At 4 months)
  • Quality of life measurement(At 2 years)
  • Quality of life measurement(At 3 years)
  • Quality of life measurement(At 4 years)
  • Quality of life measurement(At 5 years)
  • Quality of life measurement(At 6 years)
  • Quality of life measurement(At 7 years)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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