Clinical trial NCT02466217: Phenomics in Autoimmune and Inflammatory Diseases
Official title: Clinical and Multi-omics Cross-phenotyping of Patients With Autoimmune and Auto-inflammatory Diseases
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Healthy Volunteer
Rheumatoid Arthritis
Ankylosing Spondylitis
Systemic Lupus Erythematosus/Antiphospholipid Syndrome
FMF
Cryopyrin-Associated Periodic Syndromes /TNF-receptor Associated Periodic Syndrome
Vasculitis
Uveitis
Myositis
Crohn's Disease
Ulcerative Rectocolitis
Type 1 Diabetes
Unclassified IAD Knee and/or Hip Arthritis, Muscular Dystrophy
Keywords: Auto-immune disease
Auto-inflammatory disease
Omics
System biology
Lead sponsor: Assistance Publique - Hôpitaux de Paris
Sponsor class: OTHER
Collaborators: name: National Research Agency, France
First posted: 2015-06-09
Enrollment: 537
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The investigator will study adult patients with at least one of the following IAD: Rheumatoid Arthritis, Ankylosing Spondylitis, Systemic Lupus Erythematosus/Antiphospholipid Syndrome, FMF, Cryopyrin-Associated Periodic Syndromes (CAPS)/TNF-receptor Associated Periodic Syndrome (TRAPS), Vasculitis, Uveitis, Myositis, Crohn's Disease, Ulcerative colitis, Type 1 Diabetes. This panel will be completed by controls groups: healthy volunteers, and patients with arthritis (knee and/or hip) or muscular dystrophy

Brief summary: The family of inflammatory/autoimmune systemic diseases (IAD) form a continuum from pure inflammatory diseases to pure autoimmune diseases, encompassing a large panel of inflammatory diseases with some autoimmune components, and vice versa. Cross phenotyping of patients with IAD should be heuristic and help revise the nosography and the understanding of these diseases.

Detailed description: The family of inflammatory/autoimmune systemic diseases (IAD) represents a large group of human diseases. For most if not all of these IAD, the pathophysiological processes or exact causes remain poorly understood. Progresses in molecular understanding of these IAD have led to realize that these are not two distinct categories of diseases. Rather they form a continuum from pure inflammatory diseases to pure autoimmune diseases, encompassing a large panel of inflammatory diseases with some autoimmune components, and vice versa.

Using systems biology, the investigator aims to improve the understanding of these diseases, to identify novel genes/pathways involved, specific or across the diseases, and to discover biomarkers and potential therapeutic targets.

The investigator will study adult patients with at least one of the following IAD: Rheumatoid Arthritis, Ankylosing Spondylitis, Systemic Lupus Erythematosus/Antiphospholipid Syndrome, Familial Mediterranean Fever (FMF), Cryopyrin-Associated Periodic Syndromes (CAPS) /Tumor Necrosis Factor-receptor Associated Periodic Syndrome (TRAPS), Vasculitis, Uveitis, Myositis, Crohn's Disease, Ulcerative colitis, Type 1 Diabetes. This panel will be completed by controls groups: healthy volunteers, and patients with arthritis (knee and/or hip) or muscular dystrophy.

The biological investigations will notably comprise: immunomics (comprehensive evaluation of peripheral blood cell subsets and serum immunoproteomics, including autoantibodies); transcriptomics; Human Leukocyte Antigen (HLA)-phenotyping; genomics; T-Cell Receptor (TCR) sequencing and microbiota studies.

After signing the informed consent, the subject attends only one visit (Day 0) during which all biological samples will be taken and all clinical information collected.

Eligibility criteria: Inclusion Criteria:

* Presenting either:

  * one IAD from our list (Rheumatoid Arthritis, Ankylosing Spondylitis, Systemic Lupus Erythematosus/Antiphospholipid Syndrome, FMF, Cryopyrin-Associated Periodic Syndromes (CAPS)/Tumor Necrosis Factor (TNF)-receptor Associated Periodic Syndrome, Vasculitis, Uveitis, Myositis, Crohn's Disease, Ulcerative colitis, Type 1 Diabetes)
  * or an unclassified IAD : a knee and/or hip arthritis or a muscular dystrophy
  * or healthy subject
* Good veins
* Affiliation to a social security system
* Informed consent form, signed by the participant and the investigator, prior all needed examination

Exclusion Criteria:

* For IADs patients

  * Unauthorized treatment (anticancer chemotherapy)
* For Healthy volunteers

  * Contra-indications for donating blood except from age
  * Known history of IAD (eg: Psoriasis)
* Common exclusion criteria:

  * Pregnant woman
  * Still under the exclusion period from another biomedical study
  * Psychiatric or addiction pathology who could interfere with the ability to fulfill the protocol needs or to provide an informed consent
  * Patient under a legal protection
  * Chronic lifelong viral infection unrelated to the pathology
  * Mild infection within the last 3 months

Primary outcomes:
measure: Total peripheral blood gene expression between patients, expressed as fluorescence intensity
timeFrame: at day 0, no follow-up
measure: Tregs and Tconvs T cell receptor repertoire, expressed as the % of unique TCR sequences
timeFrame: at day 0, no follow-up
measure: HLA type and SNPs expressed as the occurrence events across patients
timeFrame: at day 0, no follow-up
measure: Microbiote species identification expressed as the % of species per family and genus
timeFrame: at day 0, no follow-up
measure: Cytokines and chemokines expressed as fluorescence intensity
timeFrame: at day 0, no follow-up
measure: Immune cells phenotyping expressed as the each cell type % within total PBMCs
timeFrame: at day 0, no follow-up
Secondary outcomes:
measure: Changes in gene expression intensity between patients and healthy controls - for each Disease cohorts
timeFrame: at day 0, no follow-up
measure: Changes in Tregs and Tconvs TCR sequence frequencies between patients and healthy controls - for each Disease cohorts
timeFrame: at day 0, no follow-up
measure: Characterization of HLA and SNP profiles in patients and healthy controls - for each Disease cohorts
timeFrame: at day 0, no follow-up
measure: Changes in Microbiote composition between patients and healthy controls - for each Disease cohorts
timeFrame: at day 0, no follow-up
measure: Changes in cytokines and chemokines expression levels between patients and healthy controls - for each Disease cohorts
timeFrame: at day 0, no follow-up
measure: Changes in immune cells frequencies between patients and healthy controls - for each Disease cohorts
timeFrame: at day 0, no follow-up
measure: Identification of specific and common gene expression levels between patients - between Disease cohorts
timeFrame: at day 0, no follow-up
measure: Identification of specific and common Tregs and Tconvs TCR sequence frequencies between patients - between Disease cohorts
timeFrame: at day 0, no follow-up
measure: Characterization of specific and common HLA and SNP profiles in patients - between Disease cohorts
timeFrame: at day 0, no follow-up
measure: Identification of specific and common microbiote composition between patients - between Disease cohorts
timeFrame: at day 0, no follow-up
measure: Identification of specific and common cytokines and chemokines expression levels between patients - between Disease cohorts
timeFrame: at day 0, no follow-up
measure: Characterization specific and common variations in immune cells frequencies between patients - between Disease cohorts
timeFrame: at day 0, no follow-up
Other outcomes:
Locations:
city: Paris
country: France
facility: Rhumatologie - Hôpital Saint-Antoine
city: Paris
country: France
facility: CIC Paris-Est, Hôpital PITIE SALPETRIERE
Study officials:
affiliation: Assistance Publique - Hôpitaux de Paris
name: David KLATZMANN, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lorenzon R, Mariotti-Ferrandiz E, Aheng C, Ribet C, Toumi F, Pitoiset F, Chaara W, Derian N, Johanet C, Drakos I, Harris S, Amselem S, Berenbaum F, Benveniste O, Bodaghi B, Cacoub P, Grateau G, Amouyal C, Hartemann A, Saadoun D, Sellam J, Seksik P, Sokol H, Salem JE, Vicaut E, Six A, Rosenzwajg M, Bernard C, Klatzmann D. Clinical and multi-omics cross-phenotyping of patients with autoimmune and autoinflammatory diseases: the observational TRANSIMMUNOM protocol. BMJ Open. 2018 Aug 30;8(8):e021037. doi: 10.1136/bmjopen-2017-021037.