Profiling of Original Cellular and Humoral Biomarkers of Type 1 Diabetes (Lymphoscreen)
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Purpose
The "Lymphoscreen" study aims to characterize precisely (phenotypes/cytokines/functions) CD8+ T cell responses in type 1 Diabetes to identify biomarkers of the disease. Such markers are needed for refine type 1 Diabetes diagnosis/prognostic, and to design new therapeutic approaches targeting autoreactive CD8+ T cells. An original approach using DNA immunization of humanized mice allowed us to identify relevant CD8 epitopes derived from GAD65 and IA-2 beta cell autoantigens. The aims are: (i) identifying exhaustively epitopes recognized by autoreactive CD8+ T lymphocytes in type 1 Diabetes and following islet or pancreas graft in humans; (ii) identifying pathogenic CD8+ T cell patterns or profiles related to type 1 Diabetes pathogenesis and evolution; (iii) correlating CD8+ autoreactive T cell responses and autoantibody responses to new cellular (such as CD4+ T cells or peripheral cell miRNA) or humoral markers of the disease (such as serum miRNA).
| Condition | Intervention |
|---|---|
|
Type 1 Diabetes |
Other: Blood samplings |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Profiling of Original Cellular and Humoral Biomarkers of Type 1 Diabetes |
- Identification and characterization of new CD8+ T lymphocytes related to type 1 diabetes and its evolution (2009-2012) [ Time Frame: 3 years ] [ Designated as safety issue: No ]
- Identification and characterization of new profiles of humoral and cellular markers (including T cell reactivity and miRNA) related to type 1 diabetes (2010-2014). [ Time Frame: 3 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | September 2007 |
| Estimated Study Completion Date: | January 2015 |
| Estimated Primary Completion Date: | January 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Long-term type 1 diabetic patients
Long-term type 1 diabetic patients
|
Other: Blood samplings |
|
Active Comparator: control patients
control patients
|
Other: Blood samplings |
|
Experimental: diabetic and transplanted patients
diabetic and transplanted patients
|
Other: Blood samplings |
|
Experimental: subjects with high risk for diabetes
subjects with high risk for diabetes
|
Other: Blood samplings |
|
Experimental: patients with recent type 1 diabetes
patients with recent type 1 diabetes
|
Other: Blood samplings |
|
Experimental: patients with Latent Autoimmune Diabetes
patients with Latent Autoimmune Diabetes
|
Other: Blood samplings |
Eligibility| Ages Eligible for Study: | 7 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion criteria:
- at least, 50 patients with "recent" type 1 diabetes,
- 30 patients with long-term type 1 diabetes,
- 10 patients with Latent Autoimmune Diabetes,
- 10 subjects with a risk for diabetes,
- 20 type 1 diabetic patients with pancreatic graft or Langerhans islet graft.
- 50 healthy subjects paired to HLA class I and to the age
Those subjects have to respect the following criteria :
- Age from 7 to 70 -Caucasian
- Affiliated to a national insurance scheme
- Written informed consent obtained For children, written informed consent is required from the two parents.
Non-inclusion criteria :
- Age strictly inferior to 7 or strictly superior to 70 years old
- Pregnancy
- Secondary diabetes
- No written informed consent
Contacts and Locations| Contact: Jean-Marie Bach | bach@vet-nantes.fr |
| France | |
| CHU de Nantes | Recruiting |
| Nantes, France, 44093 | |
| Contact: Lucy Chaillous Lucy.chaillous@chu-nantes.fr | |
| Principal Investigator: | Lucy Chaillous | CHU de Nantes |
More Information
No publications provided
| Responsible Party: | Nantes University Hospital |
| ClinicalTrials.gov Identifier: | NCT01042301 History of Changes |
| Other Study ID Numbers: | BRD07/5-A |
| Study First Received: | January 4, 2010 |
| Last Updated: | November 2, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 1 Glucose Metabolism Disorders Metabolic Diseases |
Endocrine System Diseases Autoimmune Diseases Immune System Diseases |
ClinicalTrials.gov processed this record on May 22, 2013