Status:

COMPLETED

Deciphering a Specific Signature of the Immunosenescence Induced in COVID-19+ Patients Versus Rheumatoid Arthritis Patients

Lead Sponsor:

University Hospital, Montpellier

Conditions:

SARS-Cov-2 Infection

Rheumatoid Arthritis

Eligibility:

All Genders

18+ years

Brief Summary

Immune aging or immunosenescence is characterized by a loss of T cell clonal diversity and a contraction of naïve T cells with proliferative capacity associated with the functional impairment of many ...

Eligibility Criteria

Inclusion

  • Inclusion Criteria for Active RA Patients:
  • Patients with rheumatoid arthritis (RA) meeting the 2010 ACR/EULAR diagnostic criteria
  • Patients in inflammatory flare of RA (DAS28 \> 3.2)
  • Patients who have been off biological disease-modifying antirheumatic drugs (bDMARDs) or targeted synthetic antirheumatic drugs (tsDMARDs) for RA for at least 2 weeks (except for rituximab, where a delay of at least 12 months is required)
  • Conventional synthetic DMARDs (Methotrexate, Hydroxychloroquine, Leflunomide, Sulfasalazine) are allowed
  • Beneficiary of a social security system
  • Informed consent
  • Inclusion Criteria for Healthy Controls:
  • Absence of chronic diseases and current infection
  • Beneficiary of a social security system
  • Informed consent
  • Inclusion Criteria for COVID-19+ Patients:
  • Patients with ongoing SARS-Cov-2 infection (PCR+)
  • Patients hospitalized at D7-D14 of symptoms onset
  • Patients with two or more SARS-Cov-2 symptoms (including fever, cough, dyspnea, sore throat, chest pain, anosmia, diarrhea)
  • Membership in or beneficiary of a social security scheme
  • Collection of free and informed consent
  • Exclusion Criteria for All Groups:
  • Subjects under 18 years of age
  • HIV positive patients
  • Diabetic patients
  • Morbidly obese patients (BMI \> 40kg/m2)
  • Use of senolytic drugs in the week prior to inclusion (azithromycin, metformin, cyclosporine, JAK inhibitors)
  • Use of steroids in doses greater than 10 mg/day in the week prior to inclusion
  • Subjects unable to give consent
  • Pregnant, breastfeeding, or non-menopausal women not taking effective contraception
  • Vulnerable subjects protected by law
  • Subjects under guardianship or curatorship

Exclusion

    Key Trial Info

    Start Date :

    July 19 2021

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ACTUAL

    End Date :

    November 16 2022

    Estimated Enrollment :

    43 Patients enrolled

    Trial Details

    Trial ID

    NCT04880720

    Start Date

    July 19 2021

    End Date

    November 16 2022

    Last Update

    January 5 2023

    Active Locations (1)

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    CHU Montpellier

    Montpellier, France, 34080