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Evolution of Interleukin 7, Fat Mass and Metabolic Profile Before and After Transplantation (IL-7tran)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
University Hospital, Lille
ClinicalTrials.gov Identifier:
NCT01414660
First received: August 10, 2011
Last updated: February 1, 2017
Last verified: February 2017
  Purpose
Three different white adipose tissue-related disorders, whether due to its excess (obesity), absence (lipoatrophies) or aberrant distribution (lipodystrophies), are paradoxically able to induce metabolic insulin resistance syndrome. The respective roles played by quantitative and qualitative anomalies of adipose tissue, gluco- and lipo-toxicity, liver and muscle insulin resistance, low-grade fat inflammation and immune alterations are not yet perfectly understood. In contrast to most organ transplantations that are often complicated by post-transplantation diabetes, diabetes cell therapy is associated with body weight loss, which is possibly related to the antiadipogenic effects of mTOR inhibitors (rapamycin or sirolimus). The aim of this study is thus to determine and monitor blood interleukin-7 and other cytokine levels; metabolic parameters; and fat mass distribution with DEXA and RMN, before and after a immunosuppressive regimen in patients receiving different kinds of transplantation (liver, kidney or islets) with normal weight and no type 2 diabetes before transplantation. In these patients, blood samples will be taken before and after transplantation, as will adipose tissue during the transplantation surgery, in order to constitute a plasma serum, gene and tissue bank for improving our knowledge of disorders linking fat mass, insulin resistance and immunity, especially post-transplantation diabetes.

Condition Intervention
Immunodeficiency Secondary to Organ Transplantation
Procedure: transplantation

Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Other
Official Title: Adipocytes, Insulin Resistance and Immunity: Evolution of Interleukin 7, Fat Mass and Metabolic Profile Before and After Transplantation

Resource links provided by NLM:


Further study details as provided by University Hospital, Lille:

Primary Outcome Measures:
  • interleukin 7 [ Time Frame: 1 year ]

Secondary Outcome Measures:
  • Interleukin 2 [ Time Frame: 1 year ]
  • Interleukin 4 [ Time Frame: 1 year ]
  • Interleukin 9 [ Time Frame: 1 year ]
  • Interleukin 15 [ Time Frame: 1year ]
  • Interleukin 21 [ Time Frame: 1year ]
  • TNFa [ Time Frame: 1 year ]
  • Interleukin 1b [ Time Frame: 1 year ]
  • Interleukin 6 [ Time Frame: 1year ]
  • Interleukin 8 [ Time Frame: 1 year ]
  • Interleukin 10 [ Time Frame: 1 year ]
  • Interleukin 18 [ Time Frame: 1 year ]
  • leptin [ Time Frame: 1 year ]
  • adiponectin [ Time Frame: 1 year ]
  • Blood cells of innate and adaptative immunity analysis [ Time Frame: 1 year ]
  • fat mass [ Time Frame: 1 year ]
  • metabolic parameters [ Time Frame: 1 years ]

Biospecimen Retention:   Samples With DNA
wholeblood and tissue bank

Enrollment: 49
Study Start Date: June 2010
Study Completion Date: June 2015
Primary Completion Date: June 2015 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
islet
type 1 diabetic patients undergoing islet transplantation
Procedure: transplantation
transplantation of islet, kidney or liver
liver
non diabetic patients undergoing a liver transplantation
Procedure: transplantation
transplantation of islet, kidney or liver
kidney
non diabetic patients undergoing a kidney transplantation
Procedure: transplantation
transplantation of islet, kidney or liver

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients undergoing a transplantation in Endocrinology Metabolism department, Nephrology department and Liver Transplantation department in Lille University Hospital, Amiens University Hospital, Caen University Hospital, Rouen University Hospital and Reims University Hospital.
Criteria

Inclusion Criteria:

  • Male and Female
  • More than 18 years old
  • BMI inferior to 30 kg/m2
  • non diabetic patients who need a kidney or a liver transplantation(Glucose blood level <1,26 g/L without any antidiabetic drug)
  • OR included in the islet transplantation protocol because of a C peptide negative brittle or difficult to treat diabetes.
  • cover under the social security

Exclusion Criteria:

  • Unable to receive enlightened information
  • Refusal to sign the consent
  • Auto immune disease (kidney, liver or chronic inflammatory disease)
  • need for a kidney-pancreas transplantation
  • Creatinin > 15 mg / L for patients non concerned by kidney transplantation
  • Sepsis
  • Oestrogens, raloxifene
  • Active alcohol Intoxication
  • Cancers or autoimmune diseases;
  • Psychiatric Pathology
  • Active infection including hepatitis C or HIV;
  • Age under 18 years or above 65 years
  • Participation in another study excluded the possibility of participating in another protocol
  • No cover under the social security
  • Pregnant or lactating women
  • patients under guardianship, persons deprived of liberty
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01414660

Locations
France
Amiens University Hospital
Amiens, France
Caen University Hospital
Caen, France
Lille University Hospital
Lille, France
Reims University Hospital
Reims, France
Rouen University Hospital
Rouen, France
Sponsors and Collaborators
University Hospital, Lille
Investigators
Principal Investigator: Marie-Christine VANTYGHEM, MD, PhD Lille University Hospital
  More Information

Responsible Party: University Hospital, Lille
ClinicalTrials.gov Identifier: NCT01414660     History of Changes
Other Study ID Numbers: 2009_09/0940
2009-A01169-48 ( Other Identifier: ID-RCB number, ANSM )
B91413-80 ( Other Identifier: AFSSAPS )
PHRC 2009/API ( Other Identifier: DHOS )
Study First Received: August 10, 2011
Last Updated: February 1, 2017
Individual Participant Data  
Plan to Share IPD: No

Keywords provided by University Hospital, Lille:
interleukin 7
transplantation
liver
kidney
islet
diabetes

Additional relevant MeSH terms:
Immunologic Deficiency Syndromes
Immune System Diseases

ClinicalTrials.gov processed this record on May 25, 2017