Clinical and Pathophysiological Investigations Into Erdheim Chester Disease
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|ClinicalTrials.gov Identifier: NCT01417520|
Recruitment Status : Recruiting
First Posted : August 16, 2011
Last Update Posted : May 30, 2019
|First Submitted Date||August 13, 2011|
|First Posted Date||August 16, 2011|
|Last Update Posted Date||May 30, 2019|
|Actual Study Start Date||August 1, 2011|
|Primary Completion Date||Not Provided|
|Current Primary Outcome Measures
|Original Primary Outcome Measures||Not Provided|
|Change History||Complete list of historical versions of study NCT01417520 on ClinicalTrials.gov Archive Site|
|Current Secondary Outcome Measures||Not Provided|
|Original Secondary Outcome Measures||Not Provided|
|Current Other Pre-specified Outcome Measures||Not Provided|
|Original Other Pre-specified Outcome Measures||Not Provided|
|Brief Title||Clinical and Pathophysiological Investigations Into Erdheim Chester Disease|
|Official Title||Clinical and Pathophysiological Investigations Into Erdheim-Chester Disease|
- Erdheim Chester Disease (ECD) is a very rare disease in which abnormal white blood cells start growing and affect the bones, kidneys, skin, and brain. ECD can cause severe lung disease, kidney failure, heart disease, and other complications that lead to death. Because ECD is a rare disease, found mostly in men over 40 years of age, there is no standard treatment for it. More information is needed to find out what genes can cause ECD and how best to treat it.
- To collect study samples and medical information on people with Erdheim Chester Disease.
- Individuals 2 to 80 year of age who have been diagnosed with Erdheim Chester Disease.
Rare and potentially lethal, Erdheim-Chester Disease (ECD) is a histiocytic neoplasm about which little is known, and for which there remains a paucity of effective treatments. Histologically, it is categorized as a non-Langerhans cell histiocytosis, and most commonly occurs in men between the ages of 50 and 70, although cases have been reported in women, and rarely, children. Worldwide about 600 cases have been reported, and the disorder remains difficult to diagnose due to its rarity and protean manifestations. The phenotype of ECD ranges from almost asymptomatic patients diagnosed incidentally when imaging studies are done for other reasons, to patients presenting with multiple organ failure who die shortly after diagnosis. These multifarious presentations, and the subsequent response to therapy, have not been well documented and create the need for a prospective study to learn more about this devastating disorder.
Protocol 11-HG-0207, "Clinical and Pathophysiological Investigations into Erdheim-Chester Disease," is a natural history study designed to better understand and describe the natural history, pathophysiology, and response to therapy, of this devastating disorder. We will use a prospective design to enroll and follow qualified men and women, of all ethnic groups, ages 2 to 80 years, who will be screened for candidacy prior to enrollment. If appropriate for the study, patients may opt to be evaluated at the NIH Clinical Center, or may opt to send tissue and records for analysis. The NIH Clinical Center will be the only center for this study, and patients may return for follow-up visits every two to three years, or send copies of test results in lieu of an admission. The enrollment ceiling is 100 patients and we may close the study to new recruitment at that time, but keep the study open to see established patients and to analyze data. Thus, we do not have a definite time-period for the completion of the study.
Through the prospective design, we will collect data from medical histories and physical exams, lab tests, imaging studies, organ-function studies, various measurement tools, and medical consultations. Data will be collated into spreadsheets and divided into functional categories such as organ system complications, to facilitate analysis. We will analyze the data with the assistance of an NIH statistician using parametric and non-parametric methods to assess overall trends in survival, and to look for patterns in organ involvement, patterns in response to various therapeutic regimens, and, lastly, to look for an association between the BRAF V600E mutation and disease severity.
Patient safety and privacy, and respect for the autonomy of the patients, are our top priorities. All patients will be carefully screened prior to participation, and we follow Clinical Center policies regarding informed consent. Data will be stored electronically and in hard copy, in password protected computers and locked cabinets, respectively. Only the PI, the responsible physician, and select AIs, will have access. Patients will be closely monitored during NIH admissions, and the investigators will track all adverse events according to NIH policy. The investigators will keep patients apprised of test results and will reiterate the risks and benefits of procedures during NIH evaluations. Lastly, the investigators will respect patients rights to refuse testing.
We will disseminate the results of our analyses in publications and presentations intended to educate the medical community regarding the diagnosis and management of ECD, and to spur research. We hope our efforts will eventually lead to better outcomes for patients.
|Study Design||Observational Model: Cohort
Time Perspective: Prospective
|Target Follow-Up Duration||Not Provided|
|Sampling Method||Non-Probability Sample|
|Study Population||Patients who are known to have, or are suspected to have, ECD|
ECD patients of any gender and ethnicity age 2-80 years are eligible to enroll in this protocol
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
|Original Estimated Enrollment||Same as current|
|Study Completion Date||Not Provided|
|Primary Completion Date||Not Provided|
|Ages||2 Years to 80 Years (Child, Adult, Older Adult)|
|Accepts Healthy Volunteers||No|
|Listed Location Countries||United States|
|Removed Location Countries|
|Other Study ID Numbers||110207
|Has Data Monitoring Committee||Not Provided|
|U.S. FDA-regulated Product||Not Provided|
|IPD Sharing Statement||Not Provided|
|Responsible Party||National Institutes of Health Clinical Center (CC) ( National Human Genome Research Institute (NHGRI) )|
|Study Sponsor||National Human Genome Research Institute (NHGRI)|
|PRS Account||National Institutes of Health Clinical Center (CC)|
|Verification Date||October 5, 2018|