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Hemophagocytic LymphohistiocytosisNCT03259230

Evaluation of IFNγ and Inflammatory Mediators in Patients With Malignancy-Associated Hemophagocytic Lymphohistiocytosis

An observational study of Hemophagocytic Lymphohistiocytosis, run by Swedish Orphan Biovitrum at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This observational study is designed to determine the levels of pro-inflammatory markers in patients diagnosed with M-HLH, and to assess whether the cytokine profiles bear an IFNγ signature. Read more about this study

Who is it for?
Any age
Conditions the study is for
Hemophagocytic Lymphohistiocytosis
What is being tested?
Blood Draws and Data Collection
How many people
40 participants
Where
1 siteUnited States
Study dates
13 Oct 2016to 29 Jan 2020
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Male and female (adult and children) patients who are diagnosed with M-HLH and that meet the inclusion criteria. In addition, patients with a diagnosis of hematological malignancy in the absence of HLH will be included as a control group.

Who may be able to join

  • Patients diagnosed with HLH in the context of a malignancy. The diagnosis of M-HLH will be established by the treating physician.
  • The patient or patient's legal representative (in case the patient is < 18 years old) must have consented to the use of their clinical data for research purposes at the site.
  • For the control group, patients with a diagnosis of hematological malignancy and never diagnosed with HLH or no suspicion of HLH

Who cannot join

  • N/A

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

About this study

Official title: An Observational, Multicenter Study to Evaluate Interferon Gamma (IFNγ) and Other Inflammatory Mediators in Patients With Malignancy-Associated Hemophagocytic Lymphohistiocytosis (M-HLH)

This observational study is designed to determine the levels of pro-inflammatory markers in patients diagnosed with M-HLH, and to assess whether the cytokine profiles bear an IFNγ signature.

Read the detailed description

This is a observational study designed to determine the levels of inflammatory markers in patients diagnosed with M-HLH and to assess the relationship between the biomarkers and disease activity in these patients during the M-HLH course. Inflammatory markers will also be measured in a group of control patients diagnosed with hematological malignancy but without HLH. Inflammatory markers include IFNγ and IFNγ-induced chemokines CXCL9 and CXCL10.

In addition to the blood samples for the biomarker analysis, relevant information gathered by the treating physician will be collected in a data collection form. Whenever possible, collection of serum samples for biomarker analysis and relevant information should occur at M-HLH diagnosis, at regular time intervals during the treatment course as well as at resolution or reactivation of the disease.

Blood samples will also be sent to the study sponsor (NovImmune S.A.) for cytokine testing. Before participant's samples are sent to the sponsor for testing, participant's name and any personal identifying information will be coded to protect participant's privacy.

Being tested
Blood Draws, Data Collection
Keywords
Hemophagocytic Lymphohistiocytosis, Malignancy-Associated Hemophagocytic Lymphohistiocytosis, M-HLH, Patients with known diagnosis of malignancy without HLH, Interferon Gamma, IFNγ, Biomarkers, Inflammatory Markers, Blood draws, Data collection
Medical subject headings
Lymphohistiocytosis, Hemophagocytic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Blood DrawsOther

  • Data CollectionOther

Study groups in NCT03259230
Study groupRoleWhat they receive
Malignancy-Associated Hemophagocytic LymphohistiocytosisPatients diagnosed with HLH in the context of a malignancy. The diagnosis of M-HLH was established by the treating physician.
Receives: Other: Blood Draws; Other: Data Collection
Absence of HLH in patients diagnosed with malignancyPatients with a diagnosis of hematological malignancy and never diagnosed with HLH or no suspicion of HLH (at any time, including time after sample collection in case of use of retrospective sample).
Receives: Other: Blood Draws; Other: Data Collection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Serum Concentration of Inflammatory Biomarker - C-X-C Chemokine Ligand 10 (CXCL10)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of CXCL10.

    Measured: From Day 1 up to 39.5 months

  2. Mean Serum Concentration of Inflammatory Biomarker - C-X-C Chemokine Ligand 9 (CXCL9)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of CXCL9.

    Measured: From Day 1 up to 39.5 months

  3. Mean Serum Concentration of Inflammatory Biomarker - Interferon Gamma (IFNg)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of IFNg.

    Measured: From Day 1 up to 39.5 months

  4. Mean Serum Concentration of Inflammatory Biomarker - Interleukin 10 (IL-10)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of IL-10.

    Measured: From Day 1 up to 39.5 months

  5. Mean Serum Concentration of Inflammatory Biomarker - Interleukin 1 Beta (IL-1B)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of IL-1B.

    Measured: From Day 1 up to 39.5 months

  6. Mean Serum Concentration of Inflammatory Biomarker - Interleukin 6 (IL-6)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of IL-6.

    Measured: From Day 1 up to 39.5 months

  7. Mean Serum Concentration of Inflammatory Biomarker - Neopterin

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of neopterin.

    Measured: From Day 1 up to 39.5 months

  8. Mean Serum Concentration of Inflammatory Biomarker - Tumor Necrosis Factor Alpha (TNFa)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of TNFa.

    Measured: From Day 1 up to 39.5 months

  9. Mean Serum Concentration of Inflammatory Biomarker - Total Human Interferon Gamma (hIFNg)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of hIFNg.

    Measured: From Day 1 up to 39.5 months

  10. Mean Serum Concentration of Inflammatory Biomarker - Soluble CD163 (sCD163)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of sCD163.

    Measured: From Day 1 up to 39.5 months

  11. Mean Serum Concentration of Inflammatory Biomarker - Soluble IL-2 Receptor Alpha (sIL2Ra)

    Serum samples was collected at various times after HLH diagnosis to determine the concentration of sIL2Ra.

    Measured: From Day 1 up to 39.5 months

  12. Mean Serum Concentration of Hemoglobin

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of hemoglobin.

    Measured: From Day 1 up to 39.5 months

  13. Mean Serum Concentration of Hematocrit

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of hematocrit.

    Measured: From Day 1 up to 39.5 months

  14. Mean Serum Concentration of Erythrocytes

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of erythrocytes.

    Measured: From Day 1 up to 39.5 months

  15. Mean Serum Concentration of Leukocytes

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of leukocytes.

    Measured: From Day 1 up to 39.5 months

  16. Mean Serum Concentration of Neutrophils

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of neutrophils.

    Measured: From Day 1 up to 39.5 months

  17. Mean Serum Concentration of Lymphocytes

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of lymphocytes.

    Measured: From Day 1 up to 39.5 months

  18. Mean Serum Concentration of Monocytes

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of monocytes.

    Measured: From Day 1 up to 39.5 months

  19. Mean Serum Concentration of Eosinophils

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of eosinophils.

    Measured: From Day 1 up to 39.5 months

  20. Mean Serum Concentration of Basophils

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of basophils.

    Measured: From Day 1 up to 39.5 months

  21. Mean Serum Concentration of Platelets

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of platelets.

    Measured: From Day 1 up to 39.5 months

  22. Mean Plasma Concentration of Fibrinogen

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of fibrinogen.

    Measured: From Day 1 up to 39.5 months

  23. Mean Plasma Concentration of D-Dimer

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of D-dimer.

    Measured: From Day 1 up to 39.5 months

  24. Mean Serum Concentration of Ferritin

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of ferritin.

    Measured: From Day 1 up to 39.5 months

  25. Mean Serum Concentration of Fasting Triglycerides

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of fasting triglycerides.

    Measured: From Day 1 up to 39.5 months

  26. Mean Serum Concentration of Creatinine

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of creatinine.

    Measured: From Day 1 up to 39.5 months

  27. Mean Plasma Concentration of Blood Urea Nitrogen

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of blood urea nitrogen.

    Measured: From Day 1 up to 39.5 months

  28. Mean Serum Concentration of Albumin

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of albumin.

    Measured: From Day 1 up to 39.5 months

  29. Mean Serum Concentration of Sodium

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of sodium.

    Measured: From Day 1 up to 39.5 months

  30. Mean Serum Concentration of Beta2-Microglobulin

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of beta2-microglobulin.

    Measured: From Day 1 up to 39.5 months

  31. Mean Serum Concentration of Immunoglobulin G (IgG)

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of IgG.

    Measured: From Day 1 up to 39.5 months

  32. Mean Serum Concentration of C-Reactive Protein

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of c-reactive protein.

    Measured: From Day 1 up to 39.5 months

  33. Mean Serum Concentration of Aspartate Aminotransferase

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of aspartate aminotransferase.

    Measured: From Day 1 up to 39.5 months

  34. Mean Serum Concentration of Alanine Aminotransferase

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of alanine aminotransferase.

    Measured: From Day 1 up to 39.5 months

  35. Mean Serum Concentration of Alkaline Phosphatase

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of alkaline phosphatase.

    Measured: From Day 1 up to 39.5 months

  36. Mean Serum Concentration of Lactate Dehydrogenase

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of lactate dehydrogenase.

    Measured: From Day 1 up to 39.5 months

  37. Mean Serum Concentration of Total Bilirubin

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of total bilirubin.

    Measured: From Day 1 up to 39.5 months

  38. Mean Serum Concentration of Conjugated Bilirubin

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of conjugated bilirubin.

    Measured: From Day 1 up to 39.5 months

  39. Mean Serum Concentration of Natural Killer (NK) Cell Activity

    Blood samples was collected at various times after HLH diagnosis to determine the concentration of NK cell activity. A lytic unit 30 (LU30) was defined as the number of effector cells necessary to cause lysis of 30% of its target cells.

    Measured: From Day 1 up to 39.5 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Aug 2017
  2. Study start13 Oct 2016
  3. Primary completion29 Jan 2020
  4. Study completion29 Jan 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Other
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03259230
Sponsor's protocol ID
NI-0501-07
Other IDs
PA16-0129
Status last verified
Sep 2024
First submitted
21 Aug 2017
Last updated
19 Sep 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Hemophagocytic Lymphohistiocytosis, run by Swedish Orphan Biovitrum at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Sep 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Serum Concentration of Inflammatory Biomarker - C-X-C Chemokine Ligand 10 (CXCL10) (time frame: From Day 1 up to 39.5 months). The study lists 39 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2024.

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