The Role of Stem Cells on Immune Cells in the Development of Cardiovascular Diseases
ATHEROSTEM
Phenotypic and Epigenetic "Trained Immunity" Characteristics of Hematopoietic Stem and Progenitor Cells in Patients With Established Atherosclerosis
1 other identifier
observational
27
1 country
2
Brief Summary
An observational pilot proof-of-principle study. 15 patients with significant coronary artery disease and 15 matched controls. To investigate whether long-term activation of the innate immune system, named 'trained innate immunity', occurs at the level of the bone marrow progenitor cells in patients with significant coronary artery disease and whether this correlates with the proinflammatory phenotype of monocytes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Sep 2017
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 31, 2017
CompletedFirst Posted
Study publicly available on registry
June 1, 2017
CompletedStudy Start
First participant enrolled
September 20, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2018
CompletedApril 1, 2019
October 1, 2018
12 months
March 31, 2017
March 29, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Phenotypical characteristics of HSPC's
Phenotypical characteristics of HSPC's populations of patients with and without significant coronary artery disease by flowcytometry in percentages.
Study day 2 for patients
Cytokine response of circulating monocytes
Cytokine response of monocytes of patients with and without significant coronary artery disease after 24 hour stimulation with several stimuli measured in cytokine levels.
Study day 2 for patients
Study Arms (2)
Atherosclerosis group
Patients with significant coronary artery disease.
Control group
Healthy controls without confirmed coronary artery disease.
Eligibility Criteria
This study will include 15 patients with significant coronary artery disease and 15 patients without significant coronary artery disease. Patients who have been presented to the cardiology departments of the CWZ hospital or Radboud University Medical Centre and have undergone CCTA in the past two years are eligible to participate if they meet the in- and exclusion criteria.
You may qualify if:
- Age ≥18 and ≤75 years
- With or without significant coronary artery disease on CCTA
- Written informed consent
You may not qualify if:
- Chronic infections
- Diabetes mellitus
- Medical history of any disease associated with immune deficiency
- Clinically significant infections within 3 months prior to study entry
- Recent hospital admission or surgery with general anaesthesia
- Known chronic kidney or liver disease
- Previous vaccination within 3 months prior to study entry
- Inability to personally provide written informed consent
- Inability to undergo PET-CT scanning
- Chronic use of anti-inflammatory drugs such as NSAIDs
- History of haematological malignant disease
- Documented bleeding diathesis or thrombocytopenia
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Radboud University Medical Centerlead
- Canisius-Wilhelmina Hospitalcollaborator
Study Sites (2)
Department of cardiology, CWZ
Nijmegen, Gelderland, Netherlands
Department of cardiology, Radboudumc
Nijmegen, Gelderland, Netherlands
Related Publications (1)
Noz MP, Bekkering S, Groh L, Nielen TM, Lamfers EJ, Schlitzer A, El Messaoudi S, van Royen N, Huys EH, Preijers FW, Smeets EM, Aarntzen EH, Zhang B, Li Y, Bremmers ME, van der Velden WJ, Dolstra H, Joosten LA, Gomes ME, Netea MG, Riksen NP. Reprogramming of bone marrow myeloid progenitor cells in patients with severe coronary artery disease. Elife. 2020 Nov 10;9:e60939. doi: 10.7554/eLife.60939.
PMID: 33168134DERIVED
Biospecimen
whole blood, serum, plasma and bone marrow
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Niels P. Riksen, MD, PhD
Radboud University Medical Center
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Target Duration
- 4 Weeks
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 31, 2017
First Posted
June 1, 2017
Study Start
September 20, 2017
Primary Completion
August 31, 2018
Study Completion
October 1, 2018
Last Updated
April 1, 2019
Record last verified: 2018-10
Data Sharing
- IPD Sharing
- Will not share