NCT03919981

Brief Summary

Nephropathic Cystinosis (NC) is an orphan inherited autosomal recessive disease characterised as a generalized lysosomal storage disease due to a deficiency of the cystine lysosomal transport protein, cystinosin. Patients with NC usually receive cysteamine. Bone impairment was recently recognized as a late complication of NC, occurring at adolescence or early adulthood. Even though the exact underlying pathophysiology is unclear, at least six hypotheses are discussed, and mainly cysteamine toxicity and/or direct bone effect of the Cystinosin (CTNS) mutation. Because of the potential dramatic impact on quality of life of this novel complication, research should aim to better understand bone disease in NC. The primary objective of this study is to evaluate the action of cysteamine on osteoclastic differentiation and resorption activity of NC patients, depending on the underlying genotype. The Secondary objective is to describe the clinical bone status of NC patients depending on their underlying genotype.

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
50

participants targeted

Target at P25-P50 for all trials

Timeline
5mo left

Started Apr 2019

Longer than P75 for all trials

Geographic Reach
4 countries

13 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress95%
Apr 2019Oct 2026

First Submitted

Initial submission to the registry

February 21, 2019

Completed
1 month until next milestone

Study Start

First participant enrolled

April 5, 2019

Completed
13 days until next milestone

First Posted

Study publicly available on registry

April 18, 2019

Completed
7.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 5, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 5, 2026

Last Updated

March 3, 2025

Status Verified

February 1, 2024

Enrollment Period

7.5 years

First QC Date

February 21, 2019

Last Update Submit

February 27, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of positive Tartrate-resistant acid phosphatase (TRAP) cells

    Number of positive TRAP cells will be assessed at the end of osteoclast differentiation from circulating monocytes

    1 day

Study Arms (1)

nephropathic cystinosis patients receiving cysteamine

nephropathic cystinosis patients receiving cysteamine. The blood samples of the group will be used to evaluate the action of cysteamine on osteoclastic differentiation and resorption activity of NC patients, depending on the underlying genotype.

Other: Blood sampling

Interventions

25 mL blood sample will be collected on citrate tubes for osteoclastic analysis.

nephropathic cystinosis patients receiving cysteamine

Eligibility Criteria

Age2 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients with nephropathic cystinosis (NC)

You may qualify if:

  • Male and female subjects with confirmed diagnosis of nephropathic cystinosis (defined by clinical signs, White Blood Cells (WBC) cystine level and/or mutation), currently receiving oral cysteamine.
  • Age \> 2 years.
  • Subjects and/or their parents/ legal guardian must provide non opposition prior to participation in the study.

You may not qualify if:

  • Subjects who, in the opinion of the Investigator, are not able or willing to comply with the protocol.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

CHU de Besançon

Besançon, 25030, France

NOT YET RECRUITING

CHU Bordeaux - Hôpital Pellegrin tripode

Bordeaux, 33000, France

RECRUITING

Hôpital Femme Mère Enfant

Bron, 69677, France

RECRUITING

Hôpital Jeanne de Flandre

Lille, 59037, France

RECRUITING

Hopital Edouard Herriot

Lyon, 69437, France

RECRUITING

AP-HM - Timone Enfants

Marseille, 13385, France

NOT YET RECRUITING

CHU Paris - Hôpital Robert Debré

Paris, 75019, France

RECRUITING

CHU Paris - Hôpital Necker-Enfants Malades

Paris, 75743, France

RECRUITING

Hôpital des Enfants

Toulouse, 31059, France

NOT YET RECRUITING

CHRU Nancy - Hôpital Brabois Enfants

Vandœuvre-lès-Nancy, 54500, France

RECRUITING

Klinik für Pädiatrische Nieren-, Leber- und Stoffwechselerkrankungen

Hanover, 30625, Germany

NOT YET RECRUITING

IRCCS Ospedale Pediatrico Bambino Gesù

Roma, 00146, Italy

NOT YET RECRUITING

Hacettepe University Faculty of Medicine

Ankara, 06100, Turkey (Türkiye)

NOT YET RECRUITING

Biospecimen

Retention: SAMPLES WITHOUT DNA

25 mL blood sample will be collected on citrate tubes for osteoclastic analysis.

MeSH Terms

Conditions

Cystinosis

Interventions

Blood Specimen Collection

Condition Hierarchy (Ancestors)

Lysosomal Storage DiseasesMetabolism, Inborn ErrorsGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Specimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisPuncturesSurgical Procedures, OperativeInvestigative Techniques

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 21, 2019

First Posted

April 18, 2019

Study Start

April 5, 2019

Primary Completion (Estimated)

October 5, 2026

Study Completion (Estimated)

October 5, 2026

Last Updated

March 3, 2025

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

Locations