UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000049776
Receipt number R000056649
Scientific Title Role and mechanism of type I interferon in the pathogenesis of anti-MDA5 antibody-positive dermatomyositis
Date of disclosure of the study information 2022/12/14
Last modified on 2024/01/04 11:13:56

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Basic information

Public title

Role and mechanism of type I interferon in the pathogenesis of anti-MDA5 antibody-positive dermatomyositis

Acronym

Role and mechanism of type I interferon in the pathogenesis of anti-MDA5 antibody-positive dermatomyositis

Scientific Title

Role and mechanism of type I interferon in the pathogenesis of anti-MDA5 antibody-positive dermatomyositis

Scientific Title:Acronym

Role and mechanism of type I interferon in the pathogenesis of anti-MDA5 antibody-positive dermatomyositis

Region

Japan


Condition

Condition

Anti-MDA5 antibody-positive dermatomyositis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

1. Analyzing the correlation between serum interferon activity and clinical manifestations, clinical course, prognosis, and treatment response in patients with anti-MDA5 antibody-positive dermatomyositis.
2. Investigating the MDA5 activation and interferon activation mechanisms induced by anti-MDA5 antibodies, and identifying the MDA5 antigen recognition sites.
3. Elucidating the inflammatory cytokine activation mechanism through the interferon-MDA5 pathway in anti-MDA5 antibody-positive dermatomyositis.

Basic objectives2

Others

Basic objectives -Others

Pathophysiology

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

We will conduct an analysis of the correlation between serum interferon activity and clinical manifestations, hematological findings, severity of interstitial lung disease (ILD), and outcomes in MDA5-DM patients. Additionally, using various clinical indicators, we will perform latent cluster analysis to establish a novel disease classification by examining the association between disease subtypes and serum interferon levels.

The measurement of interferon will be performed using the WISH IFN bioassay (Genes Immun 2007;8:492), which allows for the detection of serum interferon activity at approximately 100 times the sensitivity of conventional ELISA. Furthermore, we will use the ultra-sensitive digital ELISA method for interferon detection.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Maneuver

Interventions/Control_1

Blood sampling for healthy controls

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Anti-MDA5 antibody-positive dermatomyositis group:
1) Patients diagnosed with dermatomyositis who fulfill the criteria of Bohan and Peter, or clinically amyopathic dermatomyositis who fulfill the criteria of Sontheimer.
2) Patients with positive anti-MDA5 antibody.

Connective tissue disease group:
Patients who fulfill either of the following criteria.
- 1997 American College of Rheumatology (ACR) Criteria of systemic lupus erythematosus
- ACR/European Alliance of Associations for Rheumatology (EULAR) 2010 rheumatoid arthritis classification criteria
- 2012 Revised international Chapel Hill Consensus Conference nomenclature of vasculitis
- ACR/EULAR 2013 Classification Criteria for Systemic Sclerosis
- American-European Consensus Criteria for Sjogren's Syndrome (2002)

Healthy control group:
People who do not fulfill any of the criteria of anti-MDA5 antibody-positive dermatomyositis or connective tissue disease.

Of any of the above groups, those participants who fulfill the following 1) and 2) will be included in this study.

1) The person who fully understands this study and gives his/her consent or that of his/her legal representative.
2) 18 years or older when serum was taken.

Key exclusion criteria

1) Patients or health controls who cannot give consent.
2) Patients or health controls who are unable to collect specimens.
3) Patients or health controls who are eligible to opt-out and who have requested to opt-out
4) Patients or health controls with other diseases or conditions that are considered inappropriate for this study.
5) Healthy controls with a history of connective tissue disease.

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Nakajima

Organization

Chiba University Graduate School of Medicine

Division name

Department of Allergy and Clinical Immunology

Zip code

260-8670

Address

1-8-1 Inohoana, Chuo-ku, Chiba, Chiba

TEL

043-226-2198

Email

nakajimh@faculty.chiba-u.jp


Public contact

Name of contact person

1st name Tomoaki
Middle name
Last name Ida

Organization

Chiba University Graduate School of Medicine

Division name

Department of Allergy and Clinical Immunology

Zip code

260-8670

Address

1-8-1 Inohoana, Chuo-ku, Chiba, Chiba

TEL

043-226-2198

Homepage URL


Email

t.ida@chiba-u.jp


Sponsor or person

Institute

Chiba University

Institute

Department

Personal name



Funding Source

Organization

Chiba University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Chiba University Graduate School of Medicine, Ethics Committee

Address

1-8-1 Inohoana, Chuo-ku, Chiba, Chiba

Tel

043-226-2462

Email

inohana-rinri@chiba-u.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

千葉大学医学部附属病院(千葉県)、千葉労災病院(千葉県)、国際医療福祉大学成田病院(千葉県)、獨協医科大学病院(栃木県)


Other administrative information

Date of disclosure of the study information

2022 Year 12 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2022 Year 09 Month 16 Day

Date of IRB

2022 Year 11 Month 04 Day

Anticipated trial start date

2022 Year 11 Month 04 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 12 Month 14 Day

Last modified on

2024 Year 01 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000056649


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name