Impact of Endothelial and Leukocyte Senescence in Circulatory Shock States

NCT ID: NCT03559569

Last Updated: 2025-03-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

520 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-01-07

Study Completion Date

2028-03-31

Brief Summary

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Circulatory shocks (CS) are life-threatening, acute organ dysfunction. Advances in critical care medicine have decreased early hospital mortality, increasing the number of surviving patients. Regrettably, these survivors are at increased risk of new infections but also of cardiovascular disease.

The investigators hypothesize that CS with multi-organ dysfunction is associated with premature senescence of endothelial cells and immune cells and promotes endothelial thrombogenicity and immunosenescence leading to cardiovascular disease and secondary infections.

The aim of this work is therefore to evaluate the contribution of endothelial and leucocytes senescence to the occurrence of secondary events (infectious and cardiovascular) in patients with a CS. It will provide a better understanding of the pathogenesis of cardiovascular and immune diseases following a CS, likely to guide new management strategies to prevent their occurrence.

Detailed Description

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Conditions

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Shock Cardiovascular Diseases Infection

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with circulatory shock

500 patients with circulatory shock hospitalize in ICU will be prospectively included to assess the effect of this pathology on the senescence phenotype

Biological samples will be done to evaluate the endothelial and leukocyte senescence.

Intervention Type BIOLOGICAL

Noninvasive, reproducible, and sensitive methods to measure cardiac function, endothelial function, and arterial stiffness will be assess.

Healthy volunteers

20 healthy volunteers will be included to assess the effect of no pathology on the senescence phenotype.

Biological samples will be done to evaluate the endothelial and leukocyte senescence.

Intervention Type BIOLOGICAL

Noninvasive, reproducible, and sensitive methods to measure cardiac function, endothelial function, and arterial stiffness will be assess.

Interventions

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Biological samples will be done to evaluate the endothelial and leukocyte senescence.

Noninvasive, reproducible, and sensitive methods to measure cardiac function, endothelial function, and arterial stiffness will be assess.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Circulatory shock
* patient with health care insurance

Exclusion Criteria

* Patients' refusal to participate in clinical research
* Pregnant woman
* Breastfeeding woman
* A patient with a protective order
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Strasbourg, France

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ferhat MEZIANI

Role: PRINCIPAL_INVESTIGATOR

Hôpitaux Universitaires de Strasbourg

Locations

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Hôpitaux Universitaires de Strasbourg - Service de Réanimation médicale du NHC

Strasbourg, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Morgane CLERC

Role: CONTACT

03 88 11 68 55 ext. +33

Madoé JULIANS

Role: CONTACT

03 88 11 61 86 ext. +33

Facility Contacts

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Ferhat MEZIANI

Role: primary

03 69 55 10 24 ext. +33

Hamid MERDJI

Role: backup

03 69 55 11 23 ext. +33

References

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Chomel L, Vogt M, Demiselle J, Le Borgne P, Tschirhart M, Morandeau V, Merdji H, Miguet L, Helms J, Meziani F, Mauvieux L. TLRs1-10 Protein Expression in Circulating Human White Blood Cells during Bacterial and COVID-19 Infections. J Innate Immun. 2024;16(1):216-225. doi: 10.1159/000536593. Epub 2024 Mar 8.

Reference Type DERIVED
PMID: 38461810 (View on PubMed)

Other Identifiers

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7031

Identifier Type: -

Identifier Source: org_study_id

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