Physiopathology of Prosthetic Joint Infections

NCT ID: NCT05551572

Last Updated: 2022-09-22

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

UNKNOWN

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-10-31

Study Completion Date

2022-10-31

Brief Summary

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This study aim to explore cellular responses of bone and immune cells to bacterial infections observed in patients with prosthetic joint infections. The investigators will analyze clinical data and tissue samples collected from patients undergoing surgery as part of their usual care for prosthetic joint infections. These research will be conducted on three different hospitals in Paris: Lariboisière (AP-HP), Cochin (AP-HP) and Croix Saint-Simon.

Detailed Description

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The number of prosthetic joint infections (PJI) new cases in France is estimated at 2000/2500 cases per year. PJI, mainly caused by staphylococci, are serious infections responsible for significant morbidity result of inflammation and bone destruction (osteomyelitis). Despite optimal medical and surgical management, a risk of failure and recurrence exists, which varies depending on the situation.

In addition to the deterioration in patients' quality of life, the economic cost for the health care system is very high, in particular because of prolonged hospitalizations, complex treatments, and frequent readmissions. Thus, the adequate management of PJI is a major public health issue.

In this context, new therapeutic approaches are urgent medical needs for the management of patients with PJI.

Thus, the identification of the biological mechanisms (immunology, microbiology, bone physiology) underlying these infections is essential. Indeed, the impact of bacterial infections on bone homeostasis is poorly documented. Although several biological mechanisms have been suggested the host-pathogen interaction and the close links between bacterial infection and biological response of bone cells to microorganisms and their environment warrant to be explored.

Conditions

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Prosthetic-joint Infection

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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septic samples

patients undergoing revision surgery for prosthetic joint infection

No interventions assigned to this group

aseptic samples

patients undergoing revision surgery for prosthetic replacement without infection

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* 18 years-old and older
* Patient eligible for lower limb revision surgery (revision surgery for infected or non-infected prosthesis)
* Patient affiliated to a social security system
* Oral consent to the research

Exclusion Criteria

* NA
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martine COHEN-SOLAL, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Hôpital Lariboisière

Paris, , France

Site Status

Countries

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France

Central Contacts

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Martine COHEN-SOLAL, MD, PhD

Role: CONTACT

+33(0)1 49 95 63 58

Facility Contacts

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Anne-Claude CREMIEUX, Md, PhD

Role: primary

+33(0) 1 42 49 40 15

Other Identifiers

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APHP220417

Identifier Type: -

Identifier Source: org_study_id

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