Histiocytosis in Injecting Drug Users

NCT ID: NCT06573671

Last Updated: 2025-09-10

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

ENROLLING_BY_INVITATION

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-05-29

Study Completion Date

2030-12-31

Brief Summary

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The goal of this observational study is to describe a new disease condition of histiocytosis related to injecting drug use, its preconditions, symptoms, signs, findings, and prognosis in a detailed and systematic patient series in one referral center. The main question\[s\] it aims to answer are:

* to find specific histologic features in different tissues to help the differential diagnosis from other histiocytoses
* to describe the value of chitotriosidase activity to screen this condition
* to describe the value of various tissue biopsies in confirming the diagnosis
* to describe the nature of polyvinylpyrrolidone accumulation in tissue macrophages by novel special microscopic techniques
* to find new tandem mass spectrometry methodology to prove polyvinylpyrrolidone accumulation in macrophages
* to show that polyvinylpyrrolidone treatment activates macrophages to histiocytes and causes povidone accumulation within the cells in in vitro experiments
* to evaluate the pathology of macrophage activation to histiocytes by transcriptomics

The patient history will be collected from the data produced by follow-up of cases followed up in a single center. A subgroup of participants will be given an opportunity to sign informed consent to give access to/donate blood and tissue samples to search for techniques to prove polyvinylpyrrolidone storage within histiocytes, and to search for transcriptomics signal(s) in histiocytes.

Researchers will compare blood and tissue samples from the biobank as controls.

Detailed Description

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Comprehensive patient data (disease history, findings, complications, laboratory findings, histopathology, and imaging) will be obtained from patient records of a single university hospital. Coded histiocytosis-positive tissue samples will be compared to biobank samples from corresponding tissues from healthy and other histiocytosis tissue samples to show polyvinylpyrrolidone storage with novel methodologies.

In addition, if a study participant who is followed up clinically, signs informed consent, monocytes are separated from a blood sample, differentiated to macrophages, and exposed to polyvinylpyrrolidone. Various novel methods will be utilized to explore polyvinylpyrrolidone within histiocytes.

Conditions

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Histiocytosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Injecting drug induced histiocytosis

No intervention

Chitotriosidase

Intervention Type DIAGNOSTIC_TEST

The amount of patients with increased chitotriosidase, and the extent of elevation of chitotriosidase

Mass spectrometry

Intervention Type DIAGNOSTIC_TEST

to show polyvinylpyrrolidone presence in histiocytes of injecting drug users compared to controls

scanning electron microscope with energy-dispersive X-ray spectroscopy

Intervention Type DIAGNOSTIC_TEST

to show polyvinylpyrrolidone presence in histiocytes of injecting drug users compared to controls

Fluorescence microscopy

Intervention Type DIAGNOSTIC_TEST

to show polyvinylpyrrolidone presence in histiocytes of injecting drug users compared to controls

Transcriptomics

Intervention Type DIAGNOSTIC_TEST

To describe pathologic signals of polyvinylpyrrolidone-exposed in vitro histiocytes of injecting drug users compared to control samples

Interventions

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Chitotriosidase

The amount of patients with increased chitotriosidase, and the extent of elevation of chitotriosidase

Intervention Type DIAGNOSTIC_TEST

Mass spectrometry

to show polyvinylpyrrolidone presence in histiocytes of injecting drug users compared to controls

Intervention Type DIAGNOSTIC_TEST

scanning electron microscope with energy-dispersive X-ray spectroscopy

to show polyvinylpyrrolidone presence in histiocytes of injecting drug users compared to controls

Intervention Type DIAGNOSTIC_TEST

Fluorescence microscopy

to show polyvinylpyrrolidone presence in histiocytes of injecting drug users compared to controls

Intervention Type DIAGNOSTIC_TEST

Transcriptomics

To describe pathologic signals of polyvinylpyrrolidone-exposed in vitro histiocytes of injecting drug users compared to control samples

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* All identified adult patients in our records with a history of injecting drug use by dissolving tablets containing polyvinylpyrrolidone and (suspected) PVP-histiocytosis

Exclusion Criteria

* Other histiocytosis diagnosed by tissue samples and clinical information
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tampere University

OTHER

Sponsor Role collaborator

University of Oulu

OTHER

Sponsor Role collaborator

University of Turku

OTHER

Sponsor Role collaborator

University of Helsinki

OTHER

Sponsor Role collaborator

Tampere University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pasi I Nevalainen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Senior consultant

Locations

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Tampere University Hospital

Tampere, Pirkanmaa, Finland

Site Status

Countries

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Finland

Other Identifiers

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R20105

Identifier Type: -

Identifier Source: org_study_id

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