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Cryopyrin Associated Periodic SyndromeICARUSNCT06544018

Circadian Rhythm Deregulation in Patients With CAPS

A study testing Genetic analysis of NLRP3, Circadian rhythm measurement and Saliva sampling in people with Cryopyrin Associated Periodic Syndrome and Familial Cold Urticaria, run by Hospices Civils de Lyon at 6 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Circadian rhythms are characterized by the physiology's adaptation to the alternation of day and night, enabling to adapt to the environment. These rhythms are generated by a molecular clock within each cell. Read more about this study

Who is it for?
Ages 6 years and olderHealthy volunteers can take part
What is being tested?
Genetic analysis of NLRP3, Circadian rhythm measurement and Saliva sampling
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
6 sitesFrance
Study dates
25 Feb 2026to 25 Feb 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • Patient with CAPS group :
  • Patients with chronic sleep disorders (narcolepsy, hypersomnia) requiring medication (sleeping pills, melatonin).
  • Patients with sleep apnea syndrome
  • Patients working regular night shifts or alternating day and night shifts
  • Pregnant or breast-feeding women
  • Parents with an infant under 6 months of age
Show all 16Show fewer
  • Patient participating in another interventional drug study
  • Deprivation of civil rights (curators, guardianship, safeguard of justice)
  • Control group (healthy participant):
  • Participants with a chronic illness (ALD beneficiaries)
  • Participants with chronic sleep disorders (narcolepsy, hypersomnia) requiring medication (sleeping pills, melatonin)
  • Participants working regular night shifts or alternating day and night shifts
  • Pregnant or breast-feeding women
  • Parents with an infant under 6 months of age
  • Participant participating in another interventional drug study
  • Deprivation of civil rights (curators, guardianship, safeguard of justice)

Trial locations and contacts

6 sites in 1 country. Contact the study team or a site near you to ask about taking part.

6 sites in 1 country

France6 sites, 6 recruiting
  • Hôpital Femme-Mère-Enfant (HCL)

    Bron, 69677

    Alexandre Belot, MD;PhD, 04 27 85 61 26 ext. 33, Alexandre.belot@chu-lyon.fr

    Alexandre Belot, MD;PhD

    Recruiting
  • Hôpital Claude Huriez (CHU de Lille)

    Lille, 59037

    Éric HACHULLA, MD;PhD, eric.hachulla@chru-lille.fr

    Éric HACHULLA, MD;PhD

    Not yet recruiting
  • Hôpital de la Croix-Rousse (HCL)

    Lyon, 69004

    Yvan Jamilloux, MD;PhD, yvan.jamilloux@chu-lyon.fr

    Yvan Jamilloux, MD;PhD

    Not yet recruiting
  • Hôpital Edouard Herriot (HCL)

    Lyon, 69437

    Thomas Barba, MD, thomas.barba@chu-lyon.fr

    Thomas Barba, MD

    Not yet recruiting
  • Hôpital Tenon (AP-HP)

    Paris, 75020

    Sophie Georgin-Lavialle, MD;PhD, 01 56 01 60 77 ext. 33, sophie.georgin-lavialle@aphp.fr

    Sophie Georgin-Lavialle, MD;PhD

    Not yet recruiting
  • Hôpital Kremlin-Bicêtre (AP-HP)

    Paris, 94270

    Isabelle Koné-Paut, MD;PhD, 01 45 21 32 46, isabelle.kone-paut@aphp.fr

    Isabelle Koné-Paut, MD;PhD

    Not yet recruiting

Other trials in France

About this study

Official title: Identification of Circadian Rhythm Deregulation in Patients With Cryopyrin-associated Periodic Syndrome (CAPS)

Circadian rhythms are characterized by the physiology's adaptation to the alternation of day and night, enabling to adapt to the environment. These rhythms are generated by a molecular clock within each cell. At the molecular level, the circadian clock is based on a complex system of cell-autonomous transcription loops. These exert positive and negative feedback on themselves, generating cyclic transcriptional activity.

  • In the main loop, the BMAL1 transcription factor links with CLOCK or NPAS2 ( (Neuronal PAS Domain Protein 2) to activate transcription of per1,2 and 3 and cryptochrome (cry1 and cry2), which in turn repress BMAL1/CLOCK1 transcriptional activity.. The BMAL1/CLOCK complex also activates transcription of numerous target genes (per and cry, Rev-erb, etc.)..
  • other secondary loops refine the function of the first.
Read more

Recent studies suggest that many aspects of innate immunity are controlled by circadian rhythm through inhibition of NLRP3 inflammasome activation. Nevertheless, the regulation of the NLRP3 inflammasome by the circadian clock has yet to be elucidated. Inflammasomes are molecular platforms that control caspase-1 activation and consequently the maturation of precursors of (interleukine) IL-1β, pro-IL-18, a pro-inflammatory cytokine. Since its discovery, its functions have been widely characterized as part of the innate immune response as a sensor of pathogens and danger signals (extracellular ATP (Adenosine triphosphate), atmospheric pollutants). NLRP3 (nucleotide-binding domain LRR (leucin-rich repeat ) and pyrin-containing receptor 3) has been described for its genetic association with dominant monogenic hereditary syndromes characterized by recurrent systemic inflammatory episodes in the absence of any infection or autoimmune disease, known as CAPS (cryopyrin-associated periodic syndrome) or cryopyrinopathies which is a continuum of diseases ranging from a moderate to the most severe form of the syndrome: familial cold urticaria syndrome, Muckle-Wells syndrome (MWS), and CINCA/NOMID syndrome.

Interestingly, patients with Muckle-Wells syndrome show a circadian pattern of symptoms, with a recurrent, predominantly vesperal fever peak lasting a few hours, and extreme fatigue on a daily basis. However, a molecular link between the circadian clock and CAPS pathology remains to be determined.

The aim of this protocol is to identify circadian rhythm dysregulation in patients with CAPS confirmed by genetic analysis of NLRP3, to demonstrate a link between circadian clock and CAPS syndrome, and to identify circadian clock regulatory pathways.

Being tested
Genetic analysis of NLRP3, Circadian rhythm measurement, Saliva sampling, Questionnaire, AIDAI score
Keywords
Circadian clock, cryopyrin-associated periodic syndrome, familial cold urticaria, muckle-wells syndrome, melatonin
Medical subject headings
Cryopyrin-Associated Periodic Syndromes

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Genetic analysis of NLRP3Genetic

    Blood test for genetic analysis of NLRP3

  • Circadian rhythm measurementDevice

    Wear a Withings Pulse HR (heart rate) actigraphic watch 24 hours a day for 1 month to define circadian rhythm

  • Saliva samplingBiological

    Saliva sampling for salivary melatonin determination

  • QuestionnaireOther

    Questionnaire to determine chronotype

  • AIDAI scoreOther

    Disease activity score using AIDAI score (only for patients in the CAPS group) AIDAI : AUTO-INFLAMMATORY DISEASE ACTIVITY INDEX

  • Blood samplingBiological

    1. Inflammatory cytokines measurement : IL1-beta (Interleukin-1) and IL-18.
    2. Molecular characterization of circadian clock signaling pathways
Study groups in NCT06544018
Study groupRoleWhat they receive
Patients with cryopyrin-associated periodic syndrome (CAPS)Active comparatorConfirmed by genetic analysis of NLRP3
Receives: Genetic: Genetic analysis of NLRP3; Device: Circadian rhythm measurement; Biological: Saliva sampling; Other: Questionnaire; Other: AIDAI score; Biological: Blood sampling
Control groupPlacebo comparatorHealthy participant (absence of CAPS, verified by NLRP3 gene analysis) living in the same household as a CAPS participant included in the protocol
Receives: Genetic: Genetic analysis of NLRP3; Device: Circadian rhythm measurement; Biological: Saliva sampling; Other: Questionnaire; Biological: Blood sampling

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Description of circadian rhythm deregulation in patients with cryopyrinopathy (CAPS) whose diagnosis was confirmed by genetic analysis of NLRP3,

    Concentration of the peak secretion of melatonin in both arms

    Measured: 6 months after inclusion

  2. Description of circadian rhythm deregulation in patients with cryopyrinopathy (CAPS) whose diagnosis was confirmed by genetic analysis of NLRP3,

    Concentration of the peak secretion of melatonin in both arms

    Measured: 12 months after inclusion

  3. Description of circadian rhythm deregulation in patients with cryopyrinopathy (CAPS) whose diagnosis was confirmed by genetic analysis of NLRP3,

    time of the peak secretion of melatonin in both arms

    Measured: 6 months after inclusion

  4. Description of circadian rhythm deregulation in patients with cryopyrinopathy (CAPS) whose diagnosis was confirmed by genetic analysis of NLRP3,

    time of the peak secretion of melatonin in both arms

    Measured: 12 months after inclusion

Secondary outcomes (20)
  1. Difference in circadian clock biomarkers between patients and control participants for Circadian Rhythm Characteristics.

    Determination of circadian rhythms : amplitude in both arms

    Measured: 6 th month

  2. Difference in circadian clock biomarkers between patients and control participants for Circadian Rhythm Characteristics.

    Determination of circadian rhythms : period in both arms

    Measured: 6 th month

  3. Difference in circadian clock biomarkers between patients and control participants for Circadian Rhythm Characteristics.

    Determination of circadian rhythms : phase in both arms

    Measured: 6 th month

  4. Chronotype determination

    Number of patients in each chronotype for the 2 arms based on the specific questionnaire in both arm

    Measured: 6 th month

  5. sleep duration

    sleep duration in both arms

    Measured: 6 th month

  6. number of steps

    Daily activity in both arms

    Measured: 6 th month

  7. Comparison of inflammatory state

    basal levels of IL1β in patient monocytes in both arms

    Measured: 6 months after inclusion

  8. Comparison of inflammatory state

    basal levels of IL1β in patient monocytes in both arms

    Measured: 12 months after inclusion

  9. Comparison of inflammatory state

    basal levels of IL18 in patient monocytes in both arms

    Measured: 6 months after inclusion

  10. Comparison of inflammatory state

    basal levels of IL18 in patient monocytes in both arms

    Measured: 12 months after inclusion

  11. Disease activity measurement

    Number of patient with active disease ie AIDAI (AUTO-INFLAMMATORY DISEASE ACTIVITY INDEX) score >9 in CAPS patient arm

    Measured: 6 months after inclusion

  12. Disease activity measurement

    Number of patient with active disease ie AIDAI (AUTO-INFLAMMATORY DISEASE ACTIVITY INDEX) score >9 in CAPS patient arm

    Measured: 12 months after inclusion

  13. presence or absence of an abnormality in the NLRP3 signalling pathway in CAPS arm compared control arm

    Biochemical characterization of the NLRP3 inflammasome protein regulatory pathway in both arms

    Measured: 6 months after inclusion

  14. presence or absence of an abnormality in the NLRP3 signalling pathway in CAPS arm compared to control arm

    Biochemical characterization of the NLRP3 inflammasome protein regulatory pathway in both arms

    Measured: 12 months after inclusion

  15. presence or absence of ASC inflammasome protein regulatory pathway in CAPs arm compared to control arm

    Biochemical characterization of the ASC inflammasome protein regulatory pathway in both arms

    Measured: 6 months after inclusion

  16. presence or absence of ASC inflammasome protein regulatory pathway in CAPS arm compared to control arm

    Biochemical characterization of the ASC inflammasome protein regulatory pathway in both arms

    Measured: 12 months after inclusion

  17. presence or absence of the CASPASE-1 inflammasome protein regulatory pathway in CAPS arm compared to control arm

    Biochemical characterization of the CASPASE-1 inflammasome protein regulatory pathway in both arms

    Measured: 6 months after inclusion

  18. presence or absence of the CASPASE-1 inflammasome protein regulatory pathway in CAPS arm compared to control arm

    Biochemical characterization of the CASPASE-1 inflammasome protein regulatory pathway in both arms

    Measured: 12 months after inclusion

  19. presence or absence of REV-ERBα inflammasome protein regulatory pathway in CAPS arm compared to control arm

    Biochemical characterization of the REV-ERBα inflammasome protein regulatory pathway in both arms

    Measured: 6 months after inclusion

  20. presence or absence of REV-ERBα inflammasome protein regulatory pathway in CAPS arm compared to control arm

    Biochemical characterization of the REV-ERBα inflammasome protein regulatory pathway in both arms

    Measured: 12 months after inclusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Aug 2024
  2. Study start25 Feb 2026
  3. Primary completion25 Feb 2029 (estimated)
  4. Study completion25 Feb 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Multicenter, prospective, interventional, comparative, open-label, controlled study with 2 parallel arms.
Masking
None (open label)
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06544018
Sponsor's protocol ID
69HCL23_0417
Other IDs
2023-A01088-37
Acronym
ICARUS
Status last verified
Feb 2026
First submitted
7 May 2024
Last updated
27 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Genetic analysis of NLRP3, Circadian rhythm measurement and Saliva sampling in people with Cryopyrin Associated Periodic Syndrome and Familial Cold Urticaria, run by Hospices Civils de Lyon at 6 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Alexandre Alexandre, PR (04 27 85 61 26 ext. 33, Alexandre.belot@chu-lyon.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Description of circadian rhythm deregulation in patients with cryopyrinopathy (CAPS) whose diagnosis was confirmed by genetic analysis of NLRP3, (time frame: 6 months after inclusion). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Feb 2026.

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