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Giant Cell Arteritis (GCA)AYLoNCT06696027

AYLo - AutoimmunitY and Loss of y

An observational study of Giant Cell Arteritis (GCA) and Polymyalgia Rheumatica (PMR), run by University of Bonn at 1 site in Germany.

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

The AYLo study (AutoimmunitY and Loss of y - Investigating the Role of Hematopoietic Mutations and Mosaic Mutation in the Y Chromosome in Autoimmune Rheumatologic Diseases) aims to systematically investigate hematopoietic mutations, such as hematopoietic (mosaic) loss of the Y chromosome (mLOY), focusing on their… Read more about this study

Who is it for?
Ages 50 years and older, men onlyHealthy volunteers can take part
What is being tested?
Single nucleotide polymorphisms (SNP), 3'mRNA sequencing and Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array
How many people
500 participants
Where
1 siteGermany
Study dates
15 Nov 2024to Jul 2026
Phase
Observational
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 50 years and older
  • Men only
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population includes male participants aged 50 years or older, divided into two groups: individuals with specific medical conditions (cases) and healthy controls. 1. Participants must have a diagnosis confirmed by the treating physician of one or more of the following conditions: Arthritis (RA, PsA), CTD (e.g., systemic lupus erythematosus [SLE], systemic sclerosis, Sjögren's syndrome, mixed connective tissue diseases), vasculitis ( eosinophilic granulomatosis with polyangiitis [eGPA], granulomatosis with polyangiitis [GPA], microscopic polyangiitis [MPA], IgG4-related disease, GCA + PMR), sarcoidosis, COPD, ILD, asthma bronchial 2. Healthy Controls: Healthy male participants aged 50 years or older without any of the following conditions: Autoimmune or rheumatological diseases Pulmonary preconditions 3. Exclusion Criteria: For both groups, females and individuals younger than 50 years are excluded.

Who may be able to join

  • Male
  • > 50 years
  • Diagnosis of arthritis (RA, PsA), collagen diseases (SLE, systemic sclerosis, Sjögren's syndrome, mixed connective tissue diseases), vasculitis (eGPA, GPA, MPA, IgG4-related disease, GCA, PMR), sarcoidosis, COPD, ILD or asthma bronchiale confirmed by the treating physician.
  • Male
  • > 50 years

Who cannot join

  • Female
  • < 50 years
  • Female
  • < 50 years
  • autoimmune, rheumatological diease
  • pulmonary precondition

Trial locations and contacts

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

Simon Michael Petzinna, MD contact

0049 151 382 337 07

Simon_Michael.Petzinna@ukbonn.de

Valentin Sebastian Schäfer, MD contact

0049 228 287 17000

valentin.schaefer@ukbonn.de

Germany1 site, 1 recruiting
  • Department of Rheumatology

    Bonn, North Rhine-Westphalia, 53127

    Valentin Sebastian Schäfer, MD, 0049 228 287 17000, valentin.schaefer@ukbonn.de

    Valentin Sebastian Schäfer, MD

    Recruiting

Other trials in Germany

About this study

Official title: Investigating the Role of Hematopoietic Mutations and Mosaic Mutation in the Y Chromosome in Autoimmune Rheumatologic Diseases

The AYLo study (AutoimmunitY and Loss of y - Investigating the Role of Hematopoietic Mutations and Mosaic Mutation in the Y Chromosome in Autoimmune Rheumatologic Diseases) aims to systematically investigate hematopoietic mutations, such as hematopoietic (mosaic) loss of the Y chromosome (mLOY), focusing on their underlying causes, pathophysiological significance, patterns of manifestation, and impact on disease progression in autoimmune, rheumatologic disorders. This research seeks to bridge existing knowledge gaps by exploring how such mutations influence immune homeostasis, cellular function, and susceptibility to inflammation-driven pathologies.

Through the integration of advanced immunological profiling, the study aspires to uncover key mechanisms that drive the initiation, progression, and complications of autoimmune rheumatic diseases. These analyses will combine single nucleotide polymorphisms (SNP) arrays, multiplex assays, transcriptomics, and flow cytometry staining of peripheral blood mononuclear cells to delineate the interplay between hematopoietic mutations and immune dysregulation.

Read more

A further objective is the development of a multimodal framework for disease-specific characterization, enabling precise mapping of mutation-driven phenotypes across diverse autoimmune conditions. This framework will incorporate clinical, molecular, and imaging data.

Additionally, the AYLo study aims to explore the potential role of mLOY and other hematopoietic mutations as biomarkers for disease stratification, prognosis, and therapeutic response. The findings may open avenues for personalized treatment approaches, leveraging the molecular insights to inform targeted interventions and improve patient outcomes in autoimmune rheumatic disorders.

By integrating translational and basic science approaches, this study has the potential to redefine current paradigms in autoimmune disease research and therapy.

Being tested
Single nucleotide polymorphisms (SNP), 3'mRNA sequencing, Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array, Flow Cytometry, Laboratory assessment
Keywords
Autoimmune Diseases, Vasculitis, Large Vessel Vasculitis, Giant Cell Arteritis, Polymyalgia Rheumatica, ANCA Associated Vasculitis, Idiopathic Inflammatory Myopathies, IgG4-Related Diseases, Rheumatoid Arthritis, Psoriatic Arthritis, Connective Tissue Disease, Sarcoidosis, Interstitial Lung Disease
Medical subject headings
Giant Cell Arteritis, Polymyalgia Rheumatica, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis, Myositis, Immunoglobulin G4-Related Disease, Arthritis, Rheumatoid, Arthritis, Psoriatic, Connective Tissue Diseases

What participants receive

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

  • Single nucleotide polymorphisms (SNP)Diagnostic test

    Utilizing single nucleotide polymorphisms (SNP) genotyping mosaic loss of y (mLOY) of individual patient will be assessed.

  • 3'mRNA sequencingDiagnostic test

    3'mRNA sequencing analyzes gene expression profiles related to the immune response in different study cohorts, aiding in understanding the genetic underpinnings of inflammation and its association with mLOY.

  • Enzyme-linked immunosorbent assay (ELISA) and Legendplex ArrayDiagnostic test

    Used to measure cytokine levels in the serum of investigated patients, aiding in profiling inflammatory markers that are indicative of disease activity, response to treatment and consequence of mLOY..

  • Flow CytometryDiagnostic test

    Employed to analyze immune cell phenotypes in investigated cohorts. This test helps identify various immune cell subsets and their activation states, which are critical for understanding disease mechanisms and its association with mLOY.

  • Laboratory assessmentDiagnostic test

    Serum Chemistry

  • Assessment of Pulmonary InvolvementDiagnostic test

    Results of routine clinical assessment of pulmonary involvement (such as lung ultrasound, computed tomography, chest x-ray, whole-body plethysmography) will be compared to mLOY, ELISA/ Legendplex/ flow cytometry/ transcriptome analysis results.

Study groups in NCT06696027
Study groupRoleWhat they receive
Giant Cell Arteritis (GCA)Patients with GCA (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment
Polymyalgia Rheumatica (PMR)Patients with PMR (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment
ANCA Associated Vasculitis (AAV)Patients with AAV (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement
IgG4 Related DiseasesPatients with IgG4 Related Diseases (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment
Idiopathic Inflammatory Myopathies (IIM)Patients with IIM (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement
Rheumatoid Arthritis (RA)Patients with RA (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement
Psoriatic Arthritis (PsA)Patients with PsA (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement
Connective Tissue Diseases (CTD)Patients with CTD (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement
SarcoidosisPatients with sarcoidosis (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement
Interstitial Lung Diseases (ILD)Patients with ILD (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement
Chronic Obstructive Pulmonary Disease (COPD)Patients with COPD (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement
Asthma BronchialePatients with asthma bronchiale (cross sectional, newly diagnosed with follow-up after twelve months).
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement
Healthy Control GroupAge-/ gender matched healthy controls
Receives: Diagnostic Test: Single nucleotide polymorphisms (SNP); Diagnostic Test: 3'mRNA sequencing; Diagnostic Test: Enzyme-linked immunosorbent assay (ELISA) and Legendplex Array; Diagnostic Test: Flow Cytometry; Diagnostic Test: Laboratory assessment; Diagnostic Test: Assessment of Pulmonary Involvement

What is being measured

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

  1. Quantification of the fraction of hematopoietic cells exhibiting mLOY.

    Detection and quantification of the fraction of hematopoietic cells exhibiting mLOY in peripheral blood using SNP. Unit of Measure: Percentage (%).

    Measured: Cross sectional. Newly diagnosed patients: At baseline and 12 months after diagnosis).

Secondary outcomes (3)
  1. Changes in Immune Cell Phenotype

    Identification and quantification of immune cell subtypes, using flow cytometry.

    Unit of Measure: Changes in levels (percentages).

    Measured: Cross sectional. Newly diagnosed patients: At baseline and 12 months after diagnosis

  2. Changes in Cytokine Profiles

    Identification and quantification of cytokines using 3'-mRNA transcriptome analysis and ELISA/ Legendplex. Unit of Measure: Changes in levels (pg/mL)

    Measured: Cross sectional. Newly diagnosed patients: At baseline and 12 months after diagnosis

  3. Number of Participants with Detected Pulmonary Involvement

    Detection of structural anomalies in the lung in clinical routine assessment using lung ultrasound, computed tomography, chest radiography and whole-body plethysmography. Unit of Measure: Number of participants.

    Measured: Cross sectional. Newly diagnosed patients: At baseline and 12 months after diagnosis

Timeline

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

  1. First posted19 Nov 2024
  2. Study start15 Nov 2024
  3. Primary completionDec 2025 (estimated)
  4. Study completionJul 2026 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06696027
Sponsor's protocol ID
2024-471-BO
Acronym
AYLo
Status last verified
Apr 2025
First submitted
15 Nov 2024
Last updated
10 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data are available upon reasonable request from the corresponding author.

Questions about this trial

What is this clinical trial studying?

An observational study of Giant Cell Arteritis (GCA) and Polymyalgia Rheumatica (PMR), run by University of Bonn at 1 site in Germany.

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 5 inclusion and 6 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 10 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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. 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 Simon Michael Petzinna, MD (0049 151 382 337 07, Simon_Michael.Petzinna@ukbonn.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Quantification of the fraction of hematopoietic cells exhibiting mLOY. (time frame: Cross sectional. Newly diagnosed patients: At baseline and 12 months after diagnosis).). 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 10 Apr 2025.

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AYLo - AutoimmunitY and Loss of y (NCT06696027) | AzTrials