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Autoimmune DiseasesARIESNCT06757426

Prospective Observational Study Evaluating the Safety and Efficacy of Immunomodulatory Therapies in Refractory Inflammatory and Autoimmune Diseases

An observational study of Autoimmune Diseases and Inflammatory Diseases, run by Groupe français d'étude des Maladies Inflammatoires de loeil at 17 sites in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Inflammatory and/or autoimmune diseases represent a very broad group of diseases with highly variable clinical features, including - but not limited to - systemic connectivites and vasculitides. As these diseases are rare and heterogeneous, it is difficult to conduct randomized clinical trials in this setting. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Autoimmune Diseases, Inflammatory Diseases
How many people
80 participants
Where
17 sitesFrance
Study dates
15 Jan 2025to 15 Jul 2028
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with refractory inflammatory and autoimmune diseases

Who may be able to join

  • Patients over 18 years
  • Enrolled in the French national social security system
  • Diagnosis of an inflammatory/autoimmune disease meeting internationally accepted classification criteria;
  • Clinical activity of their disease with biological and/or radiological signs, refractory to conventional therapeutic lines, requiring a new treatment as an addition or replacement according to clinical judgment.
  • No formal contraindication to the new therapeutic class.

Who cannot join

  • Pregnancy or breast-feeding (for women of childbearing potential, a negative serum pregnancy test will be required);
  • History of severe immunosuppression, HIV or HBsAg positive.
  • Positive QuantiFERON test result (QFT-TBGIn-Tube) for active tuberculosis (latent tuberculosis under treatment may be included).
  • Have received live vaccines in the 3 months preceding the start of treatment.
  • History of malignant tumor within the last 5 years.
  • Severe renal insufficiency (creatinine clearance <30mL/min/1.73m²)
Show all 11Show fewer
  • Liver dysfunction defined by aspartate transaminase (AST) or alanine transaminase (ALT) levels ≥ 5 times the upper limit of normal.
  • Blood count abnormality:
  • Platelets < 50 x 103/mm3
  • Neutropenia < 1000/mm3
  • Hemoglobin < 8 g/dL

Trial locations and contacts

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

DAVID SAADOUN, Professor contact

+33142178042 ext. +33

david.saadoun@aphp.fr

17 sites in 1 country

France17 sites
  • Clinique Axium - Aix-en-provence

    Aix-en-Provence, 13100

    Thomas SENÉ, MD, +33442957153, dr.sene.axium@almaviva-sante.com

  • CH Simone Veil de BLOIS

    Blois, 41000

    Bertrand LIOGER, MD, +33254556365, liogerb@ch-blois.fr

  • CHU Caen Normandie

    Caen, 14000

    Hubert DE BOYSSON, Professor, +33231064678, deboysson-h@chu-caen.fr

  • CH du Mans

    Le Mans, 72037

    Pierre LOZAC'H, MD, +33243432799, plozach@ch-lemans.fr

  • APHM_Hôpital La Conception

    Marseille, 13005

    Pierre-André JARROT, MD, +33491383522, Pierre.JARROT@ap-hm.fr

  • APHM_Hôpital Nord

    Marseille, 13915

    Brigitte Granel, Professor, +33491968711, Brigitte.granel@ap-hm.fr

  • GHSIF Melun

    Melun, 77000

    Nabil BELFEKI, MD, +33181741818, nabil.belfeki@ghsif.fr

  • GHI Le Raincy Montfermeil

    Montfermeil, 93370

    Azeddine DELLAL, MD, +33141708000, azeddine.dellal@ght-gpne.fr

  • CHU Nantes - Hotel-Dieu

    Nantes, 44000

    Olivier Espitia, Professor, +33240083379, Olivier.espitia@chu-nantes.fr

  • APHP_Hopital Lariboisière

    Paris, Île-de-France Region, 75010

    Chloé Comarmond, MD, +33149958127, chloe.comarmondortoli@aphp.fr

  • APHP_Hôpital St Antoine

    Paris, Île-de-France Region, 75012

    Arsene Mekinian, Professor, +33149282153, arsene.mekinian@aphp.fr

  • APHP_ Hôpital Pitié-Salpêtrière

    Paris, Île-de-France Region, 75013

    David Saadoun, Professor, +33142178042, david.saadoun@aphp.fr

  • APHP_Hôpital Bichat

    Paris, Île-de-France Region, 75018

    Karim Sacre, Professor, +330140258705

  • APHP_Hopital Ambroise Paré

    Paris, Île-de-France Region, 92100

    Salim TRAD, Professor, +33149095496, salim.trad@aphp.fr

  • CHU Rouen_Hôpital Charles Nicolle

    Rouen, 76000

    Mathilde LECLERQ, MD, +332 32 88 73 96, Mathilde.Leclercq@chu-rouen.fr

  • Clinique Saint-Exupéry

    Saint-Exupéry, 31400

    Martin Michaud, MD, +33561173330, Martin.MICHAUD@clinique-saint-exupery.com

  • CHRU de Tours_Hôpital Bretenneau

    Tours, 37000

    Julie Magnant, MD, +33218370878, J.MAGNANT@chu-tours.fr

Other trials in France

About this study

Inflammatory and/or autoimmune diseases represent a very broad group of diseases with highly variable clinical features, including - but not limited to - systemic connectivites and vasculitides. As these diseases are rare and heterogeneous, it is difficult to conduct randomized clinical trials in this setting. Refractory cases are therefore treated with drugs that are already available on the market for other indications in more frequent and clinically homogeneous diseases, such as inflammatory rheumatism and haematological malignancies.

Prescribing treatments from other specialties (e.g. rheumatology and oncohaematology) is a reality in the clinical practice of internists and immunologists, often representing an excellent solution for difficult-to-treat inflammatory and/or autoimmune diseases. As these molecules are prescribed without the availability of standardized data, it is essential to collect them prospectively to better characterize the efficacy and tolerability of these new therapeutic options in severe inflammatory and/or autoimmune diseases.

Read the detailed description

Inflammatory and/or autoimmune diseases represent a very broad group of diseases with highly variable clinical features, including - but not limited to - systemic connectivites and vasculitis. Individually, they are very rare diseases, generally estimated in terms of the number of cases per 100,000 or 1,000,000 inhabitants. However, if we consider all immune-mediated inflammatory diseases, it is estimated that they affect 4.5% of the world's population .

Despite their extreme heterogeneity in terms of clinical presentation, these diseases share several key pathogenic mechanisms. For example, over the past two decades, adaptive immunity has been successfully targeted with several monoclonal antibodies directed against B lymphocytes (e.g. rituximab, an anti-CD20) and co-stimulation between B and T lymphocytes (e.g. abatacept, a CTLA-4 agonist). Targeting cytokines common to several of these diseases has also proved effective in their management, in particular anti-TNF alpha and anti-IL-6, produced by cells of the innate and adaptive immune systems.

Although these molecules have ushered in a new era in the management of inflammatory and/or autoimmune diseases, not all patients are yet fully controlled, representing a major challenge in clinical practice.

Refractory cases are then treated with drugs that are already available on the market for other indications in more frequent and clinically homogeneous diseases, such as inflammatory rheumatism and haematological malignancies.

Certain therapeutic targets stand out. The first is the cytokine IL-17, which plays a crucial role in the polarization of T helper 17 (Th17) lymphocytes and orchestrates the adaptive response detectable in the blood and target tissues of various inflammatory and/or autoimmune diseases.

Another interesting modern strategy is the inhibition of the Janus kinase and signal transducer/activator of transcription (JAK/STAT) pathways, which act on several downstream cytokine receptors. The development of targeted oral therapies based on small molecules such as JAK inhibitors (JAKi) represents an effective means of simultaneously attenuating several downstream inflammatory pathways, and has enabled a paradigm shift in the treatment of various autoimmune and inflammatory conditions refractory to conventional therapy, with cortisone sparing as well.

Bispecific antibodies (BsAb) are a new class of drugs and one of the most promising immunotherapies for solid tumors and hematological malignancies. BsAbs combine the specificities of two therapeutic antibodies and simultaneously target different antigens or epitopes. They have attracted a great deal of interest over the past decade, thanks to their unique and versatile modes of action.

In summary, the prescription of commercially available treatments from other specialties (e.g. rheumatology and oncohaematology) is a reality in the clinical practice of internists and immunologists, often representing an excellent solution for difficult-to-treat inflammatory and/or autoimmune diseases. As these molecules are prescribed without the availability of standardized data, it is essential to collect them prospectively to better characterize the efficacy and tolerability of these new therapeutic options in inflammatory and/or autoimmune diseases.

Keywords
autoimmune, inflamatory disease, Refraction
Medical subject headings
Autoimmune Diseases

What participants receive

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

Study groups in NCT06757426
Study groupRoleWhat they receive
Adult patients with immune-mediated inflammatory disease refractory to conventional lines of therapyAdult patients with immune-mediated inflammatory disease refractory to conventional lines of therapy.

What is being measured

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

  1. proportion of complete remission from the disease at week 24

    The primary outcome will be the proportion of complete remission from the disease at week 24 :

    1. absence of all clinical signs and symptoms ;
    2. normalization of fibrinogen and CRP values;
    3. absence of radiological signs of active disease (stable or improved imaging).

    Measured: week 24

Secondary outcomes (7)
  1. Evaluate the proportion of patients in clinical, biological or radiological remission

    Evaluate the proportion of patients with clinical remission (endpoint #1 of the primary endpoint), biological remission (endpoint #2 of the primary endpoint) or radiological remission (endpoint #3 of the primary endpoint) at weeks 12 and 48 of the indicated treatment start.

    Measured: week 12 and week 48

  2. Cumulative incidence of relapse (i.e., recurrence of clinical symptoms associated with biological and/or radiological inflammatory activity following complete remission)

    Cumulative incidence of relapse (i.e., recurrence of clinical symptoms associated with biological and/or radiological inflammatory activity following complete remission) at weeks 12, 24, 36 and 52;

    Measured: weeks 12, 24, 36 and 52

  3. Cumulative incidence of remission according to primary endpoint definitions

    Cumulative incidence of remission according to primary endpoint definitions at weeks 12, 36 and 52

    Measured: weeks 12, 36 and 52

  4. Evaluate changes in median disease-specific activity scores

    Evaluate changes in median disease-specific activity scores at weeks 12, 24, 36 and 52

    Measured: weeks 12, 24, 36 and 52

  5. Cumulative prednisone dose

    Cumulative prednisone dose at weeks 12, 24, 36 and 52

    Measured: weeks 12, 24, 36 and 52

  6. Cumulative incidence of serious adverse events (i.e., those requiring hospitalization or death) at weeks 12, 24, 36 and 52

    Cumulative incidence of serious adverse events (i.e., those requiring hospitalization or death) at weeks 12, 24, 36 and 52

    Measured: weeks 12, 24, 36 and 52

  7. Evolution of circulating immune cell populations & cytokines under treatment

    Evolution of circulating immune cell populations \& cytokines under treatment by measuring the change in the proportion of B \& T cells \& cytokines in peripheral blood before, during and following treatment.

    Measured: Weeks 0, 1, 2, 4, 12, 24, and 52

Timeline

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

  1. First posted3 Jan 2025
  2. Study start15 Jan 2025 (estimated)
  3. Primary completion15 Jul 2025 (estimated)
  4. Study completion15 Jul 2028 (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
Cohort
Time perspective
Prospective
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06757426
Sponsor's protocol ID
ARIES
Other IDs
2024-A02472-45
Acronym
ARIES
Status last verified
Dec 2024
First submitted
18 Dec 2024
Last updated
3 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Venhoff N, Schmidt WA, Bergner R, Rech J, Unger L, Tony HP, Finzel S, Andreica I, Kofler DM, Weiner SM, Lamprecht P, Schulze-Koops H, App C, Pournara E, Mendelson MH, Sieder C, Maricos M, Thiel J. Safety and efficacy of secukinumab in patients with giant cell arteritis (TitAIN): a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Rheumatol. 2023 Jun;5(6):e341-e350. doi: 10.1016/S2665-9913(23)00101-7.

    PubMed 38251601
  • Klein C, Brinkmann U, Reichert JM, Kontermann RE. The present and future of bispecific antibodies for cancer therapy. Nat Rev Drug Discov. 2024 Apr;23(4):301-319. doi: 10.1038/s41573-024-00896-6. Epub 2024 Mar 6.

    PubMed 38448606
  • Hayter SM, Cook MC. Updated assessment of the prevalence, spectrum and case definition of autoimmune disease. Autoimmun Rev. 2012 Aug;11(10):754-65. doi: 10.1016/j.autrev.2012.02.001. Epub 2012 Feb 23.

    PubMed 22387972
  • Watts RA, Hatemi G, Burns JC, Mohammad AJ. Global epidemiology of vasculitis. Nat Rev Rheumatol. 2022 Jan;18(1):22-34. doi: 10.1038/s41584-021-00718-8. Epub 2021 Dec 1.

    PubMed 34853411

Questions about this trial

What is this clinical trial studying?

An observational study of Autoimmune Diseases and Inflammatory Diseases, run by Groupe français d'étude des Maladies Inflammatoires de loeil at 17 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 5 inclusion and 11 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: opening soon, as of the sponsor's last update on 3 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 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. 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 DAVID SAADOUN, Professor (+33142178042 ext. +33, david.saadoun@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

proportion of complete remission from the disease at week 24 (time frame: week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06757426, which also lists 4 linked publications.

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 3 Jan 2025.

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