Study of the Pathophysiological Mechanisms Involved in Bleeding Events (NCT01314560) | Clinical Trial Compass
CompletedNot Applicable
Study of the Pathophysiological Mechanisms Involved in Bleeding Events
France30 participantsStarted 2009-02
Plain-language summary
Lowe syndrome is associated with mutations in the OCRL1 gene, which encodes OCRL1, a phosphatidylinositol-4, 5-bisphosphate (PtdIns(4, 5)P (2))5-phosphatase. PtdIns(4, 5)P2, a substrate of OCRL1, is an important signaling molecule within the cell. An abnormal rate of hemorrhagic events was found in a retrospective clinical survey, suggesting platelet dysfunction.
The main objective of the study is to confirm the presence of platelet dysfunction in Lowe syndrome and to characterize this abnormality.
Who can participate
Age range6 Years – 45 Years
SexMALE
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Inclusion Criteria:
* Patient with a clinical syndrome of Lowe (congenital cataracts, renal tubular dysfunction and neuromuscular damage) with a molecular defect in the gene known OCRL1.
* For the centre of Necker, patients should have a weight\> 10 kg. For the centre of Toulouse site, patients should have a weight\> 40 kg.
* No alteration of glomerular function (creatinine clearance\> 30 ml/min/1.73m ²)
* No significant anemia (hematocrit\> 25%, hemoglobin\> 8 g / L)
* Every patient should have included a signed informed consent. For minor patients, the consent of parents or legal guardian must be obtained.
* Patients may be included only if they receive social security coverage or CMU
Exclusion Criteria:
* Weight less than 10 kg for the centre of Necker
* Weight less than 40 kg for the centre of Toulouse
* Major renal insufficiency (creatinine clearance \<30 ml/min/1.73m ²)
* Profound anemia (hematocrit \<25%, Hb \<8g/dl)
* Patients taking drugs interfering with hemostasis in the eight days before the survey
* Patients with major behavior disorder making it difficult to achieve the blood sample, despite the nitrous oxide
* Patients with a other pathology of hemostasis (hemophilia, thrombotic disease)
* Participation in another clinical study requiring a blood sample within 4 weeks
* Contraindication to EMLA patch: confers Summary of Product Characteristics.
* Contraindication to KALINOX: confers Summary of Product Characteristics.
What they're measuring
1
The platelet function will be evaluated by comparing the intensity of platelet responses obtained in patient and controls