Personalized Therapies in Inflammatory Complex Disease
France32 participantsStarted 2020-10-20
Plain-language summary
Inflammatory diseases may display atypical features making such patients impossible to classify. Management of these cases in daily practice cannot rely on the results of clinical trials nor on guidelines. DNA and RNA mapping have become major tools to understand and sometimes direct the treatment strategy in oncology. This study aims to test whether a precise analysis of molecular pathways in inflammatory, non classified diseases, can constitute a predictive tool of therapeutic efficiency
Who can participate
Age range18 Years
SexALL
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Inclusion Criteria:
* Patients (men or women) aged 18 years old and over
* Patients presenting inflammatory non classified disease targeting at least 2 organs involvement: skin, lymph nodes, hemopoietic system, joints, digestive tract, eye, nerves and brain tissues, respiratory tract, cardio-vascular disorders, genito-urinary tract including kidney, musculo-skeletal tissues. Skin involvement is mandatory in order to be able to compare involved and non-involved tissue
* Signed informed consent
The disease should be considered as non-classified despite classical and adapted investigations and evaluation through expert committee meeting.
The disease alters significantly quality of life. The impairment of quality of life will be assessed based on the investigator's assessment.
The disease has been resistant to at least two prior lines of treatment \[for example : Hydroxychloroquine, Chloroquine, Colchicine, Methotrexate, Ciclosporine, Azathioprine, Mycophenolate mofetil, Disulone, Corticosteroids (prednisone, prednisolone, dexamethasone, methylprednisolone…)\].
Exclusion Criteria:
* Patients presenting disease which is not featured by lesional and healthy skin areas, easy to biopsy
* Patients refusing biopsies
* Pregnancy
* Women of child-bearing potential unable to receive highly efficient contraception such as combined oral contraceptives, intra-uterine disposals, hormonal implants or the use of male condoms recommended in case of unstable or irregular partner or as a rep…