UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000053738
Receipt number R000061240
Scientific Title Efficacy evaluation of Toll-like receptor (TLR) 7 inhibitor using immune cells derived from connective tissue disease patients
Date of disclosure of the study information 2024/03/01
Last modified on 2024/02/29 17:02:47

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Basic information

Public title

Efficacy evaluation of Toll-like receptor (TLR) 7 inhibitor using immune cells derived from connective tissue disease patients

Acronym

Efficacy evaluation of Toll-like receptor (TLR) 7 inhibitor using immune cells derived from connective tissue disease patients

Scientific Title

Efficacy evaluation of Toll-like receptor (TLR) 7 inhibitor using immune cells derived from connective tissue disease patients

Scientific Title:Acronym

Efficacy evaluation of Toll-like receptor (TLR) 7 inhibitor using immune cells derived from connective tissue disease patients

Region

Japan


Condition

Condition

Patients with systemic lupus erythematosus (SLE) and other connective tissue diseases

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Using peripheral blood mononuclear cells, we will clarify whether small molecular compounds that selectively inhibit Toll-like receptor (TLR) 7 activation, which researchers have recently discovered, also show inhibitory effects on immune cells derived from patients with systemic lupus erythematosus (SLE) and other collagen diseases. We will also use peripheral blood mononuclear cells and serum to determine whether immune cells derived from SLE patients have greater TLR7 activation than immune cells derived from non-SLE collagen disease patients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To evaluate the responsiveness of peripheral blood mononuclear cells and pDCs derived from collagen disease patients to TLR7 ligand and the efficacy of bacteols compounds to inhibit it, we will evaluate the following two points: SLE patients and non-SLE collagen disease patients will be compared. Protein production: Inflammatory cytokine protein production and chemokine protein production in peripheral blood mononuclear cells and pDC culture supernatants will be measured by ELISA. Gene expression: Peripheral blood monocytes. Gene expression levels: Inflammatory cytokine gene expression, chemokine gene expression and housekeeping gene expression in peripheral blood mononuclear cells and pDC are measured by real-time PCR.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

65 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients aged 20-65 years with systemic lupus erythematosus, rheumatoid arthritis, scleroderma, dermatomyositis/polymyositis, Behcet's disease, adult Still's disease, vasculitis syndrome, Sjogren's syndrome, and mixed connective tissue disease attending outpatient clinic of the First Department of Internal Medicine, Toyama University Hospital

Key exclusion criteria

Patients with vasculitis that makes blood sampling difficult, patients with allergies to antiseptics

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Koichiro
Middle name
Last name Shinoda

Organization

Toyama University Hospital

Division name

First Department of Internal Medicine

Zip code

9300194

Address

2630 Sugitani, Toyama City

TEL

076-434-7287

Email

koichiro@med.u-toyama.ac.jp


Public contact

Name of contact person

1st name Koichiro
Middle name
Last name SHINODA

Organization

Toyama University Hospital

Division name

First Department of Internal Medicine

Zip code

9300194

Address

2630 Sugitani, Toyama City

TEL

+81764347287

Homepage URL


Email

koichiro@med.u-toyama.ac.jp


Sponsor or person

Institute

Toyama University

Institute

Department

Personal name



Funding Source

Organization

Toyama Prefectural University

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization



Other related organizations

Co-sponsor

Toyama Prefectural University
Teika Pharmaceutical Co., Ltd.

Name of secondary funder(s)

Teika Pharmaceutical Co., Ltd.


IRB Contact (For public release)

Organization

Toyama University Hospital

Address

2630 Sugitani, Toyama City

Tel

0734347287

Email

koichiro@med.u-toyama.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 03 Month 01 Day


Related information

URL releasing protocol

http://www.med.u-toyama.ac.jp/medicin1/kenkyu/meneki.html

Publication of results

Unpublished


Result

URL related to results and publications

http://www.med.u-toyama.ac.jp/medicin1/kenkyu/meneki.html

Number of participants that the trial has enrolled

74

Results

The results showed that miR574-stimulated TNFgene expression was induced in PBMCs of all cases, and the three compounds inhibited the expression. The inhibitory effect was stronger for HCQ, B2-24-4, and B2-24-4-5A, in that order. No significant difference in the inhibitory effect of the compounds was observed in PBMCs of SLE and RA.

Results date posted

2024 Year 02 Month 29 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Number of participants: 74 (SLE: 63, non-SLE: 11)

Participant flow

Blood samples were collected from patients with rheumatoid collagen disease attending the First Department of Internal Medicine, University of Toyama Hospital, after obtaining their consent to participate in the study using a written explanation of consent at the time of their outpatient visit.

Adverse events

not particular

Outcome measures

Main results: Peripheral venous blood was obtained from SLE and RA patients, and peripheral blood mononuclear cells (PBMCs) were isolated. miR574, a micro RNA that increases in SLE patient plasma, was used to stimulate PBMCs for 18 hours. Compounds (B2-24-4-5A, B2-24-4, hydroxychloroquine (HCQ)) were added 30 minutes before miR574 stimulation, and TLR7 inhibitory activity by the compounds was evaluated by real-time PCR using TNFgene expression as an indicator.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2015 Year 03 Month 30 Day

Date of IRB

2015 Year 03 Month 30 Day

Anticipated trial start date

2015 Year 03 Month 30 Day

Last follow-up date

2020 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

not particular


Management information

Registered date

2024 Year 02 Month 29 Day

Last modified on

2024 Year 02 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061240