Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05936333

Exploration of Allograft Humoral Rejection in Chronic Histiocytic Intervillositis

Led by Assistance Publique - Hôpitaux de Paris · Updated on 2024-11-06

200

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Chronic histiocytic intervillositis (CHI) is a rare pregnancy condition affecting about 5 in 10,000 pregnancies. It involves inflammatory lesions in the placenta that can cause serious pregnancy problems like growth delays, fetal death, and miscarriage. The exact causes of CHI are not well understood, and current treatments are challenging and often ineffective. Recent research suggests an immune response against the fetus may be involved, similar to organ transplant rejection, and this study aims to explore this further and predict risks of fetal loss. The study involves three groups: patients with CHI, patients with antiphospholipid syndrome (APS), and women with normal pregnancies. Researchers will collect blood samples from the parents, saliva or blood from their children, and placental tissue at childbirth. These biological samples will help analyze immune responses and placental changes related to CHI and other pregnancy outcomes. Participants will provide samples at inclusion and childbirth, which will be examined for immune markers, antibody levels, and placental changes. The main focus is to determine how often CHI shows signs of immune rejection and to study links between antibody levels and pregnancy complications like growth retardation and fetal death. The study will measure various immune and placental markers up to six months after sample collection to better understand CHI's mechanisms.

CONDITIONS

Brief Title

Exploration of Allograft Humoral Rejection in Chronic Histiocytic Intervillositis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Mother and father aged 18 years or older
  • Mothers in the CHI group must have a history of normal pregnancy or obstetrical complications such as IUGR, fetal death, miscarriage, or abortion, with CHI diagnosis confirmed by placental examination
  • Mothers in the antiphospholipid syndrome group must have a history of miscarriages and confirmed antiphospholipid syndrome
  • Mothers in the normal pregnancy group must have a third consecutive full-term pregnancy with a healthy child
  • Consent from mother and father for participation of at least one child or use of existing samples from previous pregnancies
  • Father must be the biological parent of the last pregnancy and children participating in the study
Not Eligible

You will not qualify if you...

  • Mothers in the normal pregnancy group with suspected or confirmed intra-amniotic infection
  • Any mother with a history of blood transfusion
  • Any mother with a history of allogeneic organ transplantation
  • Mother or father under legal protection such as guardianship or curatorship

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Biological Sample Collection

Duration - Up to 6 months

Participants provide blood, saliva, and placenta samples for analysis related to chronic histiocytic intervillositis and other pregnancy conditions.

Sample collection at inclusion and at childbirth

Trial Site Locations

Total: 1 location

1

Antoine Béclère Hospital

Clamart, France

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Research Team

A

Alexandra LETOURNEAU, Doctor

A

Alexandra BENACHI, Professor

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

BASIC_SCIENCE

Number of Arms

3

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