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NCT Number: NCT07005804

Calcium Pyrophosphate Deposition (CPPD) Disease

The goal of this clinical trial is to describe the transcriptomic and metabolomic profile of patients with chronic Calcium Pyrophosphate Deposition (CPPD) compared to those with acute CPPD.

The hypotheses are as follows :

* It is hypothesised that there is a transcriptomic and metabolomic signature of CPPD which explains why therapeutic responses to different anti-inflammatory treatments differ from one phenotype to another one * It is hypothesised that the acute and chronic clinical phenotypes of CPPD have different clinical, biological and imaging characteristics, as well as a differing predisposition toward crystalline deposition and inflammatory pathway activation.

The management of participants with chronic forms of the disease included in this research was modelled on the usual recommended management, including a biological workup, joint puncture, ultrasound and radiographic workup. Double-energy CT scans and transcriptomic and metabolomic analyses on plasma are not routine tests.

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Key information

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

- Acute forms of CPPD: retrospective part of the study

  • Cases included in the COLCHICORT cohort (NCT03128905), for whom this was the first acute episode of CPPD

Inclusion criteria

- Chronical forms of CPPD : prospective part of the study

  • Patients affiliated to the French social security system
  • Age ≥ 65 years
  • Diagnosis of chronic CPPD (recurrent acute or persistent arthritis), meeting ACR/EULAR 2023,11 classification criteria after evaluation by a rheumatologist in the rheumatology department
  • Progression of CPPD rheumatism for at least 3 months and still active CPPD rheumatism, defined by a visual analogue scale (VAS) of disease activity ≥ 40 and/or presentation of at least 1 crisis over the last 3 months
  • Glomerular Filtration Rate (GFR) in Chronic Kidney Disease Epidemiology (CKD EPI Collaboration) ≥ 30ml/min/1.73m2
  • Minimum time between the last intake of a crisis treatment and inclusion in the study, depending on their half-life, in order to not interfere with the results of the omics analyses: 2 weeks (Nonsteroidal Anti-Inflammatory Drugs Per Os (PO) or Intramuscular (IM) or Intravenous (IV); corticosteroids PO or IV; colchicine PO; anakinra Subcutaneous (SC), 1 month (methotrexate PO, tocilizumab SC), 3 months (canakinumab SC, tocilizumab IV)
  • Signed written consent for study participation

Exclusion criteria

- Acute forms of CPPD:

  • Missing data concerning transcriptomic and metabolomic analyses.
  • Opposition

Exclusion criteria

- For chronic forms of CPPD:

  • History of gout or presence of monosodium urate (MSU) crystals on joint fluid,
  • Cognitive decline (confusion and neurodegenerative diseases)
  • Inability to provide informed consent and disease VAS
  • Patient under guardianship or curatorship

Treatment and study plan

transcriptomic and metabolomic analysis

Genetic

Venous blood samples for transcriptomic and metabolomic analysis will be taken in 3 x 4 mL ethylenediaminetetraacetic acid (EDTA) tubes and stored immediately at 4°C, before being cryopreserved at -80°C in 500 μL aliquots of plasma. In addition, for transcriptomic analysis, a sample will also be taken in a Paxgen RNA tube cryopreserved at -80°C.

Primary outcomes

  1. Transcriptomic profile

    Time frame: 2 weeks

    -Quantitative transcriptomic profiling (expression of the genes involved) and qualitative profiling (analysis of the sequence of variants expressed)

  2. Metabolomic profile

    Time frame: 2 weeks

    • Metabolomic profile: quantitative assessment of the metabolites involved in each phenotype, then qualitatively grouped by activated metabolic pathway

Study contacts

Contact information is provided by the study sponsor or research team.

Marie DESOLERE

CONTACT

[email protected]

+33 320225931

Marie Paule LEBITASY

CONTACT

[email protected]

+333 20 22 57 41

Sponsors and collaborators

Lead sponsor

Lille Catholic University

Other

Registry information

Official study title

Calcium Pyrophosphate Deposition (CPPD) Disease : Clinical and Paraclinical Profile, Gene Expression and Metabolomics of the Acute and Chronic Clinical Phenotype

Acronym: PYC-OMIC

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Jun 5, 2025
Registry last updated
Jun 5, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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