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NCT Number: NCT03670472

Correction of Nonsense Mutations in Cystic Fibrosis

The presence of a nonsense mutation leads to the rapid degradation of the carrier mRNA mutation by a mechanism called NMD (nonsense-mediated mRNA decay) [6, 13]. There are currently 3 main strategies at least for correcting nonsense mutations: exon skipping, inhibition of NMD and nonsense mutation readthrough.

In the laboratory, we developed a strategy for correcting nonsense mutations combining inhibition of NMD and activation of translecture. For this purpose, we have constructed screening systems to identify NMD-inhibiting and/or readthrough enhancers. The molecules thus identified are then tested on cell lines and in murine models carrying a nonsense mutation.

One of our goals is to select a set of molecules that can correct effectively nonsense mutations. For this we have to test these molecules on a great diversity of nonsense mutations.

This work will:

* determine if we can correct all the nonsense mutations tested with at least one of our molecules * determine what is common within a group of mutations corrected by a given molecule * be able to assign the parameters that make one mutation is corrected by one molecule and not or little by another.

This study will therefore improve our theoretical knowledge on the recognition of premature stop codons but also to propose therapeutic approaches for the correction of nonsense mutations of the CFTR gene in cystic fibrosis in a targeted way for a patient.

Recruiting

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Key information

Age range

8 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Camsp Chu Amiens, Amiens, France

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male / female adults and minors aged 8 years and over
  • Patients with cystic fibrosis and carry a nonsense mutation on the 2 alleles of the gene coding for the CFTR channel.
  • Patients whose genotype of patients concerning the CFTR gene is known.
  • Patients with social security
  • Major patients who have given their consent
  • Minor patients with parental authorization

Exclusion criteria

  • Patients who have a mutation other than nonsense in the CFTR gene
  • Patients whose CFTR gene was not sequenced on the 2 alleles
  • Patients not wishing to participate in this study or persons not giving or not able to give consent.
  • Pregnant or lactating women
  • Patients under curatorship or guardianship

Treatment and study plan

smear of nasal fossae

Other

1 smear of nasal fossae during a usual or scheduled visit

Primary outcomes

  1. Transport of iodide ions through the CEVAS membrane

    Time frame: less than 48hrs after the collect.

    Patient cells with be cultured in BEGM (Lonza) medium and incubated with corrector of nonsense mutations for 20 hours and with a fluorescent molecule called SPQ (for 6-methoxy-N-3'-sulfopropylquinolinium). Iodine can bind SPQ and will quench the SPQ fluorescence. Nitrates bind SPQ without quenching SPQ fluorescence. By placing patient cells first into an iodine-rich medium to quench the SPQ fluorescence and second into a nitrate-rich medium, we will be able to measure the level of functional CFTR protein present in these cells by measuring the re-apparition of fluorescence using fluorimeter. Indeed, nitrate will be able to replace iodine on SPQ without quenching SPQ fluorescence only if iodine exits cells through CFTR channels. This assay allows determining whether a corrector of nonsense mutation is able to lead to the synthesis of functional CFTR protein

Secondary outcomes

  1. Immortalization of patient cells

    Time frame: an average 12 months

    Immortalization of patient cells will be attempted by transfection of construct expressing the origin-of-replication defective SV40 as described in Gruenert et al.,2004

  2. Expression of the CFTR gene at the mRNA and protein level

    Time frame: less than 1 week.

Study contacts

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

Anne Prévotat, MD

CONTACT

[email protected]

03 20 44 59 48 ext. +33

Fabrice Lejeune, PhD

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

University Hospital, Lille

Other

Collaborators

  • Vaincre la Mucoviscidose

Registry information

Official study title

Optimization of Correcting Molecules of Nonsense Mutations in Epithelial Cells of the Upper Airways of Patients With Cystic Fibrosis With Nonsense Mutations in the CFTR Gene

Important dates

Study start
2016
Primary completion
2030
Study completion
2030
First posted
Sep 13, 2018
Registry last updated
May 22, 2026

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

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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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