ClinicalTrials.gg
CompletedNCT04009733miROIUpdated Sep 4, 2025

Epigenetic Regulation of Osteogenesis Imperfecta Severity : miROI Study

An interventional study of Blood sample and Blood sample in Osteogenesis Imperfecta, sponsored by Hospices Civils de Lyon. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-04.

Sponsored by Hospices Civils de Lyon · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Osteogenesis Imperfecta (OI) is a heterogeneous group of rare connective tissue hereditary diseases responsible for fragility and bone deformity. OI is caused by an autosomal dominant mutation of COL1A1 or COL1A2, encoding α1 and α2 of the collagen, regardless of their phenotypic severity (1 to 5 OI type).

This observation suggests the existence of a undetermined mechanism that may be found in epigenetic regulation, including particularly micro Ribonucleic Acids (miRs).

Indeed, these small non-coding miRs are involved in the regulation of major steps of cellular processes in different pathologies, especially in bone disease.

Currently, no study can provide a satisfactory answer.

This is an etiologic study to reveal the correlation between micro-RNAs (miR) expression and the type I or III of the Osteogenesis Imperfecta (OI).

The aim of this study is therefore to identify miRs significantly associated with the severity of OI.

02

Conditions studied

  • Osteogenesis Imperfecta

Keywords

  • Osteogenesis imperfecta
  • micro Ribonucleic acids
  • epigenetics
03

In context

Osteogenesis Imperfecta

84 studies on the registry are indexed under Osteogenesis Imperfecta; 20 are open to participants now.

This study's enrollment of 66 is above the median of 28 across 60 interventional studies indexed under Osteogenesis Imperfecta.

Browse Osteogenesis Imperfecta studies →

Lead sponsor

Hospices Civils de Lyon is the lead sponsor of 1,866 studies on the registry; 448 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Control population:

  • Male or female
  • 18 years old and over
  • Be part of cohorts STRAMBO, OFELY or MODAM

Patients with OI:

  • Male or female ≥18 years old
  • Have COL1A1 or COL1A2 mutation
  • Have a diagnosis of type 1 or 3 from Silence classification made by a rheumatologist expert in bone pathologies

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate in the study
  • Have received treatment for more than 3 months
  • Have received anti-osteoporotic treatment for less than 1 year ago
  • Have Chronic inflammatory rheumatism
  • Have an uncontrolled hypo/hyper thyroidism ou hypo/hyper parathyroidism
  • Have cancer or bone (current or in the past two years)
  • Have benign bone tumors or Paget's disease
  • Have malabsorptive disease (Celiac disease, Whipple's disease, intestinal bypass, short bowel syndrome) and inflammatory bowel disease
  • Pregnant or lactating women
  • Have psychiatric disorders seriously hindering understanding
  • Have difficulties in oral understanding of French language
  • Not a beneficiary of french social security
  • Patients protected by law
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
66 participants (actual)

Study arms

  • Experimental
    Osteogenesis imperfecta type 1

    Patients with OI type 1

    Biological: Blood sample

  • Experimental
    Osteogenesis imperfecta type 3

    Patients with OI type 3

    Biological: Blood sample

  • Active comparator
    Control population

    The control population corresponds to a pre-existing serum collection of osteoarthritis cohorts (OFELY and MODAM for women, STRAMBO for men).

    Biological: Blood sample

Interventions

  • BiologicalBlood sample

    A study specific blood sample will be collected.

  • BiologicalBlood sample

    Pre-collected serum of cohort OFELY and MODAM for women, STRAMBO for men will be used for the study.

06

What researchers measure

Primary outcomes

  1. micro Ribonucleic Acids (miRs) expression in serum of the patients Osteogenesis imperfecta (OI) type I or III versus control population

    Identification of specific miRs expressed in the serum of OI patients using NGS (Next Generation Sequencing).

    Time frame: up to 1 month (after inclusion)

Secondary outcomes

  1. Nature of micro Ribonucleic Acids (miRs) identified by Next-Gen Sequencing (NGS )

    Compare the nature of the miRs identified by NGS (Next Generation Sequencing) in serum between the 3 groups of subjects: type 1 Osteogenesis Imperfecta (OI), type 3 OI and controls (controls are patients with osteoarthritis).

    Time frame: Up to 1 month (after inclusion)

  2. Level of expression of micro Ribonucleic Acids (miRs) identified by Next-Gen Sequencing (NGS )

    The objective is to validate expression of miRs identified by NGS (Next Generation Sequencing) in blood samples of patients from 3 groups: an Osteogenesis imperfecta (OI) type 1 cohort and an OI type 3 cohort, recruited for the study, and a pre-existing group of control patients (issued from cohorts OFELY and MODAM for women, STRAMBO for men). Expression of the significant miRs identified by NGS will be measured by Reverse Transcription Quantitative Polymerase Chain Reaction (RT-qPCR) and then these results will be compared with same analysis on blood samples of control patients.

    Time frame: Up to 1 month (after inclusion)

  3. Presence of fracture

    Severity of OI will be evaluated using radiological data (fracture) extracted from patients' medical records. Association between expression of miRs in patients with OI with the severity of the disease will be studied by statistical analysis.

    Time frame: Up to 1 month (after inclusion)

  4. Presence of biochemical markers of bone turnover in blood

    Severity of OI will be evaluated using biological data (biochemical markers of bone turnover) extracted from patients' medical records. Association between expression of miRs in patients with OI with the severity of the disease will be studied by statistical analysis.

    Time frame: Up to 1 month (after inclusion)

  5. Bone pain

    Severity of OI will be evaluated using clinical data (bone pain mesured on Visual Analogue Scale) extracted from patients' medical records. Association between expression of miRs in patients with OI with the severity of the disease will be studied by statistical analysis.

    Time frame: Up to 1 month (after inclusion)

  6. Quality of life

    Investigators will use a specific questionnaire completed by a rheumatologist at inclusion to obtain more information about a patient's lifestyle. The higher the score the more severe the disease impact and vice versa. Association between expression of miRs in patients with OI with the severity of the disease will be studied by statistical analysis.

    Time frame: Up to 1 month (after inclusion)

  7. Assessment of environmental factors

    The investigating team will use information extracted from patients' medical records to obtain environmental information, which includes using a specific questionnaire completed by a rheumatologist with patients at inclusion. Association between expression of miRs in patients with OI with the environmental data will be studied by statistics analysis.

    Time frame: Up to 1 month (after inclusion)

07

Study locations

1 site
  • Hôpital Edouard Herriot
    Lyon, 69003, France
08

References and documents

Publications

  • Mercier-Guery A, Millet M, Merle B, Collet C, Bagouet F, Borel O, Sornay-Rendu E, Szulc P, Vignot E, Gensburger D, Fontanges E, Croset M, Chapurlat R. Dysregulation of MicroRNAs in Adult Osteogenesis Imperfecta: The miROI Study. J Bone Miner Res. 2023 Nov;38(11):1665-1678. doi: 10.1002/jbmr.4912. Epub 2023 Oct 2. PubMed 37715362 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2019 to primary completion in Apr 2022, 30 months.

Of 17 interventional studies with no phase under Osteogenesis Imperfecta, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 35. This study's 30 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 28, 2019
First posted
Jul 5, 2019
StartActual
Oct 3, 2019
Primary completionActual
Apr 24, 2022
CompletionActual
Apr 24, 2022
Last update
Sep 4, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04009733
Responsible party
Sponsor
First posted
Jul 5, 2019
Start date
Oct 3, 2019
Primary completion
Apr 24, 2022
Completion
Apr 24, 2022
Last update
Sep 4, 2025

Study contacts

Roland CHAPURLAT, PhD
principal investigator · Hospices Civils de Lyon

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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