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Status unknownNCT06432556MastCellHetUpdated May 29, 2024

Study of Cellular Heterogeneity in Patients With Mastocytosis

An interventional study of scRNAseq and two Skin biopsies in Mastocytosis, sponsored by University Hospital, Toulouse. Status unknown at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-29.

Sponsored by University Hospital, Toulouse · Not applicable, Interventional, and Other

The sponsor has not verified this record recently (last verified May 2024), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
26
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will aim to study the heterogeneity of skin-resident mast cells and of blood circulating hematopoietic progenitors in patients suffering from isolated Cutaneous Mastocytosis and from systemic Mastocytosis with skin lesions.

Read the detailed description

Mastocytosis is a rare disease caused by abnormal mast cell accumulation/proliferation. Its clinical features are very heterogeneous. Among adult patients, 15% present an isolated cutaneous mastocytosis (CM), while 85% of them present a systemic mastocytosis (SM) with cutaneous lesions. In addition, regardless of the diagnosis (i.e., CM or SM), it is frequent to observe mast cell-dependent symptoms of variable severity, ranging from gastrointestinal discomfort to life-threatening reactions. To date, the origin of such heterogeneous manifestations in adult patients is still elusive. Researchers hypothesize that the heterogeneity in mastocytosis symptoms might originate, at least in part, from a broad diversity of mast cell populations in patients. This study will aim to uncover heterogeneity of skin-resident mast cells and of blood circulating hematopoietic progenitors in patients suffering from isolated CM or SM with skin lesions. Patients with isolated CM and patients with SM with cutaneous involvement will be recruited from the Mastocytosis Expert Center of Toulouse.

Cluster of Differentiation (CD) 45+ cells from skin biopsies and CD 34+ cells from blood will be isolated by magnetic cell sorting for scRNAseq. Bioinformatics analysis pipeline will be used in order to analyze the cellular heterogeneity of skin lesions and blood from CM and SM patients by comparing their transcriptomic signatures. Using trajectories analysis, the researchers will then deduce infer a differentiation pathway between blood progenitors and cutaneous mast cells at the patient level. Researchers will then confirm the expression of identified relevant biomarkers by highly multiplexed imaging in frozen skin biopsies from CM patients and from SM patients.

02

Conditions studied

  • Mastocytosis

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Keywords

  • Mastocytosis
  • Mast cells
  • Cellular heterogeneity
  • CD 45+
  • CD 34+
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In context

Mastocytosis

77 studies on the registry are indexed under Mastocytosis; 16 are open to participants now.

This study's planned enrollment of 26 is below the median of 30 across 43 interventional studies indexed under Mastocytosis.

Browse Mastocytosis studies →

Lead sponsor

University Hospital, Toulouse is the lead sponsor of 805 studies on the registry; 215 are open to participants now.

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

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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

  • Criteria related to the study population:
  • Subject affiliated with a social security or insurance scheme
  • Subject who has given written consent to his participation in the study
  • Criteria related to the studied pathology:
  • Subject diagnosed with isolated cutaneous or indolent systemic mastocytosis with associated skin involvement defined according to World Health Organization criteria (and/or international criteria for cutaneous mastocytosis)
  • Subjects whose KIT mutation status is known in the skin, bone marrow, and blood

Exclusion criteria

Exclusion Criteria:

  • Criteria related to the study population:
  • Sun exposure of the biopsied areas expected within the 4 weeks preceding
  • Subjects who have had exposure to sunlight or artificial UV radiation within the 2 weeks preceding inclusion at the biopsied areas
  • Adult patients under legal protection, guardianship, or curatorship
  • Pregnant or lactating women
  • Criteria related to the studied pathology:
  • Subjects with an advanced version of the pathology or advanced systemic mastocytosis (SAMA)
  • Subjects with a known history of allergy or intolerance to local anesthetics
  • Subjects who have previously shown abnormalities in skin healing or any other contraindication to skin biopsy
  • Subjects with recognized addiction to alcoholism or drug abuse
  • Subjects with a hereditary or acquired disorder of hemostasis
  • Subjects with a severe or acute chronic condition judged by the investigator as incompatible with the trial
  • Subjects presenting a clinically incompatible immune deficiency with the study
  • Patients without a well-established diagnosis of mastocytosis
  • Patients included in a therapeutic study for indolent systemic mastocytosis
  • Treatment-related criteria:
  • Any topical or systemic treatment for atopic dermatitis (including phototherapy) ongoing or stopped at least 14 days before the inclusion visit
  • Systemic corticosteroids within the 4 weeks preceding the inclusion visit
  • Ongoing systemic treatment likely to interfere with the healing process
  • Subjects who have undergone physical treatment (radiotherapy, etc.) on the biopsy area in the past 6 months
  • History of treatment or concomitant treatment that may interfere with the conduct of the study as determined by the investigator
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Study design

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

Study arms

  • Other
    patients with isolated cutaneous mastocytosis with associated skin involvement - RNAseq

    Genetic: scRNAseq · Procedure: two Skin biopsies

  • Other
    patients with mastocytosis indolent systemic with associated skin involvement

    Procedure: one Skin biopsies

  • Other
    patients with isolated cutaneous mastocytosis with associated skin involvement

    Procedure: one Skin biopsies

  • Other
    patients with mastocytosis indolent systemic with associated skin involvement - RNAseq

    Genetic: scRNAseq · Procedure: two Skin biopsies

Interventions

  • GeneticscRNAseq

    A blood test tube (only for scRNAseq, 2 tubes of 10 ml per patient)

  • Proceduretwo Skin biopsies

    2 skin biopsies from a lesional area

  • Procedureone Skin biopsies

    1 skin biopsies from a lesional area

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What researchers measure

Primary outcomes

  1. Study of the diversity of skin CD 45+ cells and circulating blood CD 34+ cells

    This study aims to examine the diversity of CD 45+ cells in the skin and CD 34+ cells in the circulating blood in patients. The approach used will be single cell sequencing (scRNAseq) to identify the transcriptomic profiles of the different cell populations in these two types of mastocytosis.

    Time frame: 24 month and one week

Secondary outcomes

  1. Study of common or differential transcripts

    This part of the study will focus on analyzing common or differential genetic transcripts between patients with isolated cutaneous mastocytosis and those with systemic mastocytosis. The aim is to understand the underlying molecular differences between these two forms of the disease.

    Time frame: 24 month and one week

Other outcomes

  1. marker

    through advanced imaging techniques (multiplexed imaging), marker in patients with isolated cutaneous mastocytosis and systemic mastocytosis will be identified compared with control sample

    Time frame: 24 month and one week

  2. marker - isolated cutaneous mastocytosis

    through advanced imaging techniques (multiplexed imaging), marker in patients with isolated cutaneous mastocytosis will be identified compared with control sample

    Time frame: 24 month and one week

  3. marker - systemic mastocytosis

    through advanced imaging techniques (multiplexed imaging), marker in patients with systemic mastocytosis will be identified compared with control sample

    Time frame: 24 month and one week

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Study locations

1 site
  • University Hospital
    Toulouse, 31059, France
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06432556
Responsible party
Sponsor
First posted
May 29, 2024
Start date
Jun 1, 2024 (estimated)
Primary completion
Jun 8, 2026 (estimated)
Completion
Jun 15, 2026 (estimated)
Last update
May 29, 2024

Study contacts

Cristina Bulai Livideanu, MD
Contact
livideanu.c@chu-toulouse.fr
0567778138 ext. +33
Cristina Bulai Livideanu, MD
principal investigator · Toulouse univiversity hospital

Oversight

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

Not currently enrolling

This study is status unknown, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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