CClinicalTrials.gg
Not yet recruitingNCT07005804PYC-OMICUpdated Jun 5, 2025

Calcium Pyrophosphate Deposition (CPPD) Disease

An interventional study of transcriptomic and metabolomic analysis in Calcium Pyrophosphate Deposition Disease and Rheumatic Diseases, sponsored by Lille Catholic University. Not yet recruiting at 1 site in France. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2025-06-05.

Sponsored by Lille Catholic University · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
137
Allocation
Not applicable
Ages
65 Years and older
Sex
All
01

Study summary

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.

02

Conditions studied

  • Calcium Pyrophosphate Deposition Disease
  • Rheumatic Diseases

Keywords

  • Calcium pyrophosphate deposition disease
  • gene expression
  • acute clinical phenotype
  • chronic clinical phenotype
  • metabolic expression
03

Who can participate

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

Eligibility criteria

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
04

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
137 participants (estimated)

Study arms

  • Experimental
    Patients with a chronic CPPD

    Patients with diagnosis of chronic calcium pyrophosphate crystal arthritis (either acute recurrent or persistent arthritis), meeting the 2023 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria, after evaluation by a rheumatologist from the rheumatology department.

    Genetic: transcriptomic and metabolomic analysis

Interventions

  • Genetictranscriptomic and metabolomic analysis

    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.

05

What researchers measure

Primary outcomes

  1. Transcriptomic profile

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

    Time frame: 2 weeks

  2. Metabolomic profile

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

    Time frame: 2 weeks

06

Study locations

1 site
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07005804
Lead sponsor
Lille Catholic University
Responsible party
Sponsor
First posted
Jun 5, 2025
Start date
Oct 2025 (estimated)
Primary completion
May 2027 (estimated)
Completion
Nov 2027 (estimated)
Last update
Jun 5, 2025

Study contacts

Marie Paule LEBITASY
Contact
Lebitasy.Marie-Paule@ghicl.net
+333 20 22 57 41
Marie DESOLERE
Contact
desolere.marie@ghicl.net
+33 320225931
Charlotte JAUFFRET
principal investigator · Rheumatology Department - Hôpital Saint-Vincent - GHICL

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion