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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-A00775-34 | Other Identifier | ID RCB |
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| Name | Class |
|---|---|
| University Hospital, Paris | OTHER |
| University Hospital, Rouen | OTHER |
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Angiotensin-Converting-Enzyme-inhibitors-dependent angioedema (ACEi-AE) is the most frequent form of bradykinin-mediated AE, with an estimated prevalence of 0.1% to 0.7%.
These AE can be explained by the accumulation of bradykinin (BK), a peptide responsible for increase of vascular permeability: ACE inhibitors block ACE, the main inactivation pathway of the BK, thus extending its half-life.
In spite of the the stopping of the drug, systematically performed in the case of ACEi-AE, up to 50% of patients relapsed within 6 months, with maximum risk in the first month after stopping. In addition, the discontinuation of these drugs represents a loss of chance for some patients, without clearly established mastocytic (or histaminic) or bradykinic etiology.
At present there is no method to predict the risk of crisis recurrence in patients who have developed AE-IEC.
The investigators hypothesize that the risk of relapse is associated with a decrease in the activity of BK degradation enzymes (including aminopeptidase P (APP), dipeptidyl peptidase-4 (DPP4), and ECA) that persists at the cessation of IEC.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Assay of Bradykinin-degradating enzymes. | Other | Aminopeptidase P activity assay; Dipeptidyl peptidase IV activity assay; Angiotensin Converting Enzyme activity assay; MME gene polymorphisme exploration. |
| Measure | Description | Time Frame |
|---|---|---|
| Prognostic Value of Bradykinin degradating enzymes | The primary outcome is to determine the dynamic prognostic value of each of the kinin catabolism enzyme activities, as biomarkers of the risk of relapse at 6 months in patients with BK-AE associated with ACEi. | Association between the activity of kinin-degrading enzymes (ECA, APP, DPP4) measured by enzyme methods, expressed in tertiles, and relapse at 6 months. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with Angioedema secondary to Angiotensin Converting Enzyme Inhibitors
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Federica DEFENDI, PhD | Contact | +33(0)0476765416 | fdefendi@chu-grenoble.fr |
| Name | Affiliation | Role |
|---|---|---|
| Federica DEFENDI | University Hospital, Grenoble | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu Grenoble Alpes | Recruiting | Grenoble | 38043 | France |
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Citrate plasma sample serum sample EDTA sample
| CHRU de Lille _Hôpital Claude-Huriez | Recruiting | Lille | 59037 | France |
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| AP-HP _St Antoine | Recruiting | Paris | 75571 | France |
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| CHU de Rouen | Recruiting | Rouen | 76 031 | France |
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