Prognostic Value of the Bradykinin-degradating Enzymes Activities on the Relapse Risk of Angiotensin-Converting Enzyme Inhibitors-associated Angioedema

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Other
Study Type: Observational
SUMMARY

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.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Men and women at least 18 years old

• Presenting AE secondary to treatment with Angiotensin Conversion Enzyme Inhibitors for less than 15 days, or an isolated AE (without superficial hives), which lasts at least 15 hours, and whose diagnosis is validated by the expert committee,

• Having signed informed and written consent

• And being affiliated with social security

Locations
Other Locations
France
Chu Grenoble Alpes
RECRUITING
Grenoble
CHRU de Lille _Hôpital Claude-Huriez
RECRUITING
Lille
AP-HP _St Antoine
RECRUITING
Paris
CHU de Rouen
RECRUITING
Rouen
Contact Information
Primary
Federica DEFENDI, PhD
fdefendi@chu-grenoble.fr
+33(0)0476765416
Time Frame
Start Date: 2021-10-27
Estimated Completion Date: 2025-10-26
Participants
Target number of participants: 243
Related Therapeutic Areas
Sponsors
Collaborators: University Hospital, Paris, University Hospital, Rouen
Leads: University Hospital, Grenoble

This content was sourced from clinicaltrials.gov