Endothelial cell activation in Idiopathic pneumonitis syndrome

  • Research type

    Research Study

  • Full title

    Role of endothelial cell damage and activation in idiopathic pneumonia syndrome post stem cell transplantation

  • IRAS ID

    260246

  • Contact name

    Andrew R Gennery

  • Contact email

    andrew.gennery@ncl.ac.uk

  • Clinicaltrials.gov Identifier

    6996, Caldicott

  • Duration of Study in the UK

    1 years, 11 months, 0 days

  • Research summary

    Bone marrow transplantation is an important treatment for many congenital immune deficiencies and benign or malignant haematological diseases. A rare but important complication of the treatment, due to the process of transplantation, is damage to the internal lining of blood vessels which usually occurs in the first 3 months following transplantation. This can lead to liver, kidney, lung and other organ damage. There is an effective treatment for this complication, which is most effective when started early. Unfortunately, it is not possible to predict which patients will develop this complication.

    We will take blood during routine accessing of the central line, once a week for 14 weeks, and store it. If the patient develops the complication, we will analyse the stored blood for chemicals associated with damage of the blood vessel internal lining, to see if we can detect a chemical signature that predicts development of the complication. Any treatment that is required will be decided by the clinical team looking after the patient, and is not part of this study.

    Additionally, we will re-examine historic biopsy specimens from deceased patients for evidence of blood vessel lining damage.

  • REC name

    East of England - Cambridge South Research Ethics Committee

  • REC reference

    19/EE/0320

  • Date of REC Opinion

    2 Jan 2020

  • REC opinion

    Further Information Favourable Opinion