Angiogenic/Angiostatic Mediators in Patients With Systemic Sclerosis

Endostatin and Other Angiogenic/Angiostatic Mediators in Patients With Systemic Sclerosis

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT00668473

Enrollment

Registered

2008-04-29

Start date

2007-05-31

Completion date

2012-01-31

Last updated

2016-10-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Systemic Sclerosis

Keywords

systemic sclerosis angiogenesis

Brief summary

We propose to examine several angiogenic/angiostatic mediators in the skin and serum of subjects with SSc and compare it to levels found in the skin and serum of healthy subjects.

Detailed description

Systemic sclerosis (SSc) is a connective tissue disease that is characterized by fibrosis of the skin and internal organs. One of the earliest pathologic changes in patients with SSc is damage to the blood vessels. Many abnormalities have been found in the inner layer of the blood vessel, the enothelial tissue. It is known that there are mediators in the blood and tissues of the body that affect the endothelial tissue. These are called angiogenic (promote blood vessel formation) and angiostatic (inhibit blood vessel formation) mediators. Many of these mediators have been examined in the peripheral blood of patients with SSc, but fewer of these mediators have been examined at the site of action, in the tissue near the microvasculature. We hypothesize that there are differences in the levels of angiogenic/angiostatic mediators between healthy subjects and subjects with SSc. In addition, we propose that there are differences at skin sites that have varying levels of involvement with SSc of these angiogenic/angiostatic factors in subjects with SSc.

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

1. Meet American College of Rheumatology criteria for systemic sclerosis 2. Subjects with systemic sclerosis must have involvement proximal to the knee or elbow, excluding the face 3. Persons with no chronic health conditions

Exclusion criteria

1. Persons with systemic sclerosis as a result of being exposed to chemicals or drugs that can cause a sceroderma-like illness 2. Persons with autoimmune diseases other than systemic sclerosis 3. Persons treated with cyclophosphamide in the last 8 weeks 4. Persons with active infections, including but not limited to hepatitis C, hepatitis B, and HIV 5. Persons prone to bleeding because they are treated with medications that thin the blood or have a low platelet count

Design outcomes

Primary

Measure	Time frame
Level of endostatin in skin and serum	At time of of biopsy and blood draw

Secondary

Measure	Time frame
Level of JAM-A in skin and serum	At time of blood draw and skin biopsy

Countries

United States

Outcome results