Hidradenitis Suppurativa (HS)
Conditions
Keywords
Plasma therapy, Neutralizing type-1 interferon autoantibodies
Brief summary
The purpose of the study is to evaluate the safety and type 1 Interferon (IFN) neutralization in patients with refractory severe Hidradenitis Suppurativa (Hurley stage III) after transfusion of plasma containing high titer anti-IFN-1 autoantibodies.
Interventions
Transfusion of one unit of plasma containing high titre anti-IFN-1 autoantibodies
Sponsors
Study design
Eligibility
Inclusion criteria
* Men and women aged over 18 * Patients with Hidradenitis suppurativa (Hurley stages II-III) * Disease affecting at least two distinct anatomical areas, * Total count of abscesses (A) and inflammatory nodules (N) ≥ 3 * IHS4 score ≥ 11 * Treatment of pain with opioids (≥ 20 mg/day) * Resistance to previous use (for at least 3 months) of systemic antibiotics and TNF inhibitors (infliximab or adalimumab) or anti-IL17 (secukinumab). * Vaccinations against SARS-CoV-2 and influenza up to date (or able to be carried out prior to the study procedure) * Women using an effective method of contraception * Signed informed consent
Exclusion criteria
* Active viral infection: herpes, VZV, HIV, HBV, HCV * Active bacterial infection requiring systemic antibiotics * Known allergy to blood components/plasma proteins * Poor myocardial function (increased risk of for transfusion-associated circulatory overload) (symptomatic left ventricular failure and ejection fraction \< 40%) * Pregnant women * Subjects with no social security coverage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety of transfusion of plasma containing high titer anti-IFN-1 auto-Antibodies | within 28 days of infusion | Two aspects are considered when assessing safety: * Immediate serious adverse events (SAEs) (within 24 hours of infusion) and, * Delayed SAEs (within 28 days of infusion). Adverse events are coded according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE V5.0). |
Countries
France