CREST lung fibrosis scleroderma
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age 18-70 years • Written informed consent • Formal diagnosis of Systemic Sclerosis based on ACR/EULAR criteria • Formal diagnosis of interstitial lung disease (for 15 of 20 included patients)
Exclusion criteria
Exclusion criteria: • Patients who are mentally incompetent • Vascular event or chemotherapy in the preceding 3 months • Inflammation of unknown origin • Other lung disease present • Use of anti-inflammatory medication or antibiotics
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Level of IL-6 in BAL fluid 2. Inflammatory, fibroproliferative and osteogenic cytokines in BAL fluids 3. Degree of proinflammatory, profibrotic and osteogenic differentiation of fibroblasts isolated from lung BAL and bronchial biopsies 4. Degree of tissue markers involved in the calcification process and SSc progression in bronchial biopsies 5. Degree of other serum markers of the calcification process: T50, calcium, phosphorus, parathormone, fetuin-A, Fibroblast Growth Factor-23 (FGF23), aKlotho; 6. Degree and extent of pulmonary involvement of ILD and pulmonary ossifications by lung function (FVC, FEV1, DLCO), and HRCT 7. Degree of vasculopathy by: noninvasive nailfold capillary microscopy; arterial stiffness; digital artery involvement as assessed with ultrasound; 8. Clinical parameters on SSc organ and degree of skin and additional organ involvement, SSc-antibody profile, medication use, and comorbidities. | — |
Secondary
| Measure | Time frame |
|---|---|
| - | — |
Countries
Netherlands