Molecular Analysis of Thrombocytopenia and Cancer (MATAC): Investigating Antigenic Mimicry Between Platelets and Tumor Cells in Patients With Immune Thrombocytopenia (ITP) Associated With Cancer

Last updated: February 19, 2025
Sponsor: University Hospital, Bordeaux
Overall Status: Active - Recruiting

Phase

N/A

Condition

Immune (Idiopathic) Thrombocytopenic Purpura (Itp)

Cancer

Dysfunctional Uterine Bleeding

Treatment

ITP and cancer

Clinical Study ID

NCT06444477
CHUBX 2024/16
  • Ages > 18
  • All Genders

Study Summary

The association between hematologic malignancies and ITP is well described, but this link is much less clear with solid cancers. In cases of ITP associated with cancers, specific cancer treatment can lead to remission or even cure of ITP. Thus, our hypothesis was that chronic expression of GPIIB by tumor cells could have initiated an autoimmune loop against GPIIB, leading to the onset and perpetuation of ITP.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Adult patients with a definite diagnosis of both ITP and cancer;

  • Synchronous diagnosis of ITP and cancer;

  • Onset of ITP occurring 6 months before or after the diagnosis of cancer.

Exclusion

Exclusion Criteria:

  • None

Study Design

Total Participants: 70
Treatment Group(s): 1
Primary Treatment: ITP and cancer
Phase:
Study Start date:
August 13, 2024
Estimated Completion Date:
February 28, 2025

Study Description

Autoimmune thrombocytopenia, also known as immune thrombocytopenic purpura (ITP), is a rare autoimmune disease characterized by platelet destruction and impaired production, posing a life-threatening risk due to bleeding complications. The pathophysiology of ITP involves complex mechanisms, including both defective platelet production and auto-reactivity of B and T lymphocytes leading to the production of autoantibodies against platelets, found in 35 to 55% of cases. Additionally, in the context of neoplasia, some patients may develop varying degrees of thrombocytopenia, exacerbating morbidity and mortality. A multicenter, retrospective study will collect data from routine care, including birth date, gender, biological parameters related to ITP, dates of treatment initiation and diagnosis of ITP and cancer, types of treatments, and outcomes such as survival or death, without additional medical interventions or appointments.

Connect with a study center

  • AP-HP Hôpital Jean Verdier service de médecine interne

    Bondy,
    France

    Active - Recruiting

  • CHU de Clermont-Ferrand - service de médecine interne

    Clermont-Ferrand,
    France

    Active - Recruiting

  • AP-HP Hôpital Mondor service de médecine interne

    Créteil,
    France

    Active - Recruiting

  • AP-HP Hôpital Bicêtre service de médecine interne

    Le Kremlin-Bicêtre,
    France

    Active - Recruiting

  • CHU de Lille - service d'Hématologie

    Lille,
    France

    Site Not Available

  • HCL - service d'Hématologie

    Lyon,
    France

    Site Not Available

  • AP-HM Hôpital la Timone - service de médecine interne

    Marseille,
    France

    Active - Recruiting

  • CHU de Montpellier - service d'Hématologie

    Montpellier,
    France

    Site Not Available

  • CHRU de Nancy - service de Médecine Interne et Immunologie Clinique

    Nancy,
    France

    Active - Recruiting

  • CHU de Nantes - service de médecine interne

    Nantes,
    France

    Site Not Available

  • CHRU d'Orléans - service de Médecine interne

    Orléans,
    France

    Site Not Available

  • CHRU d'Orléans - service de réanimation

    Orléans,
    France

    Site Not Available

  • AP-HP Hôpital Bichat service de médecine interne

    Paris,
    France

    Site Not Available

  • AP-HP Hôpital Saint-Antoine service de médecine interne

    Paris,
    France

    Site Not Available

  • AP-HP Hôpital Saint-Louis service immuno-hématologie

    Paris,
    France

    Active - Recruiting

  • CHU de Bordeaux Service de Médecine Interne et Maladies Infectieuses

    Pessac,
    France

    Active - Recruiting

  • CHU de Poitiers - service de médecine interne

    Poitiers,
    France

    Active - Recruiting

  • CHRU de Strasbourg - service de médecine interne

    Strasbourg,
    France

    Site Not Available

  • CHU de Toulouse - service de médecine interne

    Toulouse,
    France

    Site Not Available

  • CHU de Tours - service de médecine interne

    Tours,
    France

    Active - Recruiting

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