Genetic Susceptibility to Listeriosis (Listeria-GEN)
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ClinicalTrials.gov Identifier: NCT03357536 |
Recruitment Status :
Recruiting
First Posted : November 30, 2017
Last Update Posted : January 12, 2024
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Listeriosis is a rare, severe foodborne infection, responsible for severe invasive infections. It occurs in the great majority of cases in elderly patients and / or patients with comorbidities, with a deficit of innate or cellular immunity. Pregnancy is also a risk factor.
The Multicentric Observational NAtional Analysis of Listeriosis and Listeria (MONALISA) is an ongoing national case-control prospective study on listeriosis implemented since 2009 to study risk and prognosis factors for listeriosis. In this cohort, which enrolled 902 patients on 1 August 2014, 7% of patients with neurolisteriosis are under 40 years of age and have no identified risk factor. Genetic susceptibility is suspected in these patients. Genetic susceptibility could also explain the inconstant development of a neurolisteriosis or fetal infection, as well as the particular severity of some infections (death, foetal loss, neurological sequelae).
The aim of the study is to identify genetic susceptibility to Listeriosis.
Condition or disease | Intervention/treatment | Phase |
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Listeriosis | Procedure: Human biological samples | Not Applicable |
Listeriosis is a rare, severe foodborne infection caused by the bacterium Listeria monocytogenes (Lm), responsible for severe invasive infections. It occurs in the great majority of cases in elderly patients and / or patients with comorbidities, with a deficit of innate or cellular immunity. Pregnancy is also a risk factor.
The Multicentric Observational NAtional Analysis of Listeriosis and Listeria (MONALISA) is an ongoing national case-control prospective study on listeriosis implemented since 2009 to study risk and prognosis factors for listeriosis. In this cohort, which enrolled 902 patients on 1 August 2014, 7% of patients with neurolisteriosis are under 40 years of age and have no identified risk factor. Genetic susceptibility is suspected in these patients. Genetic susceptibility could also explain the inconstant development of a neurolisteriosis or fetal infection, as well as the particular severity of some infections (death, foetal loss, neurological sequelae).
The analysis of the genetically transmitted vulnerability of Lm has not yet been studied, because of the lack of accessibility to prospective cohorts (and their DNA) for this rare and severe infection.
The aim of the study is to identify genetic susceptibility to Listeriosis that will optimize the patient care in terms of treatment and prevention.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 100 participants |
Allocation: | Non-Randomized |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Basic Science |
Official Title: | Genetic Susceptibility to Listeriosis - Listeria-GEN |
Actual Study Start Date : | November 28, 2017 |
Estimated Primary Completion Date : | November 30, 2027 |
Estimated Study Completion Date : | November 30, 2027 |
Arm | Intervention/treatment |
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Experimental: Patients with Listeriosis
Patients with Listeriosis. Human biological samples :
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Procedure: Human biological samples
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Experimental: Volunteers related with patients with Listeriosis
Volunteers related with patients with Listeriosis. Human biological samples :
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Procedure: Human biological samples
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- Identification of a susceptibility factor associated with Listeriosis infection [ Time Frame: 10 years ]
In patients with Listeriosis, the hypothesis that the identified genetic variation is the mutation responsible for the infection will be verified :
- by verifying that it is not a listed polymorphism by sequencing genomic DNA controls
- by verifiyng that family genetic segregation is compatible with clinical segregation
- by verifying the function of the mutated protein in the patient's cell lines and / or fresh cells
- by performing complementation experiments by transfecting the wild-type allele into the patient's cells
- Identification of a susceptibility factor associated with the most severe or atypical forms [ Time Frame: 10 years ]
In patients with Listeriosis, the susceptibility factor associated with the most severe or atypical forms will be characterized :
- By testing the response and production of cytokines involved in infection control.
- By identifying chromosomal regions associated with the disease by a homozygosity mapping genetic study on multiplex and / or inbred families.
- By sequencing the identified candidate genes.
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Ages Eligible for Study: | Child, Adult, Older Adult |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria for patients with Listeriosis :
- Microbiologically documented Listeriosis (either a severe form of listeriosis, or an atypical form of listeriosis, or less than 40 years old and without any co-morbidity identified)
- Affiliated or beneficiary of a social security system
- Informed and written consent
Inclusion Criteria for volunteers related to patients with Listeriosis (after identifying a genetic susceptibility in the patient with Listeriosis) :
- defined as father, mother, brother (s), sister (s), child (ren), grandparent (s), uncle (s), aunt (s), cousin (s), nephew (s), niece (s).
- Affiliated or beneficiary of a social security system
- Informed and written consent
Exclusion Criteria for volunteers related to patients with Listeriosis:
- Inability to consent
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03357536
Contact: Marc Lecuit | +33 1 40 61 34 20 | marc.lecuit@pasteur.fr | |
Contact: Caroline Charlier-Woerther | +33 1 40 31 30 10 | caroline.charlier@pasteur.fr |
France | |
Centre Médical de l'Institut Pasteur | Recruiting |
Paris, France, 75015 | |
Contact: Caroline Charlier-Woerther, MD +33 1 40 61 30 10 caroline.charlier@pasteur.fr |
Study Director: | Marc Lecuit | Institut Pasteur |
Responsible Party: | Institut Pasteur |
ClinicalTrials.gov Identifier: | NCT03357536 |
Other Study ID Numbers: |
2014-31 ID-RCB number : 2015-A01386-43 ( Other Identifier: French national registration number of the study ) |
First Posted: | November 30, 2017 Key Record Dates |
Last Update Posted: | January 12, 2024 |
Last Verified: | January 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Listeriosis Genetic Predisposition to Disease Disease Susceptibility Disease Attributes Pathologic Processes |
Gram-Positive Bacterial Infections Bacterial Infections Bacterial Infections and Mycoses Infections |