Ireland
--:--IST
Recruiting Not applicable

Study of the Prevalence of Acid Sphingomyelinase Deficiency/Niemann Pick AB and B Disease in Patients With Diffuse Interstitial Lung Disease

NCT06869499 · tracked via the Priya Life Science France tracker
Phase
Not applicable
Started
2025-06-05
Last updated
2026-10-15

Condition(s) studied

SplenomegalySplenectomyThrombopeniaInterstitial Lung Disease (ILD)Hypocholesterolemia

Investigational drug(s) / intervention(s)

Blood sampling for dosage

Blood sampling for dosage: 4ml blood sample to measure acid sphingomyelinase enzyme activity and LysoSM, if required.

Study summary

The goal of this clinical trial is to optimise and facilitate screening for Acid SphingoMyelinase Deficiency (ASMD) disease, by evaluating acid sphingomyelinase activity and, where appropriate, LysoSM levels in a cohort of 200 participants with diffuse interstitial lund disease (ILD) at risk of developing ASMD disease.

ILD is common in the general population, so in order to limit the number of differential diagnoses, the population to be studied will be restricted to participants aged between 15 years and 3 months and 60 years, with ILD plus ground-glass opacities on chest CT scan certified by a pulmonologist/radiologist or internist, AND splenomegaly or splenectomy, and/or thrombocytopenia, and/or low HDL cholesterol, and/or parental consanguinity which increase the sensitivity of ASMD screening.

In this clinical trail, two procedures are added, participants will be asked for :

* a blood sample to measure the acid sphingomyelinase enzyme activity and LysoSM, if required.
* a follow-up visit at 6 months

Eligibility

Sex
ALL
Min age
15 Years
Max age
60 Years
Healthy volunteers
No
Inclusion Criteria: 1. Interstitial lung disease with ground-glass lesions on a chest CT scan certified by a pneumologist/radiologist or internist. 2. At least one of the following criteria : * Splenomegaly (palpable spleen or craniocaudal length ≥ 13 cm) * Splenectomy * Thrombocytopenia (platelets \< 150 G/L) * Low HDL-cholesterol (\<0.4 g/l or 1.03 mmol/l) * Notion of parental consanguinity 3. Have given their written informed consent, in accordance with regulations. 4. Affiliated to the social security system or entitled beneficiary (excluding AME). Exclusion Criteria: 1. Inability to understand the information provided. 2. Under guardianship, curatorship or legal protection. 3. Under restraint or deprived of liberty by judicial or administrative decision.

Primary outcome measure(s)

  • ASMD Screening Outcomes in Adults with Diffuse Interstitial Lung Disease — 60 months
    Diagnostic performance of a sequential combined dried blood spot screening strategy for ASMD, assessed by the proportion of patients with abnormal acid sphingomyelinase enzymatic activity and/or elevated lysoSM concentrations, and by the number of confirmed ASMD diagnoses identified among 200 patients with interstitial lung disease at risk for ASMD.

Trial sites (1)

FacilityCityRegionStatus
Groupe Hospitalier Diaconesses Croix Saint-Simon Paris France Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06869499 on ClinicalTrials.gov ↗ ← All trials in France