Effect of Aminobiphosphonates and Statins on Circulating Vgamma9Vdelta2-T Cells
A total of 40 patients will be entered in this study. Half of the patients will receive
standard intravenous treatment with aminobsiphosphonates, the other half will be
additionally be treated with a statin. Patients already receiving statin treatment will
continue this treatment, other patients will be asked whether they are willing to be treated
with a statin for a maximum of 5 weeks. Consenting patients will be randomized to receive
i.v. aminobisphosponates plus or minus simvastatin 40 mg once daily. Simvastatin will be
started one week prior to the first administration of aminobisphosphonates and continued for
a maximum of 5 weeks. In each patient 10 ml peripheral blood will be drawn (t=0, t=24 hr,
t=1 week, t=3-4 weeks (prior to the 2nd aminobisphosphonate administration). In addition,
patients will be requested to measure their temperature thrice daily during the 2 days
following the first aminobisphosponate administration. This, because a relation between the
occurrence of a febrile response upon aminobisphosponate administration and an activation
and expansion of Vy9Vd2-T cells has been suggested. Peripheral blood mononuclear cells will
be isolated from the drawn peripheral blood. Using intra- and extracellular flowcytometry
Vy9Vd2-T cells will be characterized phenotypically (APC markers: CD1d, CD40, CD80, CD83,
CD86, HLA-DR; activation/memory markers: CD25, CD27, CD45RA, CD45RO, CCR7) and functionally
(IFN-γ, TNF-α, granzyme B). In addition, the frequency of CD3+, CD4+, CD8+ T cells, NK
cells, B cells, iNKT cells, CD4+CD25+ regulatory T cells, and circulating dendritic cells
will be assessed.
Interventional
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Phenotypic (APC markers: CD1d, CD40, CD80, CD83, CD86, HLA-DR; activation/memory markers: CD25, CD27, CD45RA, CD45RO, CCR7)changes in the circulating pool of Vy9Vd2-T cells.
Peripheral blood mononuclear cells will be isolated from the drawn peripheral blood. Using intra- and extracellular flowcytometry Vy9Vd2-T cells will be characterized phenotypically (APC markers: CD1d, CD40, CD80, CD83, CD86, HLA-DR; activation/memory markers: CD25, CD27, CD45RA, CD45RO, CCR7).
5 weeks
No
J J van der Vliet, MD, PhD
Principal Investigator
VU University Medical Center
Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)
2010/70
NCT01179464
August 2010
May 2013
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