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Clinical Trial Summary

Chronic histiocytic intervillositis (CHI) is a rare condition with an incidence of 5 in 10,000 pregnancies. This rare condition is associated with placental inflammatory lesions leading to severe and recurrent obstetrical complications: intrauterine growth retardation (IUGR), fetal death in utero and miscarriage. The pathophysiological mechanisms of CHI are poorly understood, while the empirical treatments prescribed to prevent recurrence are cumbersome and of poor efficacy. Recent findings suggest that an alloimmune response may play a role. In a recent work, the investigators have demonstrated the role of maternal alloantibodies directed against fetal HLA antigens in two patients followed for recurrent IUGR associated with CHI. Their work suggests that a humoral alloimmune response directed against fetal HLA antigens mimics an allograft rejection process. The investigators propose to extend the preliminary results obtained in these patients to provide new insights into the pathophysiological mechanisms of CHI, and eventually to predict the risks of fetal loss.


Clinical Trial Description

n/a


Study Design


Related Conditions & MeSH terms


NCT number NCT05936333
Study type Interventional
Source Assistance Publique - Hôpitaux de Paris
Contact Alexandra LETOURNEAU, Doctor
Phone 331 45 37 44 76
Email letourneau.alexandra@aphp.fr
Status Not yet recruiting
Phase N/A
Start date July 2023
Completion date January 2025

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