Hidden genetic syndrome may explain mysterious inflammation in older adults
NCT ID NCT07708688
First seen Jul 16, 2026 · Last updated Jul 17, 2026 · Updated 1 time
Summary
This study looks for VEXAS syndrome, a recently discovered genetic condition, in adults over 50 who are hospitalized with unexplained fever, inflammation, or blood abnormalities. Researchers will screen participants using clinical exams and genetic testing of the UBA1 gene. The goal is to find out how common VEXAS syndrome is in this group and describe its symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could reveal how many older adults with unexplained inflammation actually have VEXAS syndrome, leading to better diagnosis and awareness.
- What could go wrong
- This is a small observational study in one region of Italy, so findings may not apply to other populations. It only estimates prevalence and does not test any treatment.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults older than 50 years admitted to participating Internal Medicine departments of the FADOI Friuli Venezia Giulia network with otherwise unexplained systemic inflammation and/or hematologic abnormalities, including fever, elevated inflammatory markers, macrocytic anemia, thrombocytopenia, other cytopenias, or systemic inflammatory manifestations without a clear etiology. Clinical, laboratory, and imaging data routinely available during hospital care will be used to identify participants with features suggestive of VEXAS syndrome. Selected suspected cases will undergo confirmatory UBA1 genetic testing.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age older than 50 years. * Admission to a participating Internal Medicine department within the FADOI Friuli Venezia Giulia network. * Presence of otherwise unexplained systemic inflammation and/or hematologic abnormalities. * At least one of the following clinical or laboratory findings: * unexplained fever; * elevated C-reactive protein and/or erythrocyte sedimentation rate; * macrocytic anemia; * thrombocytopenia or other cytopenias; * systemic inflammatory manifestations without a clearly identified cause. * Availability of clinical, laboratory, and imaging data required for assessment according to the study screening pathway. * Provision of informed consent, where required by the approved study protocol and applicable regulations. Exclusion Criteria: * Systemic inflammation adequately explained by an active infection. * Systemic inflammation adequately explained by a solid malignancy. * Clinical or laboratory abnormalities with another clearly established etiology. * Insufficient clinical or laboratory information to assess eligibility according to the study screening pathway. * Inability or refusal to provide informed consent, where consent is required.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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