Hôpital Necker Enfants Malades - AP-HP
Paris, 75015, France
NCT Number: NCT04095715
The study aims to know the overall prevalence of granular deficits and their breakdown by type (anomaly of number, content or secretion) in a population of patients with hemorrhagic symptomatology after exclusion of other known causes.
This study consists also to evaluate the association between the presence of a deficit in dense granules and (1) the intensity of the hemorrhagic phenotype (hemorrhagic score) (2) the nature of hemorrhages (post-operative, spontaneous, atypical...)
-Evaluate the association between the type of deficit in dense granules and (1) the intensity of the hemorrhagic phenotype (hemorrhagic score) (2) the nature of hemorrhages (post-operative, spontaneous, atypical...)
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Notify Me2 year and older
All sexes
Observational
Paris, 75015, France
Patients will be recruited during the exploration visit (v0) or the confirmation/typing visit (v1) according to their follow-up.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Haemostasis consultation
Standard management of patients suspected of thrombopathy
Time frame: Baseline (M0)
Us of some low-dose agonists such as ADP, epinephrine or collagen, which are particularly susceptible to granular defects, on platelet-rich plasma (PRP) prepared from the patient's blood sample to be explored
Time frame: At 6 months
Use of some low-dose agonists such as ADP, epinephrine or collagen, which are particularly susceptible to granular defects, on platelet-rich plasma (PRP) prepared from the patient's blood sample to be explored
Time frame: Baseline (M0)
Dosage of platelet serotonin by measuring platelet serotonin by HPLC.
Time frame: Baseline (M0)
The measurement is based on the principle of bioluminescence with a two-step transformation reaction of luciferin in the presence of luciferase, this reaction requiring the presence of ATP
Time frame: At 6 months
The measurement is based on the principle of bioluminescence with a two-step transformation reaction of luciferin in the presence of luciferase, this reaction requiring the presence of ATP
Time frame: Baseline (M0)
Delta granules contain calcium, which makes them naturally opaque to electrons and thus allows their direct visualization in electronic microscopy.
Time frame: at 6 months
Delta granules contain calcium, which makes them naturally opaque to electrons and thus allows their direct visualization in electronic microscopy.
Time frame: Baseline (M0)
Evaluation using the ISTH score
Time frame: At 6 months
Fib-SEM technic by focussed ion beam scanning which allows a 3D reconstitution of the platelets and thus to visualize any empty granules
Time frame: At 6 months
Sequencing on a broad set of genes involved in platelet function. Bioinformatic analysis is carried out using BWA-MEM software (Alignment on the genome version HG19)
Time frame: Baseline (M0)
Evaluated by% of residual Thrombin after plasma coagulation
Time frame: at 6 months
Evaluated by% of residual Thrombin after plasma coagulation
Assistance Publique - Hôpitaux de Paris
Other
Diagnosis of Platelet Dense Granules Anomalies in Unexplained Hemorrhagic Syndromes
Acronym: AGRAD
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View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.