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Recruiting

NCT Number: NCT06212635

Hemostasis in Liver Cirrhosis and Hepatocellular Cancer

Evaluating hemostasis in decompensated liver cirrhosis with novel hemostatic assays.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Karolinska University Hospital

Stockholm, Huddinge, 14186, Sweden

Location status: Recruiting

Location contact

Sanna Norén, MD, PhDstudent

CONTACT

[email protected]

About this study

The rebalanced hemostasis in liver cirrhosis is vulnerable and patients are prone to both bleeding and thrombosis. There are today no gold standard for evaluating the hemostasis and we will evaluate novel methods for this.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with decompensated liver cirrhosis
  • 18 years or older.
  • Healthy individuals 18 years or older will serve as controls.

Exclusion criteria

  • • Extrahepatic malignancy or recurrence of such within the last year.
  • Diagnosis of non-cirrhotic coagulopathy, coagulation disorder or thrombophilia prior to inclusion.
  • Diagnosis of hematological disease such as hematologic malignancies, non-cirrhotic thrombocytopenia or thrombocytosis, Polycytemia Vera, hemoglobinopathies
  • Previous liver transplantation.
  • Transfusions the last 7 days.
  • Treatment with platelet inhibitors or anticoagulant except for prophylactic dosage of LMWH. If a prophylactic dose of LMWH has been used study sampling with addition of antiFXa must be taken >12 hours after the last injection.

Treatment and study plan

T-TAS

Diagnostic Test

Blood test, laboratory assays

Other names: Quantra, OHP

Primary outcomes

  1. Differences in laboratory values between groupstests

    Time frame: up to 5 years

    Laboratory values of novel hemostasis tests TTAS, Quantra and OHP correlated to Rotem, TG and conventional coagulation assays. All tests have differnet values.

  2. Correlation between systemic inflammation and hemostasis measured by novel assays

    Time frame: uo to 7 years

    Correlation between systemic inflammation measured by cytokines, NETs and ECV and hemostasis measured by novel assays as in outcome 1

Secondary outcomes

  1. Number of participant with bleeding

    Time frame: Up to 7 years

    Bleeding defined according to ISTH

  2. Number of participants with Thrombosis

    Time frame: Up to 7 years

    Splanchnic or non-splanchnic thrombosis

  3. Number of participants that die

    Time frame: Up to 7 years

  4. Number of participant going to transplant

    Time frame: Up to 7 years

    Number of patients getting a transplant, acute, subacute or according to waiting list

Study contacts

Contact information is provided by the study sponsor or research team.

Maria Magnusson, MD, PhD

CONTACT

[email protected]

Sanna Norén, MD, PhDstudent

CONTACT

[email protected]

+46703131799

Sponsors and collaborators

Lead sponsor

Region Stockholm

Other Gov

Collaborators

  • Sahlgrenska University Hospital

Registry information

Official study title

Novel Biomarkers for Evaluation of Hemostasis and Inflammation in Liver Cirrhosis

Acronym: HELICS

Important dates

Study start
2022
Primary completion
2026
Study completion
2028
First posted
Jan 19, 2024
Registry last updated
Jan 19, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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.