UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058170
Receipt number R000066491
Scientific Title A study on quantitative assessment of hemostatic function in patients with thrombocytopenia due to liver cirrhosis
Date of disclosure of the study information 2025/09/01
Last modified on 2025/06/13 15:12:25

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Basic information

Public title

A study on quantitative assessment of hemostatic function in patients with thrombocytopenia due to liver cirrhosis

Acronym

A study on quantitative assessment of hemostatic function in patients with thrombocytopenia due to liver cirrhosis

Scientific Title

A study on quantitative assessment of hemostatic function in patients with thrombocytopenia due to liver cirrhosis

Scientific Title:Acronym

A study on quantitative assessment of hemostatic function in patients with thrombocytopenia due to liver cirrhosis

Region

Japan


Condition

Condition

liver cirrhosis

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The study aimed to examine the correlation coefficient between bleeding time and hemostatic capacity measured by the HD assay in cirrhotic patients with platelet counts below 90,000/microL, as well as to investigate the correlation between hemostatic capacity obtained from the HD assay and various parameters such as blood coagulation factors, and to assess bleeding risk and bleeding complications following invasive procedures

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Examination of the correlation coefficient between bleeding time and hemostatic capacity measured by the HD assay in cirrhotic patients with platelet counts below 90,000/microL

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Clinically diagnosed with liver cirrhosis
Has a platelet count of either 20,000-90,000/microL or 90,000-150,000/microL
18 years of age or older

Key exclusion criteria

Patients requested to be excluded from the main study
Patients with congenital platelet function disorders such as Glanzmann's thrombasthenia or Bernard-Soulier syndrome or von Willebrand disease
Patients currently taking antiplatelet or anticoagulant medications
Patients with severe anemia or hypoalbuminemia
Patients with embolic diseases such as myocardial infarction, cerebral infarction, or pulmonary embolism
Patients presenting with DIC due to severe infections, active bleeding, cancer, hematologic malignancies, or poor general condition
Any other patients deemed unsuitable for safe participation in this study by the attending physician

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Honda
Middle name
Last name Takashi

Organization

Nagoya University Graduate School of Medicine

Division name

Gastroenterology

Zip code

4660065

Address

65 Tsurumai-cho, Showa-ku, Nagoya City, Aichi Prefecture

TEL

0527442169

Email

norihiro@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Imai
Middle name
Last name Norihiro

Organization

Nagoya University Graduate School of Medicine

Division name

Gastroenterology

Zip code

4660065

Address

65 Tsurumai-cho, Showa-ku, Nagoya City, Aichi Prefecture

TEL

0527442169

Homepage URL


Email

norihiro@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University

Institute

Department

Personal name



Funding Source

Organization

ZACROS Corporation

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya University Graduate School of Medicine

Address

65 Tsurumai-cho, Showa-ku, Nagoya City, Aichi Prefecture

Tel

0527442169

Email

ethics@med.nagoya-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 06 Month 13 Day

Date of IRB


Anticipated trial start date

2025 Year 09 Month 01 Day

Last follow-up date

2027 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The analysis will include all eligible cases among those who have provided informed consent and from whom the necessary samples and clinical information for evaluation have been obtained.
Bleeding time will be measured using the Ivy method (a procedure in which a small incision is made under upper arm pressure and the time to hemostasis is recorded). Blood coagulation factors and related parameters will be evaluated through blood tests.
In the T-TAS (Total Thrombus-formation Analysis System), patients with platelet counts below 90,000 will be assessed using the new HD assay, while those with platelet counts between 90,000 and 150,000 will be assessed using both the HD assay and the conventional AR assay.
Invasive procedures will include endoscopic treatments such as EVL (endoscopic variceal ligation) and EIS (endoscopic injection sclerotherapy), vascular interventions such as TACE (transcatheter arterial chemoembolization), as well as procedures such as RFA (radiofrequency ablation), MWA (microwave ablation), liver biopsy, and paracentesis for ascites.
Rebleeding after EVL or EIS will also be considered a bleeding event for evaluation purposes.
All data obtained from the above assessments will be compiled into a database using Excel and analyzed with statistical software.
For each patient, bleeding time and hemostatic capacity measured by T-TAS will be compared, and the presence or absence of bleeding complications will be added to the dataset to assess bleeding risk.


Management information

Registered date

2025 Year 06 Month 13 Day

Last modified on

2025 Year 06 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066491