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Anemia; DrepanocyticSSADREPANCT01207037

Prognostic Factors of Acute Splenic Sequestration

A study testing blood samples and scintigraphy in people with Anemia; Drepanocytic, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Acute splenic sequestration is a frequent and life threatening complication occurring in approximately 10 % of homozygous children. Maximal incidence is between 6 and 18 months. The investigators formulate the hypothesis that there are clinical, biological and genetic markers predictive of severe complications notably… Read more about this study

Who is it for?
Ages 3 to 6 months
Conditions the study is for
Anemia; Drepanocytic
What is being tested?
blood samples and scintigraphy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
58 participants
Where
1 siteFrance
Study dates
12 Aug 2010to 7 Nov 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 to 6 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children aged 3 to 6 months
  • homozygous (SS) or S beta° sickle cell disease diagnosed by neonatal screening
  • With no history of acute splenic sequestration
  • Signed parental consent
  • Patient covered by national insurance scheme or CMU

Who cannot join

  • Children with other SCD genotype
  • Children with congenital anatomical asplenia
  • Children with previous episode of acute splenic sequestration
  • Absence of possible follow-up
  • Simultaneous enrolment in another biomedical research

Trial locations and contacts

1 site in 1 country.

France1 site
  • Necker Hospital

    Paris, 75015

Other trials in France

About this study

Official title: Study of Prognostic Factors of Acute Splenic Sequestration in a Cohort of Sickle Cell Disease (SCD) Children Diagnosed at Birth

Acute splenic sequestration is a frequent and life threatening complication occurring in approximately 10 % of homozygous children. Maximal incidence is between 6 and 18 months.

The investigators formulate the hypothesis that there are clinical, biological and genetic markers predictive of severe complications notably acute splenic sequestration in SCD children. The present research project thus aims at analyzing in a forward-looking way the profile of severity by analysing clinical, biological and genetic characteristics in a multicentric cohort of 60 SCD children

Read the detailed description

A prospective multicentric analysis will be conducted in a cohort of 150 SS or S ß ° children diagnosed at birth, included at 3 -5 months and followed up to the age of 24 months.

Five visits, superimposed to the usual follow-up of SCD children, (Recommendations of the High Authority of Health) at 3 months, 6 months, 12 months, 18 months and 24 months will allow a clinical evaluation and an additional sampling of blood (5 mL) at each visit.

The samples will allow 1.analysis of the red blood cell phenotype (adhesion and deformability) and densities 2. the genetic profile 3.to establish a cell bank, a sera bank and a DNA bank, Spleen function in the cohort will be estimated by spleen scintigraphy, coupled with blood markers (pitted cells, Howell-Jolly bodies counts)

Being tested
blood samples and scintigraphy
Medical subject headings
Anemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • blood samples and scintigraphyProcedure or surgery

    at 3 months, 6 months, 12 months, 18 months and 24 months will allow a clinical evaluation and an additional sampling of blood of 5 mL at each visit Scintigraphy at 6 months and 18 months

Study groups in NCT01207037
Study groupRoleWhat they receive
InterventionOtherNot described
Receives: Procedure: blood samples and scintigraphy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Study of prognostic factors of acute splenic sequestration

    • Complete blood count, reticulocyte count, haemoglobin level, VGM, TGMH, CCMH, hematocrit, % foetal haemoglobin (HbF), red blood cell densities (2 mL)
    • Deformability of red blood cells
    • Expression study of the cell surface molecule: Phosphatidyl serine, CD 36, READ B-CAM, CD 47, ICAM 4, VLA 4. (Cellulotheque = red blood cells frozen in cryopreservative conditions)
    • Total LDH, Bilirubine (stigmas of hemolysis)
    • Genetic Profil ( DNAtheque)

    Measured: after three years

Secondary outcomes (1)
  1. Study of hematology parameters

    • Percentage of Howell Jolly's bodies (0,1 mL)
    • Percentage of pitted cells (0,5 mL fixed in 4 %)formaldehyde
    • Splenic volume, semi-quantitative measure in scintigraphy
    • Antibody titers in answer to the antipneumococcic vaccination ( serotheque)

    Measured: after three years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Sep 2010 (estimated)
  2. Study start12 Aug 2010
  3. Primary completion22 Dec 2014
  4. Study completion7 Nov 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
58 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01207037
Sponsor's protocol ID
P071228
Other IDs
2009-A00142-55
Acronym
SSADREPA
Status last verified
Aug 2025
First submitted
3 Jun 2010
Last updated
8 Sep 2025
Results posted
No
Data monitoring committee
No

Publications

  • El Hoss S, Cochet S, Marin M, Lapoumeroulie C, Dussiot M, Bouazza N, Elie C, de Montalembert M, Arnaud C, Guitton C, Pellegrino B, Odievre MH, Moati F, Le Van Kim C, Aronovicz YC, El Nemer W, Brousse V. Insights into determinants of spleen injury in sickle cell anemia. Blood Adv. 2019 Aug 13;3(15):2328-2336. doi: 10.1182/bloodadvances.2019000106.

    PubMed 31391165
  • Brousse V, El Hoss S, Bouazza N, Arnaud C, Bernaudin F, Pellegrino B, Guitton C, Odievre-Montanie MH, Mames D, Brouzes C, Picard V, Nguyen-Khoa T, Pereira C, Lapoumeroulie C, Pissard S, Gardner K, Menzel S, Le Van Kim C, Colin-Aronovicz Y, Buffet P, Mohandas N, Elie C, Maier-Redelsperger M, El Nemer W, de Montalembert M. Prognostic factors of disease severity in infants with sickle cell anemia: A comprehensive longitudinal cohort study. Am J Hematol. 2018 Nov;93(11):1411-1419. doi: 10.1002/ajh.25260. Epub 2018 Sep 21.

    PubMed 30132969
  • Brousse V, Colin Y, Pereira C, Arnaud C, Odievre MH, Boutemy A, Guitton C, de Montalembert M, Lapoumeroulie C, Picot J, Le Van Kim C, El Nemer W. Erythroid Adhesion Molecules in Sickle Cell Anaemia Infants: Insights Into Early Pathophysiology. EBioMedicine. 2014 Dec 18;2(2):154-7. doi: 10.1016/j.ebiom.2014.12.006. eCollection 2015.

    PubMed 26137540

Questions about this trial

What is this clinical trial studying?

A study testing blood samples and scintigraphy in people with Anemia; Drepanocytic, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Study of prognostic factors of acute splenic sequestration (time frame: after three years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01207037, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Sep 2025.

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