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Veno Occlusive Disease, HepaticELASTOVODNCT03426358

Liver Stiffness Measurement Predicts VOD/SOS Development (ELASTOVOD ITALIAN MULTICENTRIC STUDY)

A study testing LSM assessed by Elastographic Techniques in people with Veno Occlusive Disease, Hepatic and Sinusoidal Obstruction Syndrome, run by IRCCS Azienda Ospedaliero-Universitaria di Bologna at 37 sites in Italy.

Completed

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

Official record
Search all trials

Trial summary

ELASTOVOD is a prospective multicenter study, involving several centers of Onco-haematology in Italy. Investigators perform hepatic elastographic measurements (with Transient Elastography, ARFI or 2D-SWE) on patients undergoing HSCT, at baseline before transplantation (T0) and at T1/T2/T3 after HSCT (+9/10, +15/17… Read more about this study

Who is it for?
Ages 3 to 70 years
What is being tested?
LSM assessed by Elastographic Techniques
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,101 participants
Where
37 sitesItaly
Study dates
28 Apr 2015to Dec 2021
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 70 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • male or female patients
  • age between 3 and 70
  • patients suffering from an onco-hematological disease that have an indication for either allogenic or autologous hematopoietic stem cells transplantation
  • obtaining of informed consent

Who cannot join

  • pathological obesity (BMI >40)
  • pacemaker of implantable defibrillator
  • presence of ascites at baseline

Trial locations and contacts

37 sites in 1 country.

37 sites in 1 country

Italy37 sites
  • Azienda Ospedaliera-Nazionale SS. Antonio e Biagio e Cesare Arrigo

    Alessandria

  • Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona

    Ancona

  • Azienda Ospedaliero-Universitaria Consorziale - Policlinico di Bari

    Bari

  • ASST Papa Giovanni XXIII Ospedali riuniti di Bergamo

    Bergamo

  • Azienda Ospedaliera Universitaria di Bologna Policlinico S. Orsola Malpighi.

    Bologna, BO

  • Azienda Sanitaria dell'Alto Adige

    Bolzano

  • Spedali Civili di Brescia, UO Ematologia

    Brescia

  • Policlinico Vittorio Emanuele - Presidio Ferrarotto

    Catania

  • Azienda Ospedaliera-Universitaria Careggi

    Florence

  • Azienda Ospedaliera-Universitaria Meyer

    Florence

  • Ospedale Policlinico San Martino

    Genova

  • Ospedale Vito Fazzi

    Lecce

  • Ospedale dell'Angelo

    Mestre

  • ASST Grande Ospedale Metropolitano Niguarda

    Milan

  • Ospedale Maggiore Policlinico di Milano

    Milan

  • Ospedale San Raffaele

    Milan

  • Azienda Ospedaliera-Universitaria di Modena

    Modena

  • Ospedale Pediatrico Pausilipon

    Naples

  • Policlinico Federico II

    Naples

  • Azienda Ospedaliero-Universitaria di Padova

    Padova

  • Azienda Ospedaliera Ospedali riuniti Villa Sofia- Cervello

    Palermo

  • Azienda Ospedaliero-Universitaria Ospedale Maggiore di Parma

    Parma

  • Azienda Sanitaria Locale di Pescara

    Pescara

  • Azienda Ospedaliero-universitaria Pisana, UO Ematologia

    Pisa

  • Azienda Ospedaliero-Universitaria Pisana, UO Oncoematologia Pediatrica

    Pisa

  • Arcispedale S. Maria Nuova di Reggio Emilia

    Reggio Emilia

  • Policlinico Umberto I - Università la Sapienza

    Roma, RM

  • Ospedale Pediatrico Bambino Gesù

    Roma

  • Policlinico Tor Vergata

    Roma

  • Policlinico Universitario A. Gemelli

    Roma

  • Istituto Clinico Humanitas

    Rozzano, Milano

  • Casa Sollievo della Sofferenza

    San Giovanni Rotondo, Foggia

  • Azienda Ospedaliero-Universitaria Città della Salute e della Scienza

    Torino

  • Azienda Ospedaliera "Card. G. Panico"

    Tricase, Lecce

  • Azienda Ospedaliero-Universitaria Integrata di Udine

    Udine

  • Azienda Ospedaliero-Universitaria Integrata di Verona

    Verona

  • Azienda Ospedaliera di Vicenza

    Vicenza

Other trials in Italy

About this study

Official title: Usefulness of Liver Stiffness Measurement in Predicting Hepatic Veno-Occlusive Disease Development in Patients Who Undergo HSCT: a Multicentric Prospective Study

ELASTOVOD is a prospective multicenter study, involving several centers of Onco-haematology in Italy. Investigators perform hepatic elastographic measurements (with Transient Elastography, ARFI or 2D-SWE) on patients undergoing HSCT, at baseline before transplantation (T0) and at T1/T2/T3 after HSCT (+9/10, +15/17, +22/24).

SOS/VOD diagnosis was performed according to clinical criteria.

Read the detailed description

Sinusoidal Obstruction Syndrome (SOS), also known as hepatic Veno-Occlusive Disease (VOD), is a life-threatening complication in patients undergoing Hematopoietic Stem Cells Transplantation (HSCT) for onco-haematological disease.

In the severe form, mortality rate can be high as 80%. Patients developing SOS/VOD present a higher survival rate when earlier SOS/VOD- specific therapy has initiated. In order to get better outcomes, it is necessary to improve early diagnosis of SOS/VOD, finding new non--invasive diagnostic instruments.

The aim of this prospective multicenter study is to assess in a large, mixed (adult and paediatric) population undergoing HSCT, the diagnostic role for SOS/VOS of Liver Stiffness Measurement (LSM), assessed by different elastographic methods.

In our study, Liver Stiffness Measurement (LSM) can be measured by Transient Elastography (TE) with Fibroscan, Acoustic Radiation Force Impulse (ARFI) or 2D-Share Wave Elastography (2D-SWE). Once chosen an elastometric method at baseline, the same must be used for all subsequent evaluations of the patient.

In patients undergoing HSCT, within one month, a complete baseline evaluation is provided. Baseline evaluation (T0) includes: signature of informed consent, haematological and hepatological anamnesis, in order to assess comorbidities and risk factors for hepato-biliary complications; complete laboratory tests; abdominal Color-Doppler Ultrasound and hepatic Elastography (with Transient Elastography, ARFI or 2D-SWE).

After conditioning and HSCT, each patient is evaluated at T1 (+9/10), T2 (+15/17), T3 (+22/24) with: bedside Elastography, laboratory tests, clinical examination based on clinical criteria for SOS/VOD diagnosis (e.g. Baltimora criteria, modified Seattle criteria, new EBMT criteria).

RUCAM-CIOMS Scale can be assess, in order to establish DILI (Drug Induced Liver Injury) diagnosis, as well.

In case of SOS/VOD suspicion, patient goes through an intense monitoring period: laboratory tests, clinical evaluation for SOS/VOD diagnosis, Color-Doppler US and Elastography are repeatedly performed in next days. This monitoring period stops if diagnosis of SOS/VOD or other diagnosis is reached.

Each center will prospectively collect data according to an electronic e-CFR on REDCap (Research Electronic Data Capture) system, a web application designed to support data capture for research studies in a secure manner.

Being tested
LSM assessed by Elastographic Techniques
Keywords
Veno Occlusive Disease, Sinusoidal Obstruction Syndrome, HSCT, Hematopoietic Stem Cell Transplantation, Stem Cell Transplant Complications, Liver Stiffness Measurement, Sinusoidal Obstructive Syndrome, Transient Elastography
Medical subject headings
Hepatic Veno-Occlusive Disease

What participants receive

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

  • LSM assessed by Elastographic TechniquesDevice

    Performing Transient Elastography, ARFI or 2D-SWE on patients at baseline (within 1 month before HSCT) and after HSCT on days +9/10, +15/17, +22/24

Study groups in NCT03426358
Study groupRoleWhat they receive
Patients undergoing HSCTExperimentalLSM assessed by Elastographic Techniques
Receives: Device: LSM assessed by Elastographic Techniques

What is being measured

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

  1. Diagnostic Role of Liver Stiffness Measurement in SOS/VOD development

    To assess in a large, mixed (adult and paediatric) population undergoing HSCT, the role of Liver Stiffness Measurement (LSM), assessed by different elastographic methods, in SOS/VOD diagnosis.

    Measured: From HSCT to 30 days after HSCT

Timeline

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

  1. First posted8 Feb 2018
  2. Study start28 Apr 2015
  3. Primary completionDec 2021
  4. Study completionDec 2021

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
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Model description
All the patients with onco-hematological disease and an indication for transplantation of hematopoietic stem cells will be consecutively studied.
Masking
None (open label)
Enrolment
1,101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03426358
Sponsor's protocol ID
ELASTOVOD
Acronym
ELASTOVOD
Status last verified
Apr 2022
First submitted
2 Feb 2018
Last updated
14 Apr 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Wadleigh M, Ho V, Momtaz P, Richardson P. Hepatic veno-occlusive disease: pathogenesis, diagnosis and treatment. Curr Opin Hematol. 2003 Nov;10(6):451-62. doi: 10.1097/00062752-200311000-00010.

    PubMed 14564177
  • McDonald GB. Hepatobiliary complications of hematopoietic cell transplantation, 40 years on. Hepatology. 2010 Apr;51(4):1450-60. doi: 10.1002/hep.23533.

    PubMed 20373370
  • Carreras E, Diaz-Beya M, Rosinol L, Martinez C, Fernandez-Aviles F, Rovira M. The incidence of veno-occlusive disease following allogeneic hematopoietic stem cell transplantation has diminished and the outcome improved over the last decade. Biol Blood Marrow Transplant. 2011 Nov;17(11):1713-20. doi: 10.1016/j.bbmt.2011.06.006. Epub 2011 Jun 25.

    PubMed 21708110
  • Jones RJ, Lee KS, Beschorner WE, Vogel VG, Grochow LB, Braine HG, Vogelsang GB, Sensenbrenner LL, Santos GW, Saral R. Venoocclusive disease of the liver following bone marrow transplantation. Transplantation. 1987 Dec;44(6):778-83. doi: 10.1097/00007890-198712000-00011.

    PubMed 3321587
  • McDonald GB, Sharma P, Matthews DE, Shulman HM, Thomas ED. Venocclusive disease of the liver after bone marrow transplantation: diagnosis, incidence, and predisposing factors. Hepatology. 1984 Jan-Feb;4(1):116-22. doi: 10.1002/hep.1840040121.

    PubMed 6363247
  • Mohty M, Malard F, Abecassis M, Aerts E, Alaskar AS, Aljurf M, Arat M, Bader P, Baron F, Bazarbachi A, Blaise D, Ciceri F, Corbacioglu S, Dalle JH, Dignan F, Fukuda T, Huynh A, Masszi T, Michallet M, Nagler A, NiChonghaile M, Okamoto S, Pagliuca A, Peters C, Petersen FB, Richardson PG, Ruutu T, Savani BN, Wallhult E, Yakoub-Agha I, Duarte RF, Carreras E. Revised diagnosis and severity criteria for sinusoidal obstruction syndrome/veno-occlusive disease in adult patients: a new classification from the European Society for Blood and Marrow Transplantation. Bone Marrow Transplant. 2016 Jul;51(7):906-12. doi: 10.1038/bmt.2016.130. Epub 2016 May 16.

    PubMed 27183098
  • Corbacioglu S, Carreras E, Ansari M, Balduzzi A, Cesaro S, Dalle JH, Dignan F, Gibson B, Guengoer T, Gruhn B, Lankester A, Locatelli F, Pagliuca A, Peters C, Richardson PG, Schulz AS, Sedlacek P, Stein J, Sykora KW, Toporski J, Trigoso E, Vetteranta K, Wachowiak J, Wallhult E, Wynn R, Yaniv I, Yesilipek A, Mohty M, Bader P. Diagnosis and severity criteria for sinusoidal obstruction syndrome/veno-occlusive disease in pediatric patients: a new classification from the European society for blood and marrow transplantation. Bone Marrow Transplant. 2018 Feb;53(2):138-145. doi: 10.1038/bmt.2017.161. Epub 2017 Jul 31.

    PubMed 28759025
  • Dignan FL, Wynn RF, Hadzic N, Karani J, Quaglia A, Pagliuca A, Veys P, Potter MN; Haemato-oncology Task Force of British Committee for Standards in Haematology; British Society for Blood and Marrow Transplantation. BCSH/BSBMT guideline: diagnosis and management of veno-occlusive disease (sinusoidal obstruction syndrome) following haematopoietic stem cell transplantation. Br J Haematol. 2013 Nov;163(4):444-57. doi: 10.1111/bjh.12558. Epub 2013 Sep 17.

    PubMed 24102514
  • Sorror ML, Maris MB, Storb R, Baron F, Sandmaier BM, Maloney DG, Storer B. Hematopoietic cell transplantation (HCT)-specific comorbidity index: a new tool for risk assessment before allogeneic HCT. Blood. 2005 Oct 15;106(8):2912-9. doi: 10.1182/blood-2005-05-2004. Epub 2005 Jun 30.

    PubMed 15994282
  • Richardson PG, Smith AR, Triplett BM, Kernan NA, Grupp SA, Antin JH, Lehmann L, Miloslavsky M, Hume R, Hannah AL, Nejadnik B, Soiffer RJ. Earlier defibrotide initiation post-diagnosis of veno-occlusive disease/sinusoidal obstruction syndrome improves Day +100 survival following haematopoietic stem cell transplantation. Br J Haematol. 2017 Jul;178(1):112-118. doi: 10.1111/bjh.14727. Epub 2017 Apr 26.

    PubMed 28444784
  • Berzigotti A, Castera L. Update on ultrasound imaging of liver fibrosis. J Hepatol. 2013 Jul;59(1):180-2. doi: 10.1016/j.jhep.2012.12.028. Epub 2013 Jan 15. No abstract available.

    PubMed 23333447
  • Lassau N, Auperin A, Leclere J, Bennaceur A, Valteau-Couanet D, Hartmann O. Prognostic value of doppler-ultrasonography in hepatic veno-occlusive disease. Transplantation. 2002 Jul 15;74(1):60-6. doi: 10.1097/00007890-200207150-00011.

    PubMed 12134100
  • Lassau N, Leclere J, Auperin A, Bourhis JH, Hartmann O, Valteau-Couanet D, Benhamou E, Bosq J, Ibrahim A, Girinski T, Pico JL, Roche A. Hepatic veno-occlusive disease after myeloablative treatment and bone marrow transplantation: value of gray-scale and Doppler US in 100 patients. Radiology. 1997 Aug;204(2):545-52. doi: 10.1148/radiology.204.2.9240551.

    PubMed 9240551
  • Karlas T, Weber J, Nehring C, Kronenberger R, Tenckhoff H, Mossner J, Niederwieser D, Troltzsch M, Lange T, Keim V. Value of liver elastography and abdominal ultrasound for detection of complications of allogeneic hemopoietic SCT. Bone Marrow Transplant. 2014 Jun;49(6):806-11. doi: 10.1038/bmt.2014.61. Epub 2014 Apr 7.

    PubMed 24710567
  • Auberger J, Graziadei I, Clausen J, Vogel W, Nachbaur D. Non-invasive transient elastography for the prediction of liver toxicity following hematopoietic SCT. Bone Marrow Transplant. 2013 Jan;48(1):159-60. doi: 10.1038/bmt.2012.113. Epub 2012 Jun 18. No abstract available.

    PubMed 22705804

Questions about this trial

What is this clinical trial studying?

A study testing LSM assessed by Elastographic Techniques in people with Veno Occlusive Disease, Hepatic and Sinusoidal Obstruction Syndrome, run by IRCCS Azienda Ospedaliero-Universitaria di Bologna at 37 sites in Italy.

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 4 inclusion and 3 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 14 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in Italy. 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?

Diagnostic Role of Liver Stiffness Measurement in SOS/VOD development (time frame: From HSCT to 30 days after HSCT). 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 NCT03426358, which also lists 26 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 14 Apr 2022.

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