AnemiaSTOP-ANCT07771192
Study Evaluating Multifaceted Support for the Implementation of Recommendations for the Prevention and Management of Anemia in Intensive Care Units
An observational study of Anemia, run by University Hospital, Angers at 27 sites in France.
Trial summary
STOP-A is a prospective, multicenter data study aimed at demonstrating the impact of multifaceted support for the implementation of recommendations on the prevention and management of anemia in intensive care, compared to previous practices, on hospital mortality in adult patients hospitalized in intensive care for ≥2… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Anemia
- What is being tested?
- implementation of recommendations
- How many people
- 5,760 participants
- Where
- 27 sitesFrance
- Study dates
- 1 Sep 2026to 1 Mar 2028
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: adult patients hospitalized in intensive care for ≥2 days
Who may be able to join
- Length of stay in intensive care is ≥ 2 days
- The patient has at least one organ failure lasting 24 hours or more (catecholamine infusion and/or mechanical ventilation (invasive or NIV > 6 hours/day))
- No objection to data collection (patient or relative)
Who cannot join
- Terminally ill patient with limited active treatment options within 72 hours of admission.
Trial locations and contacts
27 sites in 1 country. Contact the study team or a site near you to ask about taking part.
27 sites in 1 country
France27 sites
réanimation médicale CHU ANGERS
Angers, 49000
Pierre ASFAR, Professor, +33241355865, piasfar@chu-angers.fr
Ch Victor Dupouy
Argenteuil
Gaëtan PLANTEFEVE, Doctor, +33134233318, gaetan.plantefeve@ch-argenteuil.fr
CHRU BREST SITE HOPITAL CAVALE BLANCHE, réanimation chirurgicale
Brest
Olivier LANGERON, Professor, +33298223333, olivier.langeron@chu-brest.fr
CHRU BREST SITE HOPITAL CAVALE BLANCHE, réanimation médicale
Brest
Cécile AUBRON, Doctor, +33298223333, cecile.aubron@chu-brest.fr
Ch Chartres Louis Pasteur-Le Coudray
Chartres
Juliette AUDIBERT, Doctor, +33237303030, Jaudibert@ch-chartres.fr
Ch de Cholet
Cholet
Antony LEMEUR, Doctor, +33241496398, antony.lemeur@ch-cholet.fr
HOPITAL GABRIEL MONTPIED - CHU63, Réanimation Médico-Chrirugicale
Clermont-Ferrand
Emmanuel FUTIER, Doctor, +33473750750, efutier@chu-clermontferrand.fr
HOPITAL GABRIEL MONTPIED - CHU63, Réanimation Neurochirurgicale
Clermont-Ferrand
Russell CHABANNE, Doctor, +33473750750, rchabanne@chu-clermontferrand.fr
CHU Grenoble-HOPITAL SUD - CHU38
Grenoble
Pierre BOUZAT, Professor, +33476765295, PBouzat@chu-grenoble.fr
CH de LAVAL
Laval
Hussein YASSINE, +33 2 43 66 50 00, hussein.yassine@chlaval.fr
Centre Hospitalier Du Mans
Le Mans
Christophe GUITTON, Professor, +33243434343, cguitton@ch-lemans.fr
Hopital St Eloi Chu Montpellier
Montpellier
Samir JABER, Professor, +33467330262, s-jaber@chu-montpellier.fr
Chru Nancy - Hopitaux de Brabois
Nancy
Antoine KIMMOUN, Doctor, 383153030, akimmoun@gmail.com
Hopital Laenec, CHU Nantes
Nantes
Karim LAKHAL, Professor, +33240083333, Karim.LAKHAL@chu-nantes.fr
Hôtel Dieu, CHU Nantes
Nantes
ANTOINE ROQUILLY, Professor, +33253009191, Antoine.ROQUILLY@chu-nantes.fr
Gcs Irm Beaujon Moleculaire Act, Ap-Hp
Paris
Emmanuel WEISS, Professor, +33140874403, emmanuel.weiss@aphp.fr
Hopital Cochin Tarnier Aphp
Paris
Frederic PENE, Professor, +33158414141, frederic.pene@aphp.fr
Hu Est Parisien Site St Antoine Aphp
Paris
Franck VERDONK, Doctor, +33149282000, franck.verdonk@aphp.fr
Hu Paris Nord Site Bichat Aphp
Paris
Charles Philippe MONTRAVERS, Professor, +33140257910, philippe.montravers@aphp.fr
HU PITIE SALPETRIERE APHP, Réanimation Chirurgicale
Paris
Jean-Michel CONSTANTIN, Professor, +33142160000, jean-michel.constantin@aphp.fr
HU PITIE SALPETRIERE APHP, Réanimation Neuro-Chirurgicale
Paris
Vincent DEGOS, Professor, +33142160000, vincent.degos@inserm.fr
CHU LA MILETRIE, réanimation neurochirurgicale
Poitiers
Claire DAHYOT, Professor, +33549444230, Claire.DAHYOT-FIZELIER@chu-poitiers.fr
Chru Rennes Site Pontchaillou
Rennes
Yoann LAUNEY, Professor, +33299284321, yoann.launey@chu-rennes.fr
Hopital de Hautepierre
Strasbourg
Julien POTTECHER, Professor, +33388127066, julien.pottecher@chru-strasbourg.fr
Hopital Haut-Leveque - Chu
Talence
Olivier JOANNES-BOYAU, Doctor, +33556795679, olivier.joannes-boyau@chu-bordeaux.fr
Hopital Purpan Chu Toulouse
Toulouse
Thomas GEERAERTS, Professor, +33562746164, geeraerts.t@chu-toulouse.fr
Chru Trousseau - Chambray
Tours
Fabien ESPITALIER, Professor, +33247479040, f.espitalier@chu-tours.fr
About this study
Official title: STOP-A _ Multicenter, Prospective, Randomized, Stepped-wedge Study Evaluating Multifaceted Support for the Implementation of Recommendations for the Prevention and Management of Anemia in Intensive Care Units
STOP-A is a prospective, multicenter data study aimed at demonstrating the impact of multifaceted support for the implementation of recommendations on the prevention and management of anemia in intensive care, compared to previous practices, on hospital mortality in adult patients hospitalized in intensive care for ≥2 days. The timing of implementation in each center is determined randomly by stepped-wedge randomization.
As such, this is a pragmatic study that meets the international PRECIS-2 criteria.
- Conditions
- Anemia
- Being tested
- implementation of recommendations
- Medical subject headings
- Anemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
implementation of recommendationsOther
The study will be organized into three periods:
- a pre-implementation phase, with no changes to usual care;
- a period of implementation of the recommendations;
- a post-implementation phase.
What is being measured
The primary outcome is the main question the study is designed to answer.
evaluate the impact of multifaceted support for STOP-A implementation on hospital mortality, taking into account the stepped wedge design structure.
in-hospital mortality, up to day 90
Measured: Day 0 to Day 90
Secondary outcomes (15)
Evaluate the impact of implementation support on Hb levels
hemoglobin level in g/dl
Measured: hospital discharge or day 28
Assess the impact of implementation support on recovery after ICU discharge.
number of days living in the previous place of residence prior to D90
Measured: Day 90
Evaluate impact of implementation support on longer-term mortality
all-cause mortality at 6 months
Measured: 6 Months
Assess the impact of implementation support on survival
6-month survival curves
Measured: 6 months
Assess the impact of implementation support (STOP-A) on professional practices
RFE compliance rate (calculation of an RFE compliance index, IRR, comprising 6 items and scored out of 8 points) between the pre-implementation and post-implementation phases
Measured: From enrollment to the end of recruitment
Assess the impact of implementation support on transfusion use between the two phases.
Rate of transfused patients relative to the number of hospitalized patients in each phase
Measured: From enrollment to the end of recruitment
Assess impact of implementation support on transfusion use between the two phases.
transfusion index relative to the number of hospitalized patients in each phase
Measured: From enrollment to the end of recruitment
Assess the impact of implementation support on transfusion use between the two phases.
the number of red blood cell units relative to the number of hospitalized patients
Measured: From enrollment to the end of recruitment
Analysis of the impact of compliance with recommendations on patient outcomes regardless of the study phase
The primary endpoint (in-hospital mortality) and secondary endpoints will be analyzed in subgroups of patients with an IRR >75% vs. <20%;
Measured: day 90
Analysis of the impact of compliance with recommendations on patient outcomes regardless of the study phase
The primary endpoint (in-hospital mortality) and secondary endpoints will be analyzed according to IRR quartiles.
Measured: day 90
Evaluate the impact of implementation support (STOP-A) in traumatized and non-traumatized patients.
Measured: Day 90
Evaluate the impact of EPO treatment in patients with Hb<12 g/dL
Measured: Day 90
Evaluate the impact of implementation support (STOP-A) on complications due to healthcare
thromboembolic events occurring in intensive care
Measured: hospital discharge or day 28
Evaluate the impact of implementation support (STOP-A) on complications due to healthcare
transfusion-related adverse events
Measured: hospital discharge or day 28
Evaluate the efficiency of assistance in implementing RFEs (STOP-A) through a cost-effectiveness analysis.
Differential cost-effectiveness ratio, expressed as cost per life year gained at 3 and 6 months after admission to intensive care, from the perspective of the French healthcare system and from the hospital perspective.
Measured: day 180
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Aug 2026
- Study start1 Sep 2026 (estimated)
- Primary completion1 Jan 2028 (estimated)
- Study completion1 Mar 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AnemiaStudies of the same condition, open and under way.
- More trials run by University Hospital, AngersThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 5,760 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University Hospital, Angers
- Sponsor type
- Other government
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07771192
- Sponsor's protocol ID
- 49RC25_0386
- Acronym
- STOP-A
- Status last verified
- Oct 2025
- First submitted
- 30 Jul 2026
- Last updated
- 18 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Data will be shared upon reasonable request. Only de-identified data will be shared. Any data collected during the study may be shared. The protocol will be shared initially. Other documents may be shared at a later date upon request (e.g., the CRF to allow a collaborator to select the data they wish to access). The recipients of the data will be researchers. The data will be available for any purpose deemed relevant by the study investigator, based on a protocol provided by the requester, after verification of the obtaining of regulatory approvals, including the favorable opinion of an ethics committee.
Study at a glance
From the registry record, last updated by the sponsor on 18 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- STOP-A _ Multicenter, Prospective, Randomized, Stepped-wedge Study Evaluating Multifaceted Support for the Implementation of Recommendations for the Prevention and Management of Anemia in Intensive Care Units
- ClinicalTrials.gov ID
- NCT07771192
- Acronym / sponsor ID
- STOP-A / 49RC25_0386
- Conditions
- Anemia
- Study type
- Observational
- Recruitment status
- Not yet recruiting
- Enrolment
- 5,760 participants (estimated)
- Lead sponsor
- University Hospital, AngersOther government
- Study start
- 1 Sep 2026 (estimated)
- Primary completion
- 1 Jan 2028 (estimated)
- Study completion
- 1 Mar 2028 (estimated)
- First posted
- 18 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
STOP-A is a prospective, multicenter data study aimed at demonstrating the impact of multifaceted support for the implementation of recommendations on the prevention and management of anemia in intensive care, compared to previous practices, on hospital mortality in adult patients hospitalized in intensive care for ≥2 days. The timing of implementation in each center is determined randomly by stepped-wedge randomization.
As such, this is a pragmatic study that meets the international PRECIS-2 criteria.
Study design
- Observational model
- Other
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- adult patients hospitalized in intensive care for ≥2 days
Key inclusion criteria (3 listed)
- Length of stay in intensive care is ≥ 2 days
- The patient has at least one organ failure lasting 24 hours or more (catecholamine infusion and/or mechanical ventilation (invasive or NIV > 6 hours/day))
- No objection to data collection (patient or relative)
Key exclusion criteria (1 listed)
- Terminally ill patient with limited active treatment options within 72 hours of admission.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| implementation of recommendationsThe study will be organized into three periods: * a pre-implementation phase, with no changes to usual care; * a period of implementation of the recommendations; * a post-implementation phase. | Other | – |
Primary outcome
evaluate the impact of multifaceted support for STOP-A implementation on hospital mortality, taking into account the stepped wedge design structure.
Time frame: Day 0 to Day 90
in-hospital mortality, up to day 90
15 secondary outcomes
Evaluate the impact of implementation support on Hb levels
Time frame: hospital discharge or day 28
Assess the impact of implementation support on recovery after ICU discharge.
Time frame: Day 90
Evaluate impact of implementation support on longer-term mortality
Time frame: 6 Months
Assess the impact of implementation support on survival
Time frame: 6 months
Assess the impact of implementation support (STOP-A) on professional practices
Time frame: From enrollment to the end of recruitment
Assess the impact of implementation support on transfusion use between the two phases.
Time frame: From enrollment to the end of recruitment
Assess impact of implementation support on transfusion use between the two phases.
Time frame: From enrollment to the end of recruitment
Assess the impact of implementation support on transfusion use between the two phases.
Time frame: From enrollment to the end of recruitment
Analysis of the impact of compliance with recommendations on patient outcomes regardless of the study phase
Time frame: day 90
Analysis of the impact of compliance with recommendations on patient outcomes regardless of the study phase
Time frame: day 90
Evaluate the impact of implementation support (STOP-A) in traumatized and non-traumatized patients.
Time frame: Day 90
Evaluate the impact of EPO treatment in patients with Hb<12 g/dL
Time frame: Day 90
Evaluate the impact of implementation support (STOP-A) on complications due to healthcare
Time frame: hospital discharge or day 28
Evaluate the impact of implementation support (STOP-A) on complications due to healthcare
Time frame: hospital discharge or day 28
Evaluate the efficiency of assistance in implementing RFEs (STOP-A) through a cost-effectiveness analysis.
Time frame: day 180
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Aug 2026.
- Individual participant dataSharing planned: Yes. Data will be shared upon reasonable request. Only de-identified data will be shared. Any data collected during the study may be shared. The protocol will be shared initially. Other documents may be shared at a later date upon request (e.g., the CRF to allow a collaborator to select the data they wish to access). The recipients of the data will be researchers. The data will be available for any purpose deemed relevant by the study investigator, based on a protocol provided by the requester, after verification of the obtaining of regulatory approvals, including the favorable opinion of an ethics committee.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
27 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Anemia, run by University Hospital, Angers at 27 sites 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 3 inclusion and 1 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: opening soon, as of the sponsor's last update on 18 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 27 sites 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Sigismond LASOCKI, Professor (02 41 35 36 35, silasocki@chu-angers.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
evaluate the impact of multifaceted support for STOP-A implementation on hospital mortality, taking into account the stepped wedge design structure. (time frame: Day 0 to Day 90). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 18 Aug 2026.