- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05855317
Association Between the Level of EV-TF and the Occurence of Pulmonary Embolism in Patients With ARDS (THROMBO-EVTF)
October 31, 2023 updated by: Assistance Publique Hopitaux De Marseille
Association Between the Level of Extracellular Vesicle - Associated Tissue Factor and the Occurence of Pulmonary Embolism in Patients With Acute Respiratory Distress Syndrome
In this study, 120 patients with Acute Respiratory Distress Syndrome (ARDS) will be included on a two years-period in an intensive care unit (Assistance Publique des Hôpitaux de Marseille, France).
Those patients will benefit from a blood test at inclusion in order to measure several coagulation biomarkers, including EV-TF.
Subsequently, these patients will be treated according to the usual practices of the department, following recommendations.
Patients who received an injected CT scan between Day 5 and Day 28 will be divided into two groups based on the presence or absence of a pulmonary embolism on imaging.
The measured values of EV-TF levels and other studied biomarkers will be compared between these two groups in order to detect a possible association between them and the diagnosis of pulmonary embolism.
It should be noted that patients receiving an injected CT-scan between Day 5 and Day 7 will be included in the main analysis while those receiving it between Day 8 and Day 28 will be included in the secondary analysis.
Others will be excluded from any analysis.
At the same time, several collections of clinical data will be carried out: on Day 1, Day 7, Day 28, and on the day of the CT scan if it is performed at another time.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Estimated)
170
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Giovanni Bousquet, MD
- Phone Number: 33 0491964252
- Email: giovanni.bousquet@ap-hm.fr
Study Contact Backup
- Name: Christophe Guervilly, MD
- Phone Number: 33 0491965842
- Email: christophe.guervilly@ap-hm.fr
Study Locations
-
-
-
Marseille, France, 13015
- Recruiting
- Service Médecine Intensive et Réanimation
-
Contact:
- Giovanni Bousquet, MD
- Phone Number: 33 0491964252
- Email: giovanni.bousquet@ap-hm.fr
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Patients with ARDS admitted to the intensive care unit
Description
Inclusion Criteria:
- Patient 18 years of age or older,
- Patient who has given his/her non-opposition to participate in this study, or alternatively, patient for whom a relative has given his/her non-opposition to participate in this study,
- Patient admitted to intensive care for less than 24 hours,
Patient with ARDS according to the Berlin criteria,
- Hypoxemia with PaO2/FiO2 ratio ≤ 300 on mechanical ventilation under PEEP ≥ 5 cmH2O,
- Bilateral alveolar-interstitial opacities on chest imaging (chest X-ray or CT),
- Exclusion of a cardiogenic cause on echocardiography,
- Acute or subacute onset within 7 days based on the clinical-radiological profile.
Exclusion Criteria:
- Positive SARS-CoV-2 PCR in a pharyngeal or respiratory sample (cytobacteriological examination of sputum, bronchial aspiration or bronchoalveolar lavage) prior to admission to the intensive care unit,
- Patient with a pathology affecting the coagulation process or endothelial function (hemophilia, von Willebrand disease, etc.),
- Patient receiving curative anticoagulant treatment before admission to the intensive care unit,
- Patient undergoing extracorporeal veno-venous respiratory assistance (ECMO-VV) before admission to the intensive care unit,
- Patient undergoing extra-renal purification with systemic anticoagulation with heparin before admission to the intensive care unit,
- Persons referred to in articles L. 1121-5 to L. 1121-8 of the Public Health Code (minor patients, adult patients under tutorship or guardianship, patients deprived of their liberty, pregnant or nursing women),
- Moribund patients for whom the life expectancy is less than 24 hours according to the opinion of the investigating physician.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Patients with pulmonary embolism
The presence of pulmonary embolism is determined from a CT scan realized between Day 5 and Day 28.
|
Additional blood samples will be taken on a catheter, used for standard care.
|
Patients without pulmonary embolism
The absence of pulmonary embolism is determined from a CT scan realized between Day 5 and Day 28.
|
Additional blood samples will be taken on a catheter, used for standard care.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Difference in EV-TF levels at inclusion between patients with and without pulmonary embolism at day 7 postinclusion
Time Frame: Day 7
|
EV-TF level is determined from a blood sample realized at inclusion and the presence of pulmonary embolism from a CT scan realized during the first week of patient care in intensive care unit.
|
Day 7
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Difference in EV-TF levels at inclusion between patients with and without pulmonary embolism at day 28 postinclusion
Time Frame: Day 28
|
EV-TF level is determined from a blood sample realized at inclusion.
The presence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Difference in EV-TF levels at inclusion between patients with and without venous thrombo-embolic disease at day 7 postinclusion
Time Frame: Day 7
|
EV-TF level is determined from a blood sample realized at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first week of patient care in intensive care unit.
|
Day 7
|
Difference in EV-TF levels at inclusion between patients with and without venous thrombo-embolic disease at day 28 postinclusion
Time Frame: Day 28
|
EV-TF level is determined from a blood sample realized at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Association between EV-TF levels and patient prognosis
Time Frame: Day 60
|
EV-TF level is determined from a blood sample realized at inclusion.
Patient prognosis is based on the duration of intensive care unit stay, on the duration of hospital stay, and on death.
|
Day 60
|
Association between EV-TF level and alveolar dead space at inclusion
Time Frame: Day 1
|
EV-TF level is determined from a blood sample realized at inclusion.
Alveolar dead space is obtained by volumetric capnography at inclusion.
|
Day 1
|
Association between EV-TF level and alveolar dead space at day 7 postinclusion
Time Frame: Day 7
|
EV-TF level is determined from a blood sample realized at inclusion.
Alveolar dead space is obtained by volumetric capnography at day 7 postinclusion.
|
Day 7
|
Association between EV-TF level and alveolar dead space at day 28 postinclusion
Time Frame: Day 28
|
EV-TF level is determined from a blood sample realized at inclusion.
Alveolar dead space is obtained by volumetric capnography at day 28 postinclusion.
|
Day 28
|
Association between EV-TF level and alveolar dead space at thoracic CT scan day
Time Frame: Between day 5 and day 28
|
EV-TF level is determined from a blood sample realized at inclusion.
Alveolar dead space is obtained by volumetric capnography at day of CT-scan.
|
Between day 5 and day 28
|
Optimal threshold value of EV-TF associated with the occurrence of pulmonary embolism.
Time Frame: Day 28
|
EV-TF level is determined from a blood sample realized at inclusion.
Occurrence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Optimal threshold value of EV-TF associated with the occurrence of venous thrombo-embolic disease.
Time Frame: Day 28
|
EV-TF level is determined from a blood sample realized at inclusion.
Occurrence of venous thrombo-embolic disease pulmonary embolism is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Optimal threshold value of EV-TF associated with the occurrence of death
Time Frame: Day 60
|
EV-TF level is determined from a blood sample realized at inclusion.
Occurrence of death is measured during the 2 months of follow up (or when the patient is discharged from hospital, if earlier).
|
Day 60
|
Predictive value of Willebrand antigen at inclusion on the occurrence of pulmonary embolism at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism from a CT scan realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of ADAMTS13 activity at inclusion on the occurrence of pulmonary embolism at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism from a CT scan realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of Willebrand antigen at inclusion on the occurrence of pulmonary embolism at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of ADAMTS13 activity at inclusion on the occurrence of pulmonary embolism at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of Willebrand antigen at inclusion on the occurrence of venous thrombo-embolic disease at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of ADAMTS13 activity at inclusion on the occurrence of venous thrombo-embolic disease at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of Willebrand antigen at inclusion on the occurrence of venous thrombo-embolic disease at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of ADAMTS13 activity at inclusion on the occurrence of venous thrombo-embolic disease at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of Willebrand antigen at inclusion on the patients' death.
Time Frame: Day 60
|
This biomarker is quantified from the blood sample collected at inclusion.
Occurrence of death is measured during the 2 months of follow up (or when the patient is discharged from hospital, if earlier).
|
Day 60
|
Predictive value of ADAMTS13 activity at inclusion on the patients' death.
Time Frame: Day 60
|
This biomarker is quantified from the blood sample collected at inclusion.
Occurrence of death is measured during the 2 months of follow up (or when the patient is discharged from hospital, if earlier).
|
Day 60
|
Predictive value of circulating levels of antithrombin (coagulation inhibitor) at inclusion on the occurrence of pulmonary embolism at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism from a CT scan realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of circulating levels of protein C (coagulation inhibitor) at inclusion on the occurrence of pulmonary embolism at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism from a CT scan realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of circulating levels of protein S (coagulation inhibitor) at inclusion on the occurrence of pulmonary embolism at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism from a CT scan realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of D-dimers (circulating fibrinolytic potential) at inclusion on the occurrence of pulmonary embolism at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism from a CT scan realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of fibrin monomers (circulating fibrinolytic potential) at inclusion on the occurrence of pulmonary embolism at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism from a CT scan realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of circulating PAI-1 (circulating fibrinolytic potential) at inclusion on the occurrence of pulmonary embolism at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism from a CT scan realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of circulating levels of antithrombin (coagulation inhibitor) at inclusion on the occurrence of pulmonary embolism at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of circulating levels of protein C (coagulation inhibitor) at inclusion on the occurrence of pulmonary embolism at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of circulating levels of protein S (coagulation inhibitor) at inclusion on the occurrence of pulmonary embolism at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of D-dimers (circulating fibrinolytic potential) at inclusion on the occurrence of pulmonary embolism at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of fibrin monomers (circulating fibrinolytic potential) at inclusion on the occurrence of pulmonary embolism at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of circulating PAI-1 (circulating fibrinolytic potential) at inclusion on the occurrence of pulmonary embolism at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of pulmonary embolism is determined from a CT scan realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of circulating levels of antithrombin (coagulation inhibitor) at inclusion on the occurrence of venous thrombo-embolic disease at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of circulating levels of protein C (coagulation inhibitor) at inclusion on the occurrence of venous thrombo-embolic disease at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of circulating levels protein S (coagulation inhibitor) at inclusion on the occurrence of venous thrombo-embolic disease at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of D-dimers (circulating fibrinolytic potential) at inclusion on the occurrence of venous thrombo-embolic disease at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of fibrin monomers (circulating fibrinolytic potential) at inclusion on the occurrence of venous thrombo-embolic disease at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of circulating PAI-1 (circulating fibrinolytic potential) at inclusion on the occurrence of venous thrombo-embolic disease at day 7.
Time Frame: Day 7
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first week of patient care in intensive care unit.
|
Day 7
|
Predictive value of circulating levels of antithrombin (coagulation inhibitor) at inclusion on the occurrence of venous thrombo-embolic disease at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of circulating levels of protein C (coagulation inhibitor) at inclusion on the occurrence of venous thrombo-embolic disease at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of circulating levels of protein S (coagulation inhibitor) at inclusion on the occurrence of venous thrombo-embolic disease at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of D-dimers (circulating fibrinolytic potential) at inclusion on the occurrence of venous thrombo-embolic disease at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of fibrin monomers (circulating fibrinolytic potential) at inclusion on the occurrence of venous thrombo-embolic disease at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of circulating PAI-1 (circulating fibrinolytic potential) at inclusion on the occurrence of venous thrombo-embolic disease at day 28.
Time Frame: Day 28
|
This biomarker is quantified from the blood sample collected at inclusion.
The presence of venous thrombo-embolic disease is determined from an echo-doppler realized during the first 28 days of patient care in intensive care unit.
|
Day 28
|
Predictive value of of circulating levels of antithrombin (coagulation inhibitor) at inclusion on the patients' death.
Time Frame: Day 60
|
This biomarker is quantified from the blood sample collected at inclusion.
Occurrence of death is measured during the 2 months of follow up (or when the patient is discharged from hospital, if earlier).
|
Day 60
|
Predictive value of of circulating levels of protein C (coagulation inhibitor) at inclusion on the patients' death.
Time Frame: Day 60
|
This biomarker is quantified from the blood sample collected at inclusion.
Occurrence of death is measured during the 2 months of follow up (or when the patient is discharged from hospital, if earlier).
|
Day 60
|
Predictive value of of circulating levels of protein S (coagulation inhibitor) at inclusion on the patients' death.
Time Frame: Day 60
|
This biomarker is quantified from the blood sample collected at inclusion.
Occurrence of death is measured during the 2 months of follow up (or when the patient is discharged from hospital, if earlier).
|
Day 60
|
Predictive value of D-dimers (circulating fibrinolytic potential) at inclusion on the patients' death.
Time Frame: Day 60
|
This biomarker is quantified from the blood sample collected at inclusion.
Occurrence of death is measured during the 2 months of follow up (or when the patient is discharged from hospital, if earlier).
|
Day 60
|
Predictive value of fibrin monomers (circulating fibrinolytic potential) at inclusion on the patients' death.
Time Frame: Day 60
|
This biomarker is quantified from the blood sample collected at inclusion.
Occurrence of death is measured during the 2 months of follow up (or when the patient is discharged from hospital, if earlier).
|
Day 60
|
Predictive value of circulating PAI-1 (circulating fibrinolytic potential) at inclusion on the patients' death.
Time Frame: Day 60
|
This biomarker is quantified from the blood sample collected at inclusion.
Occurrence of death is measured during the 2 months of follow up (or when the patient is discharged from hospital, if earlier).
|
Day 60
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Director: François Cremieux, AP-HM
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 31, 2023
Primary Completion (Estimated)
November 7, 2025
Study Completion (Estimated)
December 31, 2025
Study Registration Dates
First Submitted
May 3, 2023
First Submitted That Met QC Criteria
May 3, 2023
First Posted (Actual)
May 11, 2023
Study Record Updates
Last Update Posted (Actual)
November 2, 2023
Last Update Submitted That Met QC Criteria
October 31, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Respiratory Tract Diseases
- Respiration Disorders
- Lung Diseases
- Disease
- Infant, Newborn, Diseases
- Embolism and Thrombosis
- Lung Injury
- Infant, Premature, Diseases
- Syndrome
- Embolism
- Respiratory Distress Syndrome
- Respiratory Distress Syndrome, Newborn
- Acute Lung Injury
- Pulmonary Embolism
Other Study ID Numbers
- RCAPHM22_0440
- ID-RCB (Other Identifier: 2023-A01937-38)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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