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Status unknownNCT03625726EXERCISEUpdated Aug 30, 2022

Rôle of the Soluble Endothelial Protein C Receptor in Cirrhosis-associated Hypercoagulability State (EXERCISE)

An interventional study of Thrombin generation assay (in vitro) in Cirrhosis, sponsored by University Hospital, Clermont-Ferrand. Status unknown at 1 site in France. Open to male participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-08-30.

Sponsored by University Hospital, Clermont-Ferrand · Not applicable, Interventional, and Screening

The sponsor has not verified this record recently (last verified Aug 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Non-randomized
Ages
18 Years and older
Sex
Male
01

Study summary

Cirrhosis is a condition in which the liver does not function properly due to long-term damage. This damage is characterized by the replacement of normal liver tissue by scar tissue.

The liver carries out several necessary functions, including synthesis of proteins participating in blood coagulation process. Some of these proteins contribute to coagulation and others make blood more fluid. In healthy people there is a balance between the two.

In cirrhotic patient, there is an imbalance inducing hypercoagulation (hypercoagulability state). Cirrhotic patients are so known to be at risk of vein thrombosis (for example portal vein thrombosis: clot in hepatic vein).

Mechanisms leading to this imbalance are unclear. Studies need to be completed to improve patient's management.

The EPCRs (Endothelial Protein C Receptor soluble) takes part in blood coagulation process. Previous studies have shown that blood levels of EPCRs are increased in patients with cirrhosis.

The primary purpose of the study is to evaluate if the EPCRs could play a role in cirrhosis-associated hypercoagulability state.

Read the detailed description

Three groups will be constitued: one with cirrhotic patients, one with healthy volunteers, and one with patients with hepatocellular carcinoma, a form of liver cancer (previous studies have also shown that blood levels of EPCRs are increased in these patients).

All participants will undergo a unique visit at hospital. An informed consent will be obtained before any related study procedures*.

* procedures: physical examination (including height, weight, waist measurement), vital signs (blood pressure, heart rate, temperature), medical history, concomitant medication, blood sample.

02

Conditions studied

  • Cirrhosis

Keywords

  • cirrhosis
  • hypercoagulability
  • thrombin generation assay
  • soluble Endothelial Protein C Receptor
03

In context

Liver Cirrhosis

1,642 studies on the registry are indexed under Liver Cirrhosis; 358 are open to participants now.

This study's planned enrollment of 300 is above the median of 72 across 995 interventional studies indexed under Liver Cirrhosis.

Browse Liver Cirrhosis studies →

Lead sponsor

University Hospital, Clermont-Ferrand is the lead sponsor of 841 studies on the registry; 178 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
Yes

Eligibility criteria

Patients with cirrhosis

Inclusion criteria :

  • Male, age 18 or older
  • Cirrhosis, defined by: prothombin time ≤ 70% +/- liver dysmorphism +/- Fibroscan > 12.5 kPa +/- histology +/- portal hypertension associated with hepatocellular insufficiency
  • Cirrhosis associated with hepatitis B or C, or alcoholic liver disease, or non alcoholic steato hepatitis
  • Measurable portal flow by ultrasound doppler
  • Child Pugh score A,B or C, without acute infection or acute bleeding
  • Signed written informed consent
  • Affiliation to french social security system

Exclusion criteria :

  • Known history of vein thrombosis
  • Known family history (in first-degree relative) of spontaneous thrombosis
  • Partial or complete portal system vein thrombosis
  • Uncontrolled infection after 7-day course of antibiotics
  • Anticoagulant intake
  • Hepatocellular carcinoma
  • Protected or deprived of liberty adult
  • Any medical or surgical history that could interfere with the study, as judged by the investigator
  • Blood transfusion within 7 days
  • Participation in a clinical trial for drug

Healthy volunteers

Inclusion criteria :

  • Male, age 18 or older
  • Body Mass Index between 18 and 30 kg/m2
  • Normal physical examination
  • Willing and able to comply with requirements of the study
  • Agree to be registered in the french national registry for healthy volunteers
  • Signed written informed consent
  • Affiliation to french social security system

Exclusion criteria :

  • Any medical or surgical history that could interfere with the study, as judged by the investigator
  • Participation in a clinical trial for drug
  • Protected or deprived of liberty adult
  • Known history of vein thrombosis
  • Known family history (in first-degree relative) of spontaneous thrombosis
  • Anticoagulant intake

Patients with hepatocellular carcinoma (HCC)

Inclusion criteria :

  • Male, age 18 or older
  • Histological diagnosis of HCC, or use of BCLC criteria for diagnosis
  • Treatment naïve HCC
  • Measurable portal flow by ultrasound doppler
  • For patients with cirrhosis: Child Pugh score A,B or C, without acute infection or acute bleeding
  • Signed written informed consent
  • Affiliation to french social security system

Exclusion criteria :

  • Known history of vein thrombosis
  • Known family history (in first-degree relative) of spontaneous thrombosis
  • Partial or complete portal system vein thrombosis
  • For patients with cirrhosis: uncontrolled infection after 7-day course of antibiotics
  • Anticoagulant intake
  • Protected or deprived of liberty adult
  • Any medical or surgical history that could interfere with the study, as judged by the investigator
  • Blood transfusion within 7 days
  • Prior treated malignancy within the previous 2 years (except basal cell and squamous cell skin cancer, and superficial bladder cancer)
  • Participation in a clinical trial for drug
05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    patients with cirrhosis

    pathophysiology study, blood sample

    Biological: Thrombin generation assay (in vitro)

  • Placebo comparator
    healthy volunteers

    pathophysiology study, blood sample

    Biological: Thrombin generation assay (in vitro)

  • Placebo comparator
    patients with hepatocellular carcinoma

    pathophysiology study, blood sample

    Biological: Thrombin generation assay (in vitro)

Interventions

  • BiologicalThrombin generation assay (in vitro)

    One blood sample.

06

What researchers measure

Primary outcomes

  1. Thrombin generation assay (area under the curve/ Endogenous Thrombin Potential) with thrombomodulin.

    Time frame: 24 months

Secondary outcomes

  1. Thrombin generation assay parameters : peak height

    Time frame: 24 months

  2. Thrombin generation assay parameters : lag time

    Time frame: 24 months

  3. Thrombin generation assay parameters : time to peak

    Time frame: 24 months

07

Study locations

1 of 1 sites recruiting
  • CHU de Clermont-Ferrand
    Clermont-Ferrand, Auvergne 63003, France
    • Lise LACLAUTRE · Contact · drci@chu-clermontferrand.fr · 04 73 75 49 63
    • Armand ABERGEL · Principal investigator
    • Aurélien LEBRETON · Sub investigator
    • Thomas SINEGRE · Sub investigator
    • Géraldine LAMBLIN · Sub investigator
    • Léon MUTI · Sub investigator
    • Camille TEILHET · Sub investigator
    • Maud REYMOND · Sub investigator
    • Cécile CAMPOS · Sub investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 30, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03625726
Lead sponsor
University Hospital, Clermont-Ferrand
Responsible party
Sponsor
First posted
Aug 10, 2018
Start date
Aug 3, 2018
Primary completion
Aug 2024 (estimated)
Completion
Aug 2024 (estimated)
Last update
Aug 30, 2022

Study contacts

Lise LACLAUTRE
Contact
drci@chu-clermontferrand.fr
04 73 75 49 63
Armand ABERGEL
principal investigator · University Hospital, Clermont-Ferrand

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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