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CompletedNCT04451785VASCUSPHEROUpdated Aug 26, 2025

Hereditary Spherocytosis and Vascular Function

An interventional study of blood sample and Pulse wave velocity in Hereditary Spherocytosis, sponsored by Hospices Civils de Lyon. Completed at 2 sites in France. Open to participants aged 6 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-26.

Sponsored by Hospices Civils de Lyon · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
72
Allocation
Non-randomized
Ages
6 Years and older
Sex
All
01

Study summary

Background : Patients with hereditary spherocytosis (HS) are characterized by increased red blood cell (RBC) fragility and a loss of RBC deformability. While the clinical variability of the disease may be heterogenous from one patient to another, some studies reported the occurrence of vascular complications, notably in patients who have been splenectomized.

Purpose : The aim of the study is to test the associations between the degree of vascular dysfunction and the extent of hemolysis, the amount of circulating microparticles, the level of erythrosis and the degree of RBC biophysical alterations.

Abstract : Recent studies reported the occurrence of vascular complications in patients with HS, notably in patients who have previously been splenectomized. However, the exact reasons of these complications are unknown and no study investigated the vascular function in HS patients.

Main objective Highlight the presence of altered vascular function in HS patients and test the relationships with the level of hemolysis and circulating microparticles.

Secondary objectives To evaluate the associations between clinical severity and 1) the level of vascular dysfunction and 2) several biomarkers (hemolysis, hematological parameters, circulating microparticles, erythrosis, RBC biophysical properties).

02

Conditions studied

  • Hereditary Spherocytosis

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Keywords

  • Hereditary spherocytosis
  • hemolysis
  • microparticles
  • vascular function
  • red blood cell
03

In context

Hemolysis

120 studies on the registry are indexed under Hemolysis; 22 are open to participants now.

This study's enrollment of 72 is above the median of 49 across 78 interventional studies indexed under Hemolysis.

Browse Hemolysis studies →

Lead sponsor

Hospices Civils de Lyon is the lead sponsor of 1,866 studies on the registry; 448 are open to participants now.

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

04

Who can participate

Ages eligible
6 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Healthy controls:

  • age ≥ 6 years old
  • written, informed and signed consent by the healthy volunteer, or by both parents or legal guardian if the healthy volunteer is a minor
  • Healthy volunteer affiliated to a social security scheme or assimilated
  • Healthy volunteer not subject to any legal protection measure

Patients with hereditary spherocytosis:

  • age ≥ 6 years old
  • Patient with hereditary or non-splenectomized spherocytosis
  • Written, informed and signed consent by the patient, or by at least one of the two parents or legal guardian if the patient is a minor
  • Patient affiliated to a social security scheme or assimilated
  • Patient not subject to any legal protection measure

Exclusion criteria

Exclusion Criteria:

Healthy controls:

  • Pregnant or lactating woman
  • Subjects with hereditary spherocytosis or other characterized condition by chronic hemolysis
  • Subjects with known pathology affecting the vascular system
  • Blood donation (less than a month old)
  • Not affiliated to a social security scheme
  • Patient participating in another interventional research protocol that may interfere with this protocol (according to the investigator's judgment).

Patients with hereditary spherocytosis:

  • Patient who received a blood transfusion in the 3 months preceding
  • Pregnant or lactating woman
  • Any disease or condition other than hereditary spherocytosis, chronic or not, likely to induce chronic or acute intravascular hemolysis
  • Patient participating in another interventional research protocol that may interfere with this protocol (according to the investigator's judgment).
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
72 participants (actual)

Study arms

  • Active comparator
    Healthy individuals

    20 healthy subjets aged 6 years minimum will be included in this study. This is the control group.

    Biological: blood sample · Diagnostic Test: Pulse wave velocity

  • Experimental
    Patients with hereditary spherocytosis

    60 patients with hereditary spherocytosis will be included in this study.

    Biological: blood sample · Diagnostic Test: Pulse wave velocity

Interventions

  • Biologicalblood sample

    6 tubes of 4 milliliters (ml) maximum (total: 24 ml) will be sampled for the measurements of the different biological markers. In case of the genetic mutation is already known, only 5 tubes will be collected (total: 20 ml).

  • Diagnostic testPulse wave velocity

    Non-invasive measurement of pulse wave velocity between the carotid and femoral arteries with piezo-electric sensors.

06

What researchers measure

Primary outcomes

  1. measurement of pulse wave velocity (PWV)

    Vascular function (arterial stiffness) will be investigated by the measurement of pulse wave velocity (PWV). Vascular dysfunction will be defined by a PWV value higher than 6 meter/second (m/s) and 10 m/s in children and adults with HS, respectively.

    Time frame: Day 1

Secondary outcomes

  1. Hemogram

    The hemogram is a complete blood count of the different cell types. All these measures are performed simultaneously on a standard hematology analyzer.

    Time frame: Day 1

  2. Markers of hemolysis

    These markers are measured simultaneously on a standard biochemistry analyzer

    Time frame: Day 1

  3. Circulating microparticles

    Circulating microparticles of various cell origin will be measured by flow cytometry

    Time frame: Day 1

  4. Markers of erythrosis

    Markers of erythrosis (i.e., suicidal death of red blood cells) will be measured by flow cytometry

    Time frame: Day 1

  5. Blood viscosity

    Blood viscosity (expressed in Pa.s) will be measured on a cone-plate viscosimeter, ektacytometry and light transmission, respectively.

    Time frame: Day 1

  6. Red blood cell deformability

    Red blood cell deformability will be measured simultaneously on a Lorrca ektacytometry (Laser-assisted Rotational Red Cell Analyser).

    Time frame: Day 1

  7. Red blood cell aggregation

    Red blood cell aggregation will be measured simultaneously on a Lorrca ektacytometry (Laser-assisted Rotational Red Cell Analyser).

    Time frame: Day 1

07

Study locations

2 sites
  • Institut d'Hématologie et Oncologie PEdiatrique (iHOPe)
    Lyon, 69373, France
  • Hôpital Edouard Herriot
    Lyon, 69437, France
08

References and documents

Publications

  • Casabianca M, Gauthier A, Nader E, Cannas G, Martin F, Martin M, Carin R, Boisson C, Guillot N, Merazga S, Renoux C, Bertrand Y, Garnier N, Hot A, Muniansi I, Halfon-Domenech C, Poutrel S, Joly P, Connes P. Red blood cell senescence and vascular function in patients with hereditary spherocytosis with and without splenectomy. Br J Haematol. 2024 May;204(5):e41-e44. doi: 10.1111/bjh.19444. Epub 2024 Apr 2. No abstract available. PubMed 38563320 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2020 to primary completion in Aug 2022, 24 months.

Of 28 interventional studies with no phase under Hemolysis, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 35. This study's 24 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 18, 2020
First posted
Jun 30, 2020
StartActual
Aug 26, 2020
Primary completionActual
Aug 26, 2022
CompletionActual
Aug 26, 2022
Last update
Aug 26, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04451785
Responsible party
Sponsor
First posted
Jun 30, 2020
Start date
Aug 26, 2020
Primary completion
Aug 26, 2022
Completion
Aug 26, 2022
Last update
Aug 26, 2025

Oversight

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

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