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RecruitingNCT07653672VISCOTHEM-2Updated Oct 22, 2026

Role of Viscoelastometric Testing in the Development and Validation of a Clinical-biological Score for Predicting Bleeding in Patients With Malignant Haematological Disorders and Severe Thrombocytopenia

An observational study in Thrombocytopenia, Platelet Transfusion and Haemorrhage, sponsored by Centre Hospitalier Annecy Genevois. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Centre Hospitalier Annecy Genevois · Observational

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 22, 2026Now RecruitingFirst site in France+2 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
410
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this single-center, non-controlled, non-randomized exploratory clinical trial is To develop and validate a clinical-biological score (VISCOTHEM score) incorporating viscoelastometric tests parameters; based on an association study, and to establish a threshold that enables the prediction of the immediate risk of bleeding in haematology patients with severe thrombocytopenia (\<20 G/L); with a view to selecting a population with a residual risk of bleeding of zero (NPV ≥ 95%, to achieve a residual probability of bleeding \< 5%).

The score may incorporate variables identified in the literature as having a plausible causal relationship with the occurrence of bleeding (14,15), as well as viscoelastometric tests parameters, conventional haemostasis parameters and relevant clinical parameters. .

Participants will undergo an additional blood sample to standard care. The total volume of blood drawn will be 21.1 mL. The following analyses will be performed: Quantra®, Rotem®, blood count, platelets, immature platelet count, plasma prothrombin time, activated partial thromboplastin time, International Normalized Ratio, fibrinogen, urea, creatinin, albumin.

02

Conditions studied

  • Thrombocytopenia
  • Platelet Transfusion
  • Haemorrhage
  • Hematologic Malignancies

Keywords

  • viscoelasticity test
  • thrombocytopenia
  • haematologic disease
  • risk of bleeding
  • clinical and laboratory score
03

In context

Thrombocytopenia

482 studies on the registry are indexed under Thrombocytopenia; 100 are open to participants now.

This study's planned enrollment of 410 is above the median of 120 across 123 observational studies indexed under Thrombocytopenia.

Browse Thrombocytopenia studies →

Lead sponsor

Centre Hospitalier Annecy Genevois is the lead sponsor of 32 studies on the registry; 8 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
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The patients included will be selected from the entire cohort of patients with haematological malignancies:

  • those admitted to the haematology day unit for treatment or assessment,
  • or patients admitted to the haematology inpatient ward,
  • or patients being monitored in the haematology outpatient clinic.

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

  • Adult patients;
  • Who have been informed about the study and have freely given their to participate in the study;
  • With a malignant haematological disorder or bone marrow failure, whether treated or untreated and at any stage of treatment;
  • With central thrombocytopenia strictly below 20 G/L in a blood sample taken less than 72 hours ago and not having received a transfusion since;
  • Admitted to a haematology day unit or inpatient ward, or being followed up at a haematology outpatient clinic;
  • With or without active bleeding;
  • Affiliated with or covered by a social security scheme.

Exclusion criteria

Exclusion Criteria:

  • Patients who have received at least one of the following treatments:
  • Antiplatelet agents within 7 days prior to enrolment,
  • Vitamin K antagonists within 7 days prior to enrolment,
  • Direct oral anticoagulants within 72 hours prior to enrolment,
  • Low molecular weight heparin within 24 hours prior to inclusion,
  • Unfractionated heparin within 6 hours prior to inclusion,
  • Bruton's tyrosine kinase inhibitor (ibrutinib, zanubrutinib or acalabrutinib) within 72 hours prior to inclusion;
  • Patients with a history of thrombopathy;
  • Patients with a history of haemostatic disorders carrying a risk of haemorrhage or thrombosis;
  • Thrombocytopenia associated with immune thrombocytopenic purpura or disseminated intravascular coagulation;
  • Patients already enrolled in the study;
  • Pregnant or breastfeeding women;
  • Patients under guardianship or curatorship;
  • Patients who do not understand French;
  • Patients under judicial protection.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
410 participants (estimated)
Target follow-up
5 Days
Patient registry
Yes

Groups and cohorts

  • Intervention (additional blood sample)

    Intervention (additional blood sample)

    Biological: Additional blood sample

Interventions

  • BiologicalAdditional blood sample

    A blood sample will be taken from all patients included in the study. This blood sampling is an added act of the study. It will be performed as soon as possible after inclusion in the study. The total volume of blood drawn will be 21.1 mL. The following analyses will be performed: Quantra®, Rotem®, blood count, platelets, immature platelet count, plasma prothrombin time, activated partial thromboplastin time, International Normalized Ratio, fibrinogen, Urea, Creatinine, Albumin.

06

What researchers measure

Primary outcomes

  1. Identification of factors associated with bleeding among clinical and laboratory parameters

    Clinical parameters : Age, Sex, BMI, systolic and diastolic blood pressure, presence of mucositis, presence of a lesion with haemorrhagic potential, bleeding within the previous 5 days, fever associated with an infection or an episode of febrile neutropenia, transplant within the previous 100 days Laboratory parameters : viscoelastic test parameters, white blood cell count, Haemoglobin, Platelet and immature platelet counts, Urea, Creatinine, Albumin, Standard haemostasis (APTT, INR, Fibrinogen)

    Time frame: At baseline, before platelet transfusion

  2. Apply a multivariate regression model to develop the VISCOTHEM score for predicting immediate bleeding (WHO score ≥ 1), based on the coefficients of the factors associated with bleeding

    Time frame: At baseline, before platelet transfusion

Secondary outcomes

  1. Stratification and comparison of performance and score calibration depending on whether the viscoelastic test result is obtained using ROTEM® or Quantra®.

    To propose a score capable of processing a viscoelastic test result from either ROTEM® or Quantra®,

    Time frame: At baseline, before platelet transfusion

  2. Describe the presence of bleeding according to the WHO classification (WHO score ≥1) and WHO bleeding grade, where applicable

    Time frame: 72 hours after blood sample

  3. Describe the presence of platelet transfusion

    Time frame: 72 hours after blood sample

  4. Describe the Vital status or loss of follow-up, where applicable

    Time frame: 72 hours after blood sample

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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

Started Sep 2026 (actual). Primary completion is estimated for Jul 2028, 21 months after the start.

Of 36 non-industry observational studies under Thrombocytopenia, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 63. This study's planned 21 months is below that.

Counting every sponsor, half of 41 studies reached it within 32 months; a quarter within 20 and three quarters within 56.

Start moved once since we started tracking on Sep 25, 2026: Jun 2026 → Sep 2026, on Oct 22, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jun 8, 2026
First posted
Jun 17, 2026
StartActual
Sep 18, 2026was Jun 2026
Primary completionEst.
Jul 15, 2028
CompletionEst.
Jul 15, 2028
Last update
Oct 22, 2026
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.
Status
Not yet recruiting→Recruiting
changed Oct 22, 2026
Sites
1 site added — first site in France
Show site
  • CH Annecy Genevois · Épagny, France
Oct 22, 2026
Start date
Jun 30, 2026→Sep 18, 2026 (actual)
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in France
    Show site
    • CH Annecy Genevois · Épagny, France
    Start date Jun 30, 2026→Sep 18, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07653672
Lead sponsor
Centre Hospitalier Annecy Genevois
Responsible party
Sponsor
First posted
Jun 17, 2026
Start date
Sep 18, 2026
Primary completion
Jul 15, 2028 (estimated)
Completion
Jul 15, 2028 (estimated)
Last update
Oct 22, 2026

Study contacts

Marion GHIDI
Contact
mghidi@ch-annecygenevois.fr
+33450637031

Oversight

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

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