HyperfibrinogenemiaAPHERCOAGNCT06571552
Coagulation Disorders Secondary to Two Plasmapheresis Techniques (Double Filtration Plasmapheresis vs. PFS). Descriptive Pilot Study.
A study testing Single Plasma Exchange followed by Double Filtration Plasmapheresis in people with Hyperfibrinogenemia and Hemostatic Disorder, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.
Trial summary
Therapeutic plasmapheresis causes changes in haemostasis by purifying many of the circulating factors involved. Few reliable data are available on these changes and most studies are limited to coagulation factor assays before and after the session, with little data documenting the kinetics of regeneration of these… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hyperfibrinogenemia, Hemostatic Disorder
- What is being tested?
- Single Plasma Exchange followed by Double Filtration Plasmapheresis
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 6 participants
- Where
- 1 siteFrance
- Study dates
- 17 Dec 2024to 2 Feb 2027
- Phase
- Interventional
- 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
Who may be able to join
- Patients without renal failure treated with chronic therapeutic plasmapheresis with a minimum treatment interval of 10 days and who can be treated with single plasma exchange (SPE) or double filtration plasmapheresis (DFPP) in accordance with the international recommendations.
- Therapeutic plasmapheresis with regional citrate anticoagulation.
- Patients over 18 years of age.
- Patient affiliated to or benefiting from a social security scheme.
- Free, informed and written consent, signed by the participant and the investigator (at the latest on the day of inclusion and before any examination required by the research).
Who cannot join
- Patients treated with oral anticoagulants or anti-platelet agents.
- Patients treated for hypercholesterolaemia or hypertriglyceridaemia; hyperviscosity, acquired haemophilia or nephrotic syndrome.
- Indication for substitution with fresh frozen plasma (FFP) for the treatment of the disease.
- Patient in an exclusion period determined by another study.
- Patient under court protection, guardianship or curatorship.
- Patient unable to give consent.
- Patient for whom it is impossible to give informed information.
- Pregnant or breast-feeding patients.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
France1 site, 1 recruiting
- Recruiting
CHU de Nîmes
Nîmes, France, 30029
Anne Clarisse SIMONET, PhD, 04.66.68.51.48, anne.clarisse.simonet@chu-nimes.fr
Olivier MORANNE, MD
About this study
Official title: Description of Coagulation Disorders Secondary to Two Plasmapheresis Techniques (Double Filtration Plasmapheresis vs. PFS). Descriptive Pilot Study.
Therapeutic plasmapheresis causes changes in haemostasis by purifying many of the circulating factors involved. Few reliable data are available on these changes and most studies are limited to coagulation factor assays before and after the session, with little data documenting the kinetics of regeneration of these factors. It is recognized that haemostasis disorders caused by therapeutic apheresis must be corrected in cases of active bleeding. However the methods of correcting these disorders are debatable. Finally, it is unclear when changes in haemostasis associated with coagulation factor deficiency should be corrected. Haemostasis is probably not based solely on the level of blood fibrinogen, but it is most often its threshold that is used to trigger replacement therapy to prevent a supposed risk of haemorrhage. No studies are available on the kinetics of haemostasis disorders and the risk of haemorrhage following a therapeutic plasmapheresis session, according to session type and fibrinogen level at the end of the session. The hypothesis of this research is that the link between fibrinogen level and thrombin generation capacity, post therapeutic plasmapheresis, will enable us to better assess the risk of haemorrhage and propose preventive measures.
Read the detailed description
Therapeutic plasmapheresis causes changes in haemostasis by purifying many of the circulating factors involved. Some data are available on changes in circulating haemostasis factors with the Single Plasma Exchange technique and the Double Filtration Plasmapheresis; however, most often these studies are carried out in specific clinical situations where other haemostasis disorders may be present, such as severe renal failure. Furthermore, in these studies, assessment of changes in haemostasis is often limited to coagulation factor assays before and after the session, with little data documenting the kinetics of regeneration of these factors, whose molecular weight and half-life vary widely. To date, there is no clear consensus/recommendation on the management of haemostasis disorders secondary to therapeutic apheresis. The need to correct haemostasis disorders caused by therapeutic apheresis also appears to be consensual in cases of active bleeding.The methods of correcting haemostasis disorders can also be discussed between infusion of coagulation factor and fresh frozen plasma. Finally, apart from these clinical situations, it is not clear when changes in haemostasis associated with coagulation factor deficiency should be corrected. There are no studies available on the kinetics of haemostasis disorders and the risk of haemorrhage following a therapeutic plasmapheresis session, depending on the type of session and the fibrinogen level at the end of the session. The hypothesis of our research is that the existence of a link between fibrinogen level and thrombin generation capacity, post therapeutic plasmapheresis, will enable us to better assess the risk of haemorrhage and to propose preventive measures.
- Conditions
- Hyperfibrinogenemia, Hemostatic Disorder
- Being tested
- Single Plasma Exchange followed by Double Filtration Plasmapheresis
- Keywords
- Double Filtration Plasmapheresis, Single Plasma Exchange
- Medical subject headings
- Hemostatic Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Single Plasma Exchange followed by Double Filtration PlasmapheresisProcedure or surgery
Double Filtration Plasmapheresis followed by Single Plasma Exchange
| Study group | Role | What they receive |
|---|---|---|
| Patients benefitting from Single Plasma Exchange followed by Double Filtration Plasmapheresis | Active comparator | For the patients in this group, the first cycle (T1) will consist of Single Plasma Exchange and the second cycle (T2) of Double Filtration Plasmapheresis. Receives: Procedure: Single Plasma Exchange followed by Double Filtration Plasmapheresis |
| Patients benefitting from Double Filtration Plasmapheresis followed by Single Plasma Exchange | Active comparator | For the patients in this group, the first cycle (T1) will consist of Double Filtration Plasmapheresis and the second cycle (T2) of Single Plasma Exchange. Receives: Procedure: Single Plasma Exchange followed by Double Filtration Plasmapheresis |
What is being measured
The primary outcome is the main question the study is designed to answer.
Determination of fibrinogen levels before the first plasmapheresis session with single plasma exchange
Clauss functional method, g/L
Measured: Day 0, before the session
Determination of fibrinogen levels with Génésia® before the first plasmapheresis session with single plasma exchange
Automated thrombin generation test on Génésia®.
Measured: Day 0, before the session
Determination of fibrinogen levels after the first plasmapheresis session with single plasma exchange
Clauss functional method, g/L
Measured: Day 0, end of session
Determination of fibrinogen levels with Génésia® after the first plasmapheresis session with single plasma exchange
Automated thrombin generation test on Génésia®.
Measured: Day 0, end of session
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Clauss functional method, g/L
Measured: Day 0, 1 hour after the session
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Automated thrombin generation test on Génésia®.
Measured: Day 0, 1 hour after the session
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Clauss functional method, g/L
Measured: Day 0, 4 hours after the session
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Automated thrombin generation test on Génésia®.
Measured: Day 0, 4 hours after the session
Determination of fibrinogen levels before the plasmapheresis session with single plasma exchange
Clauss functional method, g/L
Measured: Day 1
Determination of fibrinogen levels with Genesia® before the plasmapheresis session with single plasma exchange
Automated thrombin generation test on Génésia®.
Measured: Day 1
Determination of fibrinogen levels before the plasmapheresis session with single plasma exchange
Clauss functional method, g/L
Measured: Day 3
Determination of fibrinogen levels with Genesia® before the plasmapheresis session with single plasma exchange
Automated thrombin generation test on Génésia®.
Measured: Day 3
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Clauss functional method, g/L
Measured: Month 1, Day 1, 1 hour after the session
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Automated thrombin generation test on Génésia®.
Measured: Month 1, Day 1, 1 hour after the session
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Clauss functional method, g/L
Measured: Month 1, Day 4, 4 hours after the session
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Automated thrombin generation test on Génésia®.
Measured: Month 1, Day 4, 4 hours after the session
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Clauss functional method, g/L
Measured: Month 1, Day 3
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Automated thrombin generation test on Génésia®.
Measured: Month 1, Day 3
Determination of fibrinogen levels before the first plasmapheresis session with double filtration plasmapheresis
Clauss functional method, g/L
Measured: Day 0, before the session
Determination of fibrinogen levels with Génésia® before the first plasmapheresis session with double filtration plasmapheresis
Automated thrombin generation test on Génésia®.
Measured: Day 0, before the session
Determination of fibrinogen levels after the first plasmapheresis session with double filtration plasmapheresis
Clauss functional method, g/L
Measured: Day 0, end of session
Determination of fibrinogen levels with Génésia® after the first plasmapheresis session with double filtration plasmapheresis
Automated thrombin generation test on Génésia®.
Measured: Day 0, end of session
Determination of fibrinogen levels after the first plasmapheresis session with double filtration plasmapheresis
Clauss functional method, g/L
Measured: Day 0, 1 hour after the session
Determination of fibrinogen levels with Génésia® after the first plasmapheresis session with double filtration plasmapheresis
Automated thrombin generation test on Génésia®.
Measured: Day 0, 1 hour after the session
Determination of fibrinogen levels after the first plasmapheresis session with double filtration plasmapheresis
Clauss functional method, g/L
Measured: Day 0, 4 hours after the session
Determination of fibrinogen levels with Génésia® after the first plasmapheresis session with double filtration plasmapheresis
Automated thrombin generation test on Génésia®.
Measured: Day 0, 4 hours after the session
Determination of fibrinogen levels before the plasmapheresis session with double filtration plasmapheresis
Clauss functional method, g/L
Measured: Day 1
Determination of fibrinogen levels with Génésia® before the plasmapheresis session with double filtration plasmapheresis
Automated thrombin generation test on Génésia®.
Measured: Day 1
Determination of fibrinogen levels before the plasmapheresis session with double filtration plasmapheresis
Clauss functional method, g/L
Measured: Day 3
Determination of fibrinogen levels with Génésia® before the plasmapheresis session with double filtration plasmapheresis
Automated thrombin generation test on Génésia®.
Measured: Day 3
Determination of fibrinogen levels after the plasmapheresis session with double filtration plasmapheresis
Clauss functional method, g/L
Measured: Month 1, Day 1, 1 hour after the session
Determination of fibrinogen levels with Génésia® after the plasmapheresis session with double filtration plasmapheresis
Automated thrombin generation test on Génésia®.
Measured: Month 1, Day 1, 1 hour after the session
Determination of fibrinogen levels after the plasmapheresis session with double filtration plasmapheresis
Clauss functional method, g/L
Measured: Month 1, Day 1, 4 hours after the session
Determination of fibrinogen levels with Génésia® after the plasmapheresis session with double filtration plasmapheresis
Automated thrombin generation test on Génésia®.
Measured: Month 1, Day 1, 4 hours after the session
Determination of fibrinogen levels after the plasmapheresis session with double filtration plasmapheresis
Clauss functional method, g/L
Measured: Month 1, Day 3
Determination of fibrinogen levels with Génésia® after the plasmapheresis session with double filtration plasmapheresis
Automated thrombin generation test on Génésia®.
Measured: Month 1, Day 3
Secondary outcomes (226)
Complete blood count before the plasmapheresis session with single plasma exchange : White blood cells
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : White blood cells
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : White blood cells
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : White blood cells
Quantitative, per microliter
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : White blood cells
Quantitative, per microliter
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Red blood cells
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Red blood cells
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Red blood cells
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Red blood cells
Quantitative, per microliter
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Red blood cells
Quantitative, per microliter
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Hemoglobin
Quantitative, grams per liter
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Hemoglobin
Quantitative, grams per liter
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Hemoglobin
Quantitative, grams per liter
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Hemoglobin
Quantitative, grams per liter
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Hemoglobin
Quantitative, grams per liter
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Platelets
Quantitative, %
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Platelets
Quantitative, %
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Platelets
Quantitative, %
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Platelets
Quantitative, %
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Platelets
Quantitative, %
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Neutrophils
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Neutrophils
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Neutrophils
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Neutrophils
Quantitative, per microliter
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Neutrophils
Quantitative, per microliter
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Lymphocytes
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Lymphocytes
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Lymphocytes
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Lymphocytes
Quantitative, per microliter
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Lymphocytes
Quantitative, per microliter
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Monocytes
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Monocytes
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Monocytes
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Monocytes
Quantitative, per microliter
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Monocytes
Quantitative, per microliter
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Eosinophils
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Eosinophils
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Eosinophils
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Eosinophils
Quantitative, per microliter
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Eosinophils
Quantitative, per microliter
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Basophils
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Basophils
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Basophils
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Basophils
Quantitative, per microliter
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Basophils
Quantitative, per microliter
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Hematocrit
Quantitative, %
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Hematocrit
Quantitative, %
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Hematocrit
Quantitative, %
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Hematocrit
Quantitative, %
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Hematocrit
Quantitative, %
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Mean Corpuscular Volume
Quantitative, %
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Volume
Quantitative, %
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Volume
Quantitative, %
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Volume
Quantitative, %
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Volume
Quantitative, %
Measured: Day 4
Complete blood count before the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin
Quantitative, in pg
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin
Quantitative, in pg
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin
Quantitative, in pg
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin
Quantitative, in pg
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin
Quantitative, in pg
Measured: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin Concentration
Quantitative, in g/L
Measured: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin Concentration
Quantitative, in g/L
Measured: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin Concentration
Quantitative, in g/L
Measured: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin Concentration
Quantitative, in g/L
Measured: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Mean Corpuscular Hemoglobin Concentration
Quantitative, in g/L
Measured: Day 3
Serum albumin before the plasmapheresis session with single plasma exchange
Quantitative, in g/dL
Measured: Day 0, Hour 0
Serum albumin after the plasmapheresis session with single plasma exchange
Quantitative, in g/dL
Measured: Day 0, Hour 1
Serum albumin after the plasmapheresis session with single plasma exchange
Quantitative, in g/dL
Measured: Day 0, Hour 4
Serum albumin after the plasmapheresis session with single plasma exchange
Quantitative, in g/dL
Measured: Day 1
Serum albumin after the plasmapheresis session with single plasma exchange
Quantitative, in g/dL
Measured: Day 3
Prothrombin Time Test and International Normalized Ratio (PT/INR) before the plasmapheresis session with single plasma exchange
In seconds
Measured: Day 0, Hour 0
Prothrombin Time Test and International Normalized Ratio (PT/INR) after the plasmapheresis session with single plasma exchange
In seconds
Measured: Day 0, Hour 1
Prothrombin Time Test and International Normalized Ratio (PT/INR) after the plasmapheresis session with single plasma exchange
In seconds
Measured: Day 0, Hour 4
Prothrombin Time Test and International Normalized Ratio (PT/INR) after the plasmapheresis session with single plasma exchange
In seconds
Measured: Day 1
Prothrombin Time Test and International Normalized Ratio (PT/INR) after the plasmapheresis session with single plasma exchange
In seconds
Measured: Day 3
Factors VIII, IX, XI and XII before the plasmapheresis session with single plasma exchange
By 1-stage APTT-based Factor assay, in seconds
Measured: Day 0, Hour 0
Factors VIII, IX, XI and XII after the plasmapheresis session with single plasma exchange
By 1-stage APTT-based Factor assay, in seconds
Measured: Day 0, Hour 1
Factors VIII, IX, XI and XII after the plasmapheresis session with single plasma exchange
By 1-stage APTT-based Factor assay, in seconds
Measured: Day 0, Hour 4
Factors VIII, IX, XI and XII after the plasmapheresis session with single plasma exchange
By 1-stage APTT-based Factor assay, in seconds
Measured: Day 1
Factors VIII, IX, XI and XII after the plasmapheresis session with single plasma exchange
By 1-stage APTT-based Factor assay, in seconds
Measured: Day 3
Factors X, V and II [Prothrombin] before the plasmapheresis session with single plasma exchange
Prothrombin assay, in seconds
Measured: Day 0, Hour 0
Factors X, V and II [Prothrombin] after the plasmapheresis session with single plasma exchange
Prothrombin assay, in seconds
Measured: Day 0, Hour 1
Factors X, V and II [Prothrombin] after the plasmapheresis session with single plasma exchange
Prothrombin assay, in seconds
Measured: Day 0, Hour 4
Factors X, V and II [Prothrombin] after the plasmapheresis session with single plasma exchange
Prothrombin assay, in seconds
Measured: Day 1
Factors X, V and II [Prothrombin] after the plasmapheresis session with single plasma exchange
Prothrombin assay, in seconds
Measured: Day 3
D-dimers and circulating soluble fibrin monomers before the plasmapheresis session with single plasma exchange
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 0, Hour 0
D-dimers and circulating soluble fibrin monomers after the plasmapheresis session with single plasma exchange
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 0, Hour 1
D-dimers and circulating soluble fibrin monomers after the plasmapheresis session with single plasma exchange
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 0, Hour 4
D-dimers and circulating soluble fibrin monomers after the plasmapheresis session with single plasma exchange
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 1
D-dimers and circulating soluble fibrin monomers after the plasmapheresis session with single plasma exchange
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 3
Platelet function test before the plasmapheresis session with single plasma exchange
ADP/collagen and adrenalin/collagen cartridges.
Measured: Day 0, Hour 0
Platelet function test after the plasmapheresis session with single plasma exchange
ADP/collagen and adrenalin/collagen cartridges.
Measured: Day 0, Hour 1
Platelet function test after the plasmapheresis session with single plasma exchange
ADP/collagen and adrenalin/collagen cartridges.
Measured: Day 0, Hour 4
Platelet function test after the plasmapheresis session with single plasma exchange
ADP/collagen and adrenalin/collagen cartridges.
Measured: Day 1
Platelet function test after the plasmapheresis session with single plasma exchange
ADP/collagen and adrenalin/collagen cartridges.
Measured: Day 3
von Willebrand factor (vWF) activity - ristocetin cofactor test before the plasmapheresis session with single plasma exchange
Binding to platelet membrane glycoprotein Ib
Measured: Day 0, Hour 0
von Willebrand factor (vWF) activity - ristocetin cofactor test after the plasmapheresis session with single plasma exchange
Binding to platelet membrane glycoprotein Ib
Measured: Day 0, Hour 1
von Willebrand factor (vWF) activity - ristocetin cofactor test after the plasmapheresis session with single plasma exchange
Binding to platelet membrane glycoprotein Ib
Measured: Day 0, Hour 4
von Willebrand factor (vWF) activity - ristocetin cofactor test after the plasmapheresis session with single plasma exchange
Binding to platelet membrane glycoprotein Ib
Measured: Day 1
von Willebrand factor (vWF) activity - ristocetin cofactor test after the plasmapheresis session with single plasma exchange
Binding to platelet membrane glycoprotein Ib
Measured: Day 3
Thrombin generation test on Génésia® before the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 0, Hour 0
Thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 0, Hour 1
Thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 0, Hour 4
Thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 1
Thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 3
Automated thrombin generation test on Génésia® before the plasmapheresis session with single plasma exchange
Triggered by 5 pM tissue factor with response to purified thrombomodulin (thrombotic exploration version)
Measured: Day 0, Hour 0
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange
Triggered by 5 pM tissue factor with response to purified thrombomodulin (thrombotic exploration version)
Measured: Day 0, Hour 1
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange
Triggered by 5 pM tissue factor with response to purified thrombomodulin (thrombotic exploration version)
Measured: Day 0, Hour 4
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange
Triggered by 5 pM tissue factor with response to purified thrombomodulin (thrombotic exploration version)
Measured: Day 1
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange
Triggered by 5 pM tissue factor with response to purified thrombomodulin (thrombotic exploration version)
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : White blood cells
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : White blood cells
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : White blood cells
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : White blood cells
Quantitative, per microliter
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : White blood cells
Quantitative, per microliter
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Red blood cells
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Red blood cells
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Red blood cells
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Red blood cells
Quantitative, per microliter
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Red blood cells
Quantitative, per microliter
Measured: Day 4
Complete blood count before the double filtration plasmapheresis session : Hemoglobin
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Hemoglobin
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Hemoglobin
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Hemoglobin
Quantitative, per microliter
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Hemoglobin
Quantitative, per microliter
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Platelets
Quantitative, %
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Platelets
Quantitative, %
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Platelets
Quantitative, %
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Platelets
Quantitative, %
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Platelets
Quantitative, %
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Neutrophils
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Neutrophils
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Neutrophils
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Neutrophils
Quantitative, per microliter
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Neutrophils
Quantitative, per microliter
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Lymphocytes
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Lymphocytes
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Lymphocytes
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Lymphocytes
Quantitative, per microliter
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Lymphocytes
Quantitative, per microliter
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Monocytes
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Monocytes
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Monocytes
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Monocytes
Quantitative, per microliter
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Monocytes
Quantitative, per microliter
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Eosinophils
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Eosinophils
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Eosinophils
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Eosinophils
Quantitative, per microliter
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Eosinophils
Quantitative, per microliter
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Basophils
Quantitative, per microliter
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Basophils
Quantitative, per microliter
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Basophils
Quantitative, per microliter
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Basophils
Quantitative, per microliter
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Basophils
Quantitative, per microliter
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Hematocrit
Quantitative, %
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Hematocrit
Quantitative, %
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Hematocrit
Quantitative, %
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Hematocrit
Quantitative, %
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Hematocrit
Quantitative, %
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Mean Corpuscular Volume
Quantitative, fL
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Volume
Quantitative, fL
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Volume
Quantitative, fL
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Volume
Quantitative, fL
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Volume
Quantitative, fL
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin
Quantitative, pg
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin
Quantitative, pg
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin
Quantitative, pg
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin
Quantitative, pg
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin
Quantitative, pg
Measured: Day 3
Complete blood count before the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin Concentration
Quantitative, g/L
Measured: Day 0, Hour 0
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin Concentration
Quantitative, g/L
Measured: Day 0, Hour 1
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin Concentration
Quantitative, g/L
Measured: Day 0, Hour 4
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin Concentration
Quantitative, g/L
Measured: Day 1
Complete blood count after the double filtration plasmapheresis session : Mean Corpuscular Hemoglobin Concentration
Quantitative, g/L
Measured: Day 3
Serum albumin before the double filtration plasmapheresis session.
Quantitative, g/L
Measured: Day 0, Hour 0
Serum albumin after the double filtration plasmapheresis session.
Quantitative, g/L
Measured: Day 0, Hour 1
Serum albumin after the double filtration plasmapheresis session.
Quantitative, g/L
Measured: Day 0, Hour 4
Serum albumin after the double filtration plasmapheresis session.
Quantitative, g/L
Measured: Day 1
Serum albumin after the double filtration plasmapheresis session.
Quantitative, g/L
Measured: Day 3
Prothrombin Time Test and International Normalized Ratio (PT/INR) before the double filtration plasmapheresis session.
In seconds
Measured: Day 0, Hour 0
Prothrombin Time Test and International Normalized Ratio (PT/INR) after the double filtration plasmapheresis session.
In seconds
Measured: Day 0, Hour 1
Prothrombin Time Test and International Normalized Ratio (PT/INR) after the double filtration plasmapheresis session.
In seconds
Measured: Day 0, Hour 4
Prothrombin Time Test and International Normalized Ratio (PT/INR) after the double filtration plasmapheresis session.
In seconds
Measured: Day 1
Prothrombin Time Test and International Normalized Ratio (PT/INR) after the double filtration plasmapheresis session.
In seconds
Measured: Day 3
Factors VIII, IX, XI and XII before the double filtration plasmapheresis session.
1-stage APTT-based Factor assay
Measured: Day 0, Hour 0
Factors VIII, IX, XI and XII after the double filtration plasmapheresis session.
1-stage APTT-based Factor assay
Measured: Day 0, Hour 1
Factors VIII, IX, XI and XII after the double filtration plasmapheresis session.
1-stage APTT-based Factor assay
Measured: Day 0, Hour 4
Factors VIII, IX, XI and XII after the double filtration plasmapheresis session.
1-stage APTT-based Factor assay
Measured: Day 1
Factors VIII, IX, XI and XII after the double filtration plasmapheresis session.
1-stage APTT-based Factor assay
Measured: Day 3
Factors X, V and II [Prothrombin] before the double filtration plasmapheresis session.
Prothrombin assay, in seconds
Measured: Day 0, Hour 0
Factors X, V and II [Prothrombin] after the double filtration plasmapheresis session.
Prothrombin assay, in seconds
Measured: Day 0, Hour 1
Factors X, V and II [Prothrombin] after the double filtration plasmapheresis session.
Prothrombin assay, in seconds
Measured: Day 0, Hour 4
Factors X, V and II [Prothrombin] after the double filtration plasmapheresis session.
Prothrombin assay, in seconds
Measured: Day 1
Factors X, V and II [Prothrombin] after the double filtration plasmapheresis session.
Prothrombin assay, in seconds
Measured: Day 3
D-dimers and circulating soluble fibrin monomers before the double filtration plasmapheresis session.
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 0, Hour 0
D-dimers and circulating soluble fibrin monomers after the double filtration plasmapheresis session.
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 0, Hour 1
D-dimers and circulating soluble fibrin monomers after the double filtration plasmapheresis session.
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 0, Hour 4
D-dimers and circulating soluble fibrin monomers after the double filtration plasmapheresis session.
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 1
D-dimers and circulating soluble fibrin monomers after the double filtration plasmapheresis session.
By enzyme-linked immunosorbent assay (ELISA) method
Measured: Day 3
Platelet function test before the double filtration plasmapheresis session.
ADP/collagen and adrenalin/collagen cartridges
Measured: Day 0, Hour 0
Platelet function test after the double filtration plasmapheresis session.
ADP/collagen and adrenalin/collagen cartridges
Measured: Day 0, Hour 1
Platelet function test after the double filtration plasmapheresis session.
ADP/collagen and adrenalin/collagen cartridges
Measured: Day 0, Hour 4
Platelet function test after the double filtration plasmapheresis session.
ADP/collagen and adrenalin/collagen cartridges
Measured: Day 1
Platelet function test after the double filtration plasmapheresis session.
ADP/collagen and adrenalin/collagen cartridges
Measured: Day 3
von Willebrand factor (vWF) activity - ristocetin cofactor test before the double filtration plasmapheresis session.
Binding to platelet membrane glycoprotein Ib
Measured: Day 0, Hour 0
von Willebrand factor (vWF) activity - ristocetin cofactor test after the double filtration plasmapheresis session.
Binding to platelet membrane glycoprotein Ib
Measured: Day 0, Hour 1
von Willebrand factor (vWF) activity - ristocetin cofactor test after the double filtration plasmapheresis session.
Binding to platelet membrane glycoprotein Ib
Measured: Day 0, Hour 4
von Willebrand factor (vWF) activity - ristocetin cofactor test after the double filtration plasmapheresis session.
Binding to platelet membrane glycoprotein Ib
Measured: Day 1
von Willebrand factor (vWF) activity - ristocetin cofactor test after the double filtration plasmapheresis session.
Binding to platelet membrane glycoprotein Ib
Measured: Day 3
Automated thrombin generation test on Génésia® before the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 0, Hour 0
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 0, Hour 1
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 0, Hour 4
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 1
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (hemorrhagic exploration version)
Triggered by 1 pM tissue factor
Measured: Day 3
Automated thrombin generation test on Génésia® before the plasmapheresis session with single plasma exchange (thrombotic exploration version)
Triggered by 5 pM tissue factor with response to purified thrombomodulin
Measured: Day 0, Hour 0
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (thrombotic exploration version)
Triggered by 5 pM tissue factor with response to purified thrombomodulin
Measured: Day 0, Hour 1
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (thrombotic exploration version)
Triggered by 5 pM tissue factor with response to purified thrombomodulin
Measured: Day 0, Hour 4
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (thrombotic exploration version)
Triggered by 5 pM tissue factor with response to purified thrombomodulin
Measured: Day 1
Automated thrombin generation test on Génésia® after the plasmapheresis session with single plasma exchange (thrombotic exploration version)
Triggered by 5 pM tissue factor with response to purified thrombomodulin
Measured: Day 3
Plasma Bank
Storage of unused tube ends
Measured: Before Day 0, hour 0
Plasma Bank
Storage of unused tube ends
Measured: Day 0, hour1
Plasma Bank
Storage of unused tube ends
Measured: Day 0, hour 4
Plasma Bank
Storage of unused tube ends
Measured: Day 1
Plasma Bank
Storage of unused tube ends
Measured: Day 3
Plasma Bank
Storage of unused tube ends
Measured: After end of session Day 0, H0
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Aug 2024
- Study start17 Dec 2024
- Primary completion17 Dec 2026 (estimated)
- Study completion2 Feb 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HyperfibrinogenemiaStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de NīmesThe 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- Patients being monitored for chronic therapeutic plasmapheresis with regional citrate anticoagulation will be recruited from the Nephrology Department at Nîmes University Hospital. After receiving written informed consent (inclusion visit), patients will be randomized to determine the nature of their first cycle (single plasma exchange or double filtration plasmapheresis. The next cycle will vary accordingly: DFPP if the first cycle was single plasma exchange, and single plasma exchange if the first session was DFPP.
- Masking
- None (open label)
- Enrolment
- 6 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Emilie PAMBRUN, Docteur, Principal investigator, Nîmes University HospitalSylvie BOUVIER, Docteur, Principal investigator, Nîmes University HospitalJean-Christophe GRIS, Professor, Principal investigator, Nîmes University HospitalMathieu FORTIER, Principal investigator, Nîmes University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06571552
- Sponsor's protocol ID
- NIMAO/2023-2/OM01
- Acronym
- APHERCOAG
- Status last verified
- Oct 2026
- First submitted
- 23 Aug 2024
- Last updated
- 20 Oct 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Description of Coagulation Disorders Secondary to Two Plasmapheresis Techniques (Double Filtration Plasmapheresis vs. PFS). Descriptive Pilot Study.
- ClinicalTrials.gov ID
- NCT06571552
- Acronym / sponsor ID
- APHERCOAG / NIMAO/2023-2/OM01
- Conditions
- Hyperfibrinogenemia, Hemostatic Disorder
- Keywords
- Double Filtration Plasmapheresis, Single Plasma Exchange
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 6 participants (estimated)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- 17 Dec 2024 (actual)
- Primary completion
- 17 Dec 2026 (estimated)
- Study completion
- 2 Feb 2027 (estimated)
- First posted
- 26 Aug 2024 (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.
Therapeutic plasmapheresis causes changes in haemostasis by purifying many of the circulating factors involved. Few reliable data are available on these changes and most studies are limited to coagulation factor assays before and after the session, with little data documenting the kinetics of regeneration of these factors. It is recognized that haemostasis disorders caused by therapeutic apheresis must be corrected in cases of active bleeding. However the methods of correcting these disorders are debatable. Finally, it is unclear when changes in haemostasis associated with coagulation factor deficiency should be corrected. Haemostasis is probably not based solely on the level of blood fibrinogen, but it is most often its threshold that is used to trigger replacement therapy to prevent a supposed risk of haemorrhage. No studies are available on the kinetics of haemostasis disorders and the risk of haemorrhage following a therapeutic plasmapheresis session, according to session type and fibrinogen level at the end of the session. The hypothesis of this research is that the link between fibrinogen level and thrombin generation capacity, post therapeutic plasmapheresis, will enable us to better assess the risk of haemorrhage and propose preventive measures.
Detailed description
Therapeutic plasmapheresis causes changes in haemostasis by purifying many of the circulating factors involved. Some data are available on changes in circulating haemostasis factors with the Single Plasma Exchange technique and the Double Filtration Plasmapheresis; however, most often these studies are carried out in specific clinical situations where other haemostasis disorders may be present, such as severe renal failure. Furthermore, in these studies, assessment of changes in haemostasis is often limited to coagulation factor assays before and after the session, with little data documenting the kinetics of regeneration of these factors, whose molecular weight and half-life vary widely. To date, there is no clear consensus/recommendation on the management of haemostasis disorders secondary to therapeutic apheresis. The need to correct haemostasis disorders caused by therapeutic apheresis also appears to be consensual in cases of active bleeding.The methods of correcting haemostasis disorders can also be discussed between infusion of coagulation factor and fresh frozen plasma. Finally, apart from these clinical situations, it is not clear when changes in haemostasis associated with coagulation factor deficiency should be corrected. There are no studies available on the kinetics of haemostasis disorders and the risk of haemorrhage following a therapeutic plasmapheresis session, depending on the type of session and the fibrinogen level at the end of the session. The hypothesis of our research is that the existence of a link between fibrinogen level and thrombin generation capacity, post therapeutic plasmapheresis, will enable us to better assess the risk of haemorrhage and to propose preventive measures.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Patients being monitored for chronic therapeutic plasmapheresis with regional citrate anticoagulation will be recruited from the Nephrology Department at Nîmes University Hospital. After receiving written informed consent (inclusion visit), patients will be randomized to determine the nature of their first cycle (single plasma exchange or double filtration plasmapheresis. The next cycle will vary accordingly: DFPP if the first cycle was single plasma exchange, and single plasma exchange if the first session was DFPP.
| Arm | Type | Receives |
|---|---|---|
| Patients benefitting from Single Plasma Exchange followed by Double Filtration Plasmapheresis | Active comparator | Procedure: Single Plasma Exchange followed by Double Filtration PlasmapheresisFor the patients in this group, the first cycle (T1) will consist of Single Plasma Exchange and the second cycle (T2) of Double Filtration Plasmapheresis. |
| Patients benefitting from Double Filtration Plasmapheresis followed by Single Plasma Exchange | Active comparator | Procedure: Single Plasma Exchange followed by Double Filtration PlasmapheresisFor the patients in this group, the first cycle (T1) will consist of Double Filtration Plasmapheresis and the second cycle (T2) of Single Plasma Exchange. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patients without renal failure treated with chronic therapeutic plasmapheresis with a minimum treatment interval of 10 days and who can be treated with single plasma exchange (SPE) or double filtration plasmapheresis (DFPP) in accordance with the international recommendations.
- Therapeutic plasmapheresis with regional citrate anticoagulation.
- Patients over 18 years of age.
- Patient affiliated to or benefiting from a social security scheme.
- Free, informed and written consent, signed by the participant and the investigator (at the latest on the day of inclusion and before any examination required by the research).
Key exclusion criteria (8 listed)
- Patients treated with oral anticoagulants or anti-platelet agents.
- Patients treated for hypercholesterolaemia or hypertriglyceridaemia; hyperviscosity, acquired haemophilia or nephrotic syndrome.
- Indication for substitution with fresh frozen plasma (FFP) for the treatment of the disease.
- Patient in an exclusion period determined by another study.
- Patient under court protection, guardianship or curatorship.
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 |
|---|---|---|
| Single Plasma Exchange followed by Double Filtration PlasmapheresisDouble Filtration Plasmapheresis followed by Single Plasma Exchange | Procedure or surgery | Patients benefitting from Double Filtration Plasmapheresis followed by Single Plasma Exchange, Patients benefitting from Single Plasma Exchange followed by Double Filtration Plasmapheresis |
Primary outcome
Determination of fibrinogen levels before the first plasmapheresis session with single plasma exchange
Time frame: Day 0, before the session
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® before the first plasmapheresis session with single plasma exchange
Time frame: Day 0, before the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the first plasmapheresis session with single plasma exchange
Time frame: Day 0, end of session
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® after the first plasmapheresis session with single plasma exchange
Time frame: Day 0, end of session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Time frame: Day 0, 1 hour after the session
Clauss functional method, g/L
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Time frame: Day 0, 1 hour after the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Time frame: Day 0, 4 hours after the session
Clauss functional method, g/L
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Time frame: Day 0, 4 hours after the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels before the plasmapheresis session with single plasma exchange
Time frame: Day 1
Clauss functional method, g/L
Determination of fibrinogen levels with Genesia® before the plasmapheresis session with single plasma exchange
Time frame: Day 1
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels before the plasmapheresis session with single plasma exchange
Time frame: Day 3
Clauss functional method, g/L
Determination of fibrinogen levels with Genesia® before the plasmapheresis session with single plasma exchange
Time frame: Day 3
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Time frame: Month 1, Day 1, 1 hour after the session
Clauss functional method, g/L
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Time frame: Month 1, Day 1, 1 hour after the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Time frame: Month 1, Day 4, 4 hours after the session
Clauss functional method, g/L
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Time frame: Month 1, Day 4, 4 hours after the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the plasmapheresis session with single plasma exchange
Time frame: Month 1, Day 3
Clauss functional method, g/L
Determination of fibrinogen levels with Genesia® after the plasmapheresis session with single plasma exchange
Time frame: Month 1, Day 3
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels before the first plasmapheresis session with double filtration plasmapheresis
Time frame: Day 0, before the session
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® before the first plasmapheresis session with double filtration plasmapheresis
Time frame: Day 0, before the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the first plasmapheresis session with double filtration plasmapheresis
Time frame: Day 0, end of session
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® after the first plasmapheresis session with double filtration plasmapheresis
Time frame: Day 0, end of session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the first plasmapheresis session with double filtration plasmapheresis
Time frame: Day 0, 1 hour after the session
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® after the first plasmapheresis session with double filtration plasmapheresis
Time frame: Day 0, 1 hour after the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the first plasmapheresis session with double filtration plasmapheresis
Time frame: Day 0, 4 hours after the session
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® after the first plasmapheresis session with double filtration plasmapheresis
Time frame: Day 0, 4 hours after the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels before the plasmapheresis session with double filtration plasmapheresis
Time frame: Day 1
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® before the plasmapheresis session with double filtration plasmapheresis
Time frame: Day 1
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels before the plasmapheresis session with double filtration plasmapheresis
Time frame: Day 3
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® before the plasmapheresis session with double filtration plasmapheresis
Time frame: Day 3
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the plasmapheresis session with double filtration plasmapheresis
Time frame: Month 1, Day 1, 1 hour after the session
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® after the plasmapheresis session with double filtration plasmapheresis
Time frame: Month 1, Day 1, 1 hour after the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the plasmapheresis session with double filtration plasmapheresis
Time frame: Month 1, Day 1, 4 hours after the session
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® after the plasmapheresis session with double filtration plasmapheresis
Time frame: Month 1, Day 1, 4 hours after the session
Automated thrombin generation test on Génésia®.
Determination of fibrinogen levels after the plasmapheresis session with double filtration plasmapheresis
Time frame: Month 1, Day 3
Clauss functional method, g/L
Determination of fibrinogen levels with Génésia® after the plasmapheresis session with double filtration plasmapheresis
Time frame: Month 1, Day 3
Automated thrombin generation test on Génésia®.
226 secondary outcomes
Complete blood count before the plasmapheresis session with single plasma exchange : White blood cells
Time frame: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : White blood cells
Time frame: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : White blood cells
Time frame: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : White blood cells
Time frame: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : White blood cells
Time frame: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Red blood cells
Time frame: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Red blood cells
Time frame: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Red blood cells
Time frame: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Red blood cells
Time frame: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Red blood cells
Time frame: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Hemoglobin
Time frame: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Hemoglobin
Time frame: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Hemoglobin
Time frame: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Hemoglobin
Time frame: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Hemoglobin
Time frame: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Platelets
Time frame: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Platelets
Time frame: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Platelets
Time frame: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Platelets
Time frame: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Platelets
Time frame: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Neutrophils
Time frame: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Neutrophils
Time frame: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Neutrophils
Time frame: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Neutrophils
Time frame: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Neutrophils
Time frame: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Lymphocytes
Time frame: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Lymphocytes
Time frame: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Lymphocytes
Time frame: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Lymphocytes
Time frame: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Lymphocytes
Time frame: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Monocytes
Time frame: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Monocytes
Time frame: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Monocytes
Time frame: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Monocytes
Time frame: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Monocytes
Time frame: Day 3
Complete blood count before the plasmapheresis session with single plasma exchange : Eosinophils
Time frame: Day 0, Hour 0
Complete blood count after the plasmapheresis session with single plasma exchange : Eosinophils
Time frame: Day 0, Hour 1
Complete blood count after the plasmapheresis session with single plasma exchange : Eosinophils
Time frame: Day 0, Hour 4
Complete blood count after the plasmapheresis session with single plasma exchange : Eosinophils
Time frame: Day 1
Complete blood count after the plasmapheresis session with single plasma exchange : Eosinophils
Time frame: Day 3
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 20 Oct 2026.
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.
Emilie PAMBRUN, Docteur principal investigator
Nîmes University Hospital
Sylvie BOUVIER, Docteur principal investigator
Nîmes University Hospital
Jean-Christophe GRIS, Professor principal investigator
Nîmes University Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Single Plasma Exchange followed by Double Filtration Plasmapheresis in people with Hyperfibrinogenemia and Hemostatic Disorder, run by Centre Hospitalier Universitaire de Nīmes at 1 site 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 5 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 20 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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 Olivier MORANNE, Professor (+334.66.68.31.49, olivier.moranne@chu-nimes.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Determination of fibrinogen levels before the first plasmapheresis session with single plasma exchange (time frame: Day 0, before the session). The study lists 36 primary outcomes in all. 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 20 Oct 2026.