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NCT06257407: HEMOTRANSPLANT

Perioperative Hemostasis Management in Liver Transplantation

Recruiting now Last updated 2 April 2026
What this trial tests

trial in Liver Transplant; Complications in 1,200 participants. Currently enrolling.

Timeline
17 October 2024
Primary endpoint
30 October 2026
31 December 2026

Quick facts

Lead sponsorSociété Française d'Anesthésie et de Réanimation
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment1,200
Start date17 October 2024
Primary completion30 October 2026
Estimated completion31 December 2026
Sites16 locations across France

Conditions studied

Sponsor

Société Française d'Anesthésie et de Réanimation

Who can join

18 and older, any sex, with Liver Transplant; Complications. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Liver transplantation (LT) is a surgery with risk of bleeding. Several risk factors have been identified: complex dissection, portal hypertension, history of ascites fluid infections, history of surgical procedures, pre-existing complex hemostatic disorders and those acquired during the procedure. Diffuse bleeding can occur at any time during the 3 phases of surgery: dissection, anhepatic and neohepatic. However, intraoperative bleeding and transfusion requirements remain difficult to predict. Current predictive models are based in particular on preoperative characteristics and do not take into account the course and different phases of the operation. The need for transfusions has largely decreased over the last 20 years, and currently around 20-25% of patients are transfused (transfusion of at least 1 blood product during LT). However, massive transfusion is necessary in 10% of LT. The European Society of Anaesthesiology (ESA) has issued recommendations on the management of severe bleeding during surgery. However, these recommendations are not specific to LT. Moreover, transfusion strategies vary widely from one center to another. The implementation of protocols within teams dedicated to LT has led to a reduction in bleeding and transfusion, with or without the use of viscoelastic testing. Intraoperative bleeding and transfusion requirements, as well as postoperative thromboembolic complications, remain difficult to predict. Predictive models of bleeding risk have been developed, but they are based solely on preoperative characteristics and do not take into account the course and various phases of the operation. In addition, new methods such as Bayesian inference or machine learning have been developed, and seem capable of providing different information from that obtained by conventional models. The overall aim of this prospective multicenter observational study is to investigate the risk factors for bleeding and thrombosis in per- and post-operative LT using different predictive methods, and to describe the management of bleeding and post-operative anticoagulation in metropolitan France.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Liver Transplant; Complications

Currently open trials in the same condition.

Other Société Française d'Anesthésie et de Réanimation trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT06257407.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing