NCT03426358

Brief Summary

ELASTOVOD is a prospective multicenter study, involving several centers of Onco-haematology in Italy. Investigators perform hepatic elastographic measurements (with Transient Elastography, ARFI or 2D-SWE) on patients undergoing HSCT, at baseline before transplantation (T0) and at T1/T2/T3 after HSCT (+9/10, +15/17, +22/24). SOS/VOD diagnosis was performed according to clinical criteria.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,101

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2015

Longer than P75 for not_applicable

Geographic Reach
1 country

37 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 28, 2015

Completed
2.8 years until next milestone

First Submitted

Initial submission to the registry

February 2, 2018

Completed
6 days until next milestone

First Posted

Study publicly available on registry

February 8, 2018

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2021

Completed
Last Updated

April 14, 2022

Status Verified

April 1, 2022

Enrollment Period

6.6 years

First QC Date

February 2, 2018

Last Update Submit

April 13, 2022

Conditions

Keywords

Veno Occlusive DiseaseSinusoidal Obstruction SyndromeHSCTHematopoietic Stem Cell TransplantationStem Cell Transplant ComplicationsLiver Stiffness MeasurementSinusoidal Obstructive SyndromeTransient Elastography

Outcome Measures

Primary Outcomes (1)

  • Diagnostic Role of Liver Stiffness Measurement in SOS/VOD development

    To assess in a large, mixed (adult and paediatric) population undergoing HSCT, the role of Liver Stiffness Measurement (LSM), assessed by different elastographic methods, in SOS/VOD diagnosis.

    From HSCT to 30 days after HSCT

Study Arms (1)

Patients undergoing HSCT

EXPERIMENTAL

LSM assessed by Elastographic Techniques

Device: LSM assessed by Elastographic Techniques

Interventions

Performing Transient Elastography, ARFI or 2D-SWE on patients at baseline (within 1 month before HSCT) and after HSCT on days +9/10, +15/17, +22/24

Patients undergoing HSCT

Eligibility Criteria

Age3 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • male or female patients
  • age between 3 and 70
  • patients suffering from an onco-hematological disease that have an indication for either allogenic or autologous hematopoietic stem cells transplantation
  • obtaining of informed consent

You may not qualify if:

  • pathological obesity (BMI \>40)
  • pacemaker of implantable defibrillator
  • presence of ascites at baseline

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (37)

Azienda Ospedaliera Universitaria di Bologna Policlinico S. Orsola Malpighi.

Bologna, BO, Italy

Location

Casa Sollievo della Sofferenza

San Giovanni Rotondo, Foggia, Italy

Location

Azienda Ospedaliera "Card. G. Panico"

Tricase, Lecce, Italy

Location

Istituto Clinico Humanitas

Rozzano, Milano, Italy

Location

Policlinico Umberto I - Università la Sapienza

Roma, RM, Italy

Location

Azienda Ospedaliera-Nazionale SS. Antonio e Biagio e Cesare Arrigo

Alessandria, Italy

Location

Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona

Ancona, Italy

Location

Azienda Ospedaliero-Universitaria Consorziale - Policlinico di Bari

Bari, Italy

Location

ASST Papa Giovanni XXIII Ospedali riuniti di Bergamo

Bergamo, Italy

Location

Azienda Sanitaria dell'Alto Adige

Bolzano, Italy

Location

Spedali Civili di Brescia, UO Ematologia

Brescia, Italy

Location

Policlinico Vittorio Emanuele - Presidio Ferrarotto

Catania, Italy

Location

Azienda Ospedaliera-Universitaria Careggi

Florence, Italy

Location

Azienda Ospedaliera-Universitaria Meyer

Florence, Italy

Location

Ospedale Policlinico San Martino

Genova, Italy

Location

Ospedale Vito Fazzi

Lecce, Italy

Location

Ospedale dell'Angelo

Mestre, Italy

Location

ASST Grande Ospedale Metropolitano Niguarda

Milan, Italy

Location

Ospedale Maggiore Policlinico di Milano

Milan, Italy

Location

Ospedale San Raffaele

Milan, Italy

Location

Azienda Ospedaliera-Universitaria di Modena

Modena, Italy

Location

Ospedale Pediatrico Pausilipon

Napoli, Italy

Location

Policlinico Federico II

Napoli, Italy

Location

Azienda Ospedaliero-Universitaria di Padova

Padua, Italy

Location

Azienda Ospedaliera Ospedali riuniti Villa Sofia- Cervello

Palermo, Italy

Location

Azienda Ospedaliero-Universitaria Ospedale Maggiore di Parma

Parma, Italy

Location

Azienda Sanitaria Locale di Pescara

Pescara, Italy

Location

Azienda Ospedaliero-universitaria Pisana, UO Ematologia

Pisa, Italy

Location

Azienda Ospedaliero-Universitaria Pisana, UO Oncoematologia Pediatrica

Pisa, Italy

Location

Arcispedale S. Maria Nuova di Reggio Emilia

Reggio Emilia, Italy

Location

Ospedale Pediatrico Bambino Gesù

Roma, Italy

Location

Policlinico Tor Vergata

Roma, Italy

Location

Policlinico Universitario A. Gemelli

Roma, Italy

Location

Azienda Ospedaliero-Universitaria Città della Salute e della Scienza

Torino, Italy

Location

Azienda Ospedaliero-Universitaria Integrata di Udine

Udine, Italy

Location

Azienda Ospedaliero-Universitaria Integrata di Verona

Verona, Italy

Location

Azienda Ospedaliera di Vicenza

Vicenza, Italy

Location

Related Publications (26)

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    PMID: 14564177BACKGROUND
  • McDonald GB. Hepatobiliary complications of hematopoietic cell transplantation, 40 years on. Hepatology. 2010 Apr;51(4):1450-60. doi: 10.1002/hep.23533.

    PMID: 20373370BACKGROUND
  • Carreras E, Diaz-Beya M, Rosinol L, Martinez C, Fernandez-Aviles F, Rovira M. The incidence of veno-occlusive disease following allogeneic hematopoietic stem cell transplantation has diminished and the outcome improved over the last decade. Biol Blood Marrow Transplant. 2011 Nov;17(11):1713-20. doi: 10.1016/j.bbmt.2011.06.006. Epub 2011 Jun 25.

    PMID: 21708110BACKGROUND
  • Jones RJ, Lee KS, Beschorner WE, Vogel VG, Grochow LB, Braine HG, Vogelsang GB, Sensenbrenner LL, Santos GW, Saral R. Venoocclusive disease of the liver following bone marrow transplantation. Transplantation. 1987 Dec;44(6):778-83. doi: 10.1097/00007890-198712000-00011.

    PMID: 3321587BACKGROUND
  • McDonald GB, Sharma P, Matthews DE, Shulman HM, Thomas ED. Venocclusive disease of the liver after bone marrow transplantation: diagnosis, incidence, and predisposing factors. Hepatology. 1984 Jan-Feb;4(1):116-22. doi: 10.1002/hep.1840040121.

    PMID: 6363247BACKGROUND
  • Mohty M, Malard F, Abecassis M, Aerts E, Alaskar AS, Aljurf M, Arat M, Bader P, Baron F, Bazarbachi A, Blaise D, Ciceri F, Corbacioglu S, Dalle JH, Dignan F, Fukuda T, Huynh A, Masszi T, Michallet M, Nagler A, NiChonghaile M, Okamoto S, Pagliuca A, Peters C, Petersen FB, Richardson PG, Ruutu T, Savani BN, Wallhult E, Yakoub-Agha I, Duarte RF, Carreras E. Revised diagnosis and severity criteria for sinusoidal obstruction syndrome/veno-occlusive disease in adult patients: a new classification from the European Society for Blood and Marrow Transplantation. Bone Marrow Transplant. 2016 Jul;51(7):906-12. doi: 10.1038/bmt.2016.130. Epub 2016 May 16.

    PMID: 27183098BACKGROUND
  • Corbacioglu S, Carreras E, Ansari M, Balduzzi A, Cesaro S, Dalle JH, Dignan F, Gibson B, Guengoer T, Gruhn B, Lankester A, Locatelli F, Pagliuca A, Peters C, Richardson PG, Schulz AS, Sedlacek P, Stein J, Sykora KW, Toporski J, Trigoso E, Vetteranta K, Wachowiak J, Wallhult E, Wynn R, Yaniv I, Yesilipek A, Mohty M, Bader P. Diagnosis and severity criteria for sinusoidal obstruction syndrome/veno-occlusive disease in pediatric patients: a new classification from the European society for blood and marrow transplantation. Bone Marrow Transplant. 2018 Feb;53(2):138-145. doi: 10.1038/bmt.2017.161. Epub 2017 Jul 31.

    PMID: 28759025BACKGROUND
  • Dignan FL, Wynn RF, Hadzic N, Karani J, Quaglia A, Pagliuca A, Veys P, Potter MN; Haemato-oncology Task Force of British Committee for Standards in Haematology; British Society for Blood and Marrow Transplantation. BCSH/BSBMT guideline: diagnosis and management of veno-occlusive disease (sinusoidal obstruction syndrome) following haematopoietic stem cell transplantation. Br J Haematol. 2013 Nov;163(4):444-57. doi: 10.1111/bjh.12558. Epub 2013 Sep 17.

    PMID: 24102514BACKGROUND
  • Sorror ML, Maris MB, Storb R, Baron F, Sandmaier BM, Maloney DG, Storer B. Hematopoietic cell transplantation (HCT)-specific comorbidity index: a new tool for risk assessment before allogeneic HCT. Blood. 2005 Oct 15;106(8):2912-9. doi: 10.1182/blood-2005-05-2004. Epub 2005 Jun 30.

    PMID: 15994282BACKGROUND
  • Richardson PG, Smith AR, Triplett BM, Kernan NA, Grupp SA, Antin JH, Lehmann L, Miloslavsky M, Hume R, Hannah AL, Nejadnik B, Soiffer RJ. Earlier defibrotide initiation post-diagnosis of veno-occlusive disease/sinusoidal obstruction syndrome improves Day +100 survival following haematopoietic stem cell transplantation. Br J Haematol. 2017 Jul;178(1):112-118. doi: 10.1111/bjh.14727. Epub 2017 Apr 26.

    PMID: 28444784BACKGROUND
  • Berzigotti A, Castera L. Update on ultrasound imaging of liver fibrosis. J Hepatol. 2013 Jul;59(1):180-2. doi: 10.1016/j.jhep.2012.12.028. Epub 2013 Jan 15. No abstract available.

    PMID: 23333447BACKGROUND
  • Lassau N, Auperin A, Leclere J, Bennaceur A, Valteau-Couanet D, Hartmann O. Prognostic value of doppler-ultrasonography in hepatic veno-occlusive disease. Transplantation. 2002 Jul 15;74(1):60-6. doi: 10.1097/00007890-200207150-00011.

    PMID: 12134100BACKGROUND
  • Lassau N, Leclere J, Auperin A, Bourhis JH, Hartmann O, Valteau-Couanet D, Benhamou E, Bosq J, Ibrahim A, Girinski T, Pico JL, Roche A. Hepatic veno-occlusive disease after myeloablative treatment and bone marrow transplantation: value of gray-scale and Doppler US in 100 patients. Radiology. 1997 Aug;204(2):545-52. doi: 10.1148/radiology.204.2.9240551.

    PMID: 9240551BACKGROUND
  • Karlas T, Weber J, Nehring C, Kronenberger R, Tenckhoff H, Mossner J, Niederwieser D, Troltzsch M, Lange T, Keim V. Value of liver elastography and abdominal ultrasound for detection of complications of allogeneic hemopoietic SCT. Bone Marrow Transplant. 2014 Jun;49(6):806-11. doi: 10.1038/bmt.2014.61. Epub 2014 Apr 7.

    PMID: 24710567BACKGROUND
  • Auberger J, Graziadei I, Clausen J, Vogel W, Nachbaur D. Non-invasive transient elastography for the prediction of liver toxicity following hematopoietic SCT. Bone Marrow Transplant. 2013 Jan;48(1):159-60. doi: 10.1038/bmt.2012.113. Epub 2012 Jun 18. No abstract available.

    PMID: 22705804BACKGROUND
  • Sandrin L, Fourquet B, Hasquenoph JM, Yon S, Fournier C, Mal F, Christidis C, Ziol M, Poulet B, Kazemi F, Beaugrand M, Palau R. Transient elastography: a new noninvasive method for assessment of hepatic fibrosis. Ultrasound Med Biol. 2003 Dec;29(12):1705-13. doi: 10.1016/j.ultrasmedbio.2003.07.001.

    PMID: 14698338BACKGROUND
  • Fontanilla T, Hernando CG, Claros JC, Bautista G, Minaya J, Del Carmen Vega M, Piazza A, Mendez S, Rodriguez C, Aranguena RP. Acoustic radiation force impulse elastography and contrast-enhanced sonography of sinusoidal obstructive syndrome (Veno-occlusive Disease): preliminary results. J Ultrasound Med. 2011 Nov;30(11):1593-8. doi: 10.7863/jum.2011.30.11.1593.

    PMID: 22039033BACKGROUND
  • Bureau C, Metivier S, Peron JM, Selves J, Robic MA, Gourraud PA, Rouquet O, Dupuis E, Alric L, Vinel JP. Transient elastography accurately predicts presence of significant portal hypertension in patients with chronic liver disease. Aliment Pharmacol Ther. 2008 Jun;27(12):1261-8. doi: 10.1111/j.1365-2036.2008.03701.x. Epub 2008 Apr 4.

    PMID: 18397389BACKGROUND
  • Bota S, Herkner H, Sporea I, Salzl P, Sirli R, Neghina AM, Peck-Radosavljevic M. Meta-analysis: ARFI elastography versus transient elastography for the evaluation of liver fibrosis. Liver Int. 2013 Sep;33(8):1138-47. doi: 10.1111/liv.12240. Epub 2013 Jul 16.

    PMID: 23859217BACKGROUND
  • Millonig G, Reimann FM, Friedrich S, Fonouni H, Mehrabi A, Buchler MW, Seitz HK, Mueller S. Extrahepatic cholestasis increases liver stiffness (FibroScan) irrespective of fibrosis. Hepatology. 2008 Nov;48(5):1718-23. doi: 10.1002/hep.22577.

    PMID: 18836992BACKGROUND
  • Bamber J, Cosgrove D, Dietrich CF, Fromageau J, Bojunga J, Calliada F, Cantisani V, Correas JM, D'Onofrio M, Drakonaki EE, Fink M, Friedrich-Rust M, Gilja OH, Havre RF, Jenssen C, Klauser AS, Ohlinger R, Saftoiu A, Schaefer F, Sporea I, Piscaglia F. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med. 2013 Apr;34(2):169-84. doi: 10.1055/s-0033-1335205. Epub 2013 Apr 4.

    PMID: 23558397BACKGROUND
  • Lucena MI, Garcia-Cortes M, Cueto R, Lopez-Duran J, Andrade RJ. Assessment of drug-induced liver injury in clinical practice. Fundam Clin Pharmacol. 2008 Apr;22(2):141-58. doi: 10.1111/j.1472-8206.2008.00566.x. Erratum In: Fundam Clin Pharmacol. 2009 Feb;23(1):147.

    PMID: 18353109BACKGROUND
  • del Campo L, Leon NG, Palacios DC, Lagana C, Tagarro D. Abdominal complications following hematopoietic stem cell transplantation. Radiographics. 2014 Mar-Apr;34(2):396-412. doi: 10.1148/rg.342135046.

    PMID: 24617687BACKGROUND
  • Mohty M, Malard F, Abecassis M, Aerts E, Alaskar AS, Aljurf M, Arat M, Bader P, Baron F, Bazarbachi A, Blaise D, Ciceri F, Corbacioglu S, Dalle JH, Duarte RF, Fukuda T, Huynh A, Masszi T, Michallet M, Nagler A, NiChonghaile M, Pagluica T, Peters C, Petersen FB, Richardson PG, Ruutu T, Savani BN, Wallhult E, Yakoub-Agha I, Carreras E. Sinusoidal obstruction syndrome/veno-occlusive disease: current situation and perspectives-a position statement from the European Society for Blood and Marrow Transplantation (EBMT). Bone Marrow Transplant. 2015 Jun;50(6):781-9. doi: 10.1038/bmt.2015.52. Epub 2015 Mar 23.

    PMID: 25798682BACKGROUND
  • Colecchia A, Marasco G, Ravaioli F, Kleinschmidt K, Masetti R, Prete A, Pession A, Festi D. Usefulness of liver stiffness measurement in predicting hepatic veno-occlusive disease development in patients who undergo HSCT. Bone Marrow Transplant. 2017 Mar;52(3):494-497. doi: 10.1038/bmt.2016.320. Epub 2016 Dec 12. No abstract available.

    PMID: 27941774BACKGROUND
  • Ravaioli F, Colecchia A, Peccatori J, Pagliara D, Grassi A, Barbato F, Masetti R, Sarina B, Sica S, Cesaro S, Nozzoli C, Assanto GM, Prezioso L, Santarone S, Saglio F, Vanni E, Olivieri A, Delia M, Benedetti E, Zallio F, Pane F, Skert C, Menconi M, Benedetti F, De Felice F, Colecchia L, Belotti T, Alemanni LV, Ursi M, Marasco G, Roberto M, Vestito A, Dajti E, Garcovich M, Bramanti S, Taurino D, Quagliarella F, Ciceri F, Prete A, Pession A, Festi D; ELASTOVOD Study Group; Bonifazi F. Diagnostic accuracy of liver stiffness measurement for the diagnosis of veno-occlusive disease/sinusoidal obstruction syndrome after hematopoietic stem cell transplantation (HSCT), the ELASTOVOD STUDY: an investigator-initiated, prospective, multicentre diagnostic clinical trial. Bone Marrow Transplant. 2025 Jul;60(7):978-993. doi: 10.1038/s41409-025-02570-w. Epub 2025 Apr 19.

MeSH Terms

Conditions

Hepatic Veno-Occlusive Disease

Condition Hierarchy (Ancestors)

Liver DiseasesDigestive System DiseasesVascular DiseasesCardiovascular Diseases

Study Officials

  • Antonio Colecchia, M.D.

    Azienda Ospedaliera-Universitaria Integrata di Verona

    PRINCIPAL INVESTIGATOR
  • Francesca Bonifazi, Ph.D. M.D.

    Azienda Ospedaliera-Universitaria Sant'Orsola Malpighi di Bologna

    STUDY CHAIR
  • Andrea Passion, Prof. M.D.

    Azienda Ospedaliera-Universitaria Sant'Orsola Malpighi di Bologna

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Model Details: All the patients with onco-hematological disease and an indication for transplantation of hematopoietic stem cells will be consecutively studied.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator (PI)

Study Record Dates

First Submitted

February 2, 2018

First Posted

February 8, 2018

Study Start

April 28, 2015

Primary Completion

December 1, 2021

Study Completion

December 1, 2021

Last Updated

April 14, 2022

Record last verified: 2022-04

Locations