Liver Stiffness Measurement Predicts VOD/SOS Development (ELASTOVOD ITALIAN MULTICENTRIC STUDY)
ELASTOVOD
Usefulness of Liver Stiffness Measurement in Predicting Hepatic Veno-Occlusive Disease Development in Patients Who Undergo HSCT: a Multicentric Prospective Study
1 other identifier
interventional
1,101
1 country
37
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2015
Longer than P75 for not_applicable
37 active sites
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
CompletedFirst Submitted
Initial submission to the registry
February 2, 2018
CompletedFirst Posted
Study publicly available on registry
February 8, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2021
CompletedApril 14, 2022
April 1, 2022
6.6 years
February 2, 2018
April 13, 2022
Conditions
Keywords
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
EXPERIMENTALLSM 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
Eligibility Criteria
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
Casa Sollievo della Sofferenza
San Giovanni Rotondo, Foggia, Italy
Azienda Ospedaliera "Card. G. Panico"
Tricase, Lecce, Italy
Istituto Clinico Humanitas
Rozzano, Milano, Italy
Policlinico Umberto I - Università la Sapienza
Roma, RM, Italy
Azienda Ospedaliera-Nazionale SS. Antonio e Biagio e Cesare Arrigo
Alessandria, Italy
Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona
Ancona, Italy
Azienda Ospedaliero-Universitaria Consorziale - Policlinico di Bari
Bari, Italy
ASST Papa Giovanni XXIII Ospedali riuniti di Bergamo
Bergamo, Italy
Azienda Sanitaria dell'Alto Adige
Bolzano, Italy
Spedali Civili di Brescia, UO Ematologia
Brescia, Italy
Policlinico Vittorio Emanuele - Presidio Ferrarotto
Catania, Italy
Azienda Ospedaliera-Universitaria Careggi
Florence, Italy
Azienda Ospedaliera-Universitaria Meyer
Florence, Italy
Ospedale Policlinico San Martino
Genova, Italy
Ospedale Vito Fazzi
Lecce, Italy
Ospedale dell'Angelo
Mestre, Italy
ASST Grande Ospedale Metropolitano Niguarda
Milan, Italy
Ospedale Maggiore Policlinico di Milano
Milan, Italy
Ospedale San Raffaele
Milan, Italy
Azienda Ospedaliera-Universitaria di Modena
Modena, Italy
Ospedale Pediatrico Pausilipon
Napoli, Italy
Policlinico Federico II
Napoli, Italy
Azienda Ospedaliero-Universitaria di Padova
Padua, Italy
Azienda Ospedaliera Ospedali riuniti Villa Sofia- Cervello
Palermo, Italy
Azienda Ospedaliero-Universitaria Ospedale Maggiore di Parma
Parma, Italy
Azienda Sanitaria Locale di Pescara
Pescara, Italy
Azienda Ospedaliero-universitaria Pisana, UO Ematologia
Pisa, Italy
Azienda Ospedaliero-Universitaria Pisana, UO Oncoematologia Pediatrica
Pisa, Italy
Arcispedale S. Maria Nuova di Reggio Emilia
Reggio Emilia, Italy
Ospedale Pediatrico Bambino Gesù
Roma, Italy
Policlinico Tor Vergata
Roma, Italy
Policlinico Universitario A. Gemelli
Roma, Italy
Azienda Ospedaliero-Universitaria Città della Salute e della Scienza
Torino, Italy
Azienda Ospedaliero-Universitaria Integrata di Udine
Udine, Italy
Azienda Ospedaliero-Universitaria Integrata di Verona
Verona, Italy
Azienda Ospedaliera di Vicenza
Vicenza, Italy
Related Publications (26)
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PMID: 21708110BACKGROUNDJones 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: 3321587BACKGROUNDMcDonald 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: 6363247BACKGROUNDMohty 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: 27183098BACKGROUNDCorbacioglu 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: 28759025BACKGROUNDDignan 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: 24102514BACKGROUNDSorror 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: 15994282BACKGROUNDRichardson 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: 28444784BACKGROUNDBerzigotti 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: 23333447BACKGROUNDLassau 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.
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PMID: 9240551BACKGROUNDKarlas 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.
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PMID: 22705804BACKGROUNDSandrin 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.
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PMID: 18353109BACKGROUNDdel 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: 24617687BACKGROUNDMohty 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: 25798682BACKGROUNDColecchia 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: 27941774BACKGROUNDRavaioli 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.
PMID: 40253530DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Antonio Colecchia, M.D.
Azienda Ospedaliera-Universitaria Integrata di Verona
- STUDY CHAIR
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 Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- 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