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Normal Values of Parameters of Thrombin Generation in Function of Different Tissue Factor Concentrations

Completed
Conditions
Healthy Volunteers
Interventions
Biological: Blood samples
Registration Number
NCT04842084
Lead Sponsor
Centre Hospitalier Universitaire de Saint Etienne
Brief Summary

The thrombin generation assay (TGA) is a good tool for measuring clot formation in plasma.TGA using Calibrated Automated Thrombography method, enables the quantification of thrombin concentrations in platelet-rich plasma (PRP) and in platelet-poor plasma (PPP).According to the clinical context, different TF(Tissue Factor) concentrations (1, 5 and 10 pM) can be used to trigger the coagulation cascade.The aim of the study is to determine the normal values of TG (Thrombin Generation) in fresh PRP and in PPP with different TF concentrations.

Detailed Description

The thrombin generation assay (TGA) is a good tool for measuring clot formation in plasma. TGA using Calibrated Automated Thrombography method, enables the quantification of thrombin concentrations in platelet-rich plasma (PRP) and in platelet-poor plasma (PPP). The thrombin generation (TG) profile varies from patient to patient and depends on the activity of the pro and anti-coagulant factors. The TGA values depend on the analytical conditions such as Tissue Factor (TF) concentration and the plasma analyzed (PRP or PPP). According to the clinical context, different TF concentrations (1, 5 and 10 pM) can be used to trigger the coagulation cascade.

As a consequence, the reference values vary with the analytical conditions but also with the studied population (men or women). The reference values are not provided by the manufacturer and each laboratory has to establish the normal values according to the analytical conditions chosen for the pathology explored (hemorrhagic or thrombotic). Moreover, in PPP, the TG results can be different according to batch reagents. That is the reason why plasma will be frozen for a new determination in case of deviation of the result of the control plasma.

The aim of the study is to determine the normal values of TG in fresh PRP and in PPP with different TF concentrations.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
75
Inclusion Criteria
  • Patient beneficiary or affiliated to Social security system
  • Consent signed
Exclusion Criteria
  • Personal or family history (parents, brothers, sisters) of hemorrhage
  • Personal or family history (parents, brothers, sisters) of thrombosis before 45 years old
  • Taking an anti-inflammatory or an aspirin one week before the sampling
  • Current take of an anticoagulant or antiaggregant treatment
  • Surgery within previous month before the sampling
  • Chronic pathology responsible of an inflammatory syndrome
  • Episode of viral or bacterial infections
  • Known HIV or Hepatitis C Virus (HCV) infection
  • Participation in a therapeutic clinical trial

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
healthy volunteersBlood samplesHealthy volunteers both sex aged between 18 and 50 without personal or family history of hemorrhage, thrombosis before 45 years old,
Primary Outcome Measures
NameTimeMethod
Thrombin generation parameter in PRP (V : nmol/min)At inclusion

Velocity index measurement

Thrombin generation parameter in PRP (Peak : nmol thrombin)At inclusion

Peak measurement

Thrombin generation parameter in PRP (ETP : nmol*min)At inclusion

Endogenous Thrombin Potential measurement

Thrombin generation parameter in PRP (LT : min)At inclusion

Lag Time measurement

Thrombin generation parameter in PRP (TTP : min)At inclusion

Time to Peak measurement

Thrombin generation parameter in PRP (ST : min)At inclusion

Start Tail measurement

Secondary Outcome Measures
NameTimeMethod
Thrombin generation parameters in PPP (TTP : min)At inclusion

Time to Peak measurement

Thrombin generation parameters in PPP (ETP : nmol*min)At inclusion

Endogenous Thrombin Potential measurement

Thrombin generation parameters in PPP (ST: min)At inclusion

Start Tail measurement

Thrombin generation parameters in PPP (V : nmol/min)At inclusion

Velocity index measurement

Thrombin generation parameters in PPP (Peak : nmol thrombin)At inclusion

Peak measurement

Thrombin generation parameters in PPP (LT: min)At inclusion

Lag Time measurement

Trial Locations

Locations (1)

CHU de Saint-Etienne - Service d'Hématologie

🇫🇷

Saint-Étienne, France

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