A quick ultrasound in the ER: could it replace blood tests for blood clots?
NCT ID NCT04917328
First seen Aug 19, 2026 · Last updated Aug 20, 2026 · Updated 1 time
Summary
This trial tests whether emergency doctors can use a bedside compression ultrasound to reliably rule out a deep vein thrombosis (DVT) in patients with low to moderate risk. Currently, a D-dimer blood test is the standard way to exclude DVT, but ultrasound might be faster and just as accurate. The study will enroll 700 adults with leg pain or swelling and a low Wells score, comparing the ultrasound's negative predictive value against the standard approach.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- compression ultrasound
- What this could lead to
- If effective, this could allow emergency doctors to quickly rule out deep vein thrombosis using ultrasound alone, reducing the need for blood tests and speeding up care.
- What could go wrong
- The trial is early and the accuracy of ultrasound depends on the doctor's skill. It may not be as reliable as the current D-dimer blood test, and false negatives could be missed.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 700 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2022
- Expected to finish
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Feb 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * adult patient * Patient presenting to the emergency department with clinical suspicion of DVT (i.e. pain and/or lower extremity edema). * Patient with a non-high probability according to the modified Wells score, i.e. a score of 0 or 1 * Subject with a social health insurance plan * Subject able to understand the objectives and risks of the research and to give a signed and dated informed consent Exclusion Criteria: * Patient with suspected pulmonary embolism * Patient with a high probability of DVT * Impossible to perform a whole leg doppler ultrasound within 5 days * Pregnant or breast-feeding woman, on patient's declaration * Subject under court protection * Subject under guardianship or curatorship
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU Strasbourg
RECRUITINGStrasbourg, France
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