New model aims to decode mysterious blood test results
NCT ID NCT07418099
First seen Jun 24, 2026 · Last updated Sep 11, 2026 · Updated 4 times
Summary
This study is checking if a computer model can accurately predict why some people have a prolonged blood clotting time (APTT). The model uses data from routine blood tests to tell if the cause is harmless or a sign of a clotting disorder. Researchers will test it on 1,500 patients across multiple hospitals to see how well it works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this model could help doctors quickly identify the cause of abnormal blood clotting test results, reducing unnecessary follow-up tests.
- What could go wrong
- This is an observational study, not a treatment trial. The model may not perform as well in real-world settings, and it does not directly improve patient outcomes.
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.
- Participants
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About 1,500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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Mar 2027
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.
Who is studied
The study population includes pediatric and adult patients undergoing routine coagulation testing in clinical practice who present with isolated prolongation of activated partial thromboplastin time (APTT) and normal prothrombin time (PT). Patients may be evaluated in the preoperative setting or during routine clinical care for other indications. All laboratory data, including clot waveform analysis (CWA), are generated as part of standard diagnostic procedures, without additional blood sampling or modification of clinical management. Patients receiving anticoagulant therapy that may prolong APTT are included, provided that PT remains within the normal range. The study uses pseudonymized data obtained from electronic medical records and laboratory systems, with no direct patient contact and no anticipated risks beyond routine care.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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: 1. Patients of any age (pediatric and adult populations) undergoing coagulation testing with: \- Prolonged activated partial thromboplastin time (APTT), defined as an APTT ratio ≥ 1.25. \- Normal prothrombin time (PT), according to local laboratory reference ranges. 2. Availability of clot waveform analysis (CWA) data obtained during routine APTT testing using: * Optical coagulation analyzers (ACL TOP platform). * Silica-based APTT reagent (SynthASil®). 3. Completion of the standard laboratory evaluation for prolonged APTT as part of routine clinical care, when clinically indicated. 4. Samples collected and processed in accordance with the standardized preanalytical protocol defined in the study SOP. 5. Patients evaluated in either: * Preoperative assessment, or * Routine clinical practice (non-preoperative setting). Exclusion Criteria: 1. Prolonged prothrombin time (PT) or combined prolongation of PT and APTT. 2- Inadequate preanalytical conditions, defined as non-compliance with the study SOP, including but not limited to: * Incorrect blood-to-anticoagulant ratio. * Delayed plasma processing beyond protocol-defined time limits. * Inadequate centrifugation or plasma quality. 3\. Absence of required CWA data or unavailable clot waveform images. 4\. Samples in which APTT values are outside the measurable range of the analyzer, preventing extraction of CWA-derived parameters. 5- Patients with missing essential clinical or laboratory data required for application of the APTTO models.
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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
16 sites. 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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Clínica Universidad de Navarra
RECRUITINGPamplona, Spain
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Complexo Hospitalario Universitario De Vigo
NOT_YET_RECRUITINGVigo, Spain
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Complexo Hospitalario Universitario de Santiago
RECRUITINGSantiago de Compostela, Spain
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Hospital Clínico Universitario Lozano Blesa
RECRUITINGZaragoza, Spain
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Hospital Clínico Universitario Virgen de la Arrixaca
NOT_YET_RECRUITINGMurcia, Spain
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Hospital Clínico Universitario de Salamanca
NOT_YET_RECRUITINGSalamanca, Spain
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Hospital Clínico Universitario de Valladolid
RECRUITINGValladolid, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, Spain
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Hospital Universitario Arnau De Vilanova
RECRUITINGLleida, Spain
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Hospital Universitario Clínico San Carlos
NOT_YET_RECRUITINGMadrid, Spain
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Hospital Universitario Fundación Jiménez Díaz
RECRUITINGMadrid, Spain
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Hospital Universitario Gregorio Marañón
RECRUITINGMadrid, Spain
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Hospital Universitario Puerta de Hierro
NOT_YET_RECRUITINGMadrid, Spain
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Hospital Universitario Ramón y Cajal
RECRUITINGMadrid, Spain
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Hospital Universitario Severo Ochoa
RECRUITINGLeganés, Madrid, Spain
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Hospital de la Santa Creu i Sant Pau
RECRUITINGBarcelona, Spain
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