Blood test uncovers rare diseases in patients with mysterious enlarged spleen
NCT ID NCT05641103
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked for two rare genetic diseases, Gaucher disease and acid sphingomyelinase deficiency (ASMD), in 122 adults with an unexplained enlarged spleen or who had their spleen removed for unknown reasons. Researchers used a simple blood spot test to check enzyme activity and genetic markers. The goal was to see how often these diseases are missed in this group, helping doctors diagnose them earlier.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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122 people
The number who actually took part.
- Started
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Mar 2023
- Finished
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Oct 2024
- 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
Study of unexplained splenomegaly and splenectomized patients in the adult population
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
INCLUSION CRITERIA: * Adult patients (over 18 years old) of both sexes. * Patients presenting signs, assessed instrumentally or via laboratory tests, of: * Unexplained splenomegaly, defined as a palpable spleen ≥ 1 cm below the costal margin or diagnosed by ultrasound, magnetic resonance imaging (MRI), or computed tomography (CT) of the spleen. * Splenectomized patients without a diagnosis of the cause of unexplained splenomegaly. * Patients who provide their consent to participate in the study. EXCLUSION CRITERIA: * Splenomegaly due to portal hypertension (documented by abdominal ultrasound or another instrumental test) caused by liver disease * Malignant hematologic tumor \[documented by positive physical examination + blood smear or fine-needle aspiration (FNA) or bone marrow biopsy\] * Hemolytic anemia and/or thalassemia * Patients unable to comply with the protocol requirements due to psychiatric and/or cognitive disorders, non-cooperative patients, or educational and written language comprehension limitations * Patient refusal to participate in the study
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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.
Contacts and locations
Locations
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CAU Salamanca
Salamanca, Salamanca, Spain
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Complejo Hospitalario Universitario La Coruña - CHUAC
A Coruña, La Coruña, Spain
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Complejo Hospitalario Universitario de Santiago - CHUS
Santiago de Compostela, La Coruña, Spain
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Hospital General Universitario de Alicante
Alicante, Alicante, Spain
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Hospital Universitario Central de Asturias - HUCA
Oviedo, Principality of Asturias, Spain
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Hospital Universitario Joan XXIII
Tarragona, Tarragona, Spain
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Hospital Universitario Juan Ramón Jiménez
Huelva, Huelva, Spain
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Hospital Universitario La Princesa
Madrid, Madrid, Spain
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Hospital Universitario Lucus Augusti
Lugo, Lugo, Spain
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Hospital Universitario de Badajoz
Badajoz, Badajoz, Spain
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Hospital Universitario de Cabueñes
Gijón, Principality of Asturias, Spain
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Hospital Universitario de Galdácano
Galdakao, Vizcaya, Spain
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Hospital Vall d'Hebron
Barcelona, Barcelona, Spain
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Hospital de Poniente
El Ejido, Almería, Spain
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