About this trial
In Willebrand disease, there is currently no test available to identify non-invasively patients with a high risk of bleeding from angiodysplasias The study propose to use a sublingual capillary bed analysis by video-microscopy, a sensitive, reproducible and non-invasive technique, to assess whether sublingual capillary density is predictive of hemorrhagic risk for patients with von Willebrand disease.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patient with a significant form of von Willebrand disease (according to the inclusion criteria of the Willebrand Disease French Reference Center), a Glanzmann Thrombasthenia, a moderate to severe Haemophilia A or a woman carrying the hemophilia gene
Social insured patient
Disqualifiers
Minor patient
Refusal of consent
Person benefiting from a system of legal protection
Pregnant patient
Trial design
Parallel
Treatments tested in this trial
Sublingual videomicroscopy
DeviceMeasurement of sublingual capillary density by video microscopy
blood sample
Biological/VaccineCollection of citrate tubes of 5 mL at baseline and at 36 months
Treatment groups
Trial outcomes
Primary outcomes
area under the ROC curve from Sublingual capillary density to inclusion for the event "existence of at least a clinically significant haemorrhage"
Secondary outcomes
Sublingual capillary density
To compare the sublingual capillary density of patients with von Willebrand disease to that of 3 other groups of patients: * with a severe form of hemophilia A * with a moderate form of hemophilia A * women carrying the hemophilia gene
qualitative abnormalities of sublingual capillaries (capillary haemorrhage, capillary dystrophy)
presence or absence of qualitative abnormalities
delta of Sublingual capillary density increase
ISTH-BAT haemorrhagic score (International Society on Thrombosis and Hemostasis - Bleeding Assessment Tool)
ISTH-BAT is a questionnaire minimum score ranges from 0 to 10 whereas maximum score ranges from 20 to 30
Sponsors and contacts
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