CLOVER score to find hidden cancer in people with venous blood clots
Official title: External Validation of a Predictive Model for Occult Cancer Risk in Patients With Venous Thromboembolism Developed Using Machine Learning
Run by Infanta Leonor University Hospital · NCT07310693 · Data updated 2026-11-12
This project will test whether the CLOVER score can help find undiagnosed cancer in adults who have had a symptomatic venous blood clot.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | Infanta Leonor University Hospital Academic / other |
| Locations | 12 sites (Barcelona, Barcelona and 11 other locations) |
| Status | Recruiting |
| Started | December 1, 2025 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2028 |
| Registry record updated | December 30, 2025 |
| Trial ID | NCT07310693 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with objectively confirmed acute symptomatic deep vein thrombosis and/or pulmonary embolism who can provide informed consent and do not have suspected cancer at presentation.
✕Probably not a fit
Patients who already have suspicion of cancer at the time of VTE diagnosis, who cannot or refuse to give consent, or who are enrolled in conflicting interventional studies are unlikely to benefit from this validation effort.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The study applies the machine-learning CLOVER score to two cohorts: a retrospective group of adults with objectively confirmed deep vein thrombosis or pulmonary embolism from 2000–2022 and a prospective group enrolled from December 2025 to December 2027. Patients from the centers that developed the model are excluded from the retrospective cohort, and required clinical and laboratory variables are extracted from electronic health records using a standardized form. The CLOVER-Web tool will be used to calculate each patient’s risk and the model’s discrimination for occult cancer will be measured. Clinician satisfaction with the web-based implementation will also be recorded to gauge usability in routine practice.
Why it matters
Potential benefit: If successful, the score could help clinicians focus cancer screening on VTE patients at higher risk, potentially enabling earlier cancer diagnosis.
How similar studies have gone: Other predictive models and the original CLOVER derivation showed promising performance, but external validation of CLOVER across independent hospital cohorts is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥18 years. * Objectively confirmed acute symptomatic venous thromboembolism (deep vein thrombosis and/or pulmonary embolism). * Ability to provide written or electronic informed consent. Exclusion Criteria: * Suspicion of cancer during the initial diagnostic evaluation for VTE. * Participation in another interventional study that may interfere with outcomes. * Inability or refusal to provide informed consent.
Where it's running
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Hospital Clínic
Barcelona, Barcelona, Spain Recruiting -
Hospital Universitario Infanta Leonor
Madrid, Madrid, Spain Recruiting -
Hospital Universitario La Paz
Madrid, Madrid, Spain Recruiting -
Hospital Universitario Príncipe de Asturias
Madrid, Madrid, Spain Recruiting -
Hospital Universitatio del Sureste
Madrid, Madrid, Spain Recruiting -
Hospital Universitario de Móstoles
Madrid, Madrid, Spain Recruiting
Show 6 more locations
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Hospital Clínico Universitario Virgen de la Arrixaca
Murcia, Murcia, Spain Recruiting -
Hospital Universitario Morales Meseguer
Murcia, Murcia, Spain Recruiting -
Hospital San Agustín
Avilés, Principality of Asturias, Spain Recruiting -
Hospital Universitario Son Llatzer
Balea, Spain Recruiting -
Hospital Universitario 12 de Octubre
Madrid, Spain Recruiting -
Hospital Universitario de Fuenlabrada
Madrid, Spain Recruiting
Study contacts
- Principal investigator: Anabel Franco-Moreno, MD, PhD — Hospital Universitario Infanta Leonor
- Study coordinator: Anabel Franco Moreno, MD, PhD
- Email: afranco278@hotmail.com
- Phone: +34686102661
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.