Clinical trial Recruiting at 12 sites Observational Ages 18 and up

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.

More Venous Thromboembolism (VTE) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment500 (estimated)
SponsorInfanta Leonor University Hospital
Academic / other
Locations12 sites (Barcelona, Barcelona and 11 other locations)
StatusRecruiting
StartedDecember 1, 2025
Main results expectedDecember 31, 2028
Study endsDecember 31, 2028
Registry record updatedDecember 30, 2025
Trial IDNCT07310693 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

  • 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
  • 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

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.