Diagnosing lymphohistiocytic hemophagocytosis in intensive care patients with liver disease
Official title: Diagnosis of Lymphohistiocytic Hemophagocytosis in Intensive Care: Relevance of the Hscore and Search for the Best Diagnostic Markers
Run by University Hospital, Strasbourg, France · NCT07343037 · Data updated 2026-11-12
This study will test whether the HScore can accurately detect lymphohistiocytic hemophagocytosis in adults with hepatocellular insufficiency or cirrhosis admitted to intensive care.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | University Hospital, Strasbourg, France Academic / other |
| Locations | 1 site (Strasbourg) |
| Status | Recruiting |
| Started | August 29, 2025 |
| Main results expected | August 2026 |
| Study ends | August 29, 2026 |
| Registry record updated | January 15, 2026 |
| Trial ID | NCT07343037 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) admitted to the intensive care unit at Hautepierre Hospital, CHU de Strasbourg, between 2014 and 2024 with hepatocellular insufficiency or cirrhosis and at least three biological signs of HLH (high ferritin, elevated triglycerides, and at least one cytopenia).
✕Probably not a fit
Pediatric patients, people without liver disease, those lacking the required laboratory data, or anyone treated outside the specified hospital and date range are unlikely to benefit from the study findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a retrospective observational review of adult ICU patients at Hautepierre Hospital (CHU de Strasbourg) from January 1, 2014 to December 31, 2024. Researchers will extract clinical and laboratory data to calculate HScore components (including ferritin, triglycerides, and cytopenias) and compare HScore results with clinical diagnoses and outcomes. The cohort focuses on patients with hepatocellular insufficiency and/or cirrhosis who meet at least three biological signs suggestive of HLH. No investigational treatments are administered as this analysis uses existing medical records.
Why it matters
Potential benefit: If successful, validating the HScore in this group could lead to earlier recognition of hemophagocytic syndromes in critically ill liver patients and more timely treatment decisions.
How similar studies have gone: The HScore has been used and partly validated in other clinical populations, but its performance specifically in intensive care patients with hepatic insufficiency or cirrhosis is less well studied, making this application relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patient (≥18 years old) * Patient admitted to the intensive care unit at Hautepierre Hospital, Strasbourg University Hospital, between January 1, 2014, and December 31, 2024 * At least 3 biological signs of HLH: * ferritin \> 2000 ng/mL * triglycerides \> 1.5 g/L * at least one cytopenia (leukocytes ≤ 5000 G/L, platelets ≤ 110 G/L, hemoglobin ≤ 9.2 g/dL). Exclusion Criteria: Refusal to participate in the study
Where it's running
-
Médecine intensive - Réanimation - CHU de Strasbourg - France
Strasbourg, France Recruiting
Study contacts
- Study coordinator: Antonin HUGEROT, MD
- Email: antonin.hugerot@chru-strasbourg.fr
- Phone: 33 3 88 12 79 24
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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.