Under construction – not a live service
Sign in

2026-526857-33-00Not yet recruitingPhase 2

Prevention of venous thromboembolism in cirrhotic patients with hepatocellular carcinoma

Source: EU CTIS (euclinicaltrials.eu) · Last updated 17 Sept 2026

Next steps

Brief summary (registry, in English)

To explore the efficacy of prophylactic LMWH therapy in preventing thrombotic events in consecutive adult participants with cirrhosis of any etiology, CSPH, and HCC with a TTV of > or = 5 cm³, who are candidates for locoregional treatments, without evidence of thrombosis at the time of enrollment

Status (registry)
Not yet recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
70 (estimated)
First submitted
11 Jun 2026
Start date
1 Oct 2026
Lead sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
EU CT number
2026-526857-33-00

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 70
  • 2 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of EU CTIS (euclinicaltrials.eu). It describes the study design.

AI-kivonat: who the study is looking for

Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with liver cirrhosis, high pressure in the liver's blood vessels (CSPH) and liver cancer (HCC) of 5 cm³ or more, who are planned for local treatment of the tumour. It tests whether a blood thinner (LMWH) prevents blood clots.

Age
18 years or older
Sex
Men and women can join
Disease stage
Liver cirrhosis of any cause, with CSPH and hepatocellular carcinoma (HCC) with a tumour volume (TTV) of 5 cm³ or more, who are candidates for locoregional treatments
Earlier treatment
People currently on blood-thinning (anticoagulant) therapy cannot join. No prior treatment is required.

Main reasons for not taking part

  • A blood clot (venous thromboembolism) now or in the past
  • Major bleeding in the past, or bleeding related to portal hypertension in the last 3 months
  • Severe liver dysfunction (Child-Pugh class C) or INR above 2
  • Severe kidney failure (GFR below 30 mL/min) or platelet count below 30,000/mm³
  • Pregnancy or breastfeeding

Read by machine on 9 Nov 2026.

Who cannot take part

Copied verbatim from EU CTIS (euclinicaltrials.eu) and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • history of prior venous thromboembolic events
  • current anticoagulant therapy
  • participation in another clinical trial in which an investigational drug was administered within 30 days prior to screening or within 5 half-lives of the study drug, whichever is longer
  • current or previous immune-mediated heparin-induced thrombocytopenia (HIT type II)

Other illness

  • hypersensitivity to tinzaparin or to any of the excipients
  • history of major bleeding defined as bleeding occurring in a critical site (intracranial, intraspinal, intraocular, retroperitoneal, intra-articular, pericardial, intrauterine, or intramuscular with compartment syndrome)
  • recent portal hypertension-related bleeding (< 3 months)
  • evidence of venous thromboembolism event at baseline
  • active malignancy other than HCC

Lab values

  • international normalized ratio (INR) > 2
  • congenital coagulation or platelet disorder
  • severe renal failure (GFR <30 mL/min)
  • platelet count <30,000/mm³

Other

  • current septic endocarditis
  • severe liver dysfunction (Child-Pugh class C)
  • hepatic encephalopathy of a severity that precludes the ability to provide informed consent (West Haven grade ≥2)
  • poor prognosis (estimated survival time of less than 12 months)
  • pregnancy or breastfeeding

Who the study is looking for

  • Written informed consent
  • ability and willingness to comply with the protocol
  • adults (≥ 18 years)
  • male or female participants
  • liver cirrhosis of any etiology
  • CSPH
  • HCC with TTV > or = 5 cm³, candidates for locoregional treatments

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on EU CTIS (euclinicaltrials.eu)

Sites (2)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
Azienda Ospedaliera di PadovaPadovaItalyNot yet recruiting
Fondazione Policlinico Universitario Agostino Gemelli IRCCSRomeItalyNot yet recruiting

Are you the coordinator? Confirm the details

This page is information, not medical advice. Discuss any trial with your doctor.