Thrombocytopenia Trajectories in Antiphospholipid Syndrome: A Multicenter Cohort Study

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorNew Valley University

About this trial

Thrombocytopenia is common in antiphospholipid syndrome (APS) and is now included in the 2023 ACR/EULAR APS criteria as an important non criteria/hematologic feature. Persistent or low-moderate thrombocytopenia independently predicts reduced long-term survival in APS, with hazard ratios for mortality around 2.7-4.4, and is associated with a severe disease phenotype and thrombotic deaths.

Eligibility criteria

Qualifiers

Age ≥18 years.

Definite APS by Sydney criteria (thrombotic and/or obstetric) with persistent aPL positivity.

≥3 documented platelet counts over ≥12 months before inclusion (to allow trajectory modeling)

Disqualifiers

Thrombocytopenia clearly attributable to non APS causes (e.g., chemotherapy, myelodysplastic syndromes, cirrhosis, HIV).

Concomitant conditions strongly affecting survival independent of APS (e.g., metastatic cancer), at investigator discretion

Trial design

Treatments tested in this trial

  • Platelet count

Treatment groups

200 Participants
are divided into 1 treatment group

Sponsors and collaborators