Effect of HCQ on AnxA5 Resistance Assay in Antiphospholipid (aPL) Positive Patients With and Without Systemic Lupus Erythematosus (SLE)

NCT ID: NCT01475149

Last Updated: 2017-03-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

33 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-09-30

Study Completion Date

2016-08-31

Brief Summary

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This 12 week study will observe patients with and without systemic lupus erythematosus who have persistent antiphospholipid antibodies in the blood who are starting a medicine called hydroxychloroquine. It will measure if these patients have a change in a blood test called the annexin A5 resistance assay over that 12 week period.

Detailed Description

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Antiphospholipid Syndrome (APS) is an autoimmune disorder of blood clotting and pregnancy loss. It is associated with proteins called antiphospholipid antibodies (aPL) in the blood. Blood clotting in this disease occurs for several reasons; one reason involves the interaction of aPL with another protein found on the surface of the cells that line blood vessels (endothelial cells). This protein, called annexin A5 (AnxA5), forms a shield over the surface of these cells. The AnxA5 Resistance Assay is a blood test that can detect when there is a problem with the protective AnxA5 shield on endothelial cell surfaces.

This 12 week study will observe patients with persistent aPL in the blood who are starting a medicine called hydroxychloroquine (HCQ). The primary goal of the study is to compare results of the AnxA5 resistance assay from patients before they start taking HCQ and after they have taken it for 12 weeks to see if the results of the blood test change. Our secondary goal is to measure a variety of other blood tests before and after patients have started taking HCQ; these tests include D-dimer, Activated Protein C (APC) Resistance, and aPL titers/status (LA test, aCL ELISA, aß2GPI ELISA, and anti-Domain-I ß2GPI ELISA).

Conditions

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Antiphospholipid Syndrome Thrombophilia Due to Antiphospholipid Antibody Systemic Lupus Erythematosus

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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aPL positive - group 1

aPL positive with APS, receiving HCQ

Phlebotomy

Intervention Type OTHER

Subjects will have blood drawn at each of the 3 study visits.

aPL positive - group 2

aPL positive with APS and SLE, receiving HCQ

Phlebotomy

Intervention Type OTHER

Subjects will have blood drawn at each of the 3 study visits.

aPL positive - group 3

aPL positive without APS but with SLE, receiving HCQ

Phlebotomy

Intervention Type OTHER

Subjects will have blood drawn at each of the 3 study visits.

aPL positive - group 4

aPL positive without APS or SLE, receiving HCQ

Phlebotomy

Intervention Type OTHER

Subjects will have blood drawn at each of the 3 study visits.

aPL negative - group 1

aPL negative with SLE, receiving HCQ

Phlebotomy

Intervention Type OTHER

Subjects will have blood drawn at each of the 3 study visits.

aPL negative - group 2

aPL negative with SLE, not receiving HCQ

Phlebotomy

Intervention Type OTHER

Subjects will have blood drawn at each of the 3 study visits.

Interventions

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Phlebotomy

Subjects will have blood drawn at each of the 3 study visits.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* age 18 to 65
* new HCQ (200-400 mg/day) treatment (for all but 5 of 10 control subjects - see below)
* persistently positive aPL

Exclusion Criteria

* Steroid use greater than or equal to the equivalent of prednisone 0.5 mg/kg/day at the time of enrollment
* Heparin use at the time of enrollment
* Any immunosuppressive drug use within 3 months prior to screening
* HCQ use within the past 6 months prior to screening visit
* Another antimalarial agent treatment,
* Pregnant women, minors, mentally disabled, prisoners
* Acute thrombosis within 2 weeks prior to screening
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Montefiore Medical Center

OTHER

Sponsor Role collaborator

Hospital for Special Surgery, New York

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Doruk Erkan, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital for Special Surgery, New York

Locations

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Hospital for Special Surgery

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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IRB 10130

Identifier Type: -

Identifier Source: org_study_id

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