Effect of Injectable Anticoagulants on Research for a Circulating Lupus-type Anticoagulant

NCT ID: NCT05416190

Last Updated: 2024-06-21

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

Clinical Phase

NA

Total Enrollment

188 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-02

Study Completion Date

2024-05-21

Brief Summary

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The aim is to assess the effect of injectable anticoagulants (unfractionated heparin (UFH), low molecular weight heparins (LMWH), fondaparinux, danaparoid, argatroban) on lupus anticoagulant testing assays over broad anti-Xa activity ranges and to establish their potential for causing false-positive or false-negative results.

Detailed Description

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Citrated whole blood was collected from subjects with positive lupus anticoagulant (LA) testing and from subjects with negative LA testing. Injectable anticoagulants were prepared in demineralized water and added to plasma samples LA+ and LA- to obtain broad anti-Xa activity ranges. Anti-Xa measurement and LA testing were performed in neat and spiked plasma samples. LA testing was performed with 4 different analyzer-reagent combinations to represent almost all hemostasis manufacturers currently available. There will be no direct comparison between the LA+ and LA- groups, the objective is to evaluate the effect of increasing concentrations of injectable anticoagulants on these 2 distinct populations.

Conditions

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Antiphospholipid Syndrome Anticoagulant Drugs

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Citrated whole blood was collected from all participants and lupus anticoagulant testing was performed before and after spiking in vitro injectable anticoagulants. No distinction between the groups LA+ and LA-.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Patients are recruited according to their LA status (LA- or LA+).

Study Groups

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Group/Cohort 1 :

Notion of the presence of lupus anticoagulant (according to ISTH criteria) and whose last test was positive

Group Type OTHER

Lupus anticoagulant testing

Intervention Type DIAGNOSTIC_TEST

The patient will have a visit during which a blood sample will be taken, a clinical examination will be performed, and data will be collected.

Group/Cohort 2:

Without a previous thrombosis and considered healthy on the basis of the interview and clinical examination. Without coagulation disease.

Group Type OTHER

Lupus anticoagulant testing

Intervention Type DIAGNOSTIC_TEST

The patient will have a visit during which a blood sample will be taken, a clinical examination will be performed, and data will be collected.

Interventions

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Lupus anticoagulant testing

The patient will have a visit during which a blood sample will be taken, a clinical examination will be performed, and data will be collected.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* For all subjects:
* Adult male or female subject.
* In capacity to give informed consent to participate in the research.
* Affiliated to a Social Security system.

For the LA- group:

* Without a previous thrombosis and considered healthy on the basis of the interview and clinical examination.
* Without coagulation disease

For the LA+ group:

\- Notion of the presence of lupus anticoagulant (according to ISTH criteria) and whose last test was positive.

Exclusion Criteria

For all subjects:

* Medical history considered by the investigator to be incompatible with the trial
* Refused participation
* Recent administration of oral or injectable anticoagulants
* INR \> 1.5
* Pregnant women, nursing mothers
* Guardianship, curatorship, deprived of liberty, safeguard of justice
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Clermont-Ferrand

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Laurie TALON

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Clermont-Ferrand

Locations

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CHU clermont-ferrand

Clermont-Ferrand, , France

Site Status

Countries

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France

Other Identifiers

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2021-A02743-38

Identifier Type: OTHER

Identifier Source: secondary_id

AOI 2021 TALON

Identifier Type: -

Identifier Source: org_study_id

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