ClinicalTrials.gg
CompletedNCT03348306COBRAUpdated Feb 3, 2022

Multi-organ Screening for Asymptomatic Ischaemia in Antiphospholipid Syndrome

An interventional study of MRI and Blood sample collection in Antiphospholipid Syndrome, sponsored by Central Hospital, Nancy, France. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-02-03.

Sponsored by Central Hospital, Nancy, France · Not applicable, Interventional, and Diagnostic

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Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 31 studies in Antiphospholipid Syndrome with a site in France — 11 open to participants now, 11 under way, 1 of them phase 3. Antiphospholipid Syndrome · France.

Enrollment
9th of 14
50 · median 102
Started
2018
with 3 others
No phase
7 of 31
3 open now
Registered
9th of 31
by date
Lead sponsor
5 of 31
Central Hospital, Nancy, France

Among the 31 studies in Antiphospholipid Syndrome with a site in France, this one is the 9th largest by enrollment of the 14 interventional ones that give a count, is one of 4 that started in 2018, is one of 7 with no phase, and was the 9th registered.

Antiphospholipid Syndrome

121 studies on the registry are indexed under Antiphospholipid Syndrome; 52 are open to participants now.

Browse Antiphospholipid Syndrome studies →

Open to participants now

11 of the 31 studies in Antiphospholipid Syndrome with a site in France are open now. Recruiting first, the newest first:

6 more — sign in →

All 11 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 38 Antiphospholipid Syndrome studies recruiting now, 14 (37%) set no upper age limit and 19 (50%) stop at 75 or younger; 5 take children under 18; 5 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Introduction

AntiPhospholipid antibody Syndrome (APS) is an acquired autoimmune disorder defined by the presence of persistent thrombosis or obstetric manifestations together with the presence of persistent antiphospholipid antibodies (aPL). Patients are young and at high risk of recurrence. The current challenge is the identification of patients at high risk of organ damage that directly impact morbidity and mortality.

Small vessels thrombosis can be asymptomatic but detectable by MRI. Apart from APS, it was shown that the detection of asymptomatic ischemic events identify patients at risk for symptomatic ischemic events. Demonstrating this in patients with APS would prevent thrombotic complications.

The investigators' hypothesis is that a significant proportion of patients with APS would have asymptomatic organ involvement.

Objectives

The primary objective is to determine the frequency of asymptomatic target organ (s) (heart, brain, kidney) in APS patients.

Secondary objectives are (i) to determine the frequency of each type of MRI abnormality, (ii) to identify the factors associated with asymptomatic target organ lesion, (iii) to describe the parameters of echocardiography associated with cerebral and cardiac MRI, and (iv) to assess the feasibility of a one-time cardiovascular and brain MRI.

Methods and analysis

This is a prospective interventional, cross-sectional, non-randomized, monocentric clinical study. The investigators expect to include 50 consecutive patients with APS followed in the department of Vascular Medicine at Nancy University Hospital.

Within 15 days post-inclusion, a one-time cardiac and cerebral MRI will be performed. For each patient, the number of target organs involvements will be calculated and the frequencies will be compared by Fisher or chi-2 tests.

03

Conditions studied

  • Antiphospholipid Syndrome
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years,
  • Patients with documented primary thrombotic and / or obstetrical APS that respond to the revised Sapporo-Sydney classification criteria
  • Person affiliated to a social security insurance,
  • Person who have received complete information about the organization of the research and have signed ,
  • Person who has carried out a suitable clinical examination prior to the research.

Exclusion criteria

Exclusion Criteria:

  • Personal history of myocardial infarction, ischemic stroke or severe renal insufficiency,
  • Patients with a to MRI: in particular implantable cardiac pacemakers or defibrillators, implanted pumps, cochlear implants, neurosurgical clips, intraorbital or brain metallic foreign material,
  • Impossibility to perform the MRI examination, especially claustrophobic patients, or with a morphotype that does not allow access to MRI (abdominal diameter too large),
  • Patient with a contraindication to Gadolinium injection: severe renal insufficiency, allergy to Gadolinium salts (precautions for use in patients at high risk of convulsions),
  • APS associated with disease (systemic lupus erythematosus according to American College of Rheumatology criteria),
  • Patient with known microalbuminuria > 30mg/L,
  • Women of childbearing age who do not have effective ,
  • Persons referred to in Articles L. 1121-5 to L. 1121-8, L1122-2 and L. 1122-1-2 of the French Public Health Code :

    • Pregnant, parturient or nursing mother
    • Person deprived of liberty by judicial or administrative decision
    • Person undergoing psychiatric care
    • Person admitted to a health or social institution for other purposes than research
    • Minor person (not emancipated)
    • A major person under a measure of legal protection (guardianship, curator, safeguard of justice)
    • Person in an emergency situation
    • A major person who is unable to express his / her consent and is not under a juridical protection
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    All patients

    Device: MRI · Biological: Blood sample collection

Interventions

  • DeviceMRI

    Brain and cardiac MRI in one time with gadolinium injection.

  • BiologicalBlood sample collection

    A blood sampling is also collected for hematocrit measure.

06

What researchers measure

Primary outcomes

  1. A brain or cardiac involvement will be defined by the identification of specific criteria visible by MRI.

    Time frame: Through study completion, in average of 24 months

  2. Renal damage will be defined by the identification of a microalbuminuria> 30mg / L.

    Time frame: Through study completion, in average of 24 months

07

Study locations

1 site
  • CHRU Nancy Brabois
    Nancy, 54000, France
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2018 to primary completion in Jan 2022, 41 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 28, 2017
First posted
Nov 20, 2017
StartActual
Jul 20, 2018
Primary completionActual
Jan 14, 2022
CompletionActual
Jan 14, 2022
Last update
Feb 3, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03348306
Responsible party
Virginie Dufrost (Doctor, Central Hospital, Nancy, France) — Principal investigator
First posted
Nov 20, 2017
Start date
Jul 20, 2018
Primary completion
Jan 14, 2022
Completion
Jan 14, 2022
Last update
Feb 3, 2022

Study contacts

Virginie DUFROST
principal investigator · Nancy Academic Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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