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CompletedNCT03994302APSTOXUpdated Apr 13, 2023

Monitoring the Antiphospholipid Syndrome:TOXicity of Drugs (APSTOX)

An observational study in Antiphospholipid Syndrome, Immune Disease and Adverse Drug Event, sponsored by Groupe Hospitalier Pitie-Salpetriere. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-04-13.

Sponsored by Groupe Hospitalier Pitie-Salpetriere · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
2,700
Ages
18 Years and older
Sex
All
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Study summary

Several drugs and chemotherapies seem to have an impact on the immune system. This study investigates reports of immune toxicities such as antiphospholipid syndrome, including the International classification of disease ICD-10 for treatments in the World Health Organization (WHO) global Individual Case Safety Report (ICSR) database (VigiBase).

Read the detailed description

Several drugs and chemotherapies seem to have an impact on the immune system and are responsible of a wide range of immune side effects such as antiphospholipid syndrome. Those are poorly described, due to the modificationof the pharmacopeia, and the recent recognition of several of these adverseevents.

This study investigates the main characteristics of patients affected by immune side effects imputed to drugs in particular antiphospholipid syndrome.

A causality assessment according to the WHO-UMC (World Health Organization - Uppsala Monitoring Center) is systematically applied.

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Conditions studied

  • Antiphospholipid Syndrome
  • Immune Disease
  • Adverse Drug Event
  • Drug Toxicity
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In context

Antiphospholipid Syndrome

121 studies on the registry are indexed under Antiphospholipid Syndrome; 51 are open to participants now.

This study's enrollment of 2,700 is above the median of 181 across 52 observational studies indexed under Antiphospholipid Syndrome.

Browse Antiphospholipid Syndrome studies →

Lead sponsor

Groupe Hospitalier Pitie-Salpetriere is the lead sponsor of 65 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients treated with a drug that could be reported in the WHO's pharmacovigilance database

Inclusion criteria

  • Case reported in the WHO's pharmacovigilance database till 01/06/2019

Exclusion criteria

Exclusion Criteria:

  • Chronology not compatible between the drug and the toxicity
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Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
2,700 participants (actual)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • Immune toxicity induced by drugs and chemotherapies

    Immune toxicity induced by drugs and chemotherapies Case reported in the World Health Organization (WHO) of immune toxicities(such as Antiphospholipid syndrome) of patient treated by a drug, with a chronology compatible with the drug toxicity

    Drug: Drug inducing antiphospholipid syndrome

Interventions

  • DrugDrug inducing antiphospholipid syndrome

    Drugs susceptible to induce immune toxicities such as antiphospholipid syndrome

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What researchers measure

Primary outcomes

  1. Immune toxicities (such as Antiphospholipid Syndrome) of drugs Identification and report of immune toxicities associated with drugs.

    Case reported in the World Health Organization (WHO) database of individual safety case reports

    Time frame: 01/06/2019

Secondary outcomes

  1. Causality assessment of reported metabolic toxicities events according to the WHO system Case reported in the World Health Organization (WHO) database of individual safety case reports

    Time frame: 01/06/2019

  2. Description of the type of immune toxicity depending on the category of drug Case reported in the World Health Organization (WHO) database of individual safety case reports

    Time frame: 01/06/2019

  3. Description of the other immune related adverse events concomitant to the immune toxicity induced by drugs Case reported in the World Health Organization (WHO) database of individual safety case reports

    Time frame: 01/06/2019

  4. Description of the duration of treatment when the toxicity happens (role of cumulative dose) Case reported in the World Health Organization (WHO) database of individual safety case reports

    Time frame: 01/06/2019

  5. Description of the drug-drug interactions associated with adverse events Case reported in the World Health Organization (WHO) database of individual safety case reports

    Time frame: 01/06/2019

  6. Description of the pathologies (cancer) for which the incriminated drugs have been prescribed Case reported in the World Health Organization (WHO) database of individual safety case reports

    Time frame: 01/06/2019

  7. Description of the population of patients having hematological toxicity adverse event Case reported in the World Health Organization (WHO) database of individual safety case reports

    Time frame: 01/06/2019

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Study locations

1 site
  • AP-HP, Pitié-Salpêtrière Hospital, Department of Pharmacology, CIC-1421, Pharmacovigilance Unit, INSERM
    Paris, 75013, France
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References and documents

Publications

  • Gerardin C, Bihan K, Salem JE, Khachatryan H, Gerotziafas G, Fain O, Mekinian A. Drug-induced antiphospholipid syndrome: Analysis of the WHO international database. Autoimmun Rev. 2022 May;21(5):103060. doi: 10.1016/j.autrev.2022.103060. Epub 2022 Feb 1. PubMed 35114404 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03994302
Lead sponsor
Groupe Hospitalier Pitie-Salpetriere
Responsible party
Joe Elie Salem (Assistant director, clinical investigation center Paris Est, Groupe Hospitalier Pitie-Salpetriere) — Principal investigator
First posted
Jun 21, 2019
Start date
Jun 1, 2019
Primary completion
Jun 30, 2021
Completion
Apr 8, 2023
Last update
Apr 13, 2023

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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