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CompletedNCT04319341NOH-ADAMTSUpdated Dec 4, 2025

Obstetric Antiphospholipid Antibody Syndrome : Contribution of the Evaluation of ADAMTS13 Made at the Diagnosis of Pregnancy on Evaluation the Risk of Pre-eclampsia

An observational study in Antiphospholipid Antibody Syndrome in Pregnancy, sponsored by Centre Hospitalier Universitaire de Nīmes. Completed at 1 site in France. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-04.

Sponsored by Centre Hospitalier Universitaire de Nīmes · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
513
Ages
18 Years and older
Sex
Female
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Study summary

Study based on data concerning the first pregnancy treated and followed up after the diagnosis of oAPS in the NOH-APS cohort, according to clinical results already published; and on a thematic library collected and preserved at the time of the positive pregnancy test.

ADAMTS 13 will be explored in the available samples defined above: ADAMTS13 antigen (presence of the molecule), ADAMTS13 activity (VWF proteolysis activity of the molecule), global autoantibodies against ADAMTS13 (plasma antibodies recognizing solid phase insolubilized ADAMTS13), these 3 parameters for the description of ADAMTS13 being measured using commercially available diagnostic kits, ELISA type, Technozyme® range, Technoclone, Vienna, Austria.

The clinical endpoint evaluated will be the occurrence (yes/no) of preeclampsia, which is assessed globally, all subtypes combined. Then evaluated according to subtype: late preeclampsia from 34 weeks, early preeclampsia before 34 weeks, eclampsia (convulsions), HELLP syndrome, preeclampsia associated with the birth of a small-for-gestational-age child (defined at percentile 10 of the tables adjusted for gestational age and sex; severe: defined at percentile 3), preeclampsia associated with a retro-placental hematoma, ...

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Conditions studied

  • Antiphospholipid Antibody Syndrome in Pregnancy
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In context

Lead sponsor

Centre Hospitalier Universitaire de Nīmes is the lead sponsor of 587 studies on the registry; 96 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
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with an initially pure, non-thrombotic oAPS; included in the NOH-APS cohort; having been followed in Nîmes for their first pregnancy following the diagnosis of oAPS; N=513.

Inclusion criteria

  • Presence of frozen plasma samples from the positive pregnancy test blood sample.
  • Adult patients, included in the NOH-APS cohort, who have successfully initiated a new pregnancy after diagnosis of oAPS.

Exclusion criteria

Exclusion Criteria:

  • Absence of frozen plasma sample from the blood sample from the positive pregnancy test.
  • Patient who objected to the use of their data.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
513 participants (actual)
Patient registry
No

Interventions

  • OtherTo study the prognostic value on the occurrence of pre-eclampsia, ADAMTS13 (ADAMTS13 protein and autoantibodies) in patients diagnosed with oAPS

    ADAMTS13 activity, ADAMS13 antigen and anti-ADAMTS13 autoantibodies: U/ml.

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What researchers measure

Primary outcomes

  1. The quantification, in vitro, of the activity of ADAMTS13

    ADAMTS13 function, U/ml.

    Time frame: at inclusion (J0)

  2. The quantification, in vitro, of ADAMTS13 antigen

    ADAMTS13 antigen, U/ml.

    Time frame: at inclusion (J0)

  3. The quantification, in vitro, of ADAMTS13 autoantibodies

    ADAMTS13 autoantibodies, U/ml.

    Time frame: at inclusion (J0)

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Study locations

1 site
  • CHU de Nîmes - Hôpital Universitaire Carémea
    Nîmes, 30029, France
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References and documents

Publications

  • Bitsadze V, Bouvier S, Khizroeva J, Cochery-Nouvellon E, Mercier E, Perez-Martin A, Makatsariya A, Gris JC. Early ADAMTS13 testing associates with pre-eclampsia occurrence in antiphospholipid syndrome. Thromb Res. 2021 Jul;203:101-109. doi: 10.1016/j.thromres.2021.04.021. Epub 2021 Apr 27. PubMed 33989981 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 4, 2025, 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
NCT04319341
Lead sponsor
Centre Hospitalier Universitaire de Nīmes
Responsible party
Sponsor
First posted
Mar 24, 2020
Start date
Apr 1, 2020
Primary completion
Dec 31, 2020
Completion
Dec 31, 2020
Last update
Dec 4, 2025

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 2021. You cannot join it, but the record below documents what was studied.

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