ClinicalTrials.gg
RecruitingNCT05671757DARE-APSUpdated Oct 21, 2026

Daratumumab in Primary Antiphospholipid Syndrome

A Phase 1/2 interventional study of Daratumumab and Daratumumab in Autoimmune Disorders, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Recruiting at 8 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-21.

Primary conditionAntiphospholipid SyndromeRegistry: Autoimmune DiseasesReclassifiedWhy we changed it
Registry
Autoimmune Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Antiphospholipid Syndrome
Why
  1. The study's title name Antiphospholipid Syndrome, a narrower term within Autoimmune Diseases.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started May 2023; still recruiting 3 years 5 months later.
Updated Oct 21, 2026Primary completion movedStudy completion movedGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
22
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to see if the study medication, daratumumab, is safe to treat individuals with Anti-Phospholipid Syndrome (APS).

Three daratumumab dosing cohorts are planned with up to six participants in each dosing cohort with the potential to enroll an additional 4 subjects in the highest safe dose (HSD) cohort, for a total of up to 22 participants. The dosing cohorts are: 4 mg/kg, 8 mg/kg, and 16 mg/kg. Each cohort will receive intravenous (IV) administration of daratumumab according to the following schedule, for a total of 8 doses.

The primary objective is to determine the safety of daratumumab in APS defined as Dose Limiting Toxicities (DLTs) occurring during the dose escalation phase.

Read the detailed description

The trial is a phase 1b open-label study of daratumumab in participants with APS.

The study design is a modification of the 3 + 3 dose escalation scheme. Three daratumumab dose cohorts are planned: 4 mg/kg, 8 mg/kg, and 16 mg/kg of intravenous (IV) daratumumab administered weekly for 8 doses (weeks 0 through 7). Post-treatment follow-up visits will occur at weeks 9, 12, 18, 24, 36, and 48.

Dose Escalation Phase Dose escalation will proceed according to safety criteria (Dose Limiting Toxicity, DLT) and efficacy criteria (antiphospholipid antibody negativity). An independent safety committee will review the data and approve escalation to the next dose.

The Highest Safe Dose (HSD) is the highest administered dose at which ≤ 1/6 participants experiences a DLT at or prior to week 9.

Expansion Phase Four additional participants will be enrolled and treated at the HSD weekly for 8 doses.

02

Conditions studied

  • Autoimmune Disorders

Browse trials for

Keywords

  • Daratumumab
  • Anti-Phospholipid Syndrome
03

In context

Antiphospholipid Syndrome Reclassified

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

This study's planned enrollment of 22 is below the median of 41 across 65 interventional studies indexed under Antiphospholipid Syndrome.

Browse Antiphospholipid Syndrome studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

Compared within Antiphospholipid Syndrome, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Autoimmune Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 65 Years
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

  1. Adults 18 to 70 years of age, inclusive.
  2. The completion of the following vaccinations at least 14 days prior to Visit 0:

    1. At least one dose of the most recently updated COVID-19 vaccine, and
    2. At least one dose of the herpes zoster vaccination series, and
    3. Current seasonal influenza vaccine, if available.
  3. History of APS according to the updated 2006 Sapporo classification criteria, including at least one of the following:

    a. Arterial thrombosis, except , confirmed by objective validated criteria such as imaging, or b. Venous thrombosis, except superficial thrombophlebitis, confirmed by objective validated criteria such as imaging, or c. Pregnancy morbidity, based on the updated 2006 Sapporo APS classification criteria, or d. Microvascular APS, with at least one of the following: i. Renal documentation of aPL-associated nephropathy, or ii. Lung biopsy or bronchoalveolar lavage documentation of diffuse alveolar hemorrhage (DAH), or iii. Skin biopsy documentation of livedoid vasculopathy.

  4. History of triple positive aPL within the prior 5 years and at least 12 weeks prior to enrollment, including all of the following:

    1. aCL IgG level > (ULN), and
    2. aβ2GPI IgG level > ULN, and
    3. Positive LA test.
  5. Confirmation of triple positive aPL at screening, including all of the following:

    1. aCL IgG level ≥ 40 GPL, and
    2. aβ2GPI IgG level ≥ 40 SGU, and
    3. Positive LA test.
  6. Undergoing anticoagulation with warfarin or low molecular weight heparin (LMWH), if there is a history of arterial or venous thrombosis.

Exclusion criteria

Exclusion Criteria:

  1. Inability or unwillingness to give written .
  2. Inability or unwillingness to comply with study protocol.
  3. Systemic diseases other than APS, including but not limited to:

    1. Systemic lupus erythematosus (SLE) meeting the EULAR/ACR classification criteria.
    2. Rheumatoid arthritis meeting the ACR/EULAR classification criteria.
    3. Small, medium, and large vessel vasculitis meeting ACR classification criteria.
  4. Catastrophic APS classification within the prior 90 days.
  5. Acute arterial or venous thrombosis within the prior 30 days.
  6. Use of the following medications:

    1. Any prior treatment with CD38 targeting monoclonal antibodies, including daratumumab or isatuximab-irfc.
    2. The following within the prior 30 days:

    i. > 10 mg/day prednisone or equivalent. ii. Direct oral anticoagulants (DOACs). iii. . iv. IVIG or other supplemental immunoglobulin. c. Azathioprine, methotrexate, mycophenolate mofetil, mycophenolate sodium, lefluonomide, or calcineurin inhibitors within the prior 90 days.

    d. Cyclophosphamide within the prior 90 days. e. Immunomodulatory or biologic agents, including belimumab, within the prior 90 days or 5 half-lives, whichever is greater.

    f. agents within the prior 90 days or 5 half-lives, whichever is greater, except for COVID-19 vaccines and medications for prevention or treatment of COVID-19 per FDA Emergency Use Authorization (EUA).

    g. Biologic B cell depleting agents including rituximab with any of the following: i. Treatment within the prior 180 days, or ii. CD19+ absolute count \< 40/ μl, or iii. Serum IgG \<500 mg/dL.

  7. Plasma exchange within the prior 90 days.
  8. Hemodialysis within the prior 90 days.
  9. Major surgical procedure within the prior 60 days.
  10. Known allergy, , or intolerance to boron, malitol, sorbitol, corticosteroids, monoclonal antibodies including daratumumab, human proteins, or their .
  11. Allergy, intolerance, or to acyclovir, valacyclovir, and famciclovir.
  12. Active or chronic infection, including the following:

    1. Active bacterial, viral, fungal, or opportunistic infection.
    2. Chronic infection requiring suppressive antibiotic treatment.
    3. Intravenous antibiotics or hospitalization for infection within the prior 30 days.
    4. Evidence of current or prior Mycobacterium tuberculosis infection.
    5. (HIV).
    6. Current or prior infection with virus (HBV).
    7. Current or prior infection with virus (HCV), except adequately treated HCV with sustained virologic response ≥ 12 weeks.
    8. History of recurrent herpes zoster, or history of herpes zoster ophthalmicus, disseminated herpes zoster, or disseminated herpes simplex.
  13. The following laboratory abnormalities:

    ITN093AI: DARE-APS Version 3.0 September 12, 2023 Daratumumab in Primary Antiphospholipid Syndrome

    1. \< 1500/mm3.
    2. \< 100,000/mm3.
    3. (Hgb) \< 10 g/dL.
    4. (AST), alanine aminotransferase (ALT), or alkaline phosphatase > 2x the (ULN).
    5. Total > 2x ULN, except in the case of congenital bilirubinemia then direct bilirubin > 2x ULN.
    6. \< 45 ml/min/1.73 m2.
  14. History of primary immunodeficiency.
  15. History of solid organ or hematopoietic stem cell transplantation.
  16. Comorbidities requiring systemic corticosteroid therapy, including those which have required three or more courses of systemic corticosteroids within the 12 months prior to Visit 0.
  17. Any of the following conditions with \< 70% predicted within the prior 90 days:

    1. Asthma.
    2. (COPD).
    3. DAH.
  18. Pulmonary hypertension.
  19. Adrenal insufficiency.
  20. Poorly controlled diabetes mellitus defined as (HbA1c) ≥ 8.0%.
  21. Concomitant or history of malignancy, except adequately treated or excised nonmetastatic squamous cell carcinoma, basal cell skin carcinoma, or cervical carcinoma in situ.
  22. cardiac disease, including but not limited to:

    1. Myocardial infarction within the prior 6 months, or
    2. Unstable or uncontrolled disease or condition related to or affecting cardiac function, including but not limited to:

    i. Unstable angina, or ii. Congestive heart failure, Class II-IV, or iii. Uncontrolled cardiac arrhythmia.

  23. Current diagnosed mental illness or current diagnosed or self-reported drug or alcohol abuse which, in the opinion of the investigator, would interfere with the participant's ability to comply with study requirements.
  24. Severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, pulmonary, cardiac, or neurological disease.
  25. Past or current medical problems or findings from physical examination or laboratory testing that are not listed above, which, in the opinion of the investigator, may pose additional risks from participation in the study, may interfere with the participant's ability to comply with study requirements, or may impact the quality or interpretation of the data obtained from the study.
  26. Lack of peripheral venous access.
  27. Pregnancy, or planning a pregnancy during the 48 week study duration.
  28. Breast-feeding.
  29. Unwillingness to use medically acceptable non-prothrombotic if of and engaging in sexual activity that could lead to pregnancy.
Terms in these criteria, in plain language(29)

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
22 participants (estimated)

Study arms

  • Experimental
    4 mg/kg Cohort

    This cohort will receive intravenous (IV) administration of 4 mg/kg daratumumab administered weekly for 8 doses (weeks 0 through 7). Post-treatment follow-up visits will occur at weeks 9, 12, 18, 24, 36, and 48

    Biological: Daratumumab

  • Experimental
    8 mg/kg Cohort

    This cohort will receive intravenous (IV) administration of 8 mg/kg daratumumab administered weekly for 8 doses (weeks 0 through 7). Post-treatment follow-up visits will occur at weeks 9, 12, 18, 24, 36, and 48

    Biological: Daratumumab

  • Experimental
    16 mg/kg Cohort

    This cohort will receive intravenous (IV) administration of 16 mg/kg daratumumab administered weekly for 8 doses (weeks 0 through 7). Post-treatment follow-up visits will occur at weeks 9, 12, 18, 24, 36, and 48

    Biological: Daratumumab

Interventions

  • BiologicalDaratumumab

    Participants will receive 4 mg/kg of intravenous (IV) daratumumab administered weekly for 8 doses (weeks 0 through 7). Post-treatment follow-up visits will occur at weeks 9, 12, 18, 24, 36, and 48

    Also known as: DARZALEX, DARZALEX®

  • BiologicalDaratumumab

    Participants will receive 4-8 mg/kg of intravenous (IV) daratumumab administered weekly for 8 doses (weeks 0 through 7). Post-treatment follow-up visits will occur at weeks 9, 12, 18, 24, 36, and 48

    Also known as: DARZALEX, DARZALEX®

  • BiologicalDaratumumab

    Participants will receive 4-16 mg/kg of intravenous (IV) daratumumab administered weekly for 8 doses (weeks 0 through 7). Post-treatment follow-up visits will occur at weeks 9, 12, 18, 24, 36, and 48

    Also known as: DARZALEX, DARZALEX®

06

What researchers measure

Primary outcomes

  1. The proportion of participants in the dose escalation phase with at least one Dose Limiting Toxicity (DLT)

    Proportions will be estimated by dose cohort with 95% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At or before week 9

Secondary outcomes

  1. The proportion of Grade 2 or higher adverse event (AEs) and serious adverse events (SAEs) related to daratumumab

    The proportion of participants who experience at least one event will be estimated by dosing level with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At or before weeks 9, 24, and 48

  2. The proportion of participants with the following Grade 3 or higher adverse events (AEs) related to daratumumab

    Adverse events including: 1. Infusion reaction 2. Neutropenia 3. Thrombocytopenia 4. Infection

    Time frame: At or before weeks 9, 24, and 48.

  3. The proportion of participants with negative Lupus Anticoagulant (LA) test

    For dichotomous endpoints, including the composite of (a) Negative LA test, and (b) fold-reduction in both aCL IgG and aß2GPI IgG, and the individual components, proportions will be reported with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At week 9

  4. The proportion of participants with at least 50% reduction in Anticardiolipin antibodies Immunoglobulin G (aCL IgG)

    For dichotomous endpoints, including the composite of (a) Negative LA test, and (b) fold-reduction in both aCL IgG and aß2GPI IgG, and the individual components, proportions will be reported with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At week 9 compared to week 0

  5. The proportion of participants with at least 50% reduction in Anti-beta2-glycoprotein test Immunoglobulin G (abeta2GPI IgG) levels

    Time frame: At week 9 compared to week 0

  6. The proportion of participants with at least 50% reduction in Anticardiolipin antibodies Immunoglobulin G (aCL IgG) levels

    For dichotomous endpoints, including the composite of (a) Negative LA test, and (b) fold-reduction in both aCL IgG and aß2GPI IgG, and the individual components, proportions will be reported with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At week 24 compared to week 0

  7. The proportion of participants with at least 50% reduction in Anti-beta2-glycoprotein test Immunoglobulin G (abeta2GPI IgG) levels

    For dichotomous endpoints, including the composite of (a) Negative LA test, and (b) fold-reduction in both aCL IgG and aß2GPI IgG, and the individual components, proportions will be reported with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At week 48 compared to week 0

  8. The proportion of participants with a negative Lupus Anticoagulant (LA) test

    For dichotomous endpoints, including the composite of (a) Negative LA test, and (b) fold-reduction in both aCL IgG and aß2GPI IgG, and the individual components, proportions will be reported with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At weeks 4, 9, 12, 18, 24, 36 and 48

  9. The proportion of participants with a negative Lupus Anticoagulant (LA) test

    For dichotomous endpoints, including the composite of (a) Negative LA test, and (b) fold-reduction in both aCL IgG and aß2GPI IgG, and the individual components, proportions will be reported with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At week 24

  10. Change in Anti-beta2-glycoprotein test Immunoglobulin G (abeta2GPI IgG) levels

    Fold-change from week 0 will be summarized within dosing cohort using descriptive statistics. Additional descriptive statistics may include absolute change and ordinal definitions of antibody levels

    Time frame: From weeks 0 to weeks 4, 9, 12, 18, 24, 36 and 48

  11. Change in Anticardiolipin antibodies Immunoglobulin M (aCL IgM) levels

    Fold-change from week 0 will be summarized within dosing cohort using descriptive statistics. Additional descriptive statistics may include absolute change and ordinal definitions of antibody levels

    Time frame: From week 0 to weeks 4, 9, 12, 18, 24, 36 and 48

  12. The proportion of Grade 2 or higher serious adverse event (SAEs) related to daratumumab

    The proportion of participants who experience at least one event will be estimated by dosing level with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At or before weeks 9, 24, and 48

  13. The proportion of participants with at least 50% reduction in Anti-beta2-glycoprotein I antibodies (a-beta2GPI IgG) compared to week 0

    For dichotomous endpoints, including the composite of (a) Negative LA test, and (b) fold-reduction in both aCL IgG and aß2GPI IgG, and the individual components, proportions will be reported with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At week 9

  14. The proportion of participants with a negative Lupus Anticoagulant (LA) test

    For dichotomous endpoints, including the composite of (a) Negative LA test, and (b) fold-reduction in both aCL IgG and aß2GPI IgG, and the individual components, proportions will be reported with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At week 48

  15. The proportion of participants with at least 50% reduction in Anticardiolipin antibodies Immunoglobulin G (aCL IgG) levels

    For dichotomous endpoints, including the composite of (a) Negative LA test, and (b) fold-reduction in both aCL IgG and aß2GPI IgG, and the individual components, proportions will be reported with 90% confidence intervals derived using the Clopper-Pearson exact method

    Time frame: At week 48 compared to week 0

07

Study locations

7 of 8 sites recruiting
08

References and documents

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started May 2023 (actual). Primary completion is estimated for May 2028, 59 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 21, 2026: primary completion Oct 2026 → May 2028 and completion Mar 2027 → May 2028.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Dec 20, 2022
First posted
Jan 5, 2023
StartActual
May 26, 2023
Primary completionEst.
May 5, 2028was Oct 2026
CompletionEst.
May 5, 2028was Mar 2027
Last update
Oct 21, 2026
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.
Primary completion
Oct 16, 2026→May 5, 2028
Oct 21, 2026
Study completion
Mar 2027→May 5, 2028
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    Primary completion Oct 16, 2026→May 5, 2028
    Study completion Mar 2027→May 5, 2028

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05671757
Collaborators
Immune Tolerance Network (ITN), PPD Development, LP, Rho Federal Systems Division, Inc.
Responsible party
Sponsor
First posted
Jan 5, 2023
Start date
May 26, 2023
Primary completion
May 5, 2028 (estimated)
Completion
May 5, 2028 (estimated)
Last update
Oct 21, 2026

Study contacts

Doruk Erkan, M.D., M.P.H.
study chair · Hospital for Special Surgery, New York: Division of Rheumatology
Jason Knight, M.D., Ph.D.
study chair · University of Michigan Health System: Department of Internal Medicine, Division of Rheumatology

Oversight

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

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Studies of the drug tested here: Daratumumab

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