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RecruitingNCT06650826Updated Oct 21, 2024

Study Regarding the Incidence of Anti-platelet Factor 4-antibodies in Patients Aged 18 to 60 Years With Spontaneous or Infection- or Vaccine-associated or Recurrent Venous and/or Arterial Thrombosis

An observational study in Arterial or Venous Thrombosis, sponsored by Cardioangiologisches Centrum Bethanien. Recruiting at 2 sites in Germany. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2024-10-21.

Sponsored by Cardioangiologisches Centrum Bethanien · Observational

From the registry’s dates

  • Primary completion was expected by Jul 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Jul 2024; still recruiting 2 years 3 months later.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
200
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Prospective investigation of the incidence of anti-platelet factor 4 antibodies in suspected immune-associated arterial and/or venous thrombosis

Read the detailed description

Patients with venous and/or arterial thrombosis aged 18 to 60 years are included.Thromboses should have occurred spontaneously or within 30 days after an infection or vaccination. In addition, patients with recurrent thrombosis, despite anticoagulation, are also included in the study. The primary aim of the study is to determine the incidence of anti-platelet factor 4 antibodies in relation to venous and/or arterial thrombosis. For this purpose, we will take a blood sample from the patients within 120 days of the occurrence of the thrombosis.

As a secondary objective, platelet count, D-dimer and results of a thrombophilia screening as well as thrombosis localization are recorded.

02

Conditions studied

  • Arterial or Venous Thrombosis

Keywords

  • Anti-PF4 antibodies
  • infections
  • vaccination
03

In context

Thrombosis

1,506 studies on the registry are indexed under Thrombosis; 238 are open to participants now.

This study's planned enrollment of 200 is close to the median of 213 across 586 observational studies indexed under Thrombosis.

Browse Thrombosis studies →

Lead sponsor

Cardioangiologisches Centrum Bethanien is the lead sponsor of 16 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with venous and/or arterial thromboses that occur spontaneously, in association with infections or vaccinations or recurrently and are not associated with the presence of typical risk factors.

Inclusion criteria

  • Age between 18-60 years
  • Written informed consent of the patient
  • Spontaneous arterial and/or venous thrombosis
  • infection-associated arterial and/or venous thrombosis within 30 days of infection
  • Vaccine-associated arterial and/or venous thrombosis within 30 days of vaccination
  • Recurrent arterial or venous thrombosis despite anticoagulant therapy

Exclusion criteria

Exclusion Criteria:

  • Lack of consent of the patient
  • Risk-associated venous thromboses (e.g. following surgery, immobilization, plaster cast, fractures or sprains)
  • Risk-associated arterial thromboses (in the presence of vascular risk factors such e.g. diabetes mellitus, hypercholesterolemia, hypertension, nicotine abuse)
  • Thromboses more than 120 days old at the time of blood sampling
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
200 participants (estimated)
Target follow-up
1 Day
Patient registry
Yes
Biospecimen retention
Samples without dna

Groups and cohorts

  • Spontaneous arterial and/or venous thrombosis

    Patients with spontaneous arterial and/or venous thrombosis

    Diagnostic Test: Determination of anti-platelet factor 4 antibodies in the blood

  • Infection-associated arterial and/or venous thrombosis

    Patients with infection-associated arterial and/or venous thrombosis

    Diagnostic Test: Determination of anti-platelet factor 4 antibodies in the blood

  • Vaccine-associated arterial and/or venous thrombosis

    Patients with vaccine-associated arterial and/or venous thrombosis

    Diagnostic Test: Determination of anti-platelet factor 4 antibodies in the blood

  • Recurrent arterial and/or venous thrombosis despite anticoagulant therapy

    Patients with recurrent arterial and/or venous thrombosis despite anticoagulant therapy

    Diagnostic Test: Determination of anti-platelet factor 4 antibodies in the blood

Interventions

  • Diagnostic testDetermination of anti-platelet factor 4 antibodies in the blood

    The anti-platelet factor 4 antibodies in the blood are determined using latex agglutination and the chemiluminescence method in the coagulation laboratory of the CCB MVZ laboratory. In addition, the platelet factor 4-induced platelet activation test (PIPA test) and the heparin-induced platelet activation test (HIPA test) as well as an ELISA-based platelet factor 4 IgG antibody test (Prof. Greinacher, Greifswald University Hospital) will be performed as part of the routine work up. In addition a new assay for heparin-independent anti-PF4 antibody detection provided by the company Werfen using chemiluminescence will be performed.

06

What researchers measure

Primary outcomes

  1. Presence of anti-platelet factor 4 antibodies in temporal connection with the occurrence of arterial and/or venous thrombosis

    Presence of anti-platelet factor 4 antibodies in temporal connection with the occurrence of arterial and/or venous thrombosis

    Time frame: Day 1

07

Study locations

1 of 2 sites recruiting
  • Deutsches Herzzentrum der Charite (DHZC)
    Berlin, 10117, Germany
    Not yet recruiting
  • Cardioangiologisches Zentrum Bethanien (CCB)
    Frankfurt am Main, 60389, Germany
    • Edelgard Lindhoff-Last, Professor · Contact · e.lindhoff-last@ccb.de · +49-699450280
    • Edelgard Lindhoff-Last, Professor · Principal investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06650826
Lead sponsor
Cardioangiologisches Centrum Bethanien
Responsible party
Prof. Dr. med. E. Lindhoff-Last (Clinical Professor, Cardioangiologisches Centrum Bethanien) — Principal investigator
First posted
Oct 21, 2024
Start date
Jul 1, 2024
Primary completion
Jul 2026 (estimated)
Completion
Jan 2027 (estimated)
Last update
Oct 21, 2024

Study contacts

Edelgard Lindhoff-Last, Professor
Contact
e.lindhoff-last@ccb.de
+49-699450280
Edelgard Lindhoff-Last, Professor
principal investigator · Cardioangiologisches Zentrum Bethanien

Oversight

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

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