ClinicalTrials.gg
RecruitingNCT07705789ROSARIOUpdated Oct 28, 2026

The Role of interferOn and Complement in SecondAry thRombotic micrioangiOpathy

An interventional study of blood draw and urine collection in Thrombotic Microangiopathies, sponsored by Sofie Dhaese. Recruiting at 3 sites in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Sofie Dhaese · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 28, 2026Now RecruitingFirst site in Belgium+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Study rationale: Viral infections, such as CMV, are a risk factor for TA-TMA (transplantation-associated TMA). Viral infections increase interferon (IFN) levels and high IFN levels are associated with thrombotic microangiopathy (TMA). IFNs contribute to TMA pathogenesis through suppression of VEGF transcription. Disruption of the VEGF signalling pathway in the kidney is associated with TMA.

Primary objective: To determine the association between IFN levels and the development of biopsy-proven or clinically diagnosed TA-TMA.

Secondary objective(s): To explore the relationship between complement activation and IFN in patients with TMA.

To explore if high IFN levels are associated with low VEGF-A levels. Endpoint: The study aims to investigate the role of IFN in the pathogenesis of secondary thrombotic microangiopathy (focusing on patients with TA-TMA). It seeks to clarify whether IFN, next to complement dysregulation, is a driver of endothelial damage and TMA in these patients.

02

Conditions studied

  • Thrombotic Microangiopathies

Keywords

  • thrombotic microangiopathy
  • secondary thrombotic microangiopathy
  • transplantation-associated thrombotic microangiopathy
03

In context

Thrombotic Microangiopathies

52 studies on the registry are indexed under Thrombotic Microangiopathies; 21 are open to participants now.

This study's planned enrollment of 40 is close to the median of 40 across 24 interventional studies indexed under Thrombotic Microangiopathies.

Browse Thrombotic Microangiopathies studies →

Lead sponsor

This is the only study on the registry with Sofie Dhaese as lead sponsor.

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

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

Participants eligible for inclusion in this study must meet all of the following criteria:

  1. Voluntary written of the participant or their legally authorized representative has been obtained prior to any screening procedures
  2. At least 18 years of age at the time of signing the Informed Consent Form (ICF)

Specifically for the patients with TMA (G1 and G4):

  1. Patients after or autologous hematopoietic stem cell transplantation (HSCT) OR patients after solid organ transplantation OR patients with DITMA AND
  2. Tissue diagnosis of TMA (pathological diagnosis) OR
  3. Clinical diagnosis of TMA based on the following criteria, with ≥4 out of 6 features fulfilled within 14 days (15,52,53):

    • de novo Coombs negative hemolytic anemia OR (in case of HSCT)

      • failure to achieve transfusion independence despite neutrophil engraftment
      • decline by ≥ 1g/dL
      • new onset transfusion dependence
    • otherwise unexplained de novo thrombocytopenia (\< 50 x 109/L) OR a 25% decrease in count OR (in case of HSCT)

      • failure to achieve platelet engraftment despite neutrophil engraftment
      • higher than expected transfusion needs
      • to platelet transfusion *≥50% reduction in platelet count after full platelet engraftment
    • lactate dehydrogenase (LDH) above the
    • schistocytes (=>2 / high power field (HPF)
    • new onset hypertension OR worsening of existing hypertension requiring additional antihypertensive therapy
    • proteinuria > 1g/g creatinine on a random urine protein-to-creatinine ratio Date of TMA diagnosis = first date when ≥4 out of the 6 features are fulfilled.

Specifically for the group of patients without TMA, with infection (G2):

  1. Patients after allogeneic or autologous hematopoietic stem cell transplantation (HSCT) OR patients after solid organ transplantation AND
  2. Symptomatic viral infection (evaluated by the treating physician).

Specifically for the group of patients without TMA, without infection (G3):

  1. Patients after allogeneic or autologous hematopoietic stem cell transplantation (HSCT) OR patients after solid organ transplantation AND
  2. No symptomatic viral infection (evaluated by the treating physician).

Exclusion criteria

Exclusion Criteria:

Participants eligible for this study must not meet any of the following criteria:

  1. Participant has a personal or family history of aHUS
  2. Participant has a history of malignant hypertension
  3. Participant has a history of active cancer, excluding the haematological cancer for which the patient received the stem cell transplantation (if applicable)
  4. The participant received prior complement inhibition
  5. The participant received prior anti-interferon treatment
  6. If applicable: Female who is pregnant, breast-feeding or intends to become pregnant the following year or is of and not using an adequate, highly effective
  7. Participation in an interventional study with an medicinal product (IMP) or device
Terms in these criteria, in plain language(9)

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.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

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).

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Other
    Patients with HSCT-TMA or SOT-TMA

    blood and urine collection

    Other: blood draw · Other: urine collection

  • Other
    Patients after HSCT or SOT with a viral infection, without TMA

    blood and urine collection

    Other: blood draw · Other: urine collection

  • Other
    Patients after HSCT or SOT without a viral infection, without TMA

    blood and urine collection

    Other: blood draw · Other: urine collection

  • Other
    Patients with drug-induced TMA (DITMA)

    blood and urine collection

    Other: blood draw · Other: urine collection

Interventions

  • Otherblood draw

    blood sampling at designated time points

  • Otherurine collection

    urine collection at designated time points

06

What researchers measure

Primary outcomes

  1. Interferon signature

    6-gene interferon signature

    Time frame: Time point 1: baseline Time point 2: up to week 52

  2. VEGF-A

    VEGF-A level

    Time frame: Time point 1: baseline Time point 2: up to week 52

  3. Complement analysis (serum)

    CH50, AP50, C3, C3d, C4 and C5b-9 at timepoint 1 and C5b-9 at time point 2

    Time frame: Time point 1: baseline Time point 2: up to week 52

07

Study locations

3 of 3 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 28, 2026
Sites
3 sites added — first site in Belgium
Show 3 added (3 Belgium)
  • Universitair Ziekenhuis Gent · Ghent, Belgium
  • Universitair Ziekenhuis Leuven · Leuven, Belgium
  • AZ Sint-Jan Brugge AV · Bruges, Belgium
Oct 28, 2026
Start date
Sep 1, 2026→Sep 15, 2026 (actual)
Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    Not yet recruiting→Recruiting
    3 sites added — first site in Belgium
    Show 3 added (3 Belgium)
    • Universitair Ziekenhuis Gent · Ghent, Belgium
    • Universitair Ziekenhuis Leuven · Leuven, Belgium
    • AZ Sint-Jan Brugge AV · Bruges, Belgium
    Start date Sep 1, 2026→Sep 15, 2026 (now actual)
    + 1 other change: verification date

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
NCT07705789
Lead sponsor
Sofie Dhaese
Responsible party
Sofie Dhaese (MD, PhD, AZ Sint-Jan AV) — Sponsor-investigator
First posted
Jul 15, 2026
Start date
Sep 15, 2026
Primary completion
Dec 31, 2031 (estimated)
Completion
Dec 31, 2031 (estimated)
Last update
Oct 28, 2026

Study contacts

Sofie A Dhaese, MD, PhD
Contact
sofie.dhaese@azsintjan.be
+320050452200

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion