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RecruitingNCT07757789Updated Oct 28, 2026

Thrombocytopenia Trajectories in Antiphospholipid Syndrome: A Multicenter Cohort Study

An interventional study of Platelet count in Antiphospholipid Syndrome, sponsored by New Valley University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by New Valley University · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Thrombocytopenia is common in antiphospholipid syndrome (APS) and is now included in the 2023 ACR/EULAR APS criteria as an important non criteria/hematologic feature. Persistent or low-moderate thrombocytopenia independently predicts reduced long-term survival in APS, with hazard ratios for mortality around 2.7-4.4, and is associated with a severe disease phenotype and thrombotic deaths.

Read the detailed description

Thrombocytopenia also independently predicts recurrent thrombosis, pregnancy morbidity, and severe extra criteria events in primary APS, correlates with higher damage indices and thrombotic/neurological involvement, and is enriched in high-risk thrombotic APS clusters with poorer prognosis. Existing studies treat thrombocytopenia as a static exposure (present/absent, baseline level). The prognostic value of longitudinal platelet trajectories (persistent vs intermittent vs transient vs absent thrombocytopenia) for global clinical severity and survival has not been systematically evaluated.

02

Conditions studied

  • Antiphospholipid Syndrome

Keywords

  • thrombocytopenia
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In context

Antiphospholipid Syndrome

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

This study's planned enrollment of 200 is above the median of 41 across 65 interventional studies indexed under Antiphospholipid Syndrome.

Browse Antiphospholipid Syndrome studies →

Lead sponsor

New Valley University is the lead sponsor of 25 studies on the registry; 14 are open to participants now.

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

  • Age ≥18 years.
  • Definite APS by Sydney criteria (thrombotic and/or obstetric) with persistent aPL positivity.
  • ≥3 documented counts over ≥12 months before inclusion (to allow trajectory modeling)

Exclusion criteria

Exclusion Criteria:

  • Thrombocytopenia clearly attributable to non APS causes (e.g., chemotherapy, myelodysplastic syndromes, cirrhosis, ).
  • Concomitant conditions strongly affecting survival independent of APS (e.g., cancer), at investigator discretion
Terms in these criteria, in plain language(3)

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.

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.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Antiphospholipid syndrome patients

    * Definite APS by Sydney criteria (thrombotic and/or obstetric) with persistent aPL positivity. * ≥3 documented platelet counts over ≥12 months before inclusion (to allow trajectory modeling)

    Diagnostic Test: Platelet count

Interventions

  • Diagnostic testPlatelet count

    Longitudinal platelet counts (routine visits, hospitalizations) will be extracted. • Using group based trajectory modeling or latent class mixed models, patients will be assigned to data driven platelet trajectory classes, anticipated as: 1. Stable normal (no thrombocytopenia) 2. Intermittent/fluctuating thrombocytopenia 3. Persistent thrombocytopenia (less than 150×10⁹/L)

06

What researchers measure

Primary outcomes

  1. All-cause mortality

    Time frame: From date of diagnosis until the date of death from any cause,assessed up to 5 years"

Secondary outcomes

  1. number recurrent thrombotic event

    Time frame: Through study completion, an average of 5 years.

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Chen C, Zhang A, Cheng J, Yao Z, Meng J, Qin Y, Lu Q, Li Y, Liu X, Li T, Hou C, Tang Y, Liu H, Xu N, Dong S, Li X, Xu F, Guo J, Li C. Identification of Three Distinct Subgroups in Antiphospholipid Syndrome: Implication for Sex Differences and Prognostic Outcomes from a Multicenter Study. Adv Sci (Weinh). 2025 Apr;12(15):e2415291. doi: 10.1002/advs.202415291. Epub 2025 Feb 18. PubMed 39965097 ↗
  • Gamal S, Mohamed S, Moghazy A. Thrombocytopenia in a cohort of primary and secondary antiphospholipid syndrome patients: Relation to clinical, laboratory manifestations and damage index. Arch Rheumatol. 2022 Jan 23;37(2):252-260. doi: 10.46497/ArchRheumatol.2022.9088. eCollection 2022 Jun. PubMed 36017208 ↗
  • Jin J, Xu X, Hou L, Hou Y, Li J, Liang M, Li C. Thrombocytopenia in the first trimester predicts adverse pregnancy outcomes in obstetric antiphospholipid syndrome. Front Immunol. 2022 Aug 18;13:971005. doi: 10.3389/fimmu.2022.971005. eCollection 2022. PubMed 36059524 ↗
  • Jin J, Zhang M, Cai X, Hou Y, Xiang X, Hou L, Li J, Li C. Severe thrombocytopenia is associated with adverse pregnancy outcomes in patients with obstetric antiphospholipid syndrome. Eur J Med Res. 2025 Jun 9;30(1):465. doi: 10.1186/s40001-025-02675-4. PubMed 40490817 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2026 (actual). Primary completion is estimated for Sep 2027, 14 months after the start.

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

Registered
Jul 29, 2026
First posted
Aug 11, 2026
StartActual
Jul 1, 2026
Primary completionEst.
Sep 25, 2027
CompletionEst.
Dec 31, 2027
Last update
Oct 28, 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.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date and arm descriptions
1 update, last Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    Minor edits only
    + 2 other changes: verification date and arm descriptions

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
NCT07757789
Lead sponsor
New Valley University
Responsible party
Asmaa Nady Hussein (Lecturer of Internal Medicine, New Valley University) — Principal investigator
First posted
Aug 11, 2026
Start date
Jul 1, 2026
Primary completion
Sep 25, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Oct 28, 2026

Study contacts

Asmaa N Hussein, MD
Contact
asmaanady_1010@med.nvu.edu.eg
01065161752

Oversight

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

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