Clinical trial Recruiting at 1 site Observational Ages 18 to 65

Assessing diagnostic accuracy in antiphospholipid syndrome

Official title: Negative Antiphospholipid Syndrome: a Multicentric Study

Run by Italian Society for Rheumatology · NCT06373003 · Data updated 2026-11-12

This study is trying to see if certain non-standard blood tests can help identify antiphospholipid syndrome in patients who have had blood clots or pregnancy issues, even if their regular tests come back negative.

Quick facts

Study typeObservational
Ages18 Years to 65 Years
SexAll
Enrollment105 (estimated)
SponsorItalian Society for Rheumatology
Academic / other
Locations1 site (Roma, Rome)
StatusRecruiting
StartedSeptember 21, 2024
Main results expectedSeptember 2026
Study endsSeptember 2026
Registry record updatedMay 14, 2025
Trial IDNCT06373003 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include patients under 65 years old with clinical criteria for APS but negative for conventional antiphospholipid antibodies.

Probably not a fit

Patients with known causes of thrombosis or obstetrical manifestations will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicentric, observational study aims to evaluate the diagnostic accuracy of non-criteria antiphospholipid antibodies in identifying antiphospholipid syndrome (APS) in patients experiencing thrombosis or recurrent adverse pregnancy outcomes. It focuses on seronegative antiphospholipid syndrome (SN-APS), where patients show clinical signs of APS but test negative for conventional antiphospholipid antibodies. By analyzing data from multiple Italian centers, the study seeks to clarify the relationship between non-criteria antibodies and clinical manifestations, potentially improving diagnostic strategies. The study is retrospective and cross-sectional in nature, promoting a better understanding of SN-APS and its implications.

Why it matters

Potential benefit: If successful, this study could enhance diagnostic accuracy for patients with antiphospholipid syndrome, leading to better management and treatment outcomes.

How similar studies have gone: While there is limited knowledge on seronegative antiphospholipid syndrome, recent studies suggest that exploring non-criteria antibodies may provide new insights, indicating a novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
INCLUSION CRITERIA:

1. Group 1 \[APS\]: Patients fulfilling the classification criteria for antiphospholipid syndrome (seropositive APS, SP-APS)
2. Group 2 \[SN-APS\]: patients with seronegative APS (SN-APS): with clinical criteria (thrombotic or obstetric) for APS, persistently negative for aPL, and with clinical features highly suggestive of APS (recurrent events, thrombotic + obstetrical events, extra-criteria manifestations, other autoimmune diseases)
3. Group 3: patients with clinical criteria (thrombotic or obstetric) for APS, negative for aPL, but without clinical features highly suggestive of APS (recurrent events, thrombotic + obstetrical events, extra-criteria manifestations, other autoimmune diseases).
4. Age \< 65 years (at event time)
5. Less than 5 years from the first even

EXCLUSION CRITERIA

1. Group 2 and 3: patients with a known cause of thrombosis or obstetrical manifestations
2. Deceased patients
3. Less than 5 years from the first event

Where it's running

  • Umberto I Polyclinic, Rome- Department of Rheumatology
    Roma, Rome, Italy
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.