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To Assess the Influence of Antiphospholipid Antibodies on INR Test Results in Patients with the Antiphospholipid Syndrome Anticoagulated with Vitamin-K Antagonists.
Patients with an antiphospholipid syndrome receiving Vitamin-K antagonists for secondary prevention after a first thrombotic complication are known to be at higher risk of recurrent thrombotic events despite INR values in the therapeutic range. It ist also known that antiphospholipid antibodies can interfere with phospholipid-dependent tests (e.g. prothrombin time and INR).
The primary objective of this study is to determine the prevalence of interfering antiphospholipid antibodies. The intensity of anticoagulant therapy was assessed by measuring the INR using different thromboplastins and the CoaguChek system for INR self-assessment. Test results were compared to measurements of the phospholipid-independent chromogenic factor X.
The second objective of this study is to evaluate the incidence of recurrent thrombotic events during 1-year follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| APS patients | Patients with antiphospholipid syndrome requiring long-term anticoagulant therapy with vitamin-K antagonists | ||
| Controls | Patients without antiphospholipid antibodies requiring anticoagulant therapy with vitamin-K antagonists |
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| Measure | Description | Time Frame |
|---|---|---|
| Difference between INR and CFX correlate >20% | 0, 1, 2, 3, 6 and 12 month |
| Measure | Description | Time Frame |
|---|---|---|
| Arterial or venous thrombosis | Any arterial of venous thrombosis occurring under anticoagulant treatment with vitamin-K antagonists during 1-year follow-up | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with antiphospholipid syndrome requiring long-term treatment with vitamin-K antagonists (N=40) Pateints without antiphospholipid antibodies treated with vitamin-K antagonists (N=100)
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| Name | Affiliation | Role |
|---|---|---|
| Birgit Linnemann, MD | Goethe University Hospital, Division of Vascular Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Goethe University Hospital | Frankfurt am Main | Hesse | D-60590 | Germany |
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| Label | URL |
|---|---|
| Click here for more information about this study: Monitoring Anticoagulant Therapy in Antiphospholipid Syndrome | View source |
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| ID | Term |
|---|---|
| D016736 | Antiphospholipid Syndrome |
| ID | Term |
|---|---|
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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Plasma samples.