- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04262492
International Registry of Thrombotic APS Patients Treated With Direct Oral Anticoagulants (OBSTINATE)
May 7, 2026 updated by: Stéphane Zuily
OBServaToire INternational Des Patients AnTiphospholipidEs traités Par Anticoagulants Oraux Directs
This registry, currently being established will ensure consistency of data collection and provide safety information in non high-risk APS patients currently on DOACs.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Estimated)
500
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Virginie Dufrost, MD, MSc
- Phone Number: +33383157828
- Email: v.dufrost@chru-nancy.Fr
Study Locations
-
-
-
Nancy, France, 54500
- Recruiting
- Stéphane Zuily
-
Contact:
- Stéphane Zuily, MD, PhD
- Phone Number: +33383157354
- Email: s.zuily@chru-nancy.fr
-
Principal Investigator:
- Virginie Dufrost, MD, MSc
-
Sub-Investigator:
- Denis Wahl, MD, PhD
-
Sub-Investigator:
- Stéphane Zuily, MD, PhD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
N/A
Sampling Method
Non-Probability Sample
Study Population
Thrombotic APS patients according to revised Sapporo-Sydney criteria
Description
Inclusion Criteria:
- Patient receiving a comprehensive information about the study, and not opposed to participate
- Age ≥ 18 yo
- Classification of definite APS according to revised Sapporo-Sydney criteria
- Direct oral anticoagulant treatment prescribed during at least 6 months or with the possibility of follow-up of at least 6 months
Exclusion Criteria:
- Incomplete revised Sapporo-Sydney criteria
- No data regarding the recurrent thrombosis
- Pregnant woman
- Age < 18 yo
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of Recurrent Thrombosis
Time Frame: 6 months
|
Rate of Recurrent Thrombosis either arterial, venous or microvascular confirmed by a relevant exam
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of Bleeding
Time Frame: 6 months
|
Rate of Bleeding either severe or major or clinically relevant non-major bleeding according to ISTH classification
|
6 months
|
|
Rate of Non-Criteria Manifestations
Time Frame: 6 months
|
Rate of Non-Criteria Manifestations according to Sydney criteria
|
6 months
|
|
Adherence to treatment
Time Frame: 6 months
|
Rate of patients who have a good adherence to oral anticoagulants assessed by the Girerd questionnaire
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Dufrost V, Risse J, Reshetnyak T, Satybaldyeva M, Du Y, Yan XX, Salta S, Gerotziafas G, Jing ZC, Elalamy I, Wahl D, Zuily S. Increased risk of thrombosis in antiphospholipid syndrome patients treated with direct oral anticoagulants. Results from an international patient-level data meta-analysis. Autoimmun Rev. 2018 Oct;17(10):1011-1021. doi: 10.1016/j.autrev.2018.04.009. Epub 2018 Aug 11.
- Dufrost V, Risse J, Wahl D, Zuily S. Direct Oral Anticoagulants Use in Antiphospholipid Syndrome: Are These Drugs an Effective and Safe Alternative to Warfarin? A Systematic Review of the Literature: Response to Comment. Curr Rheumatol Rep. 2017 Aug;19(8):52. doi: 10.1007/s11926-017-0676-2. No abstract available.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 21, 2020
Primary Completion (Estimated)
April 21, 2030
Study Completion (Estimated)
April 21, 2031
Study Registration Dates
First Submitted
February 6, 2020
First Submitted That Met QC Criteria
February 7, 2020
First Posted (Actual)
February 10, 2020
Study Record Updates
Last Update Posted (Actual)
May 8, 2026
Last Update Submitted That Met QC Criteria
May 7, 2026
Last Verified
May 1, 2026
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Autoimmune Diseases
- Immune System Diseases
- Embolism and Thrombosis
- Thrombosis
- Antiphospholipid Syndrome
- Sulfur Compounds
- Organic Chemicals
- Pyridines
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Benzimidazoles
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Morpholines
- Oxazines
- Thiophenes
- Rivaroxaban
- Dabigatran
- apixaban
- edoxaban
Other Study ID Numbers
- 2019-A01415-52
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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