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Hypercoagulable Phenotype by Thrombinography (in Presence of C Protein Dynamic Inhibitory System)

Not Applicable
Completed
Conditions
Venous Thrombosis
Interventions
Other: Blood sample
Registration Number
NCT02892565
Lead Sponsor
Central Hospital, Nancy, France
Brief Summary

The purpose is to determine the hypercoagulable phenotype by thrombinography associated to an increased risk of symptomatic and objectively confirmed first venous thrombotic event. This is a case-control study in a population with patients having systemic lupus erythematosus (SLE) and/or antiphospholipid antibodies (APL).

Secondary purposes are:

1. To determine the frequency of hypercoagulable phenotype in study population;

2. To analyze the sensibility: consequences of variation of hypercoagulable phenotype threshold on the importance of risk;

3. To identify (genetic and not) factors for hypercoagulable phenotype and their frequency in different groups.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
122
Inclusion Criteria

Cases :

  • Patients with SLE and/or APL and first documented deep vein thrombosis episode (minimum 6 months, maximum 6 years)
  • Any weight and height
  • Absence of current anticoagulant treatment but possibility of platelet function inhibitory treatment; actual guidelines suggest long-term anticoagulant treatment in patients with first episode of venous thrombosis and having APL; however, these patients can be studied if they are in one of these circumstances: 1/ "inconvenient" stop by patient, 2/ aspirin decided by doctor after prolonged treatment

Controls:

  • Patients with SLE and/or APL without thrombosis (venous or arterial)
  • Any weight and height
  • Possibility of platelet function inhibitory treatment (primary prophylaxis of arterial manifestations)
Exclusion Criteria

Cases and Controls :

  • Pregnancy
  • Refusal of consent
  • Difficulty of follow-up (not sufficient motivation)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CasesBlood samplePatients with SLE and/or APL and first vein thrombosis episode
ControlsBlood sampleage-matched; Patients with SLE and/or APL
Primary Outcome Measures
NameTimeMethod
Thrombin potential measured with thrombinographybaseline
Measurement of IC50-APC (concentration of APC diminishing 50% thrombin potential at APC concentration = 0)baseline
Secondary Outcome Measures
NameTimeMethod
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