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Compares blood-thinning regimens in people with antiphospholipid syndrome and arterial clots

Studies blood-thinning treatments in adults with antiphospholipid syndrome after a recent arterial clot.

Plain-language title generated from the registry record
Registry title: Registry on Augmented Antithrombotic Treatment Regimens for Patients With Arterial Thrombotic APS

Key facts

Where
Hamilton, CanadaSee the site

Where in Canada

  • McMaster UniversityHamilton, CanadaTaking people

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Trial details

Who runs it
McMaster University
Trial code
NCT05646394
Record updated
9 December 2025
Original description
The goal of this registry is to gather more information on the efficacy and safety of various antithrombotic regimens. The registry collects data on patients with antiphospholipid syndrome and an arterial event within the past 12 months, on treatment with either A) a VKA with therapeutic range, INR 2.0-3.0 plus low-dose aspirin (75-100 mg daily), B) a VKA alone with therapeutic range, INR 2.0-3.0, C) a VKA with therapeutic range, INR 3.0-4.0, or D) with a dual antiplatelet regimen. The follow-up is 2 years.Read full original descriptionShow less

Registry on Augmented Antithrombotic Treatment Regimens for Patients With Arterial Thrombotic APS

The goal of this registry is to gather more information on the efficacy and safety of various antithrombotic regimens. The registry collects data on patients with antiphospholipid syndrome and an arterial event within the past 12 months, on treatment with either A) a VKA with therapeutic range, INR 2.0-3.0 plus low-dose aspirin (75-100 mg daily), B) a VKA alone with therapeutic range, INR 2.0-3.0, C) a VKA with therapeutic range, INR 3.0-4.0, or D) with a dual antiplatelet regimen. The follow-up is 2 years.

Inclusion: Patients of at least 18 years of age with confirmed antiphospholipid syndrome according to Sydney criteria and with first or recurrent arterial thrombotic manifestation, including those with asymptomatic brain infarcts on diagnostic imaging; Treatment with either A) a vitamin K antagonist (VKA) with therapeutic range, international normalized ratio (INR) 2.0-3.0 plus low-dose aspirin (75-100 mg daily), B) a VKA alone with therapeutic range, INR 2.0-3.0 or C) VKA with therapeutic range, INR 3.0-4.0, or D) with a dual antiplatelet regimen, if considered appropriate by the treating physician; Signed informed consent obtained (in jurisdictions where required).

Exclusion: Bleeding risk that in the opinion of the treating physician makes combination antithrombotic therapy unsafe; Inability to follow the patient due to geographical or other reasons; Patients with documented poor compliance; Pregnancy or planned pregnancy; Venous thrombotic event diagnosed after the last arterial event.

ClinicalTrials.gov NCT05646394