Could interferon be a hidden trigger of blood clot damage after transplant?

NCT ID NCT07705789

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First seen Jul 15, 2026 · Last updated Jul 16, 2026 · Updated 1 time

Summary

This study investigates how interferon and complement proteins contribute to thrombotic microangiopathy (TMA), a serious condition involving small blood clots and organ damage that can occur after stem cell transplants. Researchers will measure interferon levels, complement activity, and VEGF-A in blood and urine samples from 40 adults, including transplant recipients with and without TMA. The goal is to clarify whether interferon, alongside complement, drives the blood vessel damage seen in TMA.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If successful, this research could identify interferon as a key driver of TMA, pointing toward new treatment targets for this serious complication.
What could go wrong
This is an observational study with a small sample of 40 people, so findings may not apply broadly and will need confirmation in larger trials.

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Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 40 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Sep 2026

An estimate. Start dates often move.

Expected to finish

Dec 2031

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: Participants eligible for inclusion in this study must meet all of the following criteria: 1. Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures 2. At least 18 years of age at the time of signing the Informed Consent Form (ICF) Specifically for the patients with TMA (G1 and G4): 1. Patients after allogeneic or autologous hematopoietic stem cell transplantation (HSCT) OR patients after solid organ transplantation OR patients with DITMA AND 2. Tissue diagnosis of TMA (pathological diagnosis) OR 3. Clinical diagnosis of TMA based on the following criteria, with ≥4 out of 6 features fulfilled within 14 days (15,52,53): * de novo Coombs negative hemolytic anemia OR (in case of HSCT) * failure to achieve transfusion independence despite neutrophil engraftment * hemoglobin decline by ≥ 1g/dL * new onset transfusion dependence * otherwise unexplained de novo thrombocytopenia (\< 50 x 109/L) OR a 25% decrease in platelet count OR (in case of HSCT) * failure to achieve platelet engraftment despite neutrophil engraftment * higher than expected transfusion needs * refractory to platelet transfusion \*≥50% reduction in platelet count after full platelet engraftment * lactate dehydrogenase (LDH) above the upper limit of normal * schistocytes (=\>2 / high power field (HPF) * new onset hypertension OR worsening of existing hypertension requiring additional antihypertensive therapy * proteinuria \> 1g/g creatinine on a random urine protein-to-creatinine ratio Date of TMA diagnosis = first date when ≥4 out of the 6 features are fulfilled. Specifically for the group of patients without TMA, with infection (G2): 1. Patients after allogeneic or autologous hematopoietic stem cell transplantation (HSCT) OR patients after solid organ transplantation AND 2. Symptomatic viral infection (evaluated by the treating physician). Specifically for the group of patients without TMA, without infection (G3): 1. Patients after allogeneic or autologous hematopoietic stem cell transplantation (HSCT) OR patients after solid organ transplantation AND 2. No symptomatic viral infection (evaluated by the treating physician). Exclusion Criteria: Participants eligible for this study must not meet any of the following criteria: 1. Participant has a personal or family history of aHUS 2. Participant has a history of malignant hypertension 3. Participant has a history of active cancer, excluding the haematological cancer for which the patient received the stem cell transplantation (if applicable) 4. The participant received prior complement inhibition 5. The participant received prior anti-interferon treatment 6. If applicable: Female who is pregnant, breast-feeding or intends to become pregnant the following year or is of child-bearing potential and not using an adequate, highly effective contraceptive 7. Participation in an interventional study with an investigational medicinal product (IMP) or device

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Conditions

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As listed by the trial registrant

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