New drug aims to tame antibodies in rare clotting disorder
NCT ID NCT06315530
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tested whether the drug telitacicept can reduce levels of harmful antibodies in 20 people with antiphospholipid syndrome, a condition that raises the risk of blood clots. Participants received either telitacicept plus standard care or standard care alone for 48 weeks. The main goal was to see if antibody levels dropped, not yet to prove it prevents clots.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- telitacicept
- What this could lead to
- If it works, this could point toward a new way to reduce dangerous antibodies and prevent blood clots in people with antiphospholipid syndrome.
- What could go wrong
- This is a very small, early-phase trial with only 20 people. It only measures antibody levels, not whether it actually prevents clots. Side effects are not yet well understood.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
20 people
The number who actually took part.
- Started
-
Dec 2023
- Finished
-
Jan 2026
- 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
-
Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide 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: * Age ≥18 years; * Diagnosis of primary APS, meet 2006 Sydney classification criteria or continuously positive for antiphospholipid antibodies within the first 12 months of inclusion (tested at least every 12 weeks), classified as high-risk antiphospholipid antibody spectrum based on the risk of antibody levels, in order to meet at least one of the following conditions: 1. Positive lupus anticoagulant (LAC) (tested according to ISTH guidelines); 2. Two or three types of aPL positivity (lupus anticoagulant, anticardiolipin antibody, and anti-β2 any two or all three types of glycoprotein I antibodies; 3. Or persistent high titer aPL; * There are no other autoimmune diseases occurring simultaneously; * According to EULAR recommendations for antiphospholipid syndrome, a stable APS treatment regimen should be adopted; * Female patients who are not pregnant, breastfeeding, have no fertility potential, or have not undergone contraception. Exclusion Criteria: * Patients with a history of malignant tumor in the past 5 years, except for basal cell carcinoma or squamous cell carcinoma of skin or cervical carcinoma in situ treated locally, and there is no evidence of metastasis within 3 years; * Patients with a history of primary immunodeficiency; * Serious lack of IgG (IgG level \< 400 mg/dL); * IgA deficiency (IgA level \< 10 mg/dL); * Patients with a current history of infection; * Patients with a current history of drug or alcohol abuse or dependence, or have a history of drug or alcohol abuse or dependence within 365 days before day 0; * HIV test is historically positive or HIV screening is positive; * Hepatitis status; * Patients with a history of allergic reaction caused by injection of contrast agent, human or mouse protein or monoclonal antibody; * Patients with other abnormal laboratory values with clinical significance; * If women with reproductive potential (WCBP) are included, please refer to the following special instructions; * Patients with concurrent major medical or mental illnesss; * Patients with diseases of liver, kidney, heart and other important organs,blood and Endocrine system; * Patients who have been vaccinated with live vaccine in the last month; * Patients who have participated in any clinical trial within 28 days before the initial screening and/or within 5 times of the half-life of the study compound (whichever is longer); * Patients who use B-cell targeted therapy drugs within one year, such as rituximab or epratuzumab; * Patients who use tumor necrosis factor inhibitor and interleukin receptor blocker within one year; * Patients who use Intravenous gamma globulin (IVIG) and prednisone ≥100mg/d for more than 14 days within one year or plasma exchange; * Patients with active infection (such as herpes zoster, HIV infection, active tuberculosis, etc.) during the screening period; * Patients with depression or suicidal thoughts; * Other conditions that the investigator considers would make the candidate unsuitable for the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Ruijin Hospital
Shanghai, Shanghai Municipality, 200025, China
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