SSC Subcommittee on Antiphospholipid Syndrome

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This SSC Subcommittee focuses on the pathophysiology, diagnosis and management of antiphospholipid syndrome (APS). This includes the standardization of existing assays that detect antiphospholipid antibodies (aPL), evaluation of newly developed assays, advising on the diagnostic criteria for APS, and on antithrombotic treatment, as well as consideration of other potential new therapeutic strategies or re-evaluation of existing treatment for other disorders. The SSC Subcommittee’s membership includes haematologists, laboratory scientists, internists, rheumatologists, vascular specialists, obstetricians and gynaecologists, pharmacists and nurses, and is addressed to a large spectrum of specialists.

Mandate

  • To develop laboratory standards, methods, and nomenclature if appropriate
  • To create international collaborations for the purpose of planning and executing laboratory and clinical projects related to the defined needs in the field
  • To suggest or organize collaborative studies as a result of these activities
  • To address issues of practical importance to the research community and to clinicians involved in the field
  • To generate, publish and distribute reports, recommendations and other documents concerning all of the above

If you are interested in the subcommittee and would like to follow its activity, please click "join community" to sign up as a member (follower).

If you are a member of the Society and would like to know how to participate in the work of this group, please join the group to receive updates on activity or submit an Expression of Interest Form to the Chair or any of the Co-chairs. We would be pleased to hear of your interest. If you are a member of our SSC Subcommittee, you could do a project through the auspices of the ISTH via our Subcommittee - please contact the Chair or any of the Co-chairs.

We encourage our Early Career Co-chairs, currently three, including one Reach-the-World Co-chair, to lead and be involved with our SSC projects.

Our focus over the next year includes the following:

  • international collaborative work with APS ACTION: Harmonization of ELISA and non-ELISA Antiphospholipid Antibody Tests
  • guidance on the management of antiphospholipid antibody-positive patients with ischaemic stroke, transient ischaemic attack or other brain ischaemic injury
  • assessment of impaired fibrinolysis in patients with antiphospholipid syndrome
  • establish new relevant projects, including:
    investigation of the diagnostic utility of alternative assays to dilute Russell's viper venom time and activated partial thromboplastin time in detection of lupus anticoagulants;
    a survey on APS diagnosis and antithrombotic treatment in patients with acute ischemic cardiac disease; 
    a survey on immunomodulatory therapy use in patients with APS

Metrics

  • Updates by official communications of the SSC

  • Guidance documents on specific topics in laboratory diagnosis of APS

  • Involvement of early career Co-chairs in SSC projects

  • Organization of educational sessions

  • Communication and call for running/new initiatives during the annual SSC session

Leadership

  • Chair - Deepa Jayakody Arachchillage
  • Co-chair - Ibrahim Tohidi-Esfahani
  • Co-chair - Guilherme de Jesús
  • Co-chair - Jason Knight
  • Co-chair - Gustavo Balbi
  • Co-chair - Savino Sciascia
  • Co-chair - Hannah Cohen 
  • Co-chair - Pedro Gaspar
  • Co-chair - Gary Moore

Active Projects

Harmonization of ELISA and non-ELISA Antiphospholipid Antibody Tests

Project begins: 2024, projected end: 2026

Survey on cognitive impairment and dementia in patients with antiphospholipid antibodies

Project begins: 2025, projected end: 2026

Role of Immunomodulation in thrombotic and microvascular in primary Antiphospholipid Syndrome

Project begins: 2025, projected end: 2027

ISTH SSC Lupus anticoagulant/antiphospholipid antibodies Subcommittee practical guidance on laboratory interpretation and reporting of lupus anticoagulant testing data

Project begins: 2025, projected end: 2026

Survey on Lupus anticoagulant testing, Project begins: 2025, projected end: 2026 (Survey available in RedCap here)

Survey on antiphospholipid syndrome diagnosis and antithrombotic treatment in patients with acute ischemic cardiac disease

Project begins: 2025, projected end: 2025

Investigating the diagnostic utility of alternative assays to dilute Russell's viper venom time and activated partial thromboplastin time in detection of lupus anticoagulants

Project begins: 2025, projected end: 2026

Assessment of impaired fibrinolysis in patients with antiphospholipid syndrome

Project began: 2024, projected end: 2026

Management of antiphospholipid antibody-positive patients with ischaemic stroke, transient ischaemic attack or other brain ischaemic injury

Project began: 2024, projected end: 2026

Laboratory diagnosis of antiphospholipid syndrome

Project began: 2023, projected end: 2024

Investigation of the thrombogenic potential of IgM antiphospholipid antibodies ex vivo and in vivo

Project began: 2023, projected end: 2026

Registry on Augmented antithrombotic treatment regimens for patients with arterial thrombotic APS 

Project began: 2021, projected end: 2026 See Registry Here

Explaining the Discrepancies of INR Measurements Between Point-Of-Care and Traditional Testing in Antiphospholipid-Positive Patients project

Project began: 2021, projected end: 2026

Standardization of thrombin generation assays 2.0

Project began: 2021, projected end: 2026

International Registry of Thrombotic APS Patients Treated With Direct Oral Anticoagulants

Project began: 2019, projected end: 2026

Search for uniformity in reporting qualitative results as low-medium-high antibody titers for anti-cardiolipin and anti-β2glycoprotein I IgG/M based on a clinical approach, a multicenter study 

Project began: 2015, projected end: 2025

Unraveling Difficulties in Laboratory Diagnosis of Antiphospholipid Syndrome by Evaluation of 'Real Life' Sample Results in External Quality Control Program

Project began: 2018, projected end: 2026

Completed Projects

Survey on APS diagnosis and antithrombotic treatment in patients with ischaemic stroke, other brain ischaemic injury or arterial thromboembolism in other sites

Project began: 2021, project ended: 2023

Use of Direct Oral Anticoagulants in Patients with Antiphospholipid Syndrome

Project began: 2019, project ended: 2020

Is There an Additional Value in Detecting Anticardiolipin and Anti-β2 glycoprotein I IgA Antibodies in the Antiphospholipid Syndrome?

Project began: 2016, project ended: 2019

LAC Testing in Samples from Anticoagulated Patients

Project began: 2019, project ended: 2020

Update of the Guidelines for Lupus Anticoagulant Detection and Interpretation

Project began: 2017, project ended: 2020

Standardization of thrombin generation assays

Project began: 2018, project ended: 2021

An international, multi-centre study to validate the Taipan snake venom time as a lupus anticoagulant screening test with ecarin time as confirmatory test

Project began: 2018, project ended: 2021

Multicenter study on solid phase assays: role of IgG and IgM antiphosphatidylserine/prothrombin (aPS/PT) antibodies in APS

Project began: 2019, projected end: 2023

Role of anti-domain I β2-glycoprotein I antibodies measured by different methods, in the diagnosis and risk stratification of antiphospholipid syndrome

Project began: 2016, projected end: 2023

Official Communications:

In Memoriam: Silvia Pierangeli (1955-2013)

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