RT Journal Article T1 Comparison of real world and core laboratory lupus anticoagulant results from the Antiphospholipid Syndrome Alliance for Clinical Trials and International Networking (APS ACTION) clinical database and repository. A1 Efthymiou, Maria A1 Mackie, Ian J A1 Lane, Philip J A1 Andrade, Danieli A1 Willis, Rohan A1 Erkan, Doruk A1 Sciascia, Savino A1 Krillis, Steven A1 Bison, Elisa A1 Borges Galhardo Vendramini, Margarete A1 Romay-Penabad, Zurina A1 Qi, Miao A1 Tektonidou, Maria A1 Ugarte, Amaia A1 Chighizola, Cecilia A1 Belmont, H Michael A1 Aguirre, Maria Angeles A1 Ji, Lanlan A1 Branch, D Ware A1 de Jesus, Guilherme A1 Fortin, Paul R A1 Andreoli, Laura A1 Petri, Michelle A1 Cervera, Ricard A1 Rodriguez, Esther A1 Knight, Jason S A1 Atsumi, Tatsuya A1 Vega, Joann A1 Sevim, Ecem A1 Bertolaccini, Maria Laura A1 Pengo, Vittorio A1 Cohen, Hannah K1 Russell's viper venom time K1 Antiphospholipid antibodies K1 Antiphospholipid syndrome K1 Lupus anticoagulant K1 Thrombosis AB Variability remains a challenge in lupus anticoagulant (LA) testing. To validate LA test performance between Antiphospholipid Syndrome Alliance for Clinical Trials and International Networking (APS ACTION) Core laboratories and examine agreement in LA status between Core and local/hospital laboratories contributing patients to this prospective registry. Five Core laboratories used the same reagents, analyzer type, protocols, and characterized samples for LA validation. Non-anticoagulated registry samples were retested at the corresponding regional Core laboratories and anticoagulated samples at a single Core laboratory. Categorical agreement and discrepancies in LA status between Core and local/hospital laboratories were analyzed. Clotting times for the reference/characterized plasmas used for normalized ratios were similar between Core laboratories (CV Laboratories can achieve good agreement in LA performance by use of the same reagents, analyzer type, and protocols. The standardized Core laboratory results underpin accurate interpretation of APS ACTION clinical data. PB Elsevier YR 2019 FD 2019-07-25 LK http://hdl.handle.net/10668/14344 UL http://hdl.handle.net/10668/14344 LA en NO Efthymiou M, Mackie IJ, Lane PJ, Andrade D, Willis R, Erkan D, et al. Comparison of real world and core laboratory lupus anticoagulant results from the Antiphospholipid Syndrome Alliance for Clinical Trials and International Networking (APS ACTION) clinical database and repository. J Thromb Haemost. 2019 Dec;17(12):2069-2080 NO We would like to thank NIBSC, South Mimms, UK for kindly providing the 1st International Reference Panel for LA plasma; Werfen for providing the ACL TOP500 analyzer and LA reagents; and Diagnostic Reagents Ltd for providing Taipan and Ecarin venoms; without having any input in the study and/or analysis of the data or results. Data management was performed using REDCAP provided by the Clinical and Translational Science Center at Weill Cornell Medicine (CTSC grant UL1 TR000457) DS RISalud RD Apr 7, 2025