I would drop Touch of Agony and take Signet Of Lost Souls or Consume Corpse.
Touch of Agony is a skill, will not work with Vampiric Spirit. You also have low amounts of Soul Reaping (missing rune?), and energy management problems from Vampiric Spirit can be costly.
You have a weapon & off hand and vigor to give you that much health? Sacing does more damage to you than you can heal from VS. Remember, Blood Ritual will drop your health by 1/4, even with VS, DA will cause additional damage, so you have to use it carefully.
I think e-management is your biggest concern.
A condition removal may help you in your optional slot (Plague Sending, not touch). Sac, spell, spread 1 condition to adjacent foes of target (if you are surrounded, it becomes a nice skill to use).
Just a suggestion.
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