Table 5.
FRAGEM Trial [96] | CONKO 004 Trial [97] | CASSINI Trial [122] | AVERT Trial [101] | |
---|---|---|---|---|
Thromboprophylaxis | Dalteparin, 200 IU/kg, once daily | Enoxaparin, 1 mg/kg, once daily | Rivaroxaban, 10 mg, once daily | Apixaban, 2.5 mg, twice daily |
Exclusion criteria | Karnofsky performance status < 60 | Karnofsky performance status < 60 | ECOG performance status ≥ 3 | |
Body weight < 45 kg or > 100 kg | Body weight < 40 kg | |||
CrCl < 50 mL/min | CrCl < 30 mL/min | CrCl < 30 mL/min | CrCl < 30 mL/min | |
• Platelets < 100 × 109/L • Absolute neutrophil count < 2 × 109/L • White cell count < 3 × 109/L • INR > 1.5 • Adequate liver function Bilirubin > 1.5 upper limit of normal |
• Platelets <100 × 109/L • White cell count < 3.5 × 109/L |
• Platelets < 50 × 109/L | ||
• Obvious contraindication to anticoagulation | • Major hemorrhage within the last 2 weeks • Severely impaired coagulation • Active gastrointestinal ulcers • Major surgery within the last 2 weeks |
• Bleeding diathesis • Hemorrhagic lesions • Active bleeding • Conditions with a high risk of bleeding |
• Increased risk of significant bleeding • Hepatic disease with coagulopathy |
|
• Anticoagulation treatment • Antiplatelet treatment (i.e., Aspirin > 75 mg, clopidogrel, etc.) |
• Anticoagulation treatment | • Anticoagulation treatment • Medication contraindicated with apixaban |
CrCl: creatinine clearance; INR: international normalized ratio; IU/kg: international units/kilogram.