TABLE 4. Randomized Controlled Trials for Treatment of Cancer-Related Venous Thromboembolism (VTE).
Study | No. of patients | Treatment regimens | Proportion of patients experiencing event during treatment period (%) | Statistical inference | ||
---|---|---|---|---|---|---|
Recurrent VTE | Major bleeding | Death | ||||
Lee et al. 200346 | 336 | Dalteparin (200 IU/kg OD) for 5-7 days + warfarin (target INR 2-3) for 6 months | 16 | 4 | 41 | P = .002 for recurrent VTE; NS for major bleeding and for death |
336 | Dalteparin (200 IU/kg OD) for 1 month + dalteparin (~150 IU/kg OD) for 5 months | 8 | 6 | 39 | ||
Hull et al. 200647 | 100 | IV UFH (APTT adjusted) for 6 days + warfarin (target INR 2-3) for 3 months | 10 | 7* | 19 | NS |
100 | Tinzaparin (175 IU/kg OD) for 3 months | 6 | 7* | 20 | ||
Meyer et al. 200248 | 71 | Enoxaparin (1.5 mg/kg OD) for ≥ 4 days + warfarin (target INR2-3) for 3 months | 21.1 † | 16 | 22.7 | NS |
67 | Enoxaparin (1.5 mg/kg OD) for 3 months | 10.5 † | 7 | 11.3 | ||
Deitcher et al. 200649 | 30 | Enoxaparin (1 mg/kg BID) for ≥ 5 days + warfarin (target INR2-3) for 178 days | 10.0 | 2.9 | 32.4 | ND for recurrent VTE or death; NS for major bleeding |
29 | Enoxaparin (1 mg/kg BID) for 5 days + enoxaparin (1 mg/kg OD) for 175 days | 6.9 | 6.5 | 22.6 | ||
32 | Enoxaparin (1 mg/kg BID) for 5 days + enoxaparin (1.5 mg/kg OD) for 175 days | 6.3 | 11.1 | 41.7 |
Major bleeding rate does not include fatal bleeding.
Rate of recurrent VTE or major hemorrhage.
APTT, activated partial thromboplastin time; BID, twice-daily; INR, international normalized ratio; IV, intravenous; OD, once-daily; ND, not determined; NS, not significant; UFH, unfractionated heparin.