Table 1.
Inclusion criteria |
1. Receiving LMWH for treatment of CAT for approximately five months |
2. Locally advanced or metastatic cancer | |
3. Able to self-administer LMWH, or have LMWH administered by a carer (routine administration by a district nurse is not permissible) | |
4. Able to give informed consent | |
5. Age ≥16 years. | |
Exclusion criteria |
1. Receiving drug other than LMWH for CAT |
2. Contraindication to continuing anticoagulation: | |
a. Known allergies to LMWHs, heparin, sulfites or benzyl alcohol, | |
b. Active major bleeding, | |
c. History of heparin-induced thrombocytopenia, | |
d. Known poor compliance with LMWH, | |
3. Confirmed recurrent VTE whilst receiving anticoagulation | |
4. Fitted with a prosthetic heart valve. | |
Initial assessment | 1. Full blood count, urea, electrolytes, liver function, bone profile |
2. Physical examination | |
3. Primary tumor and tumor treatment history | |
4. Details of LMWH treatment off-trial | |
5. Baseline concomitant medications | |
6. Baseline comorbidities (including index VTE and bleeding event history) | |
7. Use of NHS resources three months prior to commencing trial treatment. |
CAT, Cancer associated thrombosis; LMWH, Low molecular weight heparin; NHS, National Health Service; VTE, Venous thromboembolism.